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RCEM FRCEM Primary Examination Sample Questions:

1. A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?

A) Superior rectus
B) Inferior rectus
C) Superior oblique
D) Inferior oblique
E) Levator palpebrae superioris

2. A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A) Pertussis
B) Meningococcal
C) Diptheria
D) Polio
E) Haemophilus influenzae B

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

4. A 34 year old woman with Graves' disease presents with fever, palpitations, tremor and anxiety Which hormone is most likely to be causing her symptoms?

A) Thyroid stimulating hormone
B) Thyroxine (T4)
C) Triiodothyronine (T3)
D) Adrenaline
E) Thyroid receptor hormone

5. 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) Simvastatin
B) Aspirin
C) Lisinopril
D) Bendroflumethiazide
E) Atenolol

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