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RCEM FRCEM Primary Examination Sample Questions:

1. A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?

A) Campylobacter jejuni
B) Shigella spp
C) Salmonella typhii
D) Klebsiella spp
E) Mycoplasma pneumoniae

2. A 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED Which drug is the most likely cause of this anaemia'?

A) Cocaine
B) Ketamine
C) Cannabis
D) Heroin
E) Nitrous oxide

3. A 65 year old patient presents to the ED with a three hour history of expressive dysphasia. You suspect a stroke and order a CT scan Which area of the brain is the most likely site of the infarct?

A) Cerebellum
B) Frontal
C) Parietal
D) Occipital
E) Temporal

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

5. A two year old child presents with a barking cough You suspect croup Which virus is most likely to be implicated?

A) Rhinovirus
B) Respiratory syncytial virus
C) Parainfluenza
D) Adenovirus
E) Measles

Solutions: