RCEM FRCEM - FRCEM Primary Examination
A four year old boy presents with a cough and fever for the last few weeks which became worse in the last 24 hours. There is no record of his vaccination history His temperature is 38.5°C, heart rate 135 beats per minute, and oxygen saturations are 97% He is coughing frequently and has bilateral subconjunctival haemorrhages.
Which organism is most likely to have caused his condition?
A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?
Diabetic ketoacidosis
B. Hypoalbummaemia
C. Methanol
D. Rhabdomyolysis
E. Salicylates
A 75 year old man presents to the ED with burning epigastric abdominal pain You note that he has rheumatoid arthritis and is on diclofenac.
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?
An 88 year old woman presents with haematemesis CT scan identifies a posterior ulcer of the superior part of the duodenum At what vertebral level would this be evident on the CT scan?
A 50 year old man with HIV has not been taking his treatment and presents with severe headache and neck stiffness His current CD4+ count is 180/mmc (normal 500-1400/mmc)
What is the most likely causative agent of his meningitis?
A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?
A three week old baby is brought in by her concerned parents She is vomiting substantially after feeds and is failing to gain weight. Investigation reveals an alkalosis and a low serum potassium.
The alkalosis is most likely to be due to which mechanism?
A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome
What is the most likely anatomical cause of this injury during hyperextension?
A 45 year old builder attends with an elbow injury An x-ray confirms fracture of the medial epicondyle On examination there is hyperextension of the metacarpophalangeal joint and flexion of the interphalangeal joint of ring and little fingers.
Which nerve is most likely to be injured?
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?
