[Feb 12, 2022] FRCEM Exam Dumps, FRCEM Practice Test Questions
Free FRCEM Study Guides Exam Questions & Answer
NEW QUESTION 108
A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.
Which drug is most likely to be responsible?
- A. Diclofenac
- B. Naproxen
- C. Aspirin
- D. Mefenamic acid
- E. Ibuprofen
Answer: D
NEW QUESTION 109
A 50 year old man presenls with a history of a productive cough and fever Chest x-ray shows right middle lobe consolidation Which is the most likely causative organism?
- A. Influenza virus
- B. Mycoplasma pneumoniae
- C. Pseudomonas aeruginosa
- D. Klebsiella pneumoniae
- E. Streptococcus pneumoniae
Answer: E
NEW QUESTION 110
You are treating a patient with left ventricular failure and decide to revise some cardiovascular physiology to help you understand the likely response to treatment Which statement best describes Starling's law in relation to cardiac output?
- A. Increased contractility leading to an increase in stroke volume
- B. Increased heart rate due to an increase in sympathetic stimulation
- C. Increased force of contraction due to an increase in preload
- D. Increased filling pressure leading to an increase in heart rate ID.
- E. Increased afterload due to an increase in cardiac output
Answer: B
NEW QUESTION 111
A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?
- A. Methanol
- B. Salicylates
- C. Rhabdomyolysis
- D. Diabetic ketoacidosis
- E. Hypoalbummaemia
Answer: E
NEW QUESTION 112
A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?
- A. Zona reticularis
- B. Adrenal medulla.
- C. Zona glomerulosa
- D. Zona fasciculata
- E. Adrenal cortex
Answer: B
NEW QUESTION 113
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. Cortex
- B. Medulla
- C. Capsule
- D. Calyx
- E. Pelvis
Answer: A
NEW QUESTION 114
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: C
NEW QUESTION 115
A 52 year old woman (alls from a root sustaining a fracture dislocation at T12/L1 level Which muscle is most likely to be injured*?
- A. lliacus
- B. Psoas minor
- C. Rhomboid major
- D. Latissimus dorsi
- E. Pectineus
Answer: D
NEW QUESTION 116
A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?
- A. Beta
- B. Exocrine
- C. Delta
- D. Gamma
- E. Alpha
Answer: E
NEW QUESTION 117
A nine month old child is brought to the ED with a (ever and rash The child's mother states that all of her immunisations are up to date What is the most likely cause of this infectious illness?
- A. Diphtheria
- B. Pneumococcus
- C. Haemophilus influenzae b
- D. Rubella
- E. Pertussis
Answer: D
NEW QUESTION 118
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. Adrenal medulla
- B. Posterior pituitary
- C. Anterior pituitary
- D. Hypothalamus
- E. Adrenal cortex
Answer: B
NEW QUESTION 119
A 48 year old man presents to the ED with sudden onset, severe abdominal pain His CT shows pneumoretroperitoneum. Which of these structures is most likely to have perforated?
- A. Ileum
- B. Sigmoid colon
- C. Duodenum
- D. Transverse colon
- E. Jejunum
Answer: C
NEW QUESTION 120
A patient presents with septic shock A venous blood gas shows a metabolic acidosis Following treatment with crystalloid infusion and antibiotics their HR and BP are normal A repeat venous gas shows a persistent metabolic acidosis with a normal anion gap Which mechanism best explains the results of the repeat blood gas?
- A. Lactic acidosis due to tissue hypoperfusion
- B. Hyperchloraemic acidosis due to excessive infusion of normal saline
- C. Capillary leak due to sepsis causing continued hypovolamia
- D. Acute kidney injury due to reduced renal blood flow
- E. Metabolic acidosis due to occult aspirin overdose
Answer: B
NEW QUESTION 121
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 receptor hormone
- D. Thyroid stimulating hormone
- E. Thyroxine (T4)
Answer: D
NEW QUESTION 122
A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?
- A. Pulmonary arterial blood flow
- B. Right ventricular afterload
- C. Left ventricular contractility
- D. Right atrial pressure
- E. Pulmonary venous resistance
Answer: E
NEW QUESTION 123
A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A
- A. Psoas muscle
- B. Inguinal ligament
- C. Iliacus muscle
- D. Femoral vein
- E. Femoral artery
Answer: E
NEW QUESTION 124
An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?
- A. Decreased viscosity
- B. High blood volume
- C. Increased viscosity
- D. Turbulent flow
- E. Laminar flow
Answer: D
NEW QUESTION 125
A 19 year old old runner presents with pain in the lateral compartment of the lower leg when running and you suspect intermittent compartment syndrome Which movement of the ankle and foot would most likely replicate the pain?
- A. Plantarflexion and eversion
- B. Dorsiflexion and eversion
- C. Dorsiflexion and inversion
- D. Plantarflexion and inversion
- E. External rotation
Answer: E
NEW QUESTION 126
A 65 year old patient presents to the ED with a three hour history of expressive dysphasia. You suspect a stroke and order a CT scan Which area of the brain is the most likely site of the infarct?
- A. Parietal
- B. Cerebellum
- C. Frontal
- D. Temporal
- E. Occipital
Answer: C
NEW QUESTION 127
A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?
- A. Alteration of intestinal flora
- B. Liver enzyme induction
- C. Increased renal clearance of the contraceptive pill
- D. Inhibition of oestrogen receptors
- E. Interference with protein binding of the contraceptive pill
Answer: B
NEW QUESTION 128
A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?
- A. Sternal notch
- B. Umbilicus
- C. Xiphisternum
- D. Apex beat
- E. Nipple line
Answer: E
NEW QUESTION 129
A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?
- A. Pethidine
- B. Morphine
- C. Codeine
- D. Oxycodone
- E. Dihydrocodeine
Answer: A
NEW QUESTION 130
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