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RCEM FRCEM Primary Examination Sample Questions:

1. A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A) Haemophilus influenzae B
B) Polio
C) Pertussis
D) Diptheria
E) Meningococcal

2. You are discussing physiology of the body compartments and distribution of body water while teaching nurse practitioners.
Which extracellular fluid compartment is most likely to contain the most water?

A) Dense connective tissue
B) Bone
C) Plasma
D) Interstitial fluid
E) Transcellular

3. A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?

A) Sputum sample showing ziehl-nielsen stain negative bactena
B) Positive mantoux test
C) Absence of a bacille calmette-guenn scar
D) Chest x-ray showing lobar consolidation
E) Chest x-ray showing a cavitating lesion

4. A 63 year old patienl presents with symptoms of hemiplegia and sensory loss of the right side of face and extremities. Which artery is most likely to be involved?

A) Vertebral
B) Posterior cerebral
C) Middle cerebral
D) Anterior communicating
E) Anterior cerebral

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) Resistance
C) Blood flow
D) Elasticity
E) Pressure gradient

Solutions: