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RCEM FRCEM Primary Examination Sample Questions:

1. A 76 year old patient is found on examination to have an absent jaw jerk What cranial nerve nucleus is the1 most likely site of pathology?

A) Trigeminal
B) Abducens
C) Hypoglossal
D) Glossopharyngeal
E) Facial

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

3. A two year old child is diagnosed with meningitis likely due to Neisseria meningitidis A medical student asks you why this organism is able to cross the blood brain barrier more easily than other pathogens To which characteristic is your explanation most likely to refer?

A) Binding to CD4 antigen
B) Expression of Protein A
C) IgA protease production
D) Attachment using haemagglutmin antigen
E) Adhesins on the fimbriae

4. A 17 year old girl presents with a maculopapular rash She has a seven day history of fever and sore throat and was prescribed an antibiotic three days ago Which antibiotic is most likely to have been prescribed?

A) Cephalexin
B) Amoxicillin
C) Clarithromycin
D) Phenoxymethylpemcillin
E) Ciprofloxacin

5. A 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED Which drug is the most likely cause of this anaemia'?

A) Cocaine
B) Ketamine
C) Heroin
D) Nitrous oxide
E) Cannabis

Solutions: