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RCEM FRCEM Primary Examination Sample Questions:

1. A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring Which nerve are you most likely to need to block?

A) Greater auricular
B) Auriculotemporal
C) Auricular branch of vagus
D) Posterior auncular branch of facial
E) Lesser occipital

2. A 56 year old woman with hypothyroidism is found to have significant hypokalemia Which feature is most likely to be seen on her ECG?

A) Tall T waves
B) Prominent U waves
C) Short QT interval
D) J waves
E) Prolonged PR interval

3. An 80 year old man presents with a stroke This has resulted in loss of all vagal output to his gastrointestinal tract Which function is most likely to be completely abolished in this patient?

A) Glucagon release
B) Secondary oesophageal peristalsis
C) Primary oesophageal peristalsis
D) Gastric acid secretion
E) Pancreatic polypeptide secretion

4. A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist Injury at which location of the brachial plexus best explains her neurological symptoms?

A) Lower trunk
B) Medial cord
C) Posterior cord
D) Lateral cord
E) Upper trunk

5. A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?

A) Flexion of the wrist
B) Abduction of the little finger
C) Flexion of the proximal interphalangeal joints
D) Opposition of the thumb
E) Flexion of the distal interphalangeal joints

Solutions: