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RCEM FRCEM Primary Examination Sample Questions:

1. A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?

A) Superior oblique
B) Levator palpebrae superioris
C) Inferior oblique
D) Superior rectus
E) Inferior rectus

2. A doctor about to sit an important examination has become aware of the urge to detaecate Involuntary relaxation of which muscle is most likely to have occurred?

A) Puborectalis
B) Internal anal sphincter
C) External anal sphincter
D) Abdominal wall
E) Circular muscle coat of sigmoid

3. A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?

A) Infraspinatus
B) Teres major
C) Teres minor
D) Supraspinatus
E) Subscapulars

4. You are prescribing gentamicin for a patienl. Her serum creatinine level is raised Which property of creatinine best explains why it is used as a marker of glomerular filtration rate?

A) Estimation of the 24 hour excretion rate
B) Active secretion by the peritubular capillaries
C) Free filtration by the glomerulus
D) Steady state concentration existence in the blood
E) Indicative of body muscle mass IE.

5. A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?

A) Thyroid stimulating
B) Prolactin
C) Follicle-stimulating
D) Adrenocorticotropic
E) Luteinizing

Solutions: