最新的RCEM FRCEM Primary Examination - FRCEM免費考試真題
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?
正確答案: D
A patient presents with a fracture to the mid-clavicle after a fall The medial part of the clavicle is displaced superiorly Which muscle is most likely to cause this displacement?
正確答案: E
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?
正確答案: C
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?
Impaired (unction of which nerve is most likely responsible?
正確答案: E
A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?
Which statistic are you most likely to use in your explanation?
正確答案: E
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?
Which nerve is most likely to be injured?
正確答案: E
A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?
正確答案: A
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?
正確答案: D
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?
What measure is most likely to reduce the spread of infection to other patients?
正確答案: E
An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?
正確答案: E
You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?
正確答案: A
A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?
正確答案: A