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FRCEM Practice Questions

FRCEM Primary Examination

Last Update 18 hours ago
Total Questions : 180

Dive into our fully updated and stable FRCEM practice test platform, featuring all the latest FRCEM Certification exam questions added this week. Our preparation tool is more than just a RCEM study aid; it's a strategic advantage.

Our free FRCEM Certification practice questions crafted to reflect the domains and difficulty of the actual exam. The detailed rationales explain the 'why' behind each answer, reinforcing key concepts about FRCEM. Use this test to pinpoint which areas you need to focus your study on.

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Question # 11

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?

Options:

A.  

Influenza type A

B.  

Kawasaki's disease

C.  

Pneumococcal pneumonia

D.  

Respiratory syncytial virus

E.  

Whooping cough

Discussion 0
Question # 12

You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation

Which receptors are most likely to be targeted by this treatment?

Options:

A.  

Alpha 1

B.  

Beta 1

C.  

Beta 2

D.  

Muscarinic

E.  

Nicotinic

Discussion 0
Question # 13

A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero

Which organism is most likely to cause this clinical presentation?

Options:

A.  

Cytomegalovirus

B.  

Group B streptococcus

C.  

Rubella

D.  

Toxoplasma gondii

E.  

Treponema pallidum

Discussion 0
Question # 14

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?

Options:

A.  

Influenza virus

B.  

Klebsiella pneumoniae

C.  

Mycoplasma pneumoniae

D.  

Pseudomonas aeruginosa

E.  

Streptococcus pneumoniae

Discussion 0
Question # 15

A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?

Options:

A.  

Albumin

B.  

Chloride

C.  

Phosphate

D.  

Sodium

E.  

Vitamin D

Discussion 0
Question # 16

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?

Options:

A.  

Injury to the phrenic nerve

B.  

Injury to the recurrent laryngeal nerve

C.  

Injury to the thoracic duct I

D.  

D.  

Perforation of the oesophagus.

E.  

Pneumothorax

Discussion 0
Question # 17

A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.

Which drug is most likely to be responsible?

Options:

A.  

Aspirin

B.  

Diclofenac

C.  

Ibuprofen

D.  

Mefenamic acid

E.  

Naproxen

Discussion 0
Question # 18

A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?

Options:

A.  

Anatomical dead space

B.  

Expiratory reserve

C.  

Inspiratory reserve

D.  

Physiological dead space

E.  

Residual volume

Discussion 0
Question # 19

A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).

Which muscle is most likely to have been injured?

Options:

A.  

Infraspinatus

B.  

Subscapulars

C.  

Supraspinatus

D.  

Teres major

E.  

Teres minor

Discussion 0
Question # 20

A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring

Which nerve are you most likely to need to block?

Options:

A.  

Auricular branch of vagus

B.  

Auriculotemporal

C.  

Greater auricular

D.  

Lesser occipital

E.  

Posterior auncular branch of facial

Discussion 0
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