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RCEM FRCEM Primary Examination Sample Questions:

1. A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A) Duodenum
B) Colon
C) Ileum
D) Stomach
E) Caecum

2. A 20 year old woman presents with symptoms and signs suggestive of infectious mononucleosis Proliferation of which cells on the peripheral blood film would best support your diagnosis?

A) Neutrophils
B) Basophils
C) Lymphocytes
D) Monocytes
E) Eosinophils

3. A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?

A) Mast cells
B) Goblet cells
C) Acinar cells
D) Columnar epithelial cells
E) Club cells

4. A patient presents with an area of cellulitis with discharge on their foot following a puncture wound A swab shows a large number of gram positive rods on initial culture.
Which organism does this most likely represent?

A) Streptococcus pyogenes
B) Clostridium perfnngens
C) Staphylococcal aureus
D) Pseudomonas aeruginosa
E) Helicobacter cinaedi

5. A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.
Which situation is most likely to allow him to continue driving according to the DVLA?

A) Having type II diabetes treated with oral medications
B) An episode of severe hypoglycaemia while driving
C) Development of impaired awareness of hypoglycaemia
D) Needing laser treatment to both eyes
E) Having more than one episode of severe hypoglycaemia in 12 months

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