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RCEM FRCEM Primary Examination Sample Questions:

1. A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?

A) Brucella abortus
B) Theilena microti
C) Anaplasma phagocytophilum
D) Borrelia burgdorferi
E) Bartonella qumtana .

2. A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?

A) Subscapulars
B) Supraspinatus
C) Teres minor
D) Teres major
E) Infraspinatus

3. A 30 year old woman attends the ED with a worsening headache and tight periorbital pain over the last (ew hours You suspect cavernous sinus thrombosis Her right eye has ptosis, mydriasis and is deviated laterally and downward Which nerve is most likely to be affected?

A) Oculomotor
B) Abducens
C) Trochlear
D) Optic
E) Trigeminal

4. A 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?

A) Adrenal
B) Liver
C) Kidney
D) Pancreas
E) Ileum

5. A 70 year old woman presents with reduced I6vel of consciousness following a recent chest infection She has signs of meningeal irritation Gram staining of CSF demonstrates gram positive diplococci.
Which organism is most likely in this case1?

A) Staphylococcus aureus
B) Acinetobacter baumannii
C) Moraxella catarrhalis
D) Neisseria meningitidis
E) Streptococcus pneumoniae

Solutions: