RCEM FRCEM - FRCEM Primary Examination

A 23 year old presents with episodes of a painful left arm which becomes swollen and cyanosed after they have been kayaking Obstruction of which structure is most likely to cause these symptoms'?

A 14 year old boy presents after a bicycle accident He has a suspected pelvic fracture and the cremasteric reflex is absent Which nerve is most likely to be affected1?

A 26 year old man sustains a stab wound to the anterior aspect of the left side of his neck The wound involves the thoracic inlet Which structure is most likely to be encountered and injured first? A A. Oesophagus

B. Pleura

C. Subclavian artery

D. Subclavian vein

E. Thoracic duct

A 21 year old woman is confirmed to have giardiasis

Which characteristic of this specific parasite best explains its persistent intestinal attachment?

A 22 year old woman sustained an incised wound to the sole of her foot from standing on glass. Examination of the wound under local anaesthetic identifies the wound depth is limited to the first plantar layer.

Which structure is most likely to be injured?

An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.

Which haemodynamic factor is most likely responsible for the audible murmur?

A patient presents with a food bolus obstruction and you decide hyoscine butylbromide should not be administered Presence of which physiological feature is most likely to have influenced your decision?

A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.

Which parameter is most likely to increase by a factor of 16 as a result?

You are administering intravenous normal saline to a patient in the resus room.

What change in volume occurs within the body's fluid compartments whilst giving this treatment?

An 80 year old man presents with a stroke This has resulted in loss of all vagal output to his gastrointestinal tract Which function is most likely to be completely abolished in this patient?