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RCEM FRCEM Primary Examination Sample Questions:

1. A five year old girl presents with a fever, a non-blanching rash and drowsiness. You suspect meningococcal infection What is most likely mode of spread for this infection?

A) Faecal-oral
B) Skin contact
C) Airborne
D) Droplet
E) Blood

2. A 34 year old man presents with bruising and swelling over the anterior arm after lifting weights at the gym.
There is pain and weakness on attempted internal rotation and adduction of the shoulder.
Rupture of which muscle best explains these findings?

A) Pectoralis minor
B) Trapezius
C) Serratus anterior
D) Latissimus dorsi
E) Pectoralis major

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

4. An 87 year old man is brought to the ED from his nursing home with loose stools and abdominal pain. You suspect Clostridium difficile infection because he had a recent course of antibiotics for pneumonia.
What measure is most likely to reduce the spread of infection to other patients?

A) Isolation of the patient in a side room
B) Hand washing with soap and water
C) Wearing gloves and aprons for patient contact
D) Use of alcohol hand gel
E) Treatment with metronidazole

5. A 34 year old man presents wrth shortness of breath He has a normal alveolar-arterial <A-a) gradient What is the most likely diagnosis?

A) Pulmonary thromboembolism
B) Neuromuscular disorder
C) Congestive cardiac failure
D) Atelectasis
E) Acute respiratory distress syndrome

Solutions: