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

2. A 14 year old boy presents after a bicycle accident He has a suspected pelvic fracture and the cremasteric reflex is absent Which nerve is most likely to be affected1?

A) Genitofemoral
B) Iliohypogastric .
C) Lateral femoral cutaneous
D) Subcostal
E) Femoral

3. A 32 year old builder slips with an angle grinder causing a deep facial wound which intersects with the inferomedial edge of the orbit and leaves exposed damaged bone.
What bone is most likely affected?

A) Zygoma
B) Nasal
C) Sphenoid
D) Maxilla
E) Ethmoid

4. A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?

A) Excessive glucocorticoid production
B) Production of abnormal insulin
C) Reduced insulin production by pancreatic beta cells
D) Reduced glucagon secretion
E) Increased cellular resistance to insulin

5. You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?

A) S1.2
B) L3,4
C) S2, 3, 4
D) L5
E) L12

Solutions: