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RCEM FRCEM Primary Examination (FRCEM) Free Practice Test

Question 1
A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

Correct Answer: D
Question 2
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?

Correct Answer: E
Question 3
A patient presents with unilateral tongue swelling with no additional signs of allergic reaction She is on multiple cardiac medications Which drug is most likely to have caused these symptoms?

Correct Answer: A
Question 4
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?

Correct Answer: A
Question 5
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''

Correct Answer: D
Question 6
A patient with major trauma requires a central line. They have right sided neck and chest burns You decide to insert a left subclavian central line.
Which complication is more likely to occur during this procedure on the left in comparison to the right?

Correct Answer: C
Question 7
A patient presents with a fracture to the mid-clavicle after a fall The medial part of the clavicle is displaced superiorly Which muscle is most likely to cause this displacement?

Correct Answer: C
Question 8
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: B
Question 9
A patient presents with an area of cellulitis with discharge on their foot following a puncture wound A swab shows a large number of gram positive rods on initial culture.
Which organism does this most likely represent?

Correct Answer: D
Question 10
You are caring for a 68 year old patient with known heart failure and significant tachypnoea Stimulation of which receptor type is most likely to cause this increase in respiratory rate?

Correct Answer: B