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RCEM FRCEM Primary Examination Sample Questions:

1. A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?

A) Renin
B) Aldosterone
C) Angiotensin
D) Anti-diuretic hormone
E) Adenosine

2. A 32 year old man presents with suspected acute appendicitis A medical student asks you what the commonest anatomical position of the appendix is What is the most likely position?

A) Paracaecal
B) Subileal
C) Preileal
D) Retrocaecal
E) Postileal

3. A 48 year old man presents to the ED with sudden onset, severe abdominal pain His CT shows pneumoretroperitoneum. Which of these structures is most likely to have perforated?

A) Sigmoid colon
B) Transverse colon
C) Jejunum
D) Ileum
E) Duodenum

4. A 48 year old man presents with a flare up of gout You recommend treatment with a non-steroidal anti-inflammatory drug (NSAID) He is concerned because his wife suffered a peptic ulcer associated with NSAID use Which medication would be your first choice NSAID to minimise his risk of gastrointestinal side effects?

A) Naproxen
B) Indomethacin
C) Diclofenac
D) Ibuprofen
E) Piroxicam

5. A 32 year old football player attends with a painful right knee after a tackle On examination she is unable to dorsiflex her foot Which nerve is most likely injured''

A) Sural
B) Tibial
C) Pudendal
D) Medial calcaneal
E) Common peroneal

Solutions: