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RCEM FRCEM Primary Examination Sample Questions:

1. A 30 year old woman attends the ED with a worsening headache and tight periorbital pain over the last (ew hours You suspect cavernous sinus thrombosis Her right eye has ptosis, mydriasis and is deviated laterally and downward Which nerve is most likely to be affected?

A) Abducens
B) Oculomotor
C) Trigeminal
D) Trochlear
E) Optic

2. An 88 year old woman presents with haematemesis CT scan identifies a posterior ulcer of the superior part of the duodenum At what vertebral level would this be evident on the CT scan?

A) L3
B) L4
C) L2
D) T12
E) L1

3. An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?

A) Inform the DVLA if any episodes of hypoglycaemia
B) You do not need to contact DVLA
C) Only inform the DVLA if disabling hypoglycaemia
D) Inform the DVLA if insulin dependent
E) Inform the DVLA if insulin treatment for >3 months

4. 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) Potassium
B) Sodium
C) Chloride
D) Magnesium
E) Calcium

5. A keen cyclist attends the ED complaining of clumsiness and tingling in his right hand When he attempts to grip paper in his first web space he is only able to achieve this by flexing his right thumb.
Innervation of which muscle is most likely compromised?

A) Abductor pollicis brevis
B) First dorsal interosseous
C) Opponens pollicis
D) Extensor pollicis brevis
E) Adductor pollicis

Solutions: