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RCEM FRCEM Primary Examination Sample Questions:

1. A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A

A) Inguinal ligament
B) Femoral artery
C) Femoral vein
D) Iliacus muscle
E) Psoas muscle

2. An 80 year old woman presents to the ED with diarrhoea and vomiting. She is clinically dehydrated The physiological response to this involves release of antidiuretic hormone Where is this hormone most likely to be released from?

A) Posterior pituitary
B) Adrenal cortex
C) Adrenal medulla
D) Anterior pituitary
E) Hypothalamus

3. A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?

A) Liver enzyme induction
B) Increased renal clearance of the contraceptive pill
C) Inhibition of oestrogen receptors
D) Interference with protein binding of the contraceptive pill
E) Alteration of intestinal flora

4. A 56 year old man presenls with a rash in the supraclavicular fossa which is typical of herpes zoster Which dermatomal level best describes the area affected?

A) C5
B) C3
C) C2
D) C1
E) C4

5. A 24 year old woman is admitted to your observation ward with a sudden onset headache. Her CT showed no abnormality and you decide to perform a lumbar puncture What is the next structure the needle will puncture after going through the skin and subcutaneous fat?

A) Interspmous ligament
B) Ligamentum flavum
C) Supraspinous ligament
D) Epidural space
E) Dura

Solutions: