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RCEM FRCEM Primary Examination Sample Questions:

1. A patient arrives with shortness of breath Their venous blood gas shows they have a low haemoglobin They have a past medical history of pernicious anaemia Which cells in the gastrointestinal tract are most likely to be attacked in this autoimmune condition1?

A) Epithelial
B) Somatic
C) Delta
D) Chief
E) Parietal

2. A 20 year old woman has an incised wound over the angle of her jaw and you suspect damage to a branch of the facial nerve What action are you most likely to test to confirm your suspicion?

A) Protrude lower lip
B) Stick tongue out
C) Mandibular elevation
D) Pull corner of lips out and down
E) Mandibular retraction

3. A patient presenting with acute onset neurological symptoms has a CT scan of their brain that shows an acute pontine haemorrhage What is the most likely clinical finding?

A) Unilateral sensory disturbance
B) Speech disturbance
C) Unilateral motor disturbance
D) Hemianopia
E) Reduced conscious level

4. A two year old child is diagnosed with meningitis likely due to Neisseria meningitidis A medical student asks you why this organism is able to cross the blood brain barrier more easily than other pathogens To which characteristic is your explanation most likely to refer?

A) Adhesins on the fimbriae
B) IgA protease production
C) Attachment using haemagglutmin antigen
D) Expression of Protein A
E) Binding to CD4 antigen

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

Solutions: