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RCEM FRCEM Primary Examination Sample Questions:

1. 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) Subscapulars
B) Deltoid
C) Trapezius
D) Serratus anterior
E) Supraspinatus

2. A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.
Which parameter is most likely to increase by a factor of 16 as a result?

A) Pressure gradient
B) Capacitance
C) Resistance
D) Elasticity
E) Blood flow

3. A 35 year old man attends after a motorbike accident. He is complaining of abnormal vision and his right eye is slightly adducted when he looks straight ahead.
Which cranial nerve has suffered the most damage?

A) Trigeminal
B) Inferior division of oculomotor
C) Superior division of oculomotor
D) Trochlear
E) Abducens

4. 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) Diclofenac
C) Naproxen
D) Aspirin
E) Ibuprofen

5. A 23 year old man presents to the ED after cutting his wrist with a kitchen knife There is a wound on the flexor aspect of the wrist and you are concerned about median nerve injury.
Which examination of motor function would best test for damage to this nerve?

A) Pronation of the forearm
B) Adduction of the fingers
C) Extension of the wrist
D) Opposition of the thumb
E) Extension of finger metacarpophalangeal joints

Solutions: