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RCEM FRCEM Primary Examination Sample Questions:

1. A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?

A) Alpha
B) Gamma
C) Beta
D) Delta
E) Exocrine

2. You see a patient with steatorrhea, weight loss and abdominal pain You suspect they have exocrine pancreatic insufficiency The secretion of which substance is least likely to be affected by this condition?

A) Cholecystokinin
B) Phospholipase A2
C) Amylase
D) Lipase
E) Protease

3. A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?

A) Phrenic
B) Left vagus
C) Cervical ganglia of sympathetic trunk
D) Right vagus
E) Recurrent laryngeal

4. A 45 year old builder attends with an elbow injury An x-ray confirms fracture of the medial epicondyle On examination there is hyperextension of the metacarpophalangeal joint and flexion of the interphalangeal joint of ring and little fingers.
Which nerve is most likely to be injured?

A) Axillary
B) Radial
C) Musculocutaneous
D) Median
E) 'I'M'

5. A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?

A) Pelvis
B) Capsule
C) Calyx
D) Medulla
E) Cortex

Solutions: