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RCEM FRCEM Primary Examination Sample Questions:

1. A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?

A) Inspiratory reserve
B) Expiratory reserve
C) Anatomical dead space
D) Residual volume
E) Physiological dead space

2. A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A) Stomach
B) Duodenum
C) Ileum
D) Colon
E) Caecum

3. A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?

A) Peak expiratory flow rate
B) Tidal volume
C) Forced expiratory volume
D) Vital capacity
E) Physiological dead space

4. A patient presents with an arrhythmia and as you are treating them you discuss with a student the depolarisation phase of the cardiac action potential Which change initiates this phase of the action potential?

A) Opening of calcium channel
B) Opening of sodium channel
C) Opening of potassium channel
D) Closure of potassium channel
E) Closure of sodium channel

5. A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?

A) Baroreceptors
B) Cardiac receptors
C) Carotid body receptors
D) Beta 2 vascular receptors
E) Atrial stretch receptors

Solutions: