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RCEM FRCEM Primary Examination Sample Questions:

1. A pregnant patient presents to the department following an eclamptic seizure She requires management for her hypertension.
Which drug would be most appropriate in this case?

A) Atenolol
B) Glyceryl trinitrate
C) Labetalol
D) Sodium nitroprusside
E) Nifedipine

2. A 63 year old patienl presents with symptoms of hemiplegia and sensory loss of the right side of face and extremities. Which artery is most likely to be involved?

A) Vertebral
B) Posterior cerebral
C) Middle cerebral
D) Anterior communicating
E) Anterior cerebral

3. A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?

A) Spironolactone
B) Ramipnl
C) Furosemtde
D) Fluoxetine
E) Prednisolone

4. A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero Which organism is most likely to cause this clinical presentation?

A) Toxoplasma gondii
B) Cytomegalovirus
C) Treponema pallidum
D) Rubella
E) Group B streptococcus

5. An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?

A) Necrotoxin
B) Haemotoxm
C) Tetrodotoxm
D) Cytotoxin
E) Endotoxin

Solutions: