2022年最新の本日更新された最新のFRCEMのPDFにはFRCEMテスト限定無料！ [Q50-Q65]

2022年最新の本日更新された最新のFRCEMのPDFにはFRCEMテスト限定無料！

完全版最新の問題集PDFで最新FRCEM試験問題と解答

質問 50
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. Calyx
B. Pelvis
C. Medulla
D. Capsule
E. Cortex

正解: E

質問 51
An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A. Laminar flow
B. High blood volume
C. Turbulent flow
D. Decreased viscosity
E. Increased viscosity

正解: C

質問 52
A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

A. Increased inspiratory capacity
B. Increased FVC
C. Increased FEV,/FVC ratio
D. Increased total lung capacity
E. Increased vital capacity

正解: C

質問 53
A 50 year old man presenls with a history of a productive cough and fever Chest x-ray shows right middle lobe consolidation Which is the most likely causative organism?

A. Streptococcus pneumoniae
B. Pseudomonas aeruginosa
C. Mycoplasma pneumoniae
D. Influenza virus
E. Klebsiella pneumoniae

正解: A

質問 54
A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?

A. Pethidine
B. Oxycodone
C. Codeine
D. Morphine
E. Dihydrocodeine

正解: A

質問 55
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. Gastrin
C. Cholecystokmin
D. Gastrointestinal peptide
E. Secretin

正解: C

質問 56
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. Frontal
B. Cerebellum
C. Occipital
D. Temporal
E. Parietal

正解: A

質問 57
A 14 year old boy presents after a bicycle accident He has a suspected pelvic fracture and the cremasteric reflex is absent Which nerve is most likely to be affected1?

A. Iliohypogastric .
B. Subcostal
C. Femoral
D. Lateral femoral cutaneous
E. Genitofemoral

正解: E

質問 58
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. Trochlear
C. Inferior division of oculomotor
D. Superior division of oculomotor
E. Trigeminal

正解: A

質問 59
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. Diphtheria
B. Pertussis
C. Haemophilus influenzae b
D. Rubella
E. Pneumococcus

正解: D

質問 60
You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?

A. Sodium
B. Potassium
C. Magnesium
D. Chloride
E. Calcium

正解: B

質問 61
You are considering procedural sedation for a patient with vascular compromise due to a fracture They ate a meal two hours ago You are trying to remember the factors that affect gastric emptytng in healthy patients What factor will delay gastric emptying?

A. Decreased duodenal luminal pH
B. Release of gastrin
C. Low fat content of chyme
D. Increased gastric distention
E. More liquids than solids in the stomach

正解: A

質問 62
A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A. Stomach
B. Caecum
C. Colon
D. Duodenum
E. Ileum

正解: D

質問 63
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?

A. Sphingolipid
B. Phospholipid
C. Fatty acid
D. Phosphoglyceride
E. Glycolipid

正解: B

質問 64
A 43 year old man with presents with an infective exacerbation of COPD Your consultant advises you to give IV hydrocortisone What best describes the mechanism of action of this treatment for this acute condition?