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RCEM FRCEM Primary Examination Sample Questions:

1. You are administering intravenous normal saline to a patient in the resus room.
What change in volume occurs within the body's fluid compartments whilst giving this treatment?

A) Increased intracellular
B) Reduced extracellular
C) Increased extracellular
D) Reduced intracellular
E) Increased interstitial

2. A 67 year old woman is being treated for haematemesis Within a few minutes of starting transfusion of packed red cells she reports dizziness, breathlessness, tingling of her lips and develops a maculopapular rash What type of hypersensitivity reaction is most likely to be occurring?

A) Type IV
B) Type I
C) Type V
D) Type III
E) Type II

3. You are treating a patient with left ventricular failure and decide to revise some cardiovascular physiology to help you understand the likely response to treatment Which statement best describes Starling's law in relation to cardiac output?

A) Increased heart rate due to an increase in sympathetic stimulation
B) Increased afterload due to an increase in cardiac output
C) Increased contractility leading to an increase in stroke volume
D) Increased force of contraction due to an increase in preload
E) Increased filling pressure leading to an increase in heart rate ID.

4. A 14 year old boy presents after a bicycle accident He has a suspected pelvic fracture and the cremasteric reflex is absent Which nerve is most likely to be affected1?

A) Genitofemoral
B) Iliohypogastric .
C) Subcostal
D) Femoral
E) Lateral femoral cutaneous

5. 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) Group B streptococcus
C) Cytomegalovirus
D) Rubella
E) Treponema pallidum

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