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RCEM FRCEM Primary Examination Sample Questions:

1. A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?

A) Thromboxane
B) Fibrinogen
C) Plasminogen
D) Fibrin
E) Prostacyclin

2. A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?

A) Pneumococcal pneumonia
B) Respiratory syncytial virus
C) Influenza type A
D) Kawasaki's disease
E) Whooping cough

3. A 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED Which drug is the most likely cause of this anaemia'?

A) Cannabis
B) Ketamine
C) Nitrous oxide
D) Cocaine
E) Heroin

4. A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?

A) Pulmonary valve
B) Tricuspid valve
C) Aortic valve
D) Mitral valve
E) Foramen ovale

5. You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?

A) Bupivacaine
B) Lidocaine
C) Ropivacame
D) Tetracaine
E) Prilocaine

Solutions: