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RCEM FRCEM Primary Examination Sample Questions:

1. You are teaching a medical student and are discussing how fluid compartment ratios can change in relation to age and gender You note that some population groups have proportionally higher total body water which increases the extracellular to intracellular fluid ratio What population group best demonstrates this?

A) Neonate
B) Adult female
C) Child
D) Elderly
E) Adult male

2. You are caring for a 68 year old patient with known heart failure and significant tachypnoea Stimulation of which receptor type is most likely to cause this increase in respiratory rate?

A) Irritant receptors
B) Mechanoreceptors
C) Chemoreceptors
D) Stretch receptors
E) Juxtacapillary receptors

3. A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?

A) Left cerebellar
B) Bilateral hemispheric
C) Left basal ganglia
D) Right cerebellar
E) Right basal ganglia

4. A 68 year old man with a history of Addison's disease presents having recently been diagnosed with a urinary tract infection He is hypotensive, tachycardic and clammy His biochemistry shows hyponatraemia and hyperkalemia.
Which hormone imbalance best explains his biochemical abnormalities?

A) Beta lipotropin excess
B) Adrenocorticotropic hormone excess
C) Glucocorticoid deficiency
D) Cortisol deficiency
E) Mineralocorticoid deficiency

5. A nine month old child is brought to the ED with a (ever and rash The child's mother states that all of her immunisations are up to date What is the most likely cause of this infectious illness?

A) Haemophilus influenzae b
B) Pertussis
C) Diphtheria
D) Pneumococcus
E) Rubella

Solutions: