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RCEM FRCEM Primary Examination Sample Questions:

1. A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?

A) Decreased vitamin D synthesis
B) Increased calcitonin secretion
C) Increased parathyroid secretion
D) Decreased renal excretion of phosphate
E) Decreased secretion of calcium from bone

2. You are caring for a 68 year old patient with known heart failure and significant tachypnoea Stimulation of which receptor type is most likely to cause this increase in respiratory rate?

A) Juxtacapillary receptors
B) Stretch receptors
C) Chemoreceptors
D) Mechanoreceptors
E) Irritant receptors

3. A 34 year old woman with Graves' disease presents with fever, palpitations, tremor and anxiety Which hormone is most likely to be causing her symptoms?

A) Adrenaline
B) Triiodothyronine (T3)
C) Thyroid stimulating hormone
D) Thyroid receptor hormone
E) Thyroxine (T4)

4. A 33 year old man presents with epigastric pain
What best describes the function of the gastric chief cell'?

A) Secretes pepsinogen
B) Absorbs vitamin B1
C) Absorbs vitamin B12
D) Secretes hydrochloric acid
E) Secretes intrinsic factor

5. A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?

A) Type 2 error
B) False positive
C) False negative
D) Alternative hypothesis
E) Type 1 error

Solutions: