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RCEM FRCEM Primary Examination Sample Questions:

1. You have achieved haemostasis of a wound A medical student asks you about the subsequent inflammatory response. Which is the predominant cell type in this phase?

A) Lymphocytes
B) Macrophages
C) Platelets
D) Fibroblasts
E) Neutrophils

2. A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?

A) Absence of sweating on the face
B) Absent corneal reflex
C) Increased lacrimation
D) Constriction of the pupil
E) Deviation of the eye inferolaterally

3. A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring Which nerve are you most likely to need to block?

A) Greater auricular
B) Posterior auncular branch of facial
C) Lesser occipital
D) Auricular branch of vagus
E) Auriculotemporal

4. A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A) Duodenum
B) Caecum
C) Stomach
D) Colon
E) Ileum

5. A 45 year old woman requires procedural sedation for a dislocated shoulder She has recently eaten a fatty meal Which substance is most likely to be secreted when the food reaches the small intestine''

A) Vasoactive intestinal peptide
B) Gastrointestinal peptide
C) Cholecystokmin
D) Gastrin
E) Secretin

Solutions: