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FRCEM Exam Questions | Real FRCEM Practice Dumps
NEW QUESTION 35
A 68 year old man with a history of Addison's disease presents having recently been diagnosed with a urinary tract infection He is hypotensive, tachycardic and clammy His biochemistry shows hyponatraemia and hyperkalemia.
Which hormone imbalance best explains his biochemical abnormalities?
- A. Cortisol deficiency
- B. Beta lipotropin excess
- C. Adrenocorticotropic hormone excess
- D. Mineralocorticoid deficiency
- E. Glucocorticoid deficiency
Answer: D
NEW QUESTION 36
A patient presents with septic shock A venous blood gas shows a metabolic acidosis Following treatment with crystalloid infusion and antibiotics their HR and BP are normal A repeat venous gas shows a persistent metabolic acidosis with a normal anion gap Which mechanism best explains the results of the repeat blood gas?
- A. Lactic acidosis due to tissue hypoperfusion
- B. Hyperchloraemic acidosis due to excessive infusion of normal saline
- C. Capillary leak due to sepsis causing continued hypovolamia
- D. Acute kidney injury due to reduced renal blood flow
- E. Metabolic acidosis due to occult aspirin overdose
Answer: B
NEW QUESTION 37
A patient presents following a stabbing to his chest and has a cardiac arrest You perform an anterolateral thoracotomy. Which muscle in addition to pectoralis major are you most likely to incise?
- A. Serratus anterior
- B. Teres major
- C. Subclavius
- D. Latissimus dorsi
- E. Pectoralis minor
Answer: A
NEW QUESTION 38
You are conducting a study of children presenting with febrile convulsions. As pari of your data collection you record their temperature in degrees Celsius on arrival Which is the best description of this type of data?
- A. Ratio
- B. Discrete
- C. Interval
- D. Nominal
- E. Ordinal
Answer: E
NEW QUESTION 39
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. Opposition of the thumb
- B. Flexion of the distal interphalangeal joints
- C. Flexion of the proximal interphalangeal joints
- D. Flexion of the wrist
- E. Abduction of the little finger
Answer: E
NEW QUESTION 40
A patient arrives with shortness of breath Their venous blood gas shows they have a low haemoglobin They have a past medical history of pernicious anaemia Which cells in the gastrointestinal tract are most likely to be attacked in this autoimmune condition1?
- A. Parietal
- B. Epithelial
- C. Delta
- D. Chief
- E. Somatic
Answer: A
NEW QUESTION 41
A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?
- A. Production of abnormal insulin
- B. Excessive glucocorticoid production
- C. Increased cellular resistance to insulin
- D. Reduced glucagon secretion
- E. Reduced insulin production by pancreatic beta cells
Answer: C
NEW QUESTION 42
A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?
- A. Increased FEV,/FVC ratio
- B. Increased FVC
- C. Increased vital capacity
- D. Increased total lung capacity
- E. Increased inspiratory capacity
Answer: A
NEW QUESTION 43
You are treating a patient with a dysrhythmia You are teaching your students about the phases of the cardiac action potential and emphasize the absolute refractory period as a means of preventing another action potential being generated Which factor is most important for this period?
- A. Calcium channel activation
- B. Potassium channel mactivation
- C. Sodium channel inactivation
- D. Sodium channel activation
- E. Potassium channel activation
Answer: C
NEW QUESTION 44
An 83 year old woman presents with acute dyspnoea and is diagnosed with cardiac failure She has a history of dysphagia and CT confirms oesophageal cancer.
Compression of which chamber of the heart is most likely to have caused her cardiac failure? A Both ventricles
- A. Left atrium
- B. Left ventricle
- C. Right atrium
- D. Right ventricle
Answer: B
NEW QUESTION 45
An 80 year old man presents with a stroke This has resulted in loss of all vagal output to his gastrointestinal tract Which function is most likely to be completely abolished in this patient?
- A. Secondary oesophageal peristalsis
- B. Primary oesophageal peristalsis
- C. Glucagon release
- D. Gastric acid secretion
- E. Pancreatic polypeptide secretion
Answer: A
NEW QUESTION 46
You are discussing the different muscles within the medial thigh and movements at the hip joint with a medical student. Which muscle within this compartment is most likely to be involved in hip extension?
- A. Adductor magnus
- B. Adductor longus
- C. Adductor brevis
- D. Pectineus
- E. Gracilis
Answer: A
NEW QUESTION 47
A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?
- A. Prolactin
- B. Luteinizing
- C. Thyroid stimulating
- D. Follicle-stimulating
- E. Adrenocorticotropic
Answer: B
NEW QUESTION 48
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. HC03
- B. PaC02
- C. Base Excess
- D. pH
- E. Pa02
Answer: C
NEW QUESTION 49
A 30 year old woman attends the ED with a worsening headache and tight periorbital pain over the last (ew hours You suspect cavernous sinus thrombosis Her right eye has ptosis, mydriasis and is deviated laterally and downward Which nerve is most likely to be affected?
- A. Abducens
- B. Optic
- C. Oculomotor
- D. Trochlear
- E. Trigeminal
Answer: C
NEW QUESTION 50
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