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RCEM FRCEM Primary Examination Sample Questions:

1. You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?

A) L12
B) S2, 3, 4
C) S1.2
D) L3,4
E) L5

2. A 21 year old man is diagnosed with diabetic ketoacidosis. A medical student asks you to assist them in calculating the patients blood pH using the Henderson-Hasselbach equation.
What best describes the two required constituents for this equation?

A) Sodium and calcium
B) Bicarbonate and PaC02
C) Bicarbonate and Pa02
D) Chloride and PaC02
E) Bicarbonate and sodium

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

4. A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?

A) Type 2 error
B) False positive
C) Type 1 error
D) False negative
E) Alternative hypothesis

5. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) Increased viscosity
B) Turbulent flow
C) Laminar flow
D) Decreased viscosity
E) High blood volume

Solutions: