Pass the RCEM FRCEM Certification FRCEM Questions and answers with ExamsMirror

A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.

Which drug is most likely to be responsible?

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 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?

A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?

A 56 year old man presenls with a rash in the supraclavicular fossa which is typical of herpes zoster Which dermatomal level best describes the area affected?

A 32 year old man presents with suspected acute appendicitis A medical student asks you what the commonest anatomical position of the appendix is

What is the most likely position?

You are considering procedural sedation for a patient with vascular compromise due to a fracture They ate a meal two hours ago You are trying to remember the factors that affect gastric emptytng in healthy patients

What factor will delay gastric emptying?

A 60 year old man with alcoholic liver cirrhosis and portal hypertension is brought to the ED because he has been vomiting blood Which vein is the most likely origin of his haematemesis?

A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop. Concentration of NaCI in the intraluminal fluid in the kidney decreases.

Which hormone is most likely to be released by the juxtaglomerular apparatus in response?

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?