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RCEM FRCEM Primary Examination Sample Questions:

1. A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A

A) Femoral vein
B) Iliacus muscle
C) Inguinal ligament
D) Femoral artery
E) Psoas muscle

2. A 60 year old woman presents lo the ED feeling generally unwell She is found to be uraemic She has missed several of her renal dialysis sessions.
Urea will most likely move through the dialysis membranes by which mechanism?

A) Osmosis
B) Active transport
C) Co-transport
D) Facilitated diffusion
E) Simple diffusion

3. A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

A) Increased total lung capacity
B) Increased vital capacity
C) Increased inspiratory capacity
D) Increased FVC
E) Increased FEV,/FVC ratio

4. A 52 year old woman (alls from a root sustaining a fracture dislocation at T12/L1 level Which muscle is most likely to be injured*?

A) Rhomboid major
B) lliacus
C) Psoas minor
D) Pectineus
E) Latissimus dorsi

5. A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A) Stomach
B) Caecum
C) Ileum
D) Duodenum
E) Colon

Solutions: