New 2021 Realistic Free RCEM FRCEM Exam Dump Questions & Answer
FRCEM Practice Test Engine: Try These 182 Exam Questions
NEW QUESTION 18
An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?
- A. Haemotoxm
- B. Necrotoxin
- C. Tetrodotoxm
- D. Cytotoxin
- E. Endotoxin
Answer: D
NEW QUESTION 19
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. Homonymous hemianopia
- B. Bitemporal hemianopia
- C. Superior quadrantanopia
- D. Monocular vision
- E. Central scotoma
Answer: A
NEW QUESTION 20
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. Wearing gloves and aprons for patient contact
- B. Treatment with metronidazole
- C. Use of alcohol hand gel
- D. Isolation of the patient in a side room
- E. Hand washing with soap and water
Answer: E
NEW QUESTION 21
You have achieved haemostasis of a wound A medical student asks you about the subsequent inflammatory response. Which is the predominant cell type in this phase?
- A. Fibroblasts
- B. Macrophages
- C. Platelets
- D. Neutrophils
- E. Lymphocytes
Answer: D
NEW QUESTION 22
A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?
- A. Oncotic pressure
- B. Lymphatic obstruction
- C. Arterial occlusion
- D. Venous obstruction
- E. Capillary hydrostatic pressure
Answer: A
NEW QUESTION 23
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. Co-amoxiclav
- B. Paracetamol
- C. Aspirin
- D. Thyroxine
- E. Phenytoin
Answer: A
NEW QUESTION 24
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. Thyroxine (T4)
- B. Thyroid receptor hormone
- C. Triiodothyronine (T3)
- D. Adrenaline
- E. Thyroid stimulating hormone
Answer: E
NEW QUESTION 25
You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?
- A. Lidocaine
- B. Tetracaine
- C. Ropivacame
- D. Prilocaine
- E. Bupivacaine
Answer: B
NEW QUESTION 26
A 23 year old presents with episodes of a painful left arm which becomes swollen and cyanosed after they have been kayaking Obstruction of which structure is most likely to cause these symptoms'?
- A. Brachiocephalic vein
- B. Brachiocephalic trunk
- C. Axillary vein
- D. Subclavian artery
- E. Subclavian vein
Answer: D
NEW QUESTION 27
A 33 year old man presents with signs of sepsis. A venous blood gas is taken which confirms an elevated haematocnt level What best describes the normal range of haematocnt you expect to find in a healthy male of this age?
- A. 40-49%
- B. 10-19%
- C. 30-39%
- D. 20-29%
- E. 50-59%
Answer: A
NEW QUESTION 28
A 70 year old woman presents with reduced I6vel of consciousness following a recent chest infection She has signs of meningeal irritation Gram staining of CSF demonstrates gram positive diplococci.
Which organism is most likely in this case1?
- A. Acinetobacter baumannii
- B. Moraxella catarrhalis
- C. Streptococcus pneumoniae
- D. Staphylococcus aureus
- E. Neisseria meningitidis
Answer: C
NEW QUESTION 29
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. Morphine
- B. Dihydrocodeine
- C. Pethidine
- D. Oxycodone
- E. Codeine
Answer: C
NEW QUESTION 30
A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.
Which parameter is most likely to increase by a factor of 16 as a result?
- A. Elasticity
- B. Resistance
- C. Capacitance
- D. Blood flow
- E. Pressure gradient
Answer: B
NEW QUESTION 31
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 eversion
- C. External rotation
- D. Dorsiflexion and inversion
- E. Plantarflexion and inversion
Answer: C
NEW QUESTION 32
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. High red cell distribution width
- B. Raised mean corpuscular volume
- C. Raised mean corpuscular haemoglobin
- D. Low white blood cell count
- E. Low haemoglobin
Answer: B
NEW QUESTION 33
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. Venules
- B. Arterioles
- C. Capillaries
- D. Veins
- E. Arteries
Answer: B
NEW QUESTION 34
A 50 year old woman with longstanding severe asthma presents with a four day history of diarrhoea and vomiting An imbalance of which hormone is most likely to be causing this clinical picture'?
- A. Cortisol
- B. Insulin
- C. Dihydroepiandrosterone
- D. Thyroxine
- E. Aldosterone
Answer: E
NEW QUESTION 35
A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?
- A. Vitamin D
- B. Phosphate
- C. Albumin
- D. Sodium
- E. Chloride
Answer: C
NEW QUESTION 36
A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?
- A. External iliac
- B. Superolateral superficial
- C. Deep inguinal
- D. Inferior superficial
- E. Superomedial superficial
Answer: C
NEW QUESTION 37
A 54 year old man presents with an incised wound to the anterior compartment of his lower leg Exploration of the wound identifies a complete transection at the origin of the tibialis anterior muscle What associated motor deficit of the toot is most likely in this patient?
- A. Plantarflexion and eversion
- B. Plantarflexion
- C. Dorsiflexion and inversion
- D. Plantarflexion and inversion
- E. Dorsiflexion and eversion
Answer: E
NEW QUESTION 38
An 80 year old man presents with a stroke This has resulted in loss of all vagal output to his gastrointestinal tract Which function is most likely to be completely abolished in this patient?
- A. Glucagon release
- B. Gastric acid secretion
- C. Primary oesophageal peristalsis
- D. Secondary oesophageal peristalsis
- E. Pancreatic polypeptide secretion
Answer: D
NEW QUESTION 39
......
Guaranteed Success in FRCEM Certification FRCEM Exam Dumps: https://www.examslabs.com/RCEM/FRCEM-Certification/best-FRCEM-exam-dumps.html