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RCEM FRCEM Primary Examination Sample Questions:

1. You have designed a randomised control trial and need to make a calculation as to the sample size required such that we do not reject the null hypothesis when it is false Which component of the sample size calculation is most likely to avoid this error'?

A) Power
B) Variability
C) Smallest effect of interest
D) Standardised difference
E) Significance level

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

3. A patient presents with a fracture to the mid-clavicle after a fall The medial part of the clavicle is displaced superiorly Which muscle is most likely to cause this displacement?

A) Pectoralis major
B) Scalenus anterior
C) Platysma
D) Sternocleidomastoid
E) Trapezius

4. A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?

A) Mitral valve
B) Aortic valve
C) Foramen ovale
D) Pulmonary valve
E) Tricuspid valve

5. 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

Solutions: