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RCEM FRCEM Primary Examination Sample Questions:

1. An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?

A) Inform the DVLA if any episodes of hypoglycaemia
B) Inform the DVLA if insulin treatment for >3 months
C) You do not need to contact DVLA
D) Inform the DVLA if insulin dependent
E) Only inform the DVLA if disabling hypoglycaemia

2. A 26 year old man sustains a stab wound to the anterior aspect of the left side of his neck The wound involves the thoracic inlet Which structure is most likely to be encountered and injured first?

A) Pleura
B) Thoracic duct
C) Subclavian vein
D) Oesophagus
E) Subclavian artery

3. A patient presents with an arrhythmia and as you are treating them you discuss with a student the depolarisation phase of the cardiac action potential Which change initiates this phase of the action potential?

A) Opening of sodium channel
B) Opening of potassium channel
C) Closure of potassium channel
D) Opening of calcium channel
E) Closure of sodium channel

4. You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?

A) Tetracaine
B) Ropivacame
C) Lidocaine
D) Bupivacaine
E) Prilocaine

5. A 71 year old man with a history of heart failure and type II diabetes mellitus presents with an acute, painful, swollen first metatarsophalangeal joint in his foot You suspect gout.
Which treatment would be most appropriate for the acute management of this patient*?

A) Colchicine
B) Allopunnol
C) Prednisolone
D) Naproxen
E) Diclofenac

Solutions: