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RCEM FRCEM Primary Examination Sample Questions:

1. 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) Angiotensin
B) Anti-diuretic hormone
C) Renin
D) Adenosine
E) Aldosterone

2. A 63 year old patienl presents with symptoms of hemiplegia and sensory loss of the right side of face and extremities. Which artery is most likely to be involved?

A) Posterior cerebral
B) Vertebral
C) Middle cerebral
D) Anterior communicating
E) Anterior cerebral

3. A 56 year old presents unwell They are diagnosed with a hypertensive crisis. You decide to start sodium nitroprusside What best describes the mechanism of action of this drug?

A) Decreases the breakdown of bradykmin
B) Inhibits angiotensin converting enzyme
C) Decreases angiotensin II
D) Releases nitric oxide
E) Antagonises the renm-angiotensm-aldosterone system

4. A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?

A) Umbilicus
B) Sternal notch
C) Xiphisternum
D) Apex beat
E) Nipple line

5. A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?

A) Club cells
B) Mast cells
C) Acinar cells
D) Goblet cells
E) Columnar epithelial cells

Solutions: