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RCEM FRCEM Primary Examination Sample Questions:

1. A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?

A) Plasminogen
B) Fibrinogen
C) Prostacyclin
D) Fibrin
E) Thromboxane

2. A comatose patient has a respiratory rate of live breaths per minute following an overdose of heroin He receives naloxone and his respiratory rate rapidly improves to 16 breaths per minute Which component of arterial blood gas sampling is most likely to rapidly decrease following this intervention?

A) pH
B) HC03
C) PaC02
D) Pa02
E) Base Excess

3. You review a paper where patients were recruited through a response to an invitation from a heart foundation charity.
What term best describes this sample?

A) Simple random
B) Stratified
C) Systematic
D) Cluster
E) Self-selected

4. A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?

A) Beta
B) Gamma
C) Exocrine
D) Alpha
E) Delta

5. 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) Duodenum
B) Jejunum
C) Sigmoid colon
D) Ileum
E) Transverse colon

Solutions: