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RCEM FRCEM Primary Examination Sample Questions:

1. A 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?

A) Kidney
B) Liver
C) Adrenal
D) Pancreas
E) Ileum

2. 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) Tetrodotoxm
B) Haemotoxm
C) Endotoxin
D) Cytotoxin
E) Necrotoxin

3. An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
What is the most likely causative organism?

A) Salmonella typhimunum
B) Staphylococcus aureus
C) Streptococcus pneumoniae
D) Streptococcus pyogenes
E) Haemophilus influenza

4. A 45 year old woman requires procedural sedation for a dislocated shoulder She has recently eaten a fatty meal Which substance is most likely to be secreted when the food reaches the small intestine''

A) Vasoactive intestinal peptide
B) Gastrointestinal peptide
C) Secretin
D) Cholecystokmin
E) Gastrin

5. An 80 year old man presents with a stroke This has resulted in loss of all vagal output to his gastrointestinal tract Which function is most likely to be completely abolished in this patient?

A) Primary oesophageal peristalsis
B) Secondary oesophageal peristalsis
C) Gastric acid secretion
D) Pancreatic polypeptide secretion
E) Glucagon release

Solutions: