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RCEM FRCEM Primary Examination Sample Questions:

1. A patient presents with a food bolus obstruction and you decide hyoscine butylbromide should not be administered Presence of which physiological feature is most likely to have influenced your decision?

A) Hypertension
B) Hypotension
C) Tachycardia
D) Bradycardia
E) Pyrexia

2. A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?

A) Increased parathyroid secretion
B) Increased calcitonin secretion
C) Decreased secretion of calcium from bone
D) Decreased vitamin D synthesis
E) Decreased renal excretion of phosphate

3. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) Turbulent flow
B) High blood volume
C) Increased viscosity
D) Decreased viscosity
E) Laminar flow

4. A young man arrives by ambulance having dislocated his patella playing football. Rehabilitation should focus on which muscle to reduce chances of recurrent dislocation?

A) Vastus lateralis
B) Gracilis
C) Vastus mediahs
D) Adductor magnus
E) Sartonus

5. A 37 year old man is injured and has significant blood loss Following blood transfusion his systolic blood pressure increases from 70 to 100 Which physiological parameter is most likely to decrease in response?

A) Right atrial pressure
B) Stroke volume
C) Cardiac output
D) Total peripheral resistance
E) Pulmonary artery pressure

Solutions: