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RCEM FRCEM Primary Examination Sample Questions:

1. An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?

A) Necrotoxin
B) Tetrodotoxm
C) Haemotoxm
D) Endotoxin
E) Cytotoxin

2. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?

A) Sphingolipid
B) Phospholipid
C) Fatty acid
D) Phosphoglyceride
E) Glycolipid

3. A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?

A) Ramipnl
B) Furosemtde
C) Spironolactone
D) Fluoxetine
E) Prednisolone

4. A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?

A) Reduced insulin production by pancreatic beta cells
B) Production of abnormal insulin
C) Increased cellular resistance to insulin
D) Reduced glucagon secretion
E) Excessive glucocorticoid production

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

Solutions: