The Best RCEM FRCEM Study Guides and Dumps of 2021
Top RCEM FRCEM Exam Audio Study Guide! Practice Questions Edition
NEW QUESTION 29
You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?
- A. L5
- B. S2, 3, 4
- C. L3,4
- D. L12
- E. S1.2
Answer: B
NEW QUESTION 30
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. Oesophagus
- B. Subclavian vein
- C. Thoracic duct
- D. Pleura
- E. Subclavian artery
Answer: D
NEW QUESTION 31
An 88 year old woman presents with haematemesis CT scan identifies a posterior ulcer of the superior part of the duodenum At what vertebral level would this be evident on the CT scan?
- A. L3
- B. L1
- C. T12
- D. L4
- E. L2
Answer: B
NEW QUESTION 32
A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?
- A. Flexion of the proximal interphalangeal joints
- B. Flexion of the distal interphalangeal joints
- C. Flexion of the wrist
- D. Abduction of the little finger
- E. Opposition of the thumb
Answer: D
NEW QUESTION 33
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. Osmosis
- B. Co-transport
- C. Facilitated diffusion
- D. Active transport
- E. Simple diffusion
Answer: E
NEW QUESTION 34
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. Deviation of eye laterally and downwards
- B. Loss of direct light reflex
- C. Ptosis of the eyelids
- D. Convergent squint with failure to abduct
- E. Gaze deviation to affected site
Answer: D
NEW QUESTION 35
A 60 year old man with alcoholic liver cirrhosis and portal hypertension is brought to the ED because he has been vomiting blood Which vein is the most likely origin of his haematemesis?
- A. Azygos
- B. Superior vena cava
- C. Left gastric
- D. Periumbilical
- E. Inferior mesenteric
Answer: C
NEW QUESTION 36
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. Inspiratory reserve volume
- B. Residual volume
- C. Functional residual capacity
- D. Tidal volume
- E. Inspiratory capacity
Answer: B
NEW QUESTION 37
A two year old child presents with a barking cough You suspect croup Which virus is most likely to be implicated?
- A. Rhinovirus
- B. Adenovirus
- C. Parainfluenza
- D. Measles
- E. Respiratory syncytial virus
Answer: C
NEW QUESTION 38
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. Alpha
- B. Exocrine
- C. Gamma
- D. Beta
- E. Delta
Answer: A
NEW QUESTION 39
A ten day old baby is brought in with purulent conjunctivitis. The gram stain of the purulent exudate did not show any organisms. Which bacteria is the most likely cause?
- A. Chlamydia trachomatis
- B. Streptococcus pneumoniae
- C. Neisseria gonorrhoeae
- D. Listeria monocytogenes
- E. Escherichia coli
Answer: A
NEW QUESTION 40
You are treating a patient with left ventricular failure and decide to revise some cardiovascular physiology to help you understand the likely response to treatment Which statement best describes Starling's law in relation to cardiac output?
- A. Increased afterload due to an increase in cardiac output
- B. Increased contractility leading to an increase in stroke volume
- C. Increased filling pressure leading to an increase in heart rate ID.
- D. Increased heart rate due to an increase in sympathetic stimulation
- E. Increased force of contraction due to an increase in preload
Answer: D
NEW QUESTION 41
A 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?
- A. Kidney
- B. Ileum
- C. Pancreas
- D. Adrenal
- E. Liver
Answer: C
NEW QUESTION 42
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?
- A. Plasminogen
- B. Prostacyclin
- C. Fibrinogen
- D. Thromboxane
- E. Fibrin
Answer: D
NEW QUESTION 43
You review a paper where patients were recruited through a response to an invitation from a heart foundation charity.
What term best describes this sample?
- A. Stratified
- B. Cluster
- C. Self-selected
- D. Systematic
- E. Simple random
Answer: C
NEW QUESTION 44
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. Extensor pollicis brevis
- B. Abductor pollicis brevis
- C. Adductor pollicis
- D. Opponens pollicis
- E. First dorsal interosseous
Answer: D
NEW QUESTION 45
A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?
- A. Peak expiratory flow rate
- B. Forced expiratory volume
- C. Vital capacity
- D. Tidal volume
- E. Physiological dead space
Answer: B
NEW QUESTION 46
A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?
- A. Deviation of the eye inferolaterally
- B. Increased lacrimation
- C. Absence of sweating on the face
- D. Absent corneal reflex
- E. Constriction of the pupil
Answer: A
NEW QUESTION 47
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