Pass Exam With Full Sureness - FRCEM Dumps with 182 Questions
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NEW QUESTION 86
A 20 year old woman has an incised wound over the angle of her jaw and you suspect damage to a branch of the facial nerve What action are you most likely to test to confirm your suspicion?
- A. Mandibular retraction
- B. Mandibular elevation
- C. Stick tongue out
- D. Pull corner of lips out and down
- E. Protrude lower lip
Answer: D
NEW QUESTION 87
A 28 year old woman presents to the ED after taking an overdose of amitriptyline. Her ECG shows a broad complex tachycardia Blockade of what type of ion channel is most likely to have occurred?
- A. Potassium channels
- B. Gap junction channels.
- C. Calcium channels
- D. Cyclic nucleotide-gated channels
- E. Sodium channels
Answer: E
NEW QUESTION 88
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?
- A. Stroke volume
- B. Cardiac output
- C. Right atrial pressure
- D. Total peripheral resistance
- E. Pulmonary artery pressure
Answer: D
NEW QUESTION 89
A 45 year old woman requires procedural sedation for a dislocated shoulder She has recently eaten a fatty meal Which substance is most likely to be secreted when the food reaches the small intestine''
- A. Vasoactive intestinal peptide
- B. Gastrointestinal peptide
- C. Gastrin
- D. Cholecystokmin
- E. Secretin
Answer: D
NEW QUESTION 90
A 68 year old man with a history of Addison's disease presents having recently been diagnosed with a urinary tract infection He is hypotensive, tachycardic and clammy His biochemistry shows hyponatraemia and hyperkalemia.
Which hormone imbalance best explains his biochemical abnormalities?
- A. Glucocorticoid deficiency
- B. Mineralocorticoid deficiency
- C. Beta lipotropin excess
- D. Adrenocorticotropic hormone excess
- E. Cortisol deficiency
Answer: B
NEW QUESTION 91
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. Pelvis
- B. Capsule
- C. Cortex
- D. Calyx
- E. Medulla
Answer: C
NEW QUESTION 92
A patient presents with acute cardiac failure and is prescribed a loop diuretic In which part of the nephron will the diuretic inhibit the sodium-potassium-chloride cotransporter?
- A. Distal convoluted tubule
- B. Thick ascending limb
- C. Proximal tubule
- D. Thin ascending limb
- E. Collecting duct
Answer: B
NEW QUESTION 93
A 35 year old man attends after a motorbike accident. He is complaining of abnormal vision and his right eye is slightly adducted when he looks straight ahead.
Which cranial nerve has suffered the most damage?
- A. Abducens
- B. Superior division of oculomotor
- C. Inferior division of oculomotor
- D. Trochlear
- E. Trigeminal
Answer: A
NEW QUESTION 94
You intubate a patient in the resuscitation room After inducing anaesthesia you lie the patient supine. Which lung volume is most affected by this change in posture?
- A. Tidal volume
- B. Residual volume
- C. Inspiratory capacity
- D. Functional residual capacity
- E. Inspiratory reserve volume
Answer: B
NEW QUESTION 95
A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?
- A. Pulmonary venous resistance
- B. Right ventricular afterload
- C. Right atrial pressure
- D. Left ventricular contractility
- E. Pulmonary arterial blood flow
Answer: A
NEW QUESTION 96
An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
What is the most likely causative organism?
- A. Haemophilus influenza
- B. Streptococcus pyogenes
- C. Salmonella typhimunum
- D. Staphylococcus aureus
- E. Streptococcus pneumoniae
Answer: D
NEW QUESTION 97
A 65 year old patient presents to the ED with a three hour history of expressive dysphasia. You suspect a stroke and order a CT scan Which area of the brain is the most likely site of the infarct?
- A. Cerebellum
- B. Occipital
- C. Parietal
- D. Frontal
- E. Temporal
Answer: D
NEW QUESTION 98
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. Isovolumetric contraction
- B. Ventricular ejection
- C. Isovolumetric relaxation
- D. Ventricular filling
- E. Atrial systole
Answer: A
NEW QUESTION 99
A patient presents following a stabbing to his chest and has a cardiac arrest You perform an anterolateral thoracotomy. Which muscle in addition to pectoralis major are you most likely to incise?
- A. Pectoralis minor
- B. Subclavius
- C. Latissimus dorsi
- D. Serratus anterior
- E. Teres major
Answer: D
NEW QUESTION 100
A 45 year old man with an acute kidney injury is found to have a metabolic acidosis What renal response is most likely to be involved in compensating for this metabolic abnormality?
- A. Secretion of ammonium into the tubular lumen
- B. Reabsorption of H*
- C. Secretion of glutamine into the interstitial fluid
- D. Secretion of HC03" into the tubular lumen
- E. Carbonic anhydrase - mediated production of phosphate
Answer: A
NEW QUESTION 101
A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?
- A. Infraspinatus
- B. Subscapulars
- C. Supraspinatus
- D. Teres minor
- E. Teres major
Answer: B
NEW QUESTION 102
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?
- A. Cytomegalovirus
- B. Toxoplasma gondii
- C. Treponema pallidum
- D. Group B streptococcus
- E. Rubella
Answer: E
NEW QUESTION 103
A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?
- A. Superior rectus
- B. Superior oblique
- C. Levator palpebrae superioris
- D. Inferior rectus
- E. Inferior oblique
Answer: D
NEW QUESTION 104
A 54 year old man presents with an incised wound to the anterior compartment of his lower leg Exploration of the wound identifies a complete transection at the origin of the tibialis anterior muscle What associated motor deficit of the toot is most likely in this patient?
- A. Plantarflexion
- B. Dorsiflexion and inversion
- C. Plantarflexion and inversion
- D. Dorsiflexion and eversion
- E. Plantarflexion and eversion
Answer: D
NEW QUESTION 105
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