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RCEM FRCEM Primary Examination Sample Questions:

1. You are conducting a study of children presenting with febrile convulsions. As pari of your data collection you record their temperature in degrees Celsius on arrival Which is the best description of this type of data?

A) Nominal
B) Ordinal
C) Ratio
D) Interval
E) Discrete

2. You are considering procedural sedation for a patient with vascular compromise due to a fracture They ate a meal two hours ago You are trying to remember the factors that affect gastric emptytng in healthy patients What factor will delay gastric emptying?

A) Release of gastrin
B) Increased gastric distention
C) Low fat content of chyme
D) More liquids than solids in the stomach
E) Decreased duodenal luminal pH

3. A 76 year old patient is found on examination to have an absent jaw jerk What cranial nerve nucleus is the1 most likely site of pathology?

A) Hypoglossal
B) Trigeminal
C) Glossopharyngeal
D) Abducens
E) Facial

4. A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A) Haemophilus influenzae B
B) Diptheria
C) Pertussis
D) Meningococcal
E) Polio

5. A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?

A) Reduced glucagon secretion
B) Excessive glucocorticoid production
C) Production of abnormal insulin
D) Increased cellular resistance to insulin
E) Reduced insulin production by pancreatic beta cells

Solutions: