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RCEM FRCEM Primary Examination Sample Questions:

1. A 60 year old woman presents with shortness of breath and signs of pulmonary oedema. An echocardiogram demonstrates reduced left ventricular systolic function.
Which measurement on echocardiogram best demonstrates this?

A) Left ventricle end diastolic volume and pressure
B) Left ventricle end diastolic volume
C) Stroke volume
D) Left ventricle end diastolic pressure
E) Ejection fraction

2. A 77 year old woman is brought to the ED following a house fire Arterial blood gas confirms she has an increased carboxyhaemoglobin level What is the most likely effect on the oxygen dissociation curve?

A) No effect
B) Hyperbolic curve
C) Bohr effect
D) Shift to the right
E) Shift to the left

3. A 37 year old man is injured and has significant blood loss Following blood transfusion his systolic blood pressure increases from 70 to 100 Which physiological parameter is most likely to decrease in response?

A) Cardiac output
B) Total peripheral resistance
C) Stroke volume
D) Right atrial pressure
E) Pulmonary artery pressure

4. A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?

A) Acinar cells
B) Club cells
C) Goblet cells
D) Mast cells
E) Columnar epithelial cells

5. A 35 year old man attends after a motorbike accident. He is complaining of abnormal vision and his right eye is slightly adducted when he looks straight ahead.
Which cranial nerve has suffered the most damage?

A) Inferior division of oculomotor
B) Abducens
C) Trigeminal
D) Trochlear
E) Superior division of oculomotor

Solutions: