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RCEM FRCEM Primary Examination Sample Questions:

1. A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?

A) Borrelia burgdorferi
B) Theilena microti
C) Anaplasma phagocytophilum
D) Brucella abortus
E) Bartonella qumtana .

2. A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?

A) Cervical ganglia of sympathetic trunk
B) Right vagus
C) Recurrent laryngeal
D) Phrenic
E) Left vagus

3. A 19 year old old runner presents with pain in the lateral compartment of the lower leg when running and you suspect intermittent compartment syndrome Which movement of the ankle and foot would most likely replicate the pain?

A) External rotation
B) Dorsiflexion and eversion
C) Plantarflexion and inversion
D) Plantarflexion and eversion
E) Dorsiflexion and inversion

4. A patient presents with an arrhythmia and as you are treating them you discuss with a student the depolarisation phase of the cardiac action potential Which change initiates this phase of the action potential?

A) Opening of potassium channel
B) Opening of calcium channel
C) Closure of sodium channel
D) Closure of potassium channel
E) Opening of sodium channel

5. A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?

A) Superomedial superficial
B) External iliac
C) Deep inguinal
D) Superolateral superficial
E) Inferior superficial

Solutions: