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RCEM FRCEM Primary Examination Sample Questions:

1. You are administering intravenous normal saline to a patient in the resus room.
What change in volume occurs within the body's fluid compartments whilst giving this treatment?

A) Increased intracellular
B) Increased interstitial
C) Reduced intracellular
D) Increased extracellular
E) Reduced extracellular

2. A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?

A) Methanol
B) Diabetic ketoacidosis
C) Hypoalbummaemia
D) Rhabdomyolysis
E) Salicylates

3. A 23 year old man presents to the ED after cutting his wrist with a kitchen knife There is a wound on the flexor aspect of the wrist and you are concerned about median nerve injury.
Which examination of motor function would best test for damage to this nerve?

A) Opposition of the thumb
B) Extension of finger metacarpophalangeal joints
C) Pronation of the forearm
D) Extension of the wrist
E) Adduction of the fingers

4. A 65 year old patient presents to the ED with a three hour history of expressive dysphasia. You suspect a stroke and order a CT scan Which area of the brain is the most likely site of the infarct?

A) Frontal
B) Parietal
C) Cerebellum
D) Temporal
E) Occipital

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

Solutions: