RCEM FRCEM - FRCEM Primary Examination

A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.

Closure of which structure is most likely responsible for this finding?

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 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?

A 67 year old woman is being treated for haematemesis Within a few minutes of starting transfusion of packed red cells she reports dizziness, breathlessness, tingling of her lips and develops a maculopapular rash

What type of hypersensitivity reaction is most likely to be occurring?

A 52 year old woman (alls from a root sustaining a fracture dislocation at T12/L1 level Which muscle is most likely to be injured*?

You are teaching a medical student about the knee and discuss the structures that border the popliteal fossa Which structure best describes the superolateral boundary of this fossa?

A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?

You have achieved haemostasis of a wound A medical student asks you about the subsequent inflammatory response. Which is the predominant cell type in this phase?

A patient presenting with acute onset neurological symptoms has a CT scan of their brain that shows an acute pontine haemorrhage What is the most likely clinical finding?

A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.

Which statistic are you most likely to use in your explanation?