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RCEM FRCEM Primary Examination Sample Questions:

1. A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?

A) Left basal ganglia
B) Right cerebellar
C) Right basal ganglia
D) Bilateral hemispheric
E) Left cerebellar

2. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?

A) Sphingolipid
B) Fatty acid
C) Glycolipid
D) Phospholipid
E) Phosphoglyceride

3. A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?

A) Inspiratory reserve
B) Physiological dead space
C) Anatomical dead space
D) Residual volume
E) Expiratory reserve

4. A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero Which organism is most likely to cause this clinical presentation?

A) Group B streptococcus
B) Rubella
C) Toxoplasma gondii
D) Treponema pallidum
E) Cytomegalovirus

5. A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?

A) Positive mantoux test
B) Sputum sample showing ziehl-nielsen stain negative bactena
C) Chest x-ray showing a cavitating lesion
D) Chest x-ray showing lobar consolidation
E) Absence of a bacille calmette-guenn scar

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