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RCEM FRCEM Primary Examination Sample Questions:

1. A therapeutic trial demonstrates that everyone who received the drug has improved while no one improved with placebo What best describes the expected number needed to treat?

A) 50
B) 2
C) 10
D) 100
E) 1

2. 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) 50-59%
B) 40-49%
C) 20-29%
D) 10-19%
E) 30-39%

3. A patient presenting with acute onset neurological symptoms has a CT scan of their brain that shows an acute pontine haemorrhage What is the most likely clinical finding?

A) Unilateral sensory disturbance
B) Speech disturbance
C) Hemianopia
D) Unilateral motor disturbance
E) Reduced conscious level

4. A patient presents with acute cardiac failure and is prescribed a loop diuretic In which part of the nephron will the diuretic inhibit the sodium-potassium-chloride cotransporter?

A) Proximal tubule
B) Collecting duct
C) Thin ascending limb
D) Thick ascending limb
E) Distal convoluted tubule

5. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) Laminar flow
B) High blood volume
C) Decreased viscosity
D) Increased viscosity
E) Turbulent flow

Solutions: