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RCEM FRCEM Primary Examination Sample Questions:
1. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?
A) Sphingolipid
B) Fatty acid
C) Phosphoglyceride
D) Phospholipid
E) Glycolipid
2. 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) Total peripheral resistance
B) Stroke volume
C) Pulmonary artery pressure
D) Cardiac output
E) Right atrial pressure
3. A 20 year old woman presents with symptoms and signs suggestive of infectious mononucleosis Proliferation of which cells on the peripheral blood film would best support your diagnosis?
A) Neutrophils
B) Monocytes
C) Eosinophils
D) Basophils
E) Lymphocytes
4. A ten day old baby is brought in with purulent conjunctivitis. The gram stain of the purulent exudate did not show any organisms. Which bacteria is the most likely cause?
A) Escherichia coli
B) Chlamydia trachomatis
C) Neisseria gonorrhoeae
D) Listeria monocytogenes
E) Streptococcus pneumoniae
5. A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?
A) Zona fasciculata
B) Zona glomerulosa
C) Zona reticularis
D) Adrenal medulla.
E) Adrenal cortex
Solutions:
Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: E | Question # 4 Answer: B | Question # 5 Answer: D |