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Updated: Jun 08, 2026
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RCEM FRCEM Primary Examination Sample Questions:
1. 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) Free filtration by the glomerulus
B) Indicative of body muscle mass IE.
C) Steady state concentration existence in the blood
D) Active secretion by the peritubular capillaries
E) Estimation of the 24 hour excretion rate
2. A 79 year old man with a direct inguinal hernia attends the ED when it becomes acutely more swollen, firm and painful Which feature of the hernia is likely to apply1?
A) Sac extends into his scrotum
B) Sac lies within the covering of the spermatic cord
C) Emerges medial to the inferior epigastric artery
D) Traverses the deep inguinal ring
E) Emerges inferior to the inguinal ligament
3. A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?
A) Reduced glucagon secretion
B) Production of abnormal insulin
C) Excessive glucocorticoid production
D) Reduced insulin production by pancreatic beta cells
E) Increased cellular resistance to insulin
4. A 70 year old woman presents with reduced I6vel of consciousness following a recent chest infection She has signs of meningeal irritation Gram staining of CSF demonstrates gram positive diplococci.
Which organism is most likely in this case1?
A) Moraxella catarrhalis
B) Staphylococcus aureus
C) Neisseria meningitidis
D) Acinetobacter baumannii
E) Streptococcus pneumoniae
5. A 23 year old man presents to the ED after cutting his wrist with a kitchen knife There is a wound on the flexor aspect of the wrist and you are concerned about median nerve injury.
Which examination of motor function would best test for damage to this nerve?
A) Pronation of the forearm
B) Extension of the wrist
C) Adduction of the fingers
D) Opposition of the thumb
E) Extension of finger metacarpophalangeal joints
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: E | Question # 4 Answer: E | Question # 5 Answer: D |
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