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    FRCEM Primary Sample Questions For Website PDF

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    FRCEM Primary Sample Questions For Website PDF

    Uploaded by

    Avi N Ash
    107 views4 pages

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    FRCEM Primary Sample Questions for Website.pdf

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    107 views4 pages

    FRCEM Primary Sample Questions For Website PDF

    Uploaded by

    Avi N Ash

    Copyright:

    © All Rights Reserved
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    The Royal College of Emergency Medicine

    Patron: HRH The Princess Royal

    7-9 Breams Buildings Tel +44 (0)207 404 1999


    London Fax +44 (0)207 067 1267
    EC4A 1DT www.rcem.ac.uk

    FRCEM Primary Examination – Sample Questions

    1. You examine a patient in the Emergency Department and find that there is
    visual loss on the left side of the vertical midline in both eyes. Occlusion of what
    type of blood vessel is most likely to be the cause of this clinical finding?

    A – Posterior inferior cerebellar artery


    B – Posterior cerebral artery
    C – Anterior communicating artery
    D – Middle cerebral artery
    E – Anterior cerebral artery

    ANSWER - B

    2. A 28 year old patient presents to the Emergency Department with headache,


    dizziness and tachycardia. They are a known asthmatic and are on a
    salbutamol inhaler and a theophylline. They had been seen in the Emergency
    Department a few days before and prescribed an antibiotic. Which antibiotic
    was most likely given which has caused her symptoms?

    A – Ciprofloxacin
    B – Amoxycillin
    C – Trimethoprim
    D – Cephalexin
    E – Doxycycline

    ANSWER - A

    3. A General Practitioner refers a patient with increasing neck stiffness and


    headache who has been unwell for a few days. An LP is performed in your
    observation unit. Which of these CSF findings make a diagnosis of a viral
    meningitis most likely.

    A – Elevated opening pressure


    B – >60% serum glucose
    C – Normal protein level
    D – Cloudy appearance
    E – WBC 0-5 cells/microl

    ANSWER - B

    Excellence in Emergency Care


    Incorporated by Royal Charter, 2008 • Registered Charity number 1122689
    4. A 67 year old man presents with a two month history of worsening left upper
    arm and shoulder pain. There is weakness of shoulder abduction and reduced
    sensation over the deltoid. You suspect cervical radiculopathy.
    What level of the cervical spine is most likely to be affected?

    A - C1
    B - C3
    C - C5
    D - C7
    E - C8

    ANSWER - C

    5. A 34 year old man presents after injuring his right shoulder playing hockey. You
    decide to examine each of the relevant shoulder muscles in turn. You position
    him as shown below. He is unable to maintain this position with his right arm as
    you push downwards on both arms.

    What muscle is most likely to be injured?

    A - Deltoid
    B - Infraspinatus
    C - Subscapularis
    D - Supraspinatus
    E - Teres minor

    ANSWER - D
    6. A 45 year old man requires procedural sedation for DC cardioversion of atrial
    fibrillation. You plan to use propofol.

    Sedation is most likely to occur as a result of action on what type of receptor?

    A - Dopamine
    B - Gamma-aminobutyric acid (GABA)
    C - Kainate
    D - N-methyl-D-aspartate (NMDA)
    E - Serotonin

    ANSWER - B

    7. A 29 year old woman presents to the Emergency Department after injuring her
    left elbow. She is complaining of a weak grip in her left hand. You ask her to
    hold on to a piece of paper with both hands as you try to pull it away from her.
    The result of this clinical test is shown below.

    What nerve is most likely to be damaged?

    A - Axillary
    B - Median
    C - Musculocutaneous
    D - Radial
    E - Ulnar

    ANSWER – E
    8. A 78 year old man requires treatment with an antibiotic. He takes warfarin for
    atrial fibrillation.

    What antibiotic is the safest choice for this patient?

    A - Cefalexin
    B - Ciprofloxacin
    C - Clarithromycin
    D - Co-trimoxazole
    E - Doxycycline

    ANSWER - A

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