RCEM FRCEM Primary Examination 認定 FRCEM 試験問題:

1. A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?

A) Goblet cells
B) Club cells
C) Acinar cells
D) Columnar epithelial cells
E) Mast cells

2. An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?

A) Tetrodotoxm
B) Cytotoxin
C) Necrotoxin
D) Endotoxin
E) Haemotoxm

3. 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

4. A 70 year old woman presents with reduced I6vel of consciousness following a recent chest infection She has signs of meningeal irritation Gram staining of CSF demonstrates gram positive diplococci.
Which organism is most likely in this case1?

A) Streptococcus pneumoniae
B) Neisseria meningitidis
C) Staphylococcus aureus
D) Moraxella catarrhalis
E) Acinetobacter baumannii

5. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

A) Duodenum
B) Ascending colon
C) Jejunum
D) Ileum
E) Stomach

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