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RCEM FRCEM Primary Examination Sample Questions:

1. A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?

A) Furosemtde
B) Fluoxetine
C) Ramipnl
D) Prednisolone
E) Spironolactone

2. A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist Injury at which location of the brachial plexus best explains her neurological symptoms?

A) Upper trunk
B) Posterior cord
C) Lateral cord
D) Medial cord
E) Lower trunk

3. A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?

A) Phenytoin
B) Thyroxine
C) Aspirin
D) Paracetamol
E) Co-amoxiclav

4. A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring Which nerve are you most likely to need to block?

A) Auricular branch of vagus
B) Auriculotemporal
C) Greater auricular
D) Lesser occipital
E) Posterior auncular branch of facial

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

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

Solutions: