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RCEM FRCEM Primary Examination Sample Questions:

1. You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation Which receptors are most likely to be targeted by this treatment?

A) Alpha 1
B) Nicotinic
C) Beta 2
D) Muscarinic
E) Beta 1

2. A 52 year old man presents to the ED with headaches, sweating and a change in his voice. He is complaining of tingling in his hands and is hypertensive What is the most likely visual defect you will find on neurological examination'?

A) Superior quadrantanopia
B) Homonymous hemianopia
C) Monocular vision
D) Central scotoma
E) Bitemporal hemianopia

3. A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.
Which drug is most likely to be responsible?

A) Mefenamic acid
B) Ibuprofen
C) Aspirin
D) Naproxen
E) Diclofenac

4. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

A) Jejunum
B) Ascending colon
C) Duodenum
D) Ileum
E) Stomach

5. A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?

A) Adrenocorticotropic
B) Luteinizing
C) Prolactin
D) Follicle-stimulating
E) Thyroid stimulating

Solutions: