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RCEM FRCEM Primary Examination Sample Questions:
1. An 85 year old man complains of double vision on looking down. You note his right eye does not move when he looks down and medially.
Impaired (unction of which nerve is most likely responsible?
A) Vestibulocochlear
B) Abducens
C) Trochlear
D) Trigeminal
E) Oculomotor
2. A 46 year old woman arrives after being hit by a car She has sustained a head injury You suspect she may have increased intracranial pressure due to a traumatic brain injury.
Which is the earliest clinical finding you are likely to see?
A) Bilateral fixed dilated pupils
B) Papilledema
C) Impaired corneal reflex
D) Cushmg's triad
E) Dilated ipsilateral pupil
3. A patient is brought in unconscious following a collapse and a subsequent CT shows a pontine haemorrhage Which clinical tindmg best describes what you expect on examination of the eyes?
A) Ptosis of the eyelids
B) Loss of direct light reflex
C) Gaze deviation to affected site
D) Deviation of eye laterally and downwards
E) Convergent squint with failure to abduct
4. A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?
A) Columnar epithelial cells
B) Goblet cells
C) Acinar cells
D) Mast cells
E) Club cells
5. A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?
A) Right cerebellar
B) Left basal ganglia
C) Left cerebellar
D) Bilateral hemispheric
E) Right basal ganglia
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: E | Question # 4 Answer: A | Question # 5 Answer: C |
By Cara
