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RCEM FRCEM Primary Examination Sample Questions:
1. A 46 year old woman arrives after being hit by a car She has sustained a head injury You suspect she may have increased intracranial pressure due to a traumatic brain injury.
Which is the earliest clinical finding you are likely to see?
A) Impaired corneal reflex
B) Cushmg's triad
C) Bilateral fixed dilated pupils
D) Dilated ipsilateral pupil
E) Papilledema
2. A patient presents with acute cardiac failure and is prescribed a loop diuretic In which part of the nephron will the diuretic inhibit the sodium-potassium-chloride cotransporter?
A) Distal convoluted tubule
B) Collecting duct
C) Proximal tubule
D) Thick ascending limb
E) Thin ascending limb
3. A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?
A) Flexion of the wrist
B) Flexion of the distal interphalangeal joints
C) Flexion of the proximal interphalangeal joints
D) Abduction of the little finger
E) Opposition of the thumb
4. An 80 year old man presents to the ED with clinical features suggestive of ischaemic bowel Which artery is most commonly occluded in this condition?
A) Coeliac
B) Left colic
C) Inferior mesenteric
D) Gastroduodenal
E) Superior mesenteric
5. A 30 year old woman attends the ED with a worsening headache and tight periorbital pain over the last (ew hours You suspect cavernous sinus thrombosis Her right eye has ptosis, mydriasis and is deviated laterally and downward Which nerve is most likely to be affected?
A) Oculomotor
B) Trigeminal
C) Trochlear
D) Abducens
E) Optic
Solutions:
Question # 1 Answer: E | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: E | Question # 5 Answer: A |