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1. A 60 year old woman presents following blunt trauma to her abdomen A CT scan demonstrates herniation of small intestine into the chest At what site is the diaphragmatic injury most likely to have occurred1?
A) Costal cartilage of 7-10th ribs
B) 11-12th ribs
C) Central tendon
D) Xiphoid process
E) Lumbar vertebrae
2. A 32 year old man presents with suspected acute appendicitis A medical student asks you what the commonest anatomical position of the appendix is What is the most likely position?
A) Paracaecal
B) Retrocaecal
C) Preileal
D) Subileal
E) Postileal
3. A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?
A) Co-amoxiclav
B) Thyroxine
C) Aspirin
D) Phenytoin
E) Paracetamol
4. An 80 year old man presents with a stroke This has resulted in loss of all vagal output to his gastrointestinal tract Which function is most likely to be completely abolished in this patient?
A) Glucagon release
B) Gastric acid secretion
C) Primary oesophageal peristalsis
D) Secondary oesophageal peristalsis
E) Pancreatic polypeptide secretion
5. A patient presents with septic shock A venous blood gas shows a metabolic acidosis Following treatment with crystalloid infusion and antibiotics their HR and BP are normal A repeat venous gas shows a persistent metabolic acidosis with a normal anion gap Which mechanism best explains the results of the repeat blood gas?
A) Lactic acidosis due to tissue hypoperfusion
B) Hyperchloraemic acidosis due to excessive infusion of normal saline
C) Acute kidney injury due to reduced renal blood flow
D) Capillary leak due to sepsis causing continued hypovolamia
E) Metabolic acidosis due to occult aspirin overdose
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: B |
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FRCEM Primary Examination
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