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RCEM FRCEM Primary Examination Sample Questions:

1. A comatose patient has a respiratory rate of live breaths per minute following an overdose of heroin He receives naloxone and his respiratory rate rapidly improves to 16 breaths per minute Which component of arterial blood gas sampling is most likely to rapidly decrease following this intervention?

A) Pa02
B) PaC02
C) HC03
D) pH
E) Base Excess

2. A 52 year old woman (alls from a root sustaining a fracture dislocation at T12/L1 level Which muscle is most likely to be injured*?

A) Rhomboid major
B) Latissimus dorsi
C) Pectineus
D) Psoas minor
E) lliacus

3. A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance Which type of blood vessels are most likely implicated in causing her hypotension?

A) Arterioles
B) Venules
C) Arteries
D) Capillaries
E) Veins

4. 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) Increased viscosity
C) Turbulent flow
D) High blood volume
E) Decreased viscosity

5. You have designed a randomised control trial and need to make a calculation as to the sample size required such that we do not reject the null hypothesis when it is false Which component of the sample size calculation is most likely to avoid this error'?

A) Power
B) Smallest effect of interest
C) Significance level
D) Standardised difference
E) Variability

Solutions: