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RCEM FRCEM Primary Examination Sample Questions:

1. A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?

A) Dihydrocodeine
B) Oxycodone
C) Codeine
D) Pethidine
E) Morphine

2. A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?

A) Specificity
B) Post-test probability
C) Likelihood ratio
D) Sensitivity
E) Negative predictive value

3. A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A

A) Inguinal ligament
B) Iliacus muscle
C) Femoral artery
D) Femoral vein
E) Psoas muscle

4. 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) Sphenoid
B) Maxilla
C) Ethmoid
D) Zygoma
E) Nasal

5. A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.
Which situation is most likely to allow him to continue driving according to the DVLA?

A) An episode of severe hypoglycaemia while driving
B) Having type II diabetes treated with oral medications
C) Having more than one episode of severe hypoglycaemia in 12 months
D) Development of impaired awareness of hypoglycaemia
E) Needing laser treatment to both eyes

Solutions: