FRCEM SBA (Final) Practice Questions - FRCEM SBA (Final) Examination Exam - FRCEM SBA (Final) Practice Questions

Question 1

A 68-year-old man attends the ED with central chest pain. ECG shows new left bundle branch block and he is haemodynamically stable. Using the Sgarbossa criteria, which ECG finding is MOST specific for acute myocardial infarction in the presence of LBBB?

Concordant ST elevation ≥1 mm in a lead with a positive QRS Discordant ST depression ≥1 mm in lead V1 only T-wave inversion in the lateral leads QRS duration greater than 160 ms

Correct Answer:

Concordant ST elevation ≥1 mm in a lead with a positive QRS

Question 2

A 24-year-old woman presents with acute severe asthma. After initial salbutamol and ipratropium nebulisers and IV hydrocortisone she remains tachypnoeic with a PEF of 33% predicted. According to BTS/NICE/SIGN guidance, which is the MOST appropriate next pharmacological step?

IV aminophylline loading dose Subcutaneous adrenaline 0.5 mg Oral montelukast 10 mg IV magnesium sulfate 1.2–2 g over 20 minutes

Correct Answer:

IV magnesium sulfate 1.2–2 g over 20 minutes

Question 3

A 55-year-old man with a known history of alcohol excess presents with confusion and ataxia. You suspect Wernicke's encephalopathy. Which is the MOST appropriate initial management?

Oral thiamine 100 mg once daily IV glucose 10% before any thiamine IV high-dose B-vitamin complex (e.g. Pabrinex) before or with glucose CT head before commencing any treatment

Correct Answer:

IV high-dose B-vitamin complex (e.g. Pabrinex) before or with glucose

Question 4

A 30-year-old woman presents with a 3-day history of headache, photophobia and neck stiffness. She is alert with no focal neurology and no rash. CT head is normal. Lumbar puncture is performed 12 hours after symptom onset. Which CSF finding would MOST strongly support a diagnosis of subarachnoid haemorrhage rather than a traumatic tap?

A red cell count that falls progressively between bottle 1 and bottle 3 Xanthochromia on spectrophotometry A clear, colourless supernatant Presence of crenated red cells on microscopy

Correct Answer:

Xanthochromia on spectrophotometry

Question 5

A 72-year-old woman on warfarin for atrial fibrillation presents after a minor fall. Her INR is 8.5 but she has no evidence of bleeding. According to BNF/BCSH guidance, what is the MOST appropriate management?

Give IV vitamin K 5 mg and prothrombin complex concentrate Withhold warfarin and give oral vitamin K 1–5 mg Continue warfarin at the same dose and recheck INR in one week Give fresh frozen plasma 15 mL/kg

Correct Answer:

Withhold warfarin and give oral vitamin K 1–5 mg

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

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FRCEM SBA (Final) Practice Questions - FRCEM SBA (Final) Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, woman, shows, and injury. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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FRCEM SBA (Final) Practice Questions - FRCEM SBA (Final) Examination Exam

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