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RCEM FRCEM Primary Examination Sample Questions:

1. A 33 year old man presents with signs of sepsis. A venous blood gas is taken which confirms an elevated haematocnt level What best describes the normal range of haematocnt you expect to find in a healthy male of this age?

A) 20-29%
B) 10-19%
C) 30-39%
D) 40-49%
E) 50-59%

2. You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?

A) Bupivacaine
B) Tetracaine
C) Lidocaine
D) Prilocaine
E) Ropivacame

3. A 32 year old builder slips with an angle grinder causing a deep facial wound which intersects with the inferomedial edge of the orbit and leaves exposed damaged bone.
What bone is most likely affected?

A) Sphenoid
B) Nasal
C) Ethmoid
D) Maxilla
E) Zygoma

4. A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?

A) Influenza type A
B) Respiratory syncytial virus
C) Whooping cough
D) Kawasaki's disease
E) Pneumococcal pneumonia

5. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

A) Jejunum
B) Duodenum
C) Ascending colon
D) Ileum
E) Stomach

Solutions:

Question # 1 Answer: D

Question # 2 Answer: B

Question # 3 Answer: A

Question # 4 Answer: A

Question # 5 Answer: E