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RCEM FRCEM Primary Examination Sample Questions:

1. A 32 year old man presents with suspected acute appendicitis A medical student asks you what the commonest anatomical position of the appendix is What is the most likely position?

A) Postileal
B) Subileal
C) Retrocaecal
D) Paracaecal
E) Preileal

2. A 22 year old woman sustained an incised wound to the sole of her foot from standing on glass. Examination of the wound under local anaesthetic identifies the wound depth is limited to the first plantar layer.
Which structure is most likely to be injured?

A) Peroneus longus
B) Lateral plantar artery
C) Flexor digitorum brevis
D) Tibialis posterior
E) Medial plantar artery

3. A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?

A) Brucella abortus
B) Bartonella qumtana .
C) Theilena microti
D) Borrelia burgdorferi
E) Anaplasma phagocytophilum

4. A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?

A) Liver enzyme induction
B) Interference with protein binding of the contraceptive pill
C) Inhibition of oestrogen receptors
D) Alteration of intestinal flora
E) Increased renal clearance of the contraceptive pill

5. A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?

A) Recurrent laryngeal
B) Right vagus
C) Cervical ganglia of sympathetic trunk
D) Left vagus
E) Phrenic

Solutions: