RCEM FRCEM Primary Examination - FRCEM Exam Practice Test
You are critically appraising a randomised controlled trial about the use of nebulised versus intravenous magnesium in acute asthma You are most interested in whether you can extrapolate the results to your setting and population The presence of which factor would most limit the generalisability/external validity of the results?
Correct Answer: B
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?
Correct Answer: A
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?
Correct Answer: E
A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?
Correct Answer: D
A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?
What is the most likely mechanism responsible for generalised oedema in this condition?
Correct Answer: B
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?
Correct Answer: C
A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?
Correct Answer: E
A 15 year old girl with sickle cell anaemia attends with left leg swelling and pain Further investigations suggest a diagnosis of osteomyelitis of her tibia.
What is the most likely causative organism?
What is the most likely causative organism?
Correct Answer: A
A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?
Correct Answer: C
A 50 year old man with HIV has not been taking his treatment and presents with severe headache and neck stiffness His current CD4+ count is 180/mmc (normal 500-1400/mmc) What is the most likely causative agent of his meningitis?
Correct Answer: A