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RCEM FRCEM Primary Examination Sample Questions:

1. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) Laminar flow
B) Turbulent flow
C) Decreased viscosity
D) High blood volume
E) Increased viscosity

2. A 71 year old man with a history of heart failure and type II diabetes mellitus presents with an acute, painful, swollen first metatarsophalangeal joint in his foot You suspect gout.
Which treatment would be most appropriate for the acute management of this patient*?

A) Diclofenac
B) Colchicine
C) Prednisolone
D) Allopunnol
E) Naproxen

3. A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?

A) Delta
B) Alpha
C) Gamma
D) Exocrine
E) Beta

4. A 56 year old woman with hypothyroidism is found to have significant hypokalemia Which feature is most likely to be seen on her ECG?

A) Prominent U waves
B) Short QT interval
C) J waves
D) Tall T waves
E) Prolonged PR interval

5. You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?

A) S1.2
B) L5
C) L3,4
D) L12
E) S2, 3, 4

Solutions: