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RCEM FRCEM Primary Examination Sample Questions:

1. A 60 year old woman presents lo the ED feeling generally unwell She is found to be uraemic She has missed several of her renal dialysis sessions.
Urea will most likely move through the dialysis membranes by which mechanism?

A) Simple diffusion
B) Active transport
C) Facilitated diffusion
D) Co-transport
E) Osmosis

2. A 17 year old girl presents with a maculopapular rash She has a seven day history of fever and sore throat and was prescribed an antibiotic three days ago Which antibiotic is most likely to have been prescribed?

A) Phenoxymethylpemcillin
B) Amoxicillin
C) Cephalexin
D) Ciprofloxacin
E) Clarithromycin

3. 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) Pethidine
B) Oxycodone
C) Codeine
D) Dihydrocodeine
E) Morphine

4. An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?

A) Tetrodotoxm
B) Endotoxin
C) Cytotoxin
D) Necrotoxin
E) Haemotoxm

5. You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation Which receptors are most likely to be targeted by this treatment?

A) Muscarinic
B) Beta 2
C) Nicotinic
D) Beta 1
E) Alpha 1

Solutions: