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RCEM FRCEM Primary Examination Sample Questions:

1. A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?

A) Alternative hypothesis
B) False negative
C) False positive
D) Type 1 error
E) Type 2 error

2. A 52 year old man presents to the ED with headaches, sweating and a change in his voice. He is complaining of tingling in his hands and is hypertensive What is the most likely visual defect you will find on neurological examination'?

A) Bitemporal hemianopia
B) Central scotoma
C) Homonymous hemianopia
D) Monocular vision
E) Superior quadrantanopia

3. You are conducting a study of children presenting with febrile convulsions. As pari of your data collection you record their temperature in degrees Celsius on arrival Which is the best description of this type of data?

A) Nominal
B) Ratio
C) Discrete
D) Interval
E) Ordinal

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

5. A four year old boy presents with a cough and fever for the last few weeks which became worse in the last 24 hours. There is no record of his vaccination history His temperature is 38.5 °C, heart rate 135 beats per minute, and oxygen saturations are 97% He is coughing frequently and has bilateral subconjunctival haemorrhages.
Which organism is most likely to have caused his condition?

A) Bordetella pertussis
B) Respiratory syncytial virus
C) Cornebactenum diphthenae
D) Haemophilus influenzae
E) Mycobacterium tuberculosis

Solutions: