[2021] FRCEM PDF Questions - Perfect Prospect To Go With DumpStillValid Practice Exam
RCEM FRCEM Pdf Questions - Outstanding Practice To your Exam
NEW QUESTION 89
An 80 year old man presents to the ED with clinical features suggestive of ischaemic bowel Which artery is most commonly occluded in this condition?
- A. Coeliac
- B. Left colic
- C. Gastroduodenal
- D. Superior mesenteric
- E. Inferior mesenteric
Answer: D
NEW QUESTION 90
You are treating a patient with a dysrhythmia You are teaching your students about the phases of the cardiac action potential and emphasize the absolute refractory period as a means of preventing another action potential being generated Which factor is most important for this period?
- A. Potassium channel activation
- B. Sodium channel inactivation
- C. Potassium channel mactivation
- D. Sodium channel activation
- E. Calcium channel activation
Answer: B
NEW QUESTION 91
A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
What is the recommended absence period?
- A. Until conjunctivitis and mucous membrane rash has resolved
- B. Seven days after the rash has disappeared
- C. Four days after the onset of rash
- D. Until fever has settled for 24 hours
- E. Until the rash has disappeared
Answer: B
NEW QUESTION 92
A 63 year old woman has confirmed Leptospirosis
Which is the most common way people contract this infection?
- A. Invasion of intact skin
- B. Sexually
- C. Faeco-oral
- D. Invasion of breached skin
- E. Droplet
Answer: D
NEW QUESTION 93
A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?
- A. Venous obstruction
- B. Oncotic pressure
- C. Capillary hydrostatic pressure
- D. Lymphatic obstruction
- E. Arterial occlusion
Answer: B
NEW QUESTION 94
A patient with major trauma requires a central line. They have right sided neck and chest burns You decide to insert a left subclavian central line.
Which complication is more likely to occur during this procedure on the left in comparison to the right?
- A. Perforation of the oesophagus.
- B. Injury to the thoracic duct ID.
- C. Pneumothorax
- D. Injury to the phrenic nerve
- E. Injury to the recurrent laryngeal nerve
Answer: B
NEW QUESTION 95
You are leaching medical students cardiovascular examination and the link between heart sounds and the cardiac cycle. Which phase best correlates with the start of the first heart sound?
- A. Ventricular ejection
- B. Isovolumetric relaxation
- C. Atrial systole
- D. Isovolumetric contraction
- E. Ventricular filling
Answer: D
NEW QUESTION 96
A 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED Which drug is the most likely cause of this anaemia'?
- A. Heroin
- B. Nitrous oxide
- C. Cannabis
- D. Ketamine
- E. Cocaine
Answer: E
NEW QUESTION 97
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. Thyroxine (T4)
- B. Thyroid receptor hormone
- C. Triiodothyronine (T3)
- D. Adrenaline
- E. Thyroid stimulating hormone
Answer: E
NEW QUESTION 98
A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?
- A. Herpes zoster
- B. Influenza
- C. Parainfluenza
- D. Neisseria meningitidis
- E. Clostridium tetani
Answer: D
NEW QUESTION 99
A therapeutic trial demonstrates that everyone who received the drug has improved while no one improved with placebo What best describes the expected number needed to treat?
- A. 0
- B. 1
- C. 2
- D. 3
- E. 4
Answer: E
NEW QUESTION 100
A comatose patient has a respiratory rate of live breaths per minute following an overdose of heroin He receives naloxone and his respiratory rate rapidly improves to 16 breaths per minute Which component of arterial blood gas sampling is most likely to rapidly decrease following this intervention?
- A. PaC02
- B. HC03
- C. pH
- D. Base Excess
- E. Pa02
Answer: D
NEW QUESTION 101
A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring Which nerve are you most likely to need to block?
- A. Lesser occipital
- B. Posterior auncular branch of facial
- C. Auriculotemporal
- D. Greater auricular
- E. Auricular branch of vagus
Answer: D
NEW QUESTION 102
A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?
- A. Phrenic
- B. Right vagus
- C. Left vagus
- D. Recurrent laryngeal
- E. Cervical ganglia of sympathetic trunk
Answer: A
NEW QUESTION 103
You see a patient with steatorrhea, weight loss and abdominal pain You suspect they have exocrine pancreatic insufficiency The secretion of which substance is least likely to be affected by this condition?
- A. Phospholipase A2
- B. Cholecystokinin
- C. Protease
- D. Lipase
- E. Amylase
Answer: A
NEW QUESTION 104
A 22 year old woman sustained an incised wound to the sole of her foot from standing on glass. Examination of the wound under local anaesthetic identifies the wound depth is limited to the first plantar layer.
Which structure is most likely to be injured?
- A. Medial plantar artery
- B. Lateral plantar artery
- C. Peroneus longus
- D. Flexor digitorum brevis
- E. Tibialis posterior
Answer: D
NEW QUESTION 105
A 63 year old patienl presents with symptoms of hemiplegia and sensory loss of the right side of face and extremities. Which artery is most likely to be involved?
- A. Vertebral
- B. Middle cerebral
- C. Posterior cerebral
- D. Anterior cerebral
- E. Anterior communicating
Answer: B
NEW QUESTION 106
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