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Pass the RCEM FRCEM Certification FRCEM Questions and answers with ExamsMirror

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Viewing questions 41-50 out of questions
Questions # 41:

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?

Options:

A.

Bicarbonate and PaC02

B.

Bicarbonate and Pa02

C.

Bicarbonate and sodium

D.

Chloride and PaC02

E.

Sodium and calcium

Questions # 42:

A 32 year old football player attends with a painful right knee after a tackle On examination she is unable to dorsiflex her foot Which nerve is most likely injured''

Options:

A.

Common peroneal

B.

Medial calcaneal

C.

Pudendal

D.

Sural

E.

Tibial

Questions # 43:

A patient presents with anaphylaxis requiring adrenaline She is markedly vasodilated Which substance is most likely to be responsible for this appearance?

Options:

A.

Histamine

B.

Leukotrienes

C.

Platelet activating factor.

D.

Prostaglandin

E.

Tumour necrosis factor alpha

Questions # 44:

A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?

Options:

A.

Adrenocorticotropic

B.

Follicle-stimulating

C.

Luteinizing

D.

Prolactin

E.

Thyroid stimulating

Questions # 45:

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?

Options:

A.

Amoxicillin

B.

Cephalexin

C.

Ciprofloxacin

D.

Clarithromycin

E.

Phenoxymethylpemcillin

Questions # 46:

A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

Options:

A.

Diptheria

B.

Haemophilus influenzae B

C.

Meningococcal

D.

Pertussis

E.

Polio

Questions # 47:

A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero

Which organism is most likely to cause this clinical presentation?

Options:

A.

Cytomegalovirus

B.

Group B streptococcus

C.

Rubella

D.

Toxoplasma gondii

E.

Treponema pallidum

Questions # 48:

A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?

Options:

A.

Deep inguinal

B.

External iliac

C.

Inferior superficial

D.

Superolateral superficial

E.

Superomedial superficial

Questions # 49:

A 37 year old man is injured and has significant blood loss Following blood transfusion his systolic blood pressure increases from 70 to 100

Which physiological parameter is most likely to decrease in response?

Options:

A.

Cardiac output

B.

Pulmonary artery pressure

C.

Right atrial pressure

D.

Stroke volume

E.

Total peripheral resistance

Questions # 50:

An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?

Options:

A.

Cytotoxin

B.

Endotoxin

C.

Haemotoxm

D.

Necrotoxin

E.

Tetrodotoxm

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