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RCEM FRCEM Primary Examination Sample Questions:

1. A 33 year old man presents with signs of sepsis. A venous blood gas is taken which confirms an elevated haematocnt level What best describes the normal range of haematocnt you expect to find in a healthy male of this age?

A) 10-19%
B) 20-29%
C) 30-39%
D) 40-49%
E) 50-59%

2. A 20 year old woman presents with symptoms and signs suggestive of infectious mononucleosis Proliferation of which cells on the peripheral blood film would best support your diagnosis?

A) Basophils
B) Monocytes
C) Neutrophils
D) Eosinophils
E) Lymphocytes

3. A 21 year old man is diagnosed with diabetic ketoacidosis. A medical student asks you to assist them in calculating the patients blood pH using the Henderson-Hasselbach equation.
What best describes the two required constituents for this equation?

A) Bicarbonate and PaC02
B) Sodium and calcium
C) Bicarbonate and Pa02
D) Chloride and PaC02
E) Bicarbonate and sodium

4. A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?

A) Salmonella typhii
B) Campylobacter jejuni
C) Mycoplasma pneumoniae
D) Shigella spp
E) Klebsiella spp

5. A 75 year old man presents to the ED with burning epigastric abdominal pain You note that he has rheumatoid arthritis and is on diclofenac.
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?

A) Change diclofenac to indomethacm
B) Eradication of Helicobacter pylori
C) Starting misoprostol
D) Use of enteric coated medication
E) Combining diclofenac with omeprazole

Solutions: