Updated Dec 07, 2021 Certification Exam FRCEM Dumps - Practice Test Questions
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NEW QUESTION 59
A 32 year old man presents with suspected acute appendicitis A medical student asks you what the commonest anatomical position of the appendix is What is the most likely position?
- A. Preileal
- B. Subileal
- C. Postileal
- D. Retrocaecal
- E. Paracaecal
Answer: D
NEW QUESTION 60
A patient presents with unilateral tongue swelling with no additional signs of allergic reaction She is on multiple cardiac medications Which drug is most likely to have caused these symptoms?
- A. Lisinopril
- B. Atenolol
- C. Bendroflumethiazide
- D. Aspirin
- E. Simvastatin
Answer: A
NEW QUESTION 61
A 65 year old patient presents to the ED with a three hour history of expressive dysphasia. You suspect a stroke and order a CT scan Which area of the brain is the most likely site of the infarct?
- A. Parietal
- B. Occipital
- C. Frontal
- D. Temporal
- E. Cerebellum
Answer: C
NEW QUESTION 62
A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?
- A. Pulmonary arterial blood flow
- B. Right atrial pressure
- C. Right ventricular afterload
- D. Left ventricular contractility
- E. Pulmonary venous resistance
Answer: E
NEW QUESTION 63
A comatose patient has a respiratory rate of live breaths per minute following an overdose of heroin He receives naloxone and his respiratory rate rapidly improves to 16 breaths per minute Which component of arterial blood gas sampling is most likely to rapidly decrease following this intervention?
- A. Base Excess
- B. PaC02
- C. Pa02
- D. HC03
- E. pH
Answer: A
NEW QUESTION 64
You are teaching a medical student about the knee and discuss the structures that border the popliteal fossa Which structure best describes the superolateral boundary of this fossa?
- A. Biceps femons
- B. Medial head of gastrocnemius
- C. Semitendinosis
- D. Lateral head of gastrocnemius
- E. Semimembranosus
Answer: A
NEW QUESTION 65
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. Constriction of the pupil
- D. Absence of sweating on the face
- E. Absent corneal reflex
Answer: A
NEW QUESTION 66
A 33 year old man presents with epigastric pain
What best describes the function of the gastric chief cell'?
- A. Secretes intrinsic factor
- B. Absorbs vitamin B12
- C. Secretes pepsinogen
- D. Absorbs vitamin B1
- E. Secretes hydrochloric acid
Answer: C
NEW QUESTION 67
A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?
- A. Zona fasciculata
- B. Zona reticularis
- C. Zona glomerulosa
- D. Adrenal cortex
- E. Adrenal medulla.
Answer: E
NEW QUESTION 68
You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?
- A. Magnesium
- B. Potassium
- C. Calcium
- D. Sodium
- E. Chloride
Answer: B
NEW QUESTION 69
A 24 year old woman is admitted to your observation ward with a sudden onset headache. Her CT showed no abnormality and you decide to perform a lumbar puncture What is the next structure the needle will puncture after going through the skin and subcutaneous fat?
- A. Supraspinous ligament
- B. Ligamentum flavum
- C. Epidural space
- D. Interspmous ligament
- E. Dura
Answer: A
NEW QUESTION 70
When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?
- A. Ascending colon
- B. Jejunum
- C. Stomach
- D. Duodenum
- E. Ileum
Answer: C
NEW QUESTION 71
A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?
- A. Increased sympathetic supply to cutaneous vessels
- B. Cutaneous vasoconstriction
- C. Increased cutaneous blood pressure
- D. Reduced blood velocity in cutaneous vessels
- E. Reduced blood volume in cutaneous vessels
Answer: A
NEW QUESTION 72
A patient presents with acute cardiac failure and is prescribed a loop diuretic In which part of the nephron will the diuretic inhibit the sodium-potassium-chloride cotransporter?
- A. Collecting duct
- B. Thick ascending limb
- C. Thin ascending limb
- D. Proximal tubule
- E. Distal convoluted tubule
Answer: B
NEW QUESTION 73
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 vein
- C. Subclavian artery
- D. Pleura
- E. Oesophagus
Answer: D
NEW QUESTION 74
You are considering procedural sedation for a patient with vascular compromise due to a fracture They ate a meal two hours ago You are trying to remember the factors that affect gastric emptytng in healthy patients What factor will delay gastric emptying?
- A. More liquids than solids in the stomach
- B. Increased gastric distention
- C. Low fat content of chyme
- D. Decreased duodenal luminal pH
- E. Release of gastrin
Answer: D
NEW QUESTION 75
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?
- A. Salmonella typhimunum
- B. Streptococcus pneumoniae
- C. Escherichia coli
- D. Pseudomonas aeruginosa
- E. Haemophilus influenza
Answer: A
NEW QUESTION 76
A 46 year old woman arrives after being hit by a car She has sustained a head injury You suspect she may have increased intracranial pressure due to a traumatic brain injury.
Which is the earliest clinical finding you are likely to see?
- A. Cushmg's triad
- B. Papilledema
- C. Dilated ipsilateral pupil
- D. Impaired corneal reflex
- E. Bilateral fixed dilated pupils
Answer: B
NEW QUESTION 77
A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?
- A. Arterial occlusion
- B. Venous obstruction
- C. Capillary hydrostatic pressure
- D. Lymphatic obstruction
- E. Oncotic pressure
Answer: E
NEW QUESTION 78
A 20 year old woman presents with symptoms and signs suggestive of infectious mononucleosis Proliferation of which cells on the peripheral blood film would best support your diagnosis?
- A. Basophils
- B. Eosinophils
- C. Lymphocytes
- D. Monocytes
- E. Neutrophils
Answer: C
NEW QUESTION 79
You see a patient with steatorrhea, weight loss and abdominal pain You suspect they have exocrine pancreatic insufficiency The secretion of which substance is least likely to be affected by this condition?
- A. Protease
- B. Amylase
- C. Lipase
- D. Phospholipase A2
- E. Cholecystokinin
Answer: D
NEW QUESTION 80
A 40 year old woman with history o! anorexia, presents with sudden onset of confusion, loss of balance and a wide based gait. Which medication is most likely to be prescribed in the early stages of her treatment?
- A. Cyanocobalamin
- B. Ascorbic acid
- C. Thiamine
- D. Glutathione
- E. Vitamin D
Answer: C
NEW QUESTION 81
A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''
- A. Stomach
- B. Duodenum
- C. Colon
- D. Caecum
- E. Ileum
Answer: B
NEW QUESTION 82
A 20 year old woman has an incised wound over the angle of her jaw and you suspect damage to a branch of the facial nerve What action are you most likely to test to confirm your suspicion?
- A. Mandibular retraction
- B. Mandibular elevation
- C. Protrude lower lip
- D. Pull corner of lips out and down
- E. Stick tongue out
Answer: D
NEW QUESTION 83
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. Adductor pollicis
- B. Opponens pollicis
- C. Extensor pollicis brevis
- D. First dorsal interosseous
- E. Abductor pollicis brevis
Answer: B
NEW QUESTION 84
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