Best Quality RCEM FRCEM Exam Questions PrepAwayETE Realistic Practice Exams [2021]
Critical Information To FRCEM Primary Examination Pass the First Time
NEW QUESTION 39
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. Pseudomonas aeruginosa
- B. Mycoplasma pneumoniae
- C. Influenza virus
- D. Streptococcus pneumoniae
- E. Klebsiella pneumoniae
Answer: D
NEW QUESTION 40
A young man arrives by ambulance having dislocated his patella playing football. Rehabilitation should focus on which muscle to reduce chances of recurrent dislocation?
- A. Gracilis
- B. Vastus mediahs
- C. Adductor magnus
- D. Vastus lateralis
- E. Sartonus
Answer: D
NEW QUESTION 41
A 26 year old man sustains a stab wound to the anterior aspect of the left side of his neck The wound involves the thoracic inlet Which structure is most likely to be encountered and injured first?
- A. Thoracic duct
- B. Subclavian artery
- C. Oesophagus
- D. Pleura
- E. Subclavian vein
Answer: D
NEW QUESTION 42
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 phrenic nerve
- B. Injury to the recurrent laryngeal nerve
- C. Perforation of the oesophagus.
- D. Injury to the thoracic duct ID.
- E. Pneumothorax
Answer: D
NEW QUESTION 43
A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist Injury at which location of the brachial plexus best explains her neurological symptoms?
- A. Posterior cord
- B. Upper trunk
- C. Lower trunk
- D. Medial cord
- E. Lateral cord
Answer: E
NEW QUESTION 44
A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?
- A. Haemophilus influenzae B
- B. Meningococcal
- C. Polio
- D. Pertussis
- E. Diptheria
Answer: B
NEW QUESTION 45
A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?
- A. Left basal ganglia
- B. Bilateral hemispheric
- C. Left cerebellar
- D. Right cerebellar
- E. Right basal ganglia
Answer: C
NEW QUESTION 46
A 56 year old man presenls with a rash in the supraclavicular fossa which is typical of herpes zoster Which dermatomal level best describes the area affected?
- A. C2
- B. C1
- C. C4
- D. C5
- E. C3
Answer: D
NEW QUESTION 47
An 80 year old woman presents to the ED with diarrhoea and vomiting. She is clinically dehydrated The physiological response to this involves release of antidiuretic hormone Where is this hormone most likely to be released from?
- A. Adrenal cortex
- B. Adrenal medulla
- C. Posterior pituitary
- D. Hypothalamus
- E. Anterior pituitary
Answer: C
NEW QUESTION 48
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. Delta
- C. Exocrine
- D. Alpha
- E. Gamma
Answer: D
NEW QUESTION 49
A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
What is the recommended absence period?
- A. Seven days after the rash has disappeared
- B. Until conjunctivitis and mucous membrane rash has resolved
- C. Until fever has settled for 24 hours
- D. Until the rash has disappeared
- E. Four days after the onset of rash
Answer: A
NEW QUESTION 50
You intubate a patient in the resuscitation room After inducing anaesthesia you lie the patient supine. Which lung volume is most affected by this change in posture?
- A. Tidal volume
- B. Inspiratory reserve volume
- C. Residual volume
- D. Functional residual capacity
- E. Inspiratory capacity
Answer: C
NEW QUESTION 51
A 25 year old man sustains a crush injury to his chest A CT scan reveals an oesophageal rupture as it passes through the diaphragm At which vertebral level is this injury most likely to have occurred?
- A. T8
- B. T10
- C. T11
- D. T9
- E. T7
Answer: A
NEW QUESTION 52
A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?
- A. Kawasaki's disease
- B. Respiratory syncytial virus
- C. Influenza type A
- D. Whooping cough
- E. Pneumococcal pneumonia
Answer: C
NEW QUESTION 53
A 67 year old woman is being treated for haematemesis Within a few minutes of starting transfusion of packed red cells she reports dizziness, breathlessness, tingling of her lips and develops a maculopapular rash What type of hypersensitivity reaction is most likely to be occurring?
- A. Type III
- B. Type IV
- C. Type I
- D. Type II
- E. Type V
Answer: C
NEW QUESTION 54
A patient is brought in unconscious following a collapse and a subsequent CT shows a pontine haemorrhage Which clinical tindmg best describes what you expect on examination of the eyes?
- A. Convergent squint with failure to abduct
- B. Loss of direct light reflex
- C. Gaze deviation to affected site
- D. Ptosis of the eyelids
- E. Deviation of eye laterally and downwards
Answer: A
NEW QUESTION 55
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