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RCEM FRCEM Primary Examination Sample Questions:

1. A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?

A) Dihydrocodeine
B) Pethidine
C) Morphine
D) Codeine
E) Oxycodone

2. An 80 year old man presents to the ED with clinical features suggestive of ischaemic bowel Which artery is most commonly occluded in this condition?

A) Superior mesenteric
B) Gastroduodenal
C) Left colic
D) Coeliac
E) Inferior mesenteric

3. A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?

A) Alternative hypothesis
B) Type 2 error
C) False negative
D) Type 1 error
E) False positive

4. A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?

A) Right atrial pressure
B) Pulmonary arterial blood flow
C) Pulmonary venous resistance
D) Left ventricular contractility
E) Right ventricular afterload

5. A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?

A) Peak expiratory flow rate
B) Vital capacity
C) Forced expiratory volume
D) Tidal volume
E) Physiological dead space

Solutions: