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RCEM FRCEM Primary Examination Sample Questions:

1. A patient presents following a stabbing to his chest and has a cardiac arrest You perform an anterolateral thoracotomy. Which muscle in addition to pectoralis major are you most likely to incise?

A) Teres major
B) Latissimus dorsi
C) Serratus anterior
D) Subclavius
E) Pectoralis minor

2. A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

A) Increased FVC
B) Increased FEV,/FVC ratio
C) Increased total lung capacity
D) Increased vital capacity
E) Increased inspiratory capacity

3. An 85 year old man complains of double vision on looking down. You note his right eye does not move when he looks down and medially.
Impaired (unction of which nerve is most likely responsible?

A) Trochlear
B) Vestibulocochlear
C) Abducens
D) Oculomotor
E) Trigeminal

4. A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist Injury at which location of the brachial plexus best explains her neurological symptoms?

A) Medial cord
B) Lateral cord
C) Upper trunk
D) Lower trunk
E) Posterior cord

5. A therapeutic trial demonstrates that everyone who received the drug has improved while no one improved with placebo What best describes the expected number needed to treat?

A) 1
B) 50
C) 100
D) 10
E) 2

Solutions: