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RCEM FRCEM Primary Examination Sample Questions:

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

2. A 23 year old man presents to the ED after cutting his wrist with a kitchen knife There is a wound on the flexor aspect of the wrist and you are concerned about median nerve injury.
Which examination of motor function would best test for damage to this nerve?

A) Extension of finger metacarpophalangeal joints
B) Adduction of the fingers
C) Opposition of the thumb
D) Extension of the wrist
E) Pronation of the forearm

3. A 52 year old woman (alls from a root sustaining a fracture dislocation at T12/L1 level Which muscle is most likely to be injured*?

A) Rhomboid major
B) Psoas minor
C) lliacus
D) Pectineus
E) Latissimus dorsi

4. A 50 year old man presenls with a history of a productive cough and fever Chest x-ray shows right middle lobe consolidation Which is the most likely causative organism?

A) Pseudomonas aeruginosa
B) Klebsiella pneumoniae
C) Streptococcus pneumoniae
D) Mycoplasma pneumoniae
E) Influenza virus

5. A 56 year old man presents with a spiral fracture of the humerus and wrist drop Which structure is most likely to be damaged?

A) Axillary artery
B) Radial nerve
C) Ulnar nerve
D) Brachial artery
E) Musculocutaneous nerve

Solutions: