Acute Medicine SCE Practice Questions - Specialty Certificate Examination in Acute Medicine Exam - Acute Medicine SCE Practice Questions - Specialty Certificate Examination in Acute Medicine Exam

Question 1

A patient receiving chemotherapy presents with temperature 38.4 C, rigors and neutrophils 0.3 x 10^9/L. What is the most appropriate immediate management?

Give broad-spectrum intravenous antibiotics within 1 hour after blood cultures if this does not delay treatment Wait for the blood culture result before starting antibiotics Give oral antibiotics and discharge if the patient looks well Arrange oncology clinic review within 48 hours

Correct Answer:

Give broad-spectrum intravenous antibiotics within 1 hour after blood cultures if this does not delay treatment

Question 2

A 70-year-old with metastatic prostate cancer develops new severe thoracic back pain, bilateral leg weakness and urinary retention. What is the key next step?

Start simple analgesia and arrange routine outpatient MRI Treat as suspected metastatic spinal cord compression with urgent MRI and immediate corticosteroid discussion Request lumbar puncture to exclude infection first Reassure because urinary retention is common with opioids

Correct Answer:

Treat as suspected metastatic spinal cord compression with urgent MRI and immediate corticosteroid discussion

Question 3

A patient with aggressive lymphoma develops rising potassium, phosphate and urate after starting chemotherapy. Which diagnosis best explains this pattern?

Syndrome of inappropriate antidiuretic hormone secretion Hyperosmolar hyperglycaemic state Tumour lysis syndrome Adrenal crisis

Correct Answer:

Tumour lysis syndrome

Question 4

A patient with sickle cell disease presents with fever, hypoxia, chest pain and a new pulmonary infiltrate. What is the best working diagnosis?

Uncomplicated painful crisis suitable for oral analgesia alone Pulmonary oedema from chronic heart failure Viral pleurisy with no need for admission Acute chest syndrome requiring oxygen, antibiotics, analgesia and haematology escalation

Correct Answer:

Acute chest syndrome requiring oxygen, antibiotics, analgesia and haematology escalation

Question 5

A frail patient with advanced cancer is dying despite treatment and has noisy respiratory secretions causing family distress. Which prescribing approach is most appropriate?

Use anticipatory end-of-life medicines with explanation that secretion treatment may reduce noise but not restore swallowing Start intravenous fluids because secretions prove dehydration Prescribe high-dose antibiotics as the default intervention Avoid discussing dying because it may remove hope

Correct Answer:

Use anticipatory end-of-life medicines with explanation that secretion treatment may reduce noise but not restore swallowing

Exam overview

About this Exam

Prepare with the Acute Medicine SCE Practice Questions - Specialty Certificate Examination in Acute Medicine Exam practice quiz. This question bank includes 100 questions covering patient, pain, diagnosis, fever, and treatment. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

More details

Additional Information

Acute Medicine SCE Practice Questions - Specialty Certificate Examination in Acute Medicine Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, pain, diagnosis, fever, and treatment. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

Quiz information

Frequently Asked Questions

The complete question count is available after full access is unlocked.

No fixed duration is currently configured for this quiz.

Question explanations are included where they are available in the quiz content, helping you review the reasoning after answering.

Yes. You can retake the practice test again as you continue studying during your available access period.

After your access is confirmed, you can continue into the complete practice exam from this quiz flow.

Unless explicitly stated otherwise, this page provides independent practice material for study and exam preparation and is not the official examination itself.

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

About this Exam

Additional Information

Acute Medicine SCE Practice Questions - Specialty Certificate Examination in Acute Medicine Exam

Frequently Asked Questions

Related Questions

NCLEX Acute Coronary Syndrome Practice Exam

120-Hour TESOL Certificate Practice Test

320 Hour Lash Specialty Practice Exam

340B Program Operations Certificate Practice Exam

Ultimate Architect Registration Examination ARE Practice Exam

AAPC Fundamentals of Medicine Practice Exam