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RCEM FRCEM Primary Examination Sample Questions:

1. A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?

A) Deep inguinal
B) Superolateral superficial
C) Superomedial superficial
D) Inferior superficial
E) External iliac

2. A 65 year old patient presents to the ED with a three hour history of expressive dysphasia. You suspect a stroke and order a CT scan Which area of the brain is the most likely site of the infarct?

A) Frontal
B) Temporal
C) Parietal
D) Cerebellum
E) Occipital

3. You are treating a patient with left ventricular failure and decide to revise some cardiovascular physiology to help you understand the likely response to treatment Which statement best describes Starling's law in relation to cardiac output?

A) Increased heart rate due to an increase in sympathetic stimulation
B) Increased afterload due to an increase in cardiac output
C) Increased force of contraction due to an increase in preload
D) Increased filling pressure leading to an increase in heart rate ID.
E) Increased contractility leading to an increase in stroke volume

4. An 80 year old woman presents to the ED with diarrhoea and vomiting. She is clinically dehydrated The physiological response to this involves release of antidiuretic hormone Where is this hormone most likely to be released from?

A) Hypothalamus
B) Anterior pituitary
C) Adrenal cortex
D) Posterior pituitary
E) Adrenal medulla

5. A 50 year old man complains of pain and reduced movements of the shoulder joint after a fall. He is unable to initiate abduction of his arm Which muscle is most likely to be injured?

A) Supraspinatus
B) Serratus anterior
C) Trapezius
D) Subscapulars
E) Deltoid

Solutions: