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RCEM FRCEM Primary Examination Sample Questions:

1. You are prescribing gentamicin for a patienl. Her serum creatinine level is raised Which property of creatinine best explains why it is used as a marker of glomerular filtration rate?

A) Indicative of body muscle mass IE.
B) Steady state concentration existence in the blood
C) Active secretion by the peritubular capillaries
D) Free filtration by the glomerulus
E) Estimation of the 24 hour excretion rate

2. A patient presents with unilateral tongue swelling with no additional signs of allergic reaction She is on multiple cardiac medications Which drug is most likely to have caused these symptoms?

A) Lisinopril
B) Simvastatin
C) Atenolol
D) Aspirin
E) Bendroflumethiazide

3. A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?

A) Deviation of the eye inferolaterally
B) Constriction of the pupil
C) Increased lacrimation
D) Absence of sweating on the face
E) Absent corneal reflex

4. You are caring for a 68 year old patient with known heart failure and significant tachypnoea Stimulation of which receptor type is most likely to cause this increase in respiratory rate?

A) Mechanoreceptors
B) Stretch receptors
C) Chemoreceptors
D) Irritant receptors
E) Juxtacapillary receptors

5. A 40 year old woman with history o! anorexia, presents with sudden onset of confusion, loss of balance and a wide based gait. Which medication is most likely to be prescribed in the early stages of her treatment?

A) Cyanocobalamin
B) Thiamine
C) Glutathione
D) Vitamin D
E) Ascorbic acid

Solutions: