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RCEM FRCEM Primary Examination Sample Questions:

1. You are leaching medical students cardiovascular examination and the link between heart sounds and the cardiac cycle. Which phase best correlates with the start of the first heart sound?

A) Ventricular filling
B) Atrial systole
C) Isovolumetric contraction
D) Isovolumetric relaxation
E) Ventricular ejection

2. 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?

A) Primary oesophageal peristalsis
B) Pancreatic polypeptide secretion
C) Secondary oesophageal peristalsis
D) Gastric acid secretion
E) Glucagon release

3. An 83 year old woman presents with acute dyspnoea and is diagnosed with cardiac failure She has a history of dysphagia and CT confirms oesophageal cancer.
Compression of which chamber of the heart is most likely to have caused her cardiac failure? A Both ventricles

A) Left ventricle
B) Right atrium
C) Right ventricle
D) Left atrium

4. A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?

A) Teres major
B) Supraspinatus
C) Infraspinatus
D) Teres minor
E) Subscapulars

5. 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) Pleura
B) Subclavian vein
C) Thoracic duct
D) Oesophagus
E) Subclavian artery

Solutions: