RCEM FRCEM Primary Examination 認定 FRCEM 試験問題:

1. 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) Infarction of the anterior spinal artery
B) Laxity of the ligamentum flavum
C) Herniation of a cervical disc
D) Compression of the posterior vertebral artery
E) Anterior osteophytes causing compression

2. 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?

A) Salicylates
B) Rhabdomyolysis
C) Hypoalbummaemia
D) Methanol
E) Diabetic ketoacidosis

3. A 22 year old woman sustained an incised wound to the sole of her foot from standing on glass. Examination of the wound under local anaesthetic identifies the wound depth is limited to the first plantar layer.
Which structure is most likely to be injured?

A) Tibialis posterior
B) Flexor digitorum brevis
C) Medial plantar artery
D) Lateral plantar artery
E) Peroneus longus

4. 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) Duodenum
B) Caecum
C) Ileum
D) Colon
E) Stomach

5. 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) Occipital
B) Parietal
C) Cerebellum
D) Frontal
E) Temporal

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