Prepare FRCEM Question Answers - FRCEM Exam Dumps
Real RCEM FRCEM Exam Questions [Updated 2022]
NEW QUESTION 60
A two year old child presents with a barking cough You suspect croup Which virus is most likely to be implicated?
- A. Respiratory syncytial virus
- B. Measles
- C. Parainfluenza
- D. Rhinovirus
- E. Adenovirus
Answer: C
NEW QUESTION 61
A 45 year old woman requires procedural sedation for a dislocated shoulder She has recently eaten a fatty meal Which substance is most likely to be secreted when the food reaches the small intestine''
- A. Vasoactive intestinal peptide
- B. Gastrin
- C. Cholecystokmin
- D. Gastrointestinal peptide
- E. Secretin
Answer: C
NEW QUESTION 62
A 60 year old woman presents lo the ED feeling generally unwell She is found to be uraemic She has missed several of her renal dialysis sessions.
Urea will most likely move through the dialysis membranes by which mechanism?
- A. Co-transport
- B. Active transport
- C. Osmosis
- D. Facilitated diffusion
- E. Simple diffusion
Answer: E
NEW QUESTION 63
A 53 year old man on anticoagulation presents with pain over his anterior abdomen following an episode of coughing A CT scan identifies an isolated haematoma within the rectus sheath above the arcuate line Which artery is most likely to have been injured?
- A. Superficial circumflex
- B. Inferior epigastric
- C. Superior epigastric
- D. Deep circumflex
- E. Superficial epigastric
Answer: C
NEW QUESTION 64
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. HC03
- B. PaC02
- C. Base Excess
- D. pH
- E. Pa02
Answer: C
NEW QUESTION 65
A 56 year old man presenls with a rash in the supraclavicular fossa which is typical of herpes zoster Which dermatomal level best describes the area affected?
- A. C5
- B. C3
- C. C2
- D. C4
- E. C1
Answer: A
NEW QUESTION 66
A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?
- A. Phenytoin
- B. Co-amoxiclav
- C. Thyroxine
- D. Paracetamol
- E. Aspirin
Answer: B
NEW QUESTION 67
A 76 year old patient is found on examination to have an absent jaw jerk What cranial nerve nucleus is the1 most likely site of pathology?
- A. Abducens
- B. Glossopharyngeal
- C. Hypoglossal
- D. Facial
- E. Trigeminal
Answer: E
NEW QUESTION 68
A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?
- A. Increased sympathetic supply to cutaneous vessels
- B. Reduced blood velocity in cutaneous vessels
- C. Reduced blood volume in cutaneous vessels
- D. Increased cutaneous blood pressure
- E. Cutaneous vasoconstriction
Answer: A
NEW QUESTION 69
A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?
- A. Laxity of the ligamentum flavum
- B. Anterior osteophytes causing compression
- C. Herniation of a cervical disc
- D. Infarction of the anterior spinal artery
- E. Compression of the posterior vertebral artery
Answer: A
NEW QUESTION 70
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. Lymphatic obstruction
- C. Oncotic pressure
- D. Capillary hydrostatic pressure
- E. Arterial occlusion
Answer: C
NEW QUESTION 71
A patient presents to the ED a few days after a significant head injury He is polyuric with hypernatremia and high plasma osmolality Which hormone is most likely to cause this picture?
- A. Vasopressin
- B. Corticotropm-releasing
- C. Somatostatin
- D. Dopamine
- E. Adrenocorticotropic
Answer: A
NEW QUESTION 72
A 67 year old woman is being treated for haematemesis Within a few minutes of starting transfusion of packed red cells she reports dizziness, breathlessness, tingling of her lips and develops a maculopapular rash What type of hypersensitivity reaction is most likely to be occurring?
- A. Type IV
- B. Type I
- C. Type II
- D. Type III
- E. Type V
Answer: B
NEW QUESTION 73
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 74
A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?
- A. Opposition of the thumb
- B. Flexion of the distal interphalangeal joints
- C. Flexion of the proximal interphalangeal joints
- D. Flexion of the wrist
- E. Abduction of the little finger
Answer: E
NEW QUESTION 75
A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?
- A. Supraspinatus
- B. Subscapulars
- C. Infraspinatus
- D. Teres major
- E. Teres minor
Answer: B
NEW QUESTION 76
A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?
- A. Tricuspid valve
- B. Mitral valve
- C. Pulmonary valve
- D. Foramen ovale
- E. Aortic valve
Answer: D
NEW QUESTION 77
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. Posterior cerebral
- B. Anterior cerebral
- C. Anterior communicating
- D. Vertebral
- E. Middle cerebral
Answer: E
NEW QUESTION 78
A 33 year old man presents with epigastric pain
What best describes the function of the gastric chief cell'?
- A. Secretes intrinsic factor
- B. Absorbs vitamin B12
- C. Secretes hydrochloric acid
- D. Secretes pepsinogen
- E. Absorbs vitamin B1
Answer: D
NEW QUESTION 79
A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?
- A. Chest x-ray showing lobar consolidation
- B. Sputum sample showing ziehl-nielsen stain negative bactena
- C. Positive mantoux test
- D. Absence of a bacille calmette-guenn scar
- E. Chest x-ray showing a cavitating lesion
Answer: E
NEW QUESTION 80
A five year old girl presents with a fever, a non-blanching rash and drowsiness. You suspect meningococcal infection What is most likely mode of spread for this infection?
- A. Droplet
- B. Faecal-oral
- C. Airborne
- D. Skin contact
- E. Blood
Answer: A
NEW QUESTION 81
You are teaching a medical student and are discussing how fluid compartment ratios can change in relation to age and gender You note that some population groups have proportionally higher total body water which increases the extracellular to intracellular fluid ratio What population group best demonstrates this?
- A. Neonate
- B. Adult female
- C. Elderly
- D. Child
- E. Adult male
Answer: B
NEW QUESTION 82
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