RCEM FRCEM Actual Free Exam Questions & Community Discussion
A 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED Which drug is the most likely cause of this anaemia'?
Correct Answer: E
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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?
Correct Answer: A
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A 52 year old man presents to the ED with headaches, sweating and a change in his voice. He is complaining of tingling in his hands and is hypertensive What is the most likely visual defect you will find on neurological examination'?
Correct Answer: B
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You are treating a patient with left ventricular failure and decide to revise some cardiovascular physiology to help you understand the likely response to treatment Which statement best describes Starling's law in relation to cardiac output?
Correct Answer: B
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A patient presents with anaphylaxis requiring adrenaline She is markedly vasodilated Which substance is most likely to be responsible for this appearance?
Correct Answer: E
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A two year old child is diagnosed with meningitis likely due to Neisseria meningitidis A medical student asks you why this organism is able to cross the blood brain barrier more easily than other pathogens To which characteristic is your explanation most likely to refer?
Correct Answer: D
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A 76 year old patient is found on examination to have an absent jaw jerk What cranial nerve nucleus is the1 most likely site of pathology?
Correct Answer: C
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A 23 year old presents with episodes of a painful left arm which becomes swollen and cyanosed after they have been kayaking Obstruction of which structure is most likely to cause these symptoms'?
Correct Answer: A
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You intubate a patient in the resuscitation room After inducing anaesthesia you lie the patient supine. Which lung volume is most affected by this change in posture?
Correct Answer: A
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A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?
Correct Answer: E
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