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RCEM FRCEM Primary Examination Sample Questions:

1. You are caring for a 68 year old patient with known heart failure and significant tachypnoea Stimulation of which receptor type is most likely to cause this increase in respiratory rate?

A) Stretch receptors
B) Chemoreceptors
C) Irritant receptors
D) Juxtacapillary receptors
E) Mechanoreceptors

2. A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?

A) Decreased secretion of calcium from bone
B) Decreased renal excretion of phosphate
C) Decreased vitamin D synthesis
D) Increased calcitonin secretion
E) Increased parathyroid secretion

3. A 71 year old man with a history of heart failure and type II diabetes mellitus presents with an acute, painful, swollen first metatarsophalangeal joint in his foot You suspect gout.
Which treatment would be most appropriate for the acute management of this patient*?

A) Colchicine
B) Allopunnol
C) Diclofenac
D) Prednisolone
E) Naproxen

4. A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
What is the recommended absence period?

A) Until the rash has disappeared
B) Seven days after the rash has disappeared
C) Until fever has settled for 24 hours
D) Until conjunctivitis and mucous membrane rash has resolved
E) Four days after the onset of rash

5. 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) Mefenamic acid
B) Ibuprofen
C) Diclofenac
D) Aspirin
E) Naproxen

Solutions: