FRCEM Primary December 5 2018 Recall
This is all I could remember and highlighted answers are the one I chose, I am not sure those are
the right answer.
1) Fall on the shoulder and not able to do the drop test- Supraspinatus, infraspinatus, teres minor ,
subscapularis,deltoid
2) Loss of sensation around deltoid area- nerve injury. Which of the muscle weakness?
Teres minor, infraspiantus, supraspinatus, subscapularis
3) Fall injury and loss of abduction and flexion of arm – C4C5 , C5C6 , C7, C8T1
4) Anterior dislocation of Hip Joint- What is the most stabilizer of hip joint?
5) Head injury , structure pass through Foramen Spinosum- Meningeal branch of V3, Maxillary ,
Trochlear, Opthalmic branch of trigerminal
6) Patient on Furosemide – the site of drug action on renal tubules? PCT, DCT, Loop of Henle, Thick
ascending loop, Thin ascending loop
7) Patient with Hypocalcaemia – Increased PTH- act on which site of renal tubules? Not remember
the stems
8) Patient was Given GTN spray in angina, mechanism of drug- increase cGMP
9) Patient was given aspirin in MI- mechanism of action on platelet- increase prostacyclin, inhinbit
cycloxygenese, increase thrombosane
10) During blood transufusion, patient develop back pain – etc. sign of acute haemolytic anaemia-
Why? Delayed typed hyptersensitivity, T-cell mediated, Complement , systemic Immune
complex, IgM mediated
11) Patient with Spigelion hernion due to muscle weakness of- transversus abdominus aponeurosis
12) Patient stepped on glass at heel and need ankle block- saphenous, sural, deep peroneal, superficial
peroneal
13) Stab wound at antecubital fossa and injury of brachial artery, complete transection of which
artery? Profundi branchii, radial, ulnar collateral,
14) Same scenario- which collateral will be spared? Profundi brachii, palmar branch, dorsal arch,
radial
15) Stab wound to the abdomen and injury to supracolic peritoneum- stomach, jejunum, colon, first
part of duodenum
16) ARDS in new born- which law applied? Laplace law
17) Premature new born was given the drug ? monosaccride, disaccride, polysaccride, phospholipid
18) Patient with Crohn’s disease with IDA- distal ileum, proximal ileum, duodenum
19) Shoulder joint ligament injury and cannot elevate the shoulder- acromioclavicular,
coracoclavicular, glenohumural, coracohumeral
20) Blood supply of pancreas
21) Tachypnoea in Pulmonary embolism – 2 questions – first answer C-fibre receptors and another
answer J receptors in second questions
22) Heart failure patient- Frank-starling law- downward shift, upwardward shift, no shift, left , right
shift
23) Medical student asked you how to calculate Cardiac ouput. HR-60 – SV
24) Heart failure patient ask about preload- End systolic volume of atria, end systolic volume of
ventricles, end diastolic volume of atria, end diastolic volume of ventricles
25) Physiological response in haemorrhagic shock- don’t remember the stems
26) First response in hypovolaemic shock – baroreceptors
27) Patient who was on antacid . Which of the following drugs can be affected? I chose Digoxin-don’t
remember other stems
28) Which of the drugs contraindicated in bowel obstruction? Cyclizine, promethazine,
metocloperamide, ondansetron
29) Mechanisms of action of following antiarrhythmics in 4 questions
30) Atropine – M3 receptors
31) Amiodarone- prolong Action potential
1
This is all I could remember and highlighted answers are the one I chose, I am not sure those are
the right answer.
1) Fall on the shoulder and not able to do the drop test- Supraspinatus, infraspinatus, teres minor ,
subscapularis,deltoid
2) Loss of sensation around deltoid area- nerve injury. Which of the muscle weakness?
Teres minor, infraspiantus, supraspinatus, subscapularis
3) Fall injury and loss of abduction and flexion of arm – C4C5 , C5C6 , C7, C8T1
4) Anterior dislocation of Hip Joint- What is the most stabilizer of hip joint?
5) Head injury , structure pass through Foramen Spinosum- Meningeal branch of V3, Maxillary ,
Trochlear, Opthalmic branch of trigerminal
6) Patient on Furosemide – the site of drug action on renal tubules? PCT, DCT, Loop of Henle, Thick
ascending loop, Thin ascending loop
7) Patient with Hypocalcaemia – Increased PTH- act on which site of renal tubules? Not remember
the stems
8) Patient was Given GTN spray in angina, mechanism of drug- increase cGMP
9) Patient was given aspirin in MI- mechanism of action on platelet- increase prostacyclin, inhinbit
cycloxygenese, increase thrombosane
10) During blood transufusion, patient develop back pain – etc. sign of acute haemolytic anaemia-
Why? Delayed typed hyptersensitivity, T-cell mediated, Complement , systemic Immune
complex, IgM mediated
11) Patient with Spigelion hernion due to muscle weakness of- transversus abdominus aponeurosis
12) Patient stepped on glass at heel and need ankle block- saphenous, sural, deep peroneal, superficial
peroneal
13) Stab wound at antecubital fossa and injury of brachial artery, complete transection of which
artery? Profundi branchii, radial, ulnar collateral,
14) Same scenario- which collateral will be spared? Profundi brachii, palmar branch, dorsal arch,
radial
15) Stab wound to the abdomen and injury to supracolic peritoneum- stomach, jejunum, colon, first
part of duodenum
16) ARDS in new born- which law applied? Laplace law
17) Premature new born was given the drug ? monosaccride, disaccride, polysaccride, phospholipid
18) Patient with Crohn’s disease with IDA- distal ileum, proximal ileum, duodenum
19) Shoulder joint ligament injury and cannot elevate the shoulder- acromioclavicular,
coracoclavicular, glenohumural, coracohumeral
20) Blood supply of pancreas
21) Tachypnoea in Pulmonary embolism – 2 questions – first answer C-fibre receptors and another
answer J receptors in second questions
22) Heart failure patient- Frank-starling law- downward shift, upwardward shift, no shift, left , right
shift
23) Medical student asked you how to calculate Cardiac ouput. HR-60 – SV
24) Heart failure patient ask about preload- End systolic volume of atria, end systolic volume of
ventricles, end diastolic volume of atria, end diastolic volume of ventricles
25) Physiological response in haemorrhagic shock- don’t remember the stems
26) First response in hypovolaemic shock – baroreceptors
27) Patient who was on antacid . Which of the following drugs can be affected? I chose Digoxin-don’t
remember other stems
28) Which of the drugs contraindicated in bowel obstruction? Cyclizine, promethazine,
metocloperamide, ondansetron
29) Mechanisms of action of following antiarrhythmics in 4 questions
30) Atropine – M3 receptors
31) Amiodarone- prolong Action potential
1
