Best Quality RCEM FRCEM Exam Questions NewPassLeader Realistic Practice Exams [2021]
Critical Information To FRCEM Primary Examination Pass the First Time
NEW QUESTION 70
A keen cyclist attends the ED complaining of clumsiness and tingling in his right hand When he attempts to grip paper in his first web space he is only able to achieve this by flexing his right thumb.
Innervation of which muscle is most likely compromised?
- A. Abductor pollicis brevis
- B. Extensor pollicis brevis
- C. Adductor pollicis
- D. Opponens pollicis
- E. First dorsal interosseous
Answer: D
NEW QUESTION 71
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 72
A 32 year old builder slips with an angle grinder causing a deep facial wound which intersects with the inferomedial edge of the orbit and leaves exposed damaged bone.
What bone is most likely affected?
- A. Maxilla
- B. Nasal
- C. Sphenoid
- D. Zygoma
- E. Ethmoid
Answer: C
NEW QUESTION 73
A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?
- A. Prolactin
- B. Luteinizing
- C. Thyroid stimulating
- D. Follicle-stimulating
- E. Adrenocorticotropic
Answer: B
NEW QUESTION 74
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. Left vagus
- B. Cervical ganglia of sympathetic trunk
- C. Phrenic
- D. Recurrent laryngeal
- E. Right vagus
Answer: C
NEW QUESTION 75
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. Lipase
- B. Amylase
- C. Protease
- D. Cholecystokinin
- E. Phospholipase A2
Answer: E
NEW QUESTION 76
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 77
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 78
A 24 year old woman is admitted to your observation ward with a sudden onset headache. Her CT showed no abnormality and you decide to perform a lumbar puncture What is the next structure the needle will puncture after going through the skin and subcutaneous fat?
- A. Interspmous ligament
- B. Dura
- C. Epidural space
- D. Ligamentum flavum
- E. Supraspinous ligament
Answer: E
NEW QUESTION 79
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 80
You are discussing physiology of the body compartments and distribution of body water while teaching nurse practitioners.
Which extracellular fluid compartment is most likely to contain the most water?
- A. Dense connective tissue
- B. Transcellular
- C. Bone
- D. Plasma
- E. Interstitial fluid
Answer: E
NEW QUESTION 81
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 82
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 83
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 84
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 85
You are discussing the different muscles within the medial thigh and movements at the hip joint with a medical student. Which muscle within this compartment is most likely to be involved in hip extension?
- A. Adductor magnus
- B. Adductor longus
- C. Adductor brevis
- D. Pectineus
- E. Gracilis
Answer: A
NEW QUESTION 86
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 87
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