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FRCEM Primary Examination

Last Update 14 hours ago
Total Questions : 180

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Question # 1

A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?

Diabetic ketoacidosis

B.  

Hypoalbummaemia

C.  

Methanol

D.  

Rhabdomyolysis

E.  

Salicylates

Options:

Discussion 0
Question # 2

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?

Options:

A.  

L1

B.  

L2

C.  

L3

D.  

L4

E.  

T12

Discussion 0
Question # 3

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?

Options:

A.  

Aspirin

B.  

Co-amoxiclav

C.  

Paracetamol

D.  

Phenytoin

E.  

Thyroxine

Discussion 0
Question # 4

An 85 year old man complains of double vision on looking down. You note his right eye does not move when he looks down and medially.

Impaired (unction of which nerve is most likely responsible?

Options:

A.  

Abducens

B.  

Oculomotor

C.  

Trigeminal

D.  

Trochlear

E.  

Vestibulocochlear

Discussion 0
Question # 5

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?

Options:

A.  

Chlamydia trachomatis

B.  

Escherichia coli

C.  

Listeria monocytogenes

D.  

Neisseria gonorrhoeae

E.  

Streptococcus pneumoniae

Discussion 0
Question # 6

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?

Options:

A.  

Inferior oblique

B.  

Inferior rectus

C.  

Levator palpebrae superioris

D.  

Superior oblique

E.  

Superior rectus

Discussion 0
Question # 7

A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants

What type of cell is primarily responsible for this method of pathogen clearance?

Options:

A.  

Acinar cells

B.  

Club cells

C.  

Columnar epithelial cells

D.  

Goblet cells

E.  

Mast cells

Discussion 0
Question # 8

You are caring for a 68 year old patient with known heart failure and significant tachypnoea Stimulation of which receptor type is most likely to cause this increase in respiratory rate?

Options:

A.  

Chemoreceptors

B.  

Irritant receptors

C.  

Juxtacapillary receptors

D.  

Mechanoreceptors

E.  

Stretch receptors

Discussion 0
Question # 9

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?

Options:

A.  

Convergent squint with failure to abduct

B.  

Deviation of eye laterally and downwards

C.  

Gaze deviation to affected site

D.  

Loss of direct light reflex

E.  

Ptosis of the eyelids

Discussion 0
Question # 10

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?

Options:

A.  

Active transport

B.  

Co-transport

C.  

Facilitated diffusion

D.  

Osmosis

E.  

Simple diffusion

Discussion 0
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