최신RCEM FRCEM Primary Examination - FRCEM무료샘플문제
문제1
A patient presenting with acute onset neurological symptoms has a CT scan of their brain that shows an acute pontine haemorrhage What is the most likely clinical finding?
A patient presenting with acute onset neurological symptoms has a CT scan of their brain that shows an acute pontine haemorrhage What is the most likely clinical finding?
정답: B
문제2
A therapeutic trial demonstrates that everyone who received the drug has improved while no one improved with placebo What best describes the expected number needed to treat?
A therapeutic trial demonstrates that everyone who received the drug has improved while no one improved with placebo What best describes the expected number needed to treat?
정답: B
문제3
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 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?
정답: A
문제4
A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?
A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?
정답: C
문제5
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 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?
정답: D
문제6
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 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?
정답: C
문제7
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?
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?
정답: E
문제8
A 27 year old woman presents with visual problems and has known optic neuritis. What is the most likely cause of the slowing of impulse conduction in her optic nerve?
A 27 year old woman presents with visual problems and has known optic neuritis. What is the most likely cause of the slowing of impulse conduction in her optic nerve?
정답: C
문제9
A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?
A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?
정답: D
문제10
A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist Injury at which location of the brachial plexus best explains her neurological symptoms?
A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist Injury at which location of the brachial plexus best explains her neurological symptoms?
정답: B
문제11
A 48 year old man presents with a flare up of gout You recommend treatment with a non-steroidal anti-inflammatory drug (NSAID) He is concerned because his wife suffered a peptic ulcer associated with NSAID use Which medication would be your first choice NSAID to minimise his risk of gastrointestinal side effects?
A 48 year old man presents with a flare up of gout You recommend treatment with a non-steroidal anti-inflammatory drug (NSAID) He is concerned because his wife suffered a peptic ulcer associated with NSAID use Which medication would be your first choice NSAID to minimise his risk of gastrointestinal side effects?
정답: A
문제12
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?
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?
정답: D
문제13
A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?
A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?
정답: E
문제14
A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?
A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?
정답: B