[May 06, 2022] Lesson Brilliant PDF for the FRCEM Tests Free Updated Today [Q81-Q104]

NO.81 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?

NO.82 You have designed a randomised control trial and need to make a calculation as to the sample size required such that we do not reject the null hypothesis when it is false Which component of the sample size calculation is most likely to avoid this error’?

NO.83 A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?

NO.84 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?

NO.85 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?

NO.86 You are discussing the different muscles within the medial thigh and movements at the hip joint with a medical student. Which muscle within this compartment is most likely to be involved in hip extension?

NO.87 A premature baby is born at 28 weeks’ gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?

NO.88 An 87 year old man is brought to the ED from his nursing home with loose stools and abdominal pain. You suspect Clostridium difficile infection because he had a recent course of antibiotics for pneumonia.
What measure is most likely to reduce the spread of infection to other patients?

NO.89 A comatose patient has a respiratory rate of live breaths per minute following an overdose of heroin He receives naloxone and his respiratory rate rapidly improves to 16 breaths per minute Which component of arterial blood gas sampling is most likely to rapidly decrease following this intervention?

NO.90 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?

NO.91 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

NO.92 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?

NO.93 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?

NO.94 You are critically appraising a randomised controlled trial about the use of nebulised versus intravenous magnesium in acute asthma You are most interested in whether you can extrapolate the results to your setting and population The presence of which factor would most limit the generalisability/external validity of the results?

NO.95 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?

NO.96 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?

NO.97 A patient arrives with shortness of breath Their venous blood gas shows they have a low haemoglobin They have a past medical history of pernicious anaemia Which cells in the gastrointestinal tract are most likely to be attacked in this autoimmune condition1?

NO.98 A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?

NO.99 A 63 year old patienl presents with symptoms of hemiplegia and sensory loss of the right side of face and extremities. Which artery is most likely to be involved?

NO.100 A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?

NO.101 A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?

NO.102 A 60 year old woman presents lo the ED feeling generally unwell She is found to be uraemic She has missed several of her renal dialysis sessions.
Urea will most likely move through the dialysis membranes by which mechanism?

NO.103 An 85 year old man complains of double vision on looking down. You note his right eye does not move when he looks down and medially.
Impaired (unction of which nerve is most likely responsible?

NO.104 A 40 year old woman with history o! anorexia, presents with sudden onset of confusion, loss of balance and a wide based gait. Which medication is most likely to be prescribed in the early stages of her treatment?