Example Primary Examination Extended Matching Questions

The following EMQ example questions are provided below for the Primary Exam.

EMQ Example One

Theme: Anatomy
Reference: Moore 7th (p. 369, 367)
Options:

a) Detrusor Muscle e) Spermatic cord

b) Ductus deferens (vas deferens) f) Tunica vaginalis
c) Internal urethral sphincter g) Tunica albuginea
d) Prostatic urethra

Lead-in: For each component of the male genitourinary anatomy, select the correct answer:

1. Surrounds the intramural (preprostatic) urethra in males

Answer: C) internal urethral sphincter

2. Receives parasympathetic motor innervation from pelvic splanchnic nerves and the
inferior hypogastric plexus

Answer: A) Detrusor muscle

EMQ Example Two

Theme: Pathology
Reference: Robbins 8th edition (p.510 517)
Options:

a) Churg-Strauss syndrome f) Polyarteritis nodosa

b) Infectious Vasculitis g) Takayasu arteritis
c) Kawasaki disease h) Temporal arteritis
d) Microscopic polyangiitis i) Thromboangiitis obliterans
e) Non-infectious vasculitis j) Wegener granulomatsosis

Lead-in: Which vasculitic condition is most the most likely cause in the given scenario:

1. A 20 year old presenting with a widespread vasculitic rash after commencing a course of
amoxicillin 3 days previously.

Answer: E) Non-infectious vasculitis

2. A 4 year old with high fevers, swollen gums and cervical lymph node enlargement.

Answer: C) Kawasaki disease

3. A 35 year old with visual field defects and weak pulses in upper limbs

Answer: G) Takayasu arteritis

EMQ Example Three

Theme: Physiology
Reference: Ganong 23rd edition: ch. 2 (p. 34-41)
Options:

a) Centrosomes e) Mitochondria
b) Cytoskeleton f) nucleus
c) Endoplasmic Reticulum g) peroxisomes
d) Golgi Apparatus h) ribosomes
e) Lysosomes

Lead-in: Match the organelle with its function:

1. This is responsible for acid hydrolysis of cell breakdown products

Answer: E) Lysosomes

2. This is primarily responsible for protein synthesis

Answer: I) Ribosomes

EMQ Example Four

Theme: Pharmacology
Reference:
Options:

a) Ketamine e) Sevoflurane
b) Nitrous Oxide f) Suxamethonium
c) Propofol g) Thiopentone
d) Rocuronium

Lead-in: Match the anaesthetic agent with its action:

1. Its primary action is determined by redistribution rather than metabolism

Answer: G) Thiopentone

2. With increasing concentrations, can progress from phase I to phase II blockade

Answer: F) Suxamethonium