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FRCEM Practice Questions

FRCEM Primary Examination

Last Update 18 hours ago
Total Questions : 180

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Question # 21

A 22 year old woman sustained an incised wound to the sole of her foot from standing on glass. Examination of the wound under local anaesthetic identifies the wound depth is limited to the first plantar layer.

Which structure is most likely to be injured?

Options:

A.  

Flexor digitorum brevis

B.  

Lateral plantar artery

C.  

Medial plantar artery

D.  

Peroneus longus

E.  

Tibialis posterior

Discussion 0
Question # 22

A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance

Which type of blood vessels are most likely implicated in causing her hypotension?

Options:

A.  

Arteries

B.  

Arterioles

C.  

Capillaries

D.  

Veins

E.  

Venules

Discussion 0
Question # 23

A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.

Which situation is most likely to allow him to continue driving according to the DVLA?

Options:

A.  

An episode of severe hypoglycaemia while driving

B.  

Development of impaired awareness of hypoglycaemia

C.  

Having more than one episode of severe hypoglycaemia in 12 months

D.  

Having type II diabetes treated with oral medications

E.  

Needing laser treatment to both eyes

Discussion 0
Question # 24

A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.

Which parameter is most likely to increase by a factor of 16 as a result?

Options:

A.  

Blood flow

B.  

Capacitance

C.  

Elasticity

D.  

Pressure gradient

E.  

Resistance

Discussion 0
Question # 25

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?

Options:

A.  

Cluster

B.  

Self-selected

C.  

Simple random

D.  

Stratified

E.  

Systematic

Discussion 0
Question # 26

A 60 year old woman presents following blunt trauma to her abdomen A CT scan demonstrates herniation of small intestine into the chest

At what site is the diaphragmatic injury most likely to have occurred1?

Options:

A.  

11-12th ribs

B.  

Central tendon

C.  

Costal cartilage of 7-10th ribs

D.  

Lumbar vertebrae

E.  

Xiphoid process

Discussion 0
Question # 27

A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?

Options:

A.  

Anaplasma phagocytophilum

B.  

Bartonella qumtana .

C.  

Borrelia burgdorferi

D.  

Brucella abortus

E.  

Theilena microti

Discussion 0
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