RCEM FRCEM - FRCEM Primary Examination
A nine month old child is brought to the ED with a (ever and rash The child's mother states that all of her immunisations are up to date What is the most likely cause of this infectious illness?
A doctor about to sit an important examination has become aware of the urge to detaecate Involuntary relaxation of which muscle is most likely to have occurred?
A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?
A 52 year old man presents to the ED with headaches, sweating and a change in his voice. He is complaining of tingling in his hands and is hypertensive
What is the most likely visual defect you will find on neurological examination'?
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?
A 24 year old woman is admitted to your observation ward with a sudden onset headache. Her CT showed no abnormality and you decide to perform a lumbar puncture
What is the next structure the needle will puncture after going through the skin and subcutaneous fat?
An 83 year old woman presents with acute dyspnoea and is diagnosed with cardiac failure She has a history of dysphagia and CT confirms oesophageal cancer.
Compression of which chamber of the heart is most likely to have caused her cardiac failure? A Both ventricles
A 60 year old woman presents following blunt trauma to her abdomen A CT scan demonstrates herniation of small intestine into the chest
At what site is the diaphragmatic injury most likely to have occurred1?
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. Cholecystokmin
B. Gastrin
C. Gastrointestinal peptide
D. Secretin
E. Vasoactive intestinal peptide
A 34 year old man presents wrth shortness of breath He has a normal alveolar-arterial
