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RCEM FRCEM Primary Examination Sample Questions:

1. A 63 year old woman has confirmed Leptospirosis
Which is the most common way people contract this infection?

A) Invasion of breached skin
B) Faeco-oral
C) Invasion of intact skin
D) Droplet
E) Sexually

2. A 17 year old girl presents with a maculopapular rash She has a seven day history of fever and sore throat and was prescribed an antibiotic three days ago Which antibiotic is most likely to have been prescribed?

A) Amoxicillin
B) Phenoxymethylpemcillin
C) Ciprofloxacin
D) Cephalexin
E) Clarithromycin

3. A 19 year old old runner presents with pain in the lateral compartment of the lower leg when running and you suspect intermittent compartment syndrome Which movement of the ankle and foot would most likely replicate the pain?

A) Plantarflexion and inversion
B) Dorsiflexion and eversion
C) Plantarflexion and eversion
D) External rotation
E) Dorsiflexion and inversion

4. A 77 year old woman is brought to the ED following a house fire Arterial blood gas confirms she has an increased carboxyhaemoglobin level What is the most likely effect on the oxygen dissociation curve?

A) Bohr effect
B) Hyperbolic curve
C) Shift to the left
D) No effect
E) Shift to the right

5. A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?

A) Cardiac receptors
B) Atrial stretch receptors
C) Baroreceptors
D) Carotid body receptors
E) Beta 2 vascular receptors

Solutions: