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FRCEM Primary Examination

Last Update 17 hours ago Total Questions : 180

The FRCEM Primary Examination content is now fully updated, with all current exam questions added 17 hours ago. Deciding to include FRCEM practice exam questions in your study plan goes far beyond basic test preparation.

You'll find that our FRCEM exam questions frequently feature detailed scenarios and practical problem-solving exercises that directly mirror industry challenges. Engaging with these FRCEM sample sets allows you to effectively manage your time and pace yourself, giving you the ability to finish any FRCEM Primary Examination practice test comfortably within the allotted time.

Question # 21

A patient presents with an arrhythmia and as you are treating them you discuss with a student the depolarisation phase of the cardiac action potential

Which change initiates this phase of the action potential?

A.

Closure of potassium channel

B.

Closure of sodium channel

C.

Opening of calcium channel

D.

Opening of potassium channel

E.

Opening of sodium channel

Question # 22

A16 year old girl is diagnosed with nephrotic syndrome

What is the most likely mechanism responsible for generalised oedema in this condition?

A.

Arterial occlusion

B.

Capillary hydrostatic pressure

C.

Lymphatic obstruction

D.

Oncotic pressure

E.

Venous obstruction

Question # 23

You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation

Which receptors are most likely to be targeted by this treatment?

A.

Alpha 1

B.

Beta 1

C.

Beta 2

D.

Muscarinic

E.

Nicotinic

Question # 24

A 30 year old woman attends the ED with a worsening headache and tight periorbital pain over the last (ew hours You suspect cavernous sinus thrombosis Her right eye has ptosis, mydriasis and is deviated laterally and downward

Which nerve is most likely to be affected?

A.

Abducens

B.

Oculomotor

C.

Optic

D.

Trigeminal

E.

Trochlear

Question # 25

A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?

A.

Apex beat

B.

Nipple line

C.

Sternal notch

D.

Umbilicus

E.

Xiphisternum

Question # 26

A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants

What type of cell is primarily responsible for this method of pathogen clearance?

A.

Acinar cells

B.

Club cells

C.

Columnar epithelial cells

D.

Goblet cells

E.

Mast cells

Question # 27

A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected

Which function is most likely to be preserved on clinical examination ' ?

A.

Abduction of the little finger

B.

Flexion of the distal interphalangeal joints

C.

Flexion of the proximal interphalangeal joints

D.

Flexion of the wrist

E.

Opposition of the thumb

Question # 28

A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance

Which type of blood vessels are most likely implicated in causing her hypotension?

A.

Arteries

B.

Arterioles

C.

Capillaries

D.

Veins

E.

Venules

Question # 29

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.

Adrenocorticotropic hormone excess

B.

Beta lipotropin excess

C.

Cortisol deficiency

D.

Glucocorticoid deficiency

E.

Mineralocorticoid deficiency

Question # 30

A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?

A.

Anatomical dead space

B.

Expiratory reserve

C.

Inspiratory reserve

D.

Physiological dead space

E.

Residual volume

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