Pass the RCEM FRCEM Certification FRCEM Questions and answers with ExamsMirror

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 young man arrives by ambulance having dislocated his patella playing football. Rehabilitation should focus on which muscle to reduce chances of recurrent dislocation?

A 71 year old man with a history of heart failure and type II diabetes mellitus presents with an acute, painful, swollen first metatarsophalangeal joint in his foot You suspect gout.

Which treatment would be most appropriate for the acute management of this patient*?

A patient presents with a food bolus obstruction and you decide hyoscine butylbromide should not be administered Presence of which physiological feature is most likely to have influenced your decision?

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 34 year old man presents wrth shortness of breath He has a normal alveolar-arterial

You are prescribing gentamicin for a patienl. Her serum creatinine level is raised Which property of creatinine best explains why it is used as a marker of glomerular filtration rate?

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?

A 20 year old woman complains of loss of taste from the posterior part of her tongue She is two days post tonsillectomy Which nerve is most likely damaged?

You review a paper where patients were recruited through a response to an invitation from a heart foundation charity.

What term best describes this sample?