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RCEM FRCEM Primary Examination Sample Questions:
1. You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?
A) Potassium
B) Sodium
C) Magnesium
D) Chloride
E) Calcium
2. 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) Free filtration by the glomerulus
B) Active secretion by the peritubular capillaries
C) Steady state concentration existence in the blood
D) Estimation of the 24 hour excretion rate
E) Indicative of body muscle mass IE.
3. A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?
A) Aldosterone
B) Renin
C) Anti-diuretic hormone
D) Adenosine
E) Angiotensin
4. A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?
A) Influenza type A
B) Kawasaki's disease
C) Respiratory syncytial virus
D) Whooping cough
E) Pneumococcal pneumonia
5. A patient with major trauma requires a central line. They have right sided neck and chest burns You decide to insert a left subclavian central line.
Which complication is more likely to occur during this procedure on the left in comparison to the right?
A) Injury to the recurrent laryngeal nerve
B) Pneumothorax
C) Injury to the thoracic duct ID.
D) Perforation of the oesophagus.
E) Injury to the phrenic nerve
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: C |







