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RCEM FRCEM Primary Examination Sample Questions:

1. A 60 year old man with alcoholic liver cirrhosis and portal hypertension is brought to the ED because he has been vomiting blood Which vein is the most likely origin of his haematemesis?

A) Azygos
B) Left gastric
C) Periumbilical
D) Superior vena cava
E) Inferior mesenteric

2. A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.
Which drug is most likely to be responsible?

A) Diclofenac
B) Naproxen
C) Aspirin
D) Ibuprofen
E) Mefenamic acid

3. You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation Which receptors are most likely to be targeted by this treatment?

A) Muscarinic
B) Beta 2
C) Beta 1
D) Alpha 1
E) Nicotinic

4. A 28 year old woman presents to the ED after taking an overdose of amitriptyline. Her ECG shows a broad complex tachycardia Blockade of what type of ion channel is most likely to have occurred?

A) Sodium channels
B) Potassium channels
C) Gap junction channels.
D) Calcium channels
E) Cyclic nucleotide-gated channels

5. 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

Solutions: