[Nov 24, 2021] Pass RCEM FRCEM Exam Info and Free Practice Test
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NEW QUESTION 68
A 52 year old man presents to the ED with headaches, sweating and a change in his voice. He is complaining of tingling in his hands and is hypertensive What is the most likely visual defect you will find on neurological examination'?
- A. Superior quadrantanopia
- B. Bitemporal hemianopia
- C. Monocular vision
- D. Central scotoma
- E. Homonymous hemianopia
Answer: E
NEW QUESTION 69
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. Capillaries
- B. Arterioles
- C. Arteries
- D. Veins
- E. Venules
Answer: B
NEW QUESTION 70
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. Femoral vein
- B. Femoral artery
- C. Psoas muscle
- D. Iliacus muscle
- E. Inguinal ligament
Answer: B
NEW QUESTION 71
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. Injury to the recurrent laryngeal nerve
- B. Injury to the thoracic duct ID.
- C. Perforation of the oesophagus.
- D. Pneumothorax
- E. Injury to the phrenic nerve
Answer: B
NEW QUESTION 72
A 77 year old woman is brought to the ED following a house fire Arterial blood gas confirms she has an increased carboxyhaemoglobin level What is the most likely effect on the oxygen dissociation curve?
- A. Shift to the left
- B. Shift to the right
- C. Bohr effect
- D. No effect
- E. Hyperbolic curve
Answer: A
NEW QUESTION 73
A 40 year old woman with history o! anorexia, presents with sudden onset of confusion, loss of balance and a wide based gait. Which medication is most likely to be prescribed in the early stages of her treatment?
- A. Glutathione
- B. Ascorbic acid
- C. Vitamin D
- D. Thiamine
- E. Cyanocobalamin
Answer: D
NEW QUESTION 74
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 volume in cutaneous vessels
- C. Cutaneous vasoconstriction
- D. Reduced blood velocity in cutaneous vessels
- E. Increased cutaneous blood pressure
Answer: A
NEW QUESTION 75
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. Dorsiflexion and eversion
- B. Plantarflexion and inversion
- C. External rotation
- D. Dorsiflexion and inversion
- E. Plantarflexion and eversion
Answer: C
NEW QUESTION 76
A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''
- A. Caecum
- B. Duodenum
- C. Stomach
- D. Colon
- E. Ileum
Answer: B
NEW QUESTION 77
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. Mitral valve
- B. Foramen ovale
- C. Tricuspid valve
- D. Aortic valve
- E. Pulmonary valve
Answer: B
NEW QUESTION 78
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. Diclofenac
- B. Ibuprofen
- C. Piroxicam
- D. Indomethacin
- E. Naproxen
Answer: A
NEW QUESTION 79
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. Triiodothyronine (T3)
- B. Adrenaline
- C. Thyroxine (T4)
- D. Thyroid stimulating hormone
- E. Thyroid receptor hormone
Answer: D
NEW QUESTION 80
An 87 year old man is brought to the ED from his nursing home with loose stools and abdominal pain. You suspect Clostridium difficile infection because he had a recent course of antibiotics for pneumonia.
What measure is most likely to reduce the spread of infection to other patients?
- A. Treatment with metronidazole
- B. Hand washing with soap and water
- C. Wearing gloves and aprons for patient contact
- D. Isolation of the patient in a side room
- E. Use of alcohol hand gel
Answer: B
NEW QUESTION 81
A 21 year old man with a history of epilepsy presents following a generalised seizure A deformity in his left shoulder was noted and an x-ray confirms a dislocation You plan to reduce the dislocation using midazolam for procedural sedation Sedation will occur as a result of mediation of which neurotransmitter?
- A. Gamma-aminobutyric acid
- B. Serotonin
- C. Dopamine
- D. Glutamate
- E. Acetylcholine
Answer: A
NEW QUESTION 82
A 63 year old woman has confirmed Leptospirosis
Which is the most common way people contract this infection?
- A. Sexually
- B. Invasion of breached skin
- C. Faeco-oral
- D. Invasion of intact skin
- E. Droplet
Answer: B
NEW QUESTION 83
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