RCEM FRCEM Actual Free Exam Questions & Community Discussion
A 21 year old man is diagnosed with diabetic ketoacidosis. A medical student asks you to assist them in calculating the patients blood pH using the Henderson-Hasselbach equation.
What best describes the two required constituents for this equation?
What best describes the two required constituents for this equation?
Correct Answer: A
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A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?
Correct Answer: D
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You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?
Correct Answer: E
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You are discussing physiology of the body compartments and distribution of body water while teaching nurse practitioners.
Which extracellular fluid compartment is most likely to contain the most water?
Which extracellular fluid compartment is most likely to contain the most water?
Correct Answer: B
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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?
Correct Answer: A
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A 34 year old man presents wrth shortness of breath He has a normal alveolar-arterial <A-a) gradient What is the most likely diagnosis?
Correct Answer: B
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A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?
Which of these medications is the most likely cause of this abnormality?
Correct Answer: A
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A 75 year old man presents to the ED with burning epigastric abdominal pain You note that he has rheumatoid arthritis and is on diclofenac.
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?
Correct Answer: B
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A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?
Which part of the kidney is most likely to be affected in this condition?
Correct Answer: A
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An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?
Correct Answer: D
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