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RCEM FRCEM Primary Examination Sample Questions:

1. A two year old child is diagnosed with meningitis likely due to Neisseria meningitidis A medical student asks you why this organism is able to cross the blood brain barrier more easily than other pathogens To which characteristic is your explanation most likely to refer?

A) Binding to CD4 antigen
B) IgA protease production
C) Expression of Protein A
D) Attachment using haemagglutmin antigen
E) Adhesins on the fimbriae

2. A 48 year old man presents with a flare up of gout You recommend treatment with a non-steroidal anti-inflammatory drug (NSAID) He is concerned because his wife suffered a peptic ulcer associated with NSAID use Which medication would be your first choice NSAID to minimise his risk of gastrointestinal side effects?

A) Diclofenac
B) Ibuprofen
C) Piroxicam
D) Indomethacin
E) Naproxen

3. A 30 year old woman attends the ED with a worsening headache and tight periorbital pain over the last (ew hours You suspect cavernous sinus thrombosis Her right eye has ptosis, mydriasis and is deviated laterally and downward Which nerve is most likely to be affected?

A) Optic
B) Abducens
C) Trochlear
D) Oculomotor
E) Trigeminal

4. A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A) Ileum
B) Stomach
C) Caecum
D) Duodenum
E) Colon

5. A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.
Which parameter is most likely to increase by a factor of 16 as a result?

A) Capacitance
B) Elasticity
C) Pressure gradient
D) Blood flow
E) Resistance

Solutions: