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RCEM FRCEM Primary Examination Sample Questions:

1. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) Decreased viscosity
B) Laminar flow
C) Turbulent flow
D) High blood volume
E) Increased viscosity

2. A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?

A) Teres major
B) Infraspinatus
C) Supraspinatus
D) Subscapulars
E) Teres minor

3. A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?

A) Inferior rectus
B) Inferior oblique
C) Superior oblique
D) Levator palpebrae superioris
E) Superior rectus

4. A patient presenting with acute onset neurological symptoms has a CT scan of their brain that shows an acute pontine haemorrhage What is the most likely clinical finding?

A) Unilateral motor disturbance
B) Speech disturbance
C) Reduced conscious level
D) Unilateral sensory disturbance
E) Hemianopia

5. A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
What is the recommended absence period?

A) Until conjunctivitis and mucous membrane rash has resolved
B) Seven days after the rash has disappeared
C) Four days after the onset of rash
D) Until fever has settled for 24 hours
E) Until the rash has disappeared

Solutions: