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RCEM FRCEM Primary Examination Sample Questions:

1. You are discussing physiology of the body compartments and distribution of body water while teaching nurse practitioners.
Which extracellular fluid compartment is most likely to contain the most water?

A) Dense connective tissue
B) Transcellular
C) Plasma
D) Interstitial fluid
E) Bone

2. An 80 year old woman presents to the ED with diarrhoea and vomiting. She is clinically dehydrated The physiological response to this involves release of antidiuretic hormone Where is this hormone most likely to be released from?

A) Posterior pituitary
B) Adrenal medulla
C) Hypothalamus
D) Adrenal cortex
E) Anterior pituitary

3. 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?

A) Capacitance
B) Pressure gradient
C) Resistance
D) Blood flow
E) Elasticity

4. A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?

A) Calyx
B) Cortex
C) Pelvis
D) Medulla
E) Capsule

5. A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?

A) Fibrin
B) Fibrinogen
C) Prostacyclin
D) Plasminogen
E) Thromboxane

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