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RCEM FRCEM Primary Examination Sample Questions:

1. A keen cyclist attends the ED complaining of clumsiness and tingling in his right hand When he attempts to grip paper in his first web space he is only able to achieve this by flexing his right thumb.
Innervation of which muscle is most likely compromised?

A) First dorsal interosseous
B) Adductor pollicis
C) Opponens pollicis
D) Abductor pollicis brevis
E) Extensor pollicis brevis

2. A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?

A) Low white blood cell count
B) High red cell distribution width
C) Raised mean corpuscular haemoglobin
D) Low haemoglobin
E) Raised mean corpuscular volume

3. You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation Which receptors are most likely to be targeted by this treatment?

A) Alpha 1
B) Beta 2
C) Muscarinic
D) Nicotinic
E) Beta 1

4. A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?

A) Adrenocorticotropic
B) Prolactin
C) Luteinizing
D) Thyroid stimulating
E) Follicle-stimulating

5. A ten day old baby is brought in with purulent conjunctivitis. The gram stain of the purulent exudate did not show any organisms. Which bacteria is the most likely cause?

A) Streptococcus pneumoniae
B) Chlamydia trachomatis
C) Listeria monocytogenes
D) Escherichia coli
E) Neisseria gonorrhoeae

Solutions: