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RCEM FRCEM Primary Examination Sample Questions:

1. A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?

A) Atrial stretch receptors
B) Beta 2 vascular receptors
C) Baroreceptors
D) Carotid body receptors
E) Cardiac receptors

2. You are teaching a medical student and are discussing how fluid compartment ratios can change in relation to age and gender You note that some population groups have proportionally higher total body water which increases the extracellular to intracellular fluid ratio What population group best demonstrates this?

A) Adult male
B) Neonate
C) Adult female
D) Child
E) Elderly

3. A 77 year old woman is brought to the ED following a house fire Arterial blood gas confirms she has an increased carboxyhaemoglobin level What is the most likely effect on the oxygen dissociation curve?

A) Shift to the right
B) Hyperbolic curve
C) Shift to the left
D) No effect
E) Bohr effect

4. A patient arrives with shortness of breath Their venous blood gas shows they have a low haemoglobin They have a past medical history of pernicious anaemia Which cells in the gastrointestinal tract are most likely to be attacked in this autoimmune condition1?

A) Chief
B) Parietal
C) Epithelial
D) Delta
E) Somatic

5. A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A) Duodenum
B) Colon
C) Caecum
D) Stomach
E) Ileum

Solutions: