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RCEM FRCEM Primary Examination Sample Questions:

1. A 56 year old man presenls with a rash in the supraclavicular fossa which is typical of herpes zoster Which dermatomal level best describes the area affected?

A) C1
B) C4
C) C5
D) C3
E) C2

2. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?

A) Phosphoglyceride
B) Sphingolipid
C) Phospholipid
D) Fatty acid
E) Glycolipid

3. A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?

A) Deep inguinal
B) Superolateral superficial
C) Inferior superficial
D) Superomedial superficial
E) External iliac

4. You are discussing the different muscles within the medial thigh and movements at the hip joint with a medical student. Which muscle within this compartment is most likely to be involved in hip extension?

A) Gracilis
B) Adductor brevis
C) Adductor magnus
D) Pectineus
E) Adductor longus

5. A 65 year old patient presents to the ED with a three hour history of expressive dysphasia. You suspect a stroke and order a CT scan Which area of the brain is the most likely site of the infarct?

A) Parietal
B) Occipital
C) Cerebellum
D) Temporal
E) Frontal

Solutions: