Free 2021 FRCEM Certification FRCEM dumps are available on Google Drive shared by PassTorrent
Welcome to download the newest PassTorrent FRCEM PDF dumps: https://www.passtorrent.com/FRCEM-latest-torrent.html ( 182 Q&As)
NEW QUESTION 33
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?
- A. Cortex
- B. Pelvis
- C. Capsule
- D. Medulla
- E. Calyx
Answer: A
NEW QUESTION 34
A 34 year old woman with Graves' disease presents with fever, palpitations, tremor and anxiety Which hormone is most likely to be causing her symptoms?
- A. Thyroxine (T4)
- B. Thyroid receptor hormone
- C. Triiodothyronine (T3)
- D. Adrenaline
- E. Thyroid stimulating hormone
Answer: E
NEW QUESTION 35
A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?
- A. Increased sympathetic supply to cutaneous vessels
- B. Cutaneous vasoconstriction
- C. Increased cutaneous blood pressure
- D. Reduced blood volume in cutaneous vessels
- E. Reduced blood velocity in cutaneous vessels
Answer: A
NEW QUESTION 36
A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?
- A. Infarction of the anterior spinal artery
- B. Herniation of a cervical disc
- C. Anterior osteophytes causing compression
- D. Laxity of the ligamentum flavum
- E. Compression of the posterior vertebral artery
Answer: D
NEW QUESTION 37
A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?
- A. Alteration of intestinal flora
- B. Liver enzyme induction
- C. Inhibition of oestrogen receptors
- D. Interference with protein binding of the contraceptive pill
- E. Increased renal clearance of the contraceptive pill
Answer: B
NEW QUESTION 38
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. Somatic
- C. Epithelial
- D. Delta
- E. Chief
Answer: A
NEW QUESTION 39
A 70 year old woman presents with reduced I6vel of consciousness following a recent chest infection She has signs of meningeal irritation Gram staining of CSF demonstrates gram positive diplococci.
Which organism is most likely in this case1?
- A. Moraxella catarrhalis
- B. Acinetobacter baumannii
- C. Staphylococcus aureus
- D. Streptococcus pneumoniae
- E. Neisseria meningitidis
Answer: D
NEW QUESTION 40
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. Compression of the nerve
- B. Sodium channel blockade at nodes of Ranvier
- C. Axonal loss
- D. Damage to presynaptic calcium channels.
- E. Loss of saltatory conduction.
Answer: E
NEW QUESTION 41
You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation Which receptors are most likely to be targeted by this treatment?
- A. Alpha 1
- B. Beta 2
- C. Beta 1
- D. Nicotinic
- E. Muscarinic
Answer: E
NEW QUESTION 42
A 60 year old woman presents lo the ED feeling generally unwell She is found to be uraemic She has missed several of her renal dialysis sessions.
Urea will most likely move through the dialysis membranes by which mechanism?
- A. Osmosis
- B. Facilitated diffusion
- C. Simple diffusion
- D. Co-transport
- E. Active transport
Answer: C
NEW QUESTION 43
A 33 year old man presents with epigastric pain
What best describes the function of the gastric chief cell'?
- A. Secretes pepsinogen
- B. Absorbs vitamin B12
- C. Secretes intrinsic factor
- D. Absorbs vitamin B1
- E. Secretes hydrochloric acid
Answer: A
NEW QUESTION 44
You are leaching medical students cardiovascular examination and the link between heart sounds and the cardiac cycle. Which phase best correlates with the start of the first heart sound?
- A. Ventricular ejection
- B. Isovolumetric relaxation
- C. Atrial systole
- D. Isovolumetric contraction
- E. Ventricular filling
Answer: D
NEW QUESTION 45
A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?
- A. Carotid body receptors
- B. Cardiac receptors
- C. Atrial stretch receptors
- D. Baroreceptors
- E. Beta 2 vascular receptors
Answer: D
NEW QUESTION 46
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. Thyroxine
- B. Aspirin
- C. Co-amoxiclav
- D. Paracetamol
- E. Phenytoin
Answer: C
NEW QUESTION 47
A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?
- A. Vitamin D
- B. Phosphate
- C. Chloride
- D. Albumin
- E. Sodium
Answer: D
NEW QUESTION 48
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?
- A. Chloride and PaC02
- B. Bicarbonate and Pa02
- C. Sodium and calcium
- D. Bicarbonate and sodium
- E. Bicarbonate and PaC02
Answer: E
NEW QUESTION 49
A 67 year old woman is being treated for haematemesis Within a few minutes of starting transfusion of packed red cells she reports dizziness, breathlessness, tingling of her lips and develops a maculopapular rash What type of hypersensitivity reaction is most likely to be occurring?
- A. Type II
- B. Type I
- C. Type V
- D. Type III
- E. Type IV
Answer: B
NEW QUESTION 50
A 33 year old man presents with signs of sepsis. A venous blood gas is taken which confirms an elevated haematocnt level What best describes the normal range of haematocnt you expect to find in a healthy male of this age?
- A. 30-39%
- B. 50-59%
- C. 10-19%
- D. 40-49%
- E. 20-29%
Answer: D
NEW QUESTION 51
A 50 year old man with HIV has not been taking his treatment and presents with severe headache and neck stiffness His current CD4+ count is 180/mmc (normal 500-1400/mmc) What is the most likely causative agent of his meningitis?
- A. Aspergillus
- B. Sporothrix
- C. Malassezia
- D. Cryptococcus
- E. Candida
Answer: D
NEW QUESTION 52
A 17 year old girl presents with a maculopapular rash She has a seven day history of fever and sore throat and was prescribed an antibiotic three days ago Which antibiotic is most likely to have been prescribed?
- A. Clarithromycin
- B. Amoxicillin
- C. Ciprofloxacin
- D. Cephalexin
- E. Phenoxymethylpemcillin
Answer: B
NEW QUESTION 53
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. Lateral cord
- B. Upper trunk
- C. Lower trunk
- D. Posterior cord
- E. Medial cord
Answer: A
NEW QUESTION 54
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