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RCEM FRCEM Primary Examination Sample Questions:

1. You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?

A) Sodium
B) Calcium
C) Magnesium
D) Chloride
E) Potassium

2. A patient presents with unilateral tongue swelling with no additional signs of allergic reaction She is on multiple cardiac medications Which drug is most likely to have caused these symptoms?

A) Bendroflumethiazide
B) Simvastatin
C) Lisinopril
D) Aspirin
E) Atenolol

3. A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
What is the recommended absence period?

A) Until fever has settled for 24 hours
B) Seven days after the rash has disappeared
C) Until conjunctivitis and mucous membrane rash has resolved
D) Four days after the onset of rash
E) Until the rash has disappeared

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

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

Solutions: