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Question 1
A 68-year-old man presents with central crushing chest pain. His ECG shows ST elevation in leads II, III and aVF. Which coronary artery is most likely occluded?
Correct Answer:
Right coronary artery
Question 2
A 24-year-old woman presents with acute severe asthma. After initial salbutamol and ipratropium nebulisers and oral prednisolone she remains tachypnoeic with a PEF of 40% predicted. According to BTS/SIGN guidance, what is the most appropriate next pharmacological step?
Correct Answer:
Intravenous magnesium sulphate
Question 3
A 30-year-old man is brought in after collapsing at a wedding having eaten canapes. He has facial swelling, widespread urticaria, wheeze and a blood pressure of 78/40 mmHg. What is the correct first-line treatment and route?
Correct Answer:
Intramuscular adrenaline 500 micrograms (0.5 mL of 1:1000)
Question 4
A 55-year-old woman with type 2 diabetes presents drowsy with a capillary glucose of 41 mmol/L, no significant ketonaemia, and a calculated serum osmolality of 340 mOsm/kg. What is the most appropriate initial intravenous fluid?
Correct Answer:
0.9% sodium chloride
Question 5
A 22-year-old man presents with a sudden severe occipital headache, described as 'the worst headache of my life', that peaked within seconds. A CT head performed 4 hours after onset is reported as normal. What is the most appropriate next step?
Correct Answer:
Lumbar puncture at least 12 hours after symptom onset
Question 1
Exam overview

About this Exam

Prepare with the MRCEM Intermediate SBA Practice Questions - MRCEM Intermediate SBA Examination (formerly FRCEM Intermediate) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, woman, pain, and arrest. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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MRCEM Intermediate SBA Practice Questions - MRCEM Intermediate SBA Examination (formerly FRCEM Intermediate) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, woman, pain, and arrest. 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.

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