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RCEM FRCEM Primary Examination Sample Questions:

1. A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?

A) Plasminogen
B) Thromboxane
C) Prostacyclin
D) Fibrin
E) Fibrinogen

2. A pregnant patient presents to the department following an eclamptic seizure She requires management for her hypertension.
Which drug would be most appropriate in this case?

A) Sodium nitroprusside
B) Glyceryl trinitrate
C) Atenolol
D) Labetalol
E) Nifedipine

3. You are prescribing gentamicin for a patienl. Her serum creatinine level is raised Which property of creatinine best explains why it is used as a marker of glomerular filtration rate?

A) Estimation of the 24 hour excretion rate
B) Free filtration by the glomerulus
C) Steady state concentration existence in the blood
D) Active secretion by the peritubular capillaries
E) Indicative of body muscle mass IE.

4. A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?

A) Right vagus
B) Left vagus
C) Phrenic
D) Recurrent laryngeal
E) Cervical ganglia of sympathetic trunk

5. A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?

A) Beta 2 vascular receptors
B) Atrial stretch receptors
C) Baroreceptors
D) Carotid body receptors
E) Cardiac receptors

Solutions: