FRCEM PDF Dumps | Dec 05, 2021 Recently Updated Questions
FRCEM Exam Questions – Valid FRCEM Dumps Pdf
NEW QUESTION 67
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 68
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 69
A 60 year old woman presents with shortness of breath and signs of pulmonary oedema. An echocardiogram demonstrates reduced left ventricular systolic function.
Which measurement on echocardiogram best demonstrates this?
- A. Ejection fraction
- B. Left ventricle end diastolic pressure
- C. Left ventricle end diastolic volume
- D. Left ventricle end diastolic volume and pressure
- E. Stroke volume
Answer: A
NEW QUESTION 70
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 71
A 34 year old man presents wrth shortness of breath He has a normal alveolar-arterial <A-a) gradient What is the most likely diagnosis?
- A. Neuromuscular disorder
- B. Atelectasis
- C. Congestive cardiac failure
- D. Acute respiratory distress syndrome
- E. Pulmonary thromboembolism
Answer: A
NEW QUESTION 72
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 73
A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?
- A. Anaplasma phagocytophilum
- B. Brucella abortus
- C. Bartonella qumtana .
- D. Theilena microti
- E. Borrelia burgdorferi
Answer: E
NEW QUESTION 74
A 35 year old man attends after a motorbike accident. He is complaining of abnormal vision and his right eye is slightly adducted when he looks straight ahead.
Which cranial nerve has suffered the most damage?
- A. Abducens
- B. Inferior division of oculomotor
- C. Superior division of oculomotor
- D. Trochlear
- E. Trigeminal
Answer: A
NEW QUESTION 75
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 76
A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?
- A. Raised mean corpuscular volume
- B. Low white blood cell count
- C. High red cell distribution width
- D. Low haemoglobin
- E. Raised mean corpuscular haemoglobin
Answer: A
NEW QUESTION 77
A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?
- A. Production of abnormal insulin
- B. Excessive glucocorticoid production
- C. Increased cellular resistance to insulin
- D. Reduced glucagon secretion
- E. Reduced insulin production by pancreatic beta cells
Answer: C
NEW QUESTION 78
A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance Which type of blood vessels are most likely implicated in causing her hypotension?
- A. Arteries
- B. Capillaries
- C. Arterioles
- D. Venules
- E. Veins
Answer: C
NEW QUESTION 79
When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?
- A. Ileum
- B. Stomach
- C. Duodenum
- D. Jejunum
- E. Ascending colon
Answer: B
NEW QUESTION 80
You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?
- A. Sodium
- B. Potassium
- C. Calcium
- D. Magnesium
- E. Chloride
Answer: B
NEW QUESTION 81
You are administering intravenous normal saline to a patient in the resus room.
What change in volume occurs within the body's fluid compartments whilst giving this treatment?
- A. Reduced extracellular
- B. Increased intracellular
- C. Reduced intracellular
- D. Increased extracellular
- E. Increased interstitial
Answer: D
NEW QUESTION 82
A 48 year old man presents with a flare up of gout You recommend treatment with a non-steroidal anti-inflammatory drug (NSAID) He is concerned because his wife suffered a peptic ulcer associated with NSAID use Which medication would be your first choice NSAID to minimise his risk of gastrointestinal side effects?
- A. Naproxen
- B. Diclofenac
- C. Indomethacin
- D. Piroxicam
- E. Ibuprofen
Answer: B
NEW QUESTION 83
An 88 year old woman presents with haematemesis CT scan identifies a posterior ulcer of the superior part of the duodenum At what vertebral level would this be evident on the CT scan?
- A. L3
- B. L1
- C. T12
- D. L4
- E. L2
Answer: B
NEW QUESTION 84
A 60 year old woman presents following blunt trauma to her abdomen A CT scan demonstrates herniation of small intestine into the chest At what site is the diaphragmatic injury most likely to have occurred1?
- A. Costal cartilage of 7-10th ribs
- B. Lumbar vertebrae
- C. 11-12th ribs
- D. Xiphoid process
- E. Central tendon
Answer: A
NEW QUESTION 85
A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?
- A. Anatomical dead space
- B. Physiological dead space
- C. Expiratory reserve
- D. Residual volume
- E. Inspiratory reserve
Answer: B
NEW QUESTION 86
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 87
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