Like the demo?
Sign up to our revision course to get full access to our question bank with 1500+ questions plus detailed performance tracking and interactive textbook notes…
Sign Up Learn MoreMock Exam
Date Completed: 17/03/2023
Page 1 of 18
-
Blood Supply of the Visual Pathway
The extracranial portion of the optic nerve is supplied by which of the following blood vessels:
> -
Organelles of Eukaryotic Cells
Regarding the human cell, which of the following cell organelles is responsible for digestion of defective proteins:
> -
Phases of the Cardiac Cycle
You are teaching a group of medical students about cardiovascular examination. You are discussing heart sounds and the cardiac cycle. Which
> -
Characteristics of Statistical Power
Regarding the power of a study, which of the following statements is INCORRECT:
> -
Interpretation of Forest Plots
Regarding forest plots in meta-analysis, the lateral points of the diamond represents:
> -
Microbial Mechanisms of Attachment
A 21 year old girl presents to ED with abdominal cramps and watery diarrhoea. Her boyfriend has recently returned from travelling abroad and
> -
Anatomy of the Supratrochlear Lymph Nodes
You are asked to assess a 32 year old woman who presents with a five day history of fever and right arm swelling following a cat scratch. O
> -
Fascia of the Kidney
A 79 year old man presents to ED complaining of fever and left sided abdominal and back pain. Imaging reveals a large perinephric abscess. W
> -
Disturbance of Acid-Base Balance
Which of the following conditions is most likely to cause the following blood gas result (on air): pH = 7.34 PaO2 = 9 kPa PaCO2 =
> -
Interpretation of Skewed Distribution
Regarding the following data distribution, which of the following statements is CORRECT: [caption id="attachment_1107" align="alignnone"
> -
Production of Atrial Natriuretic Peptide
Atrial natriuretic peptide (ANP) is primarily produced in response to:
> -
Clinical Features of Phaeochromocytoma
A 32 year old woman presents with episodes of flushing, headaches and palpitations. On examination her blood pressure is significantly eleva
> -
Clinical Effects of Ulnar Nerve Injury
A 54 year old lady presents to ED having injured her left arm. She is complaining of weak hand grip of her left hand. The patient is unable
> -
Cutaneous Innervation of the Lower Limb
The skin over the webspace between the 1st and 2nd toe is supplied by which of the following nerves:
> -
Surface Anatomy of the Abdominal Aorta
The aorta enters the abdomen at which of the following vertebral levels:
> -
ALS Treatment Algorithm
In adult advanced life support, which of the following best describes the correct administration of adrenaline for a shockable rhythm:
> -
Pharmacological Management of Acute Asthma
A 35 year old woman presents to ED with an acute asthma attack and you are asked to prescribe steroids. What is the most appropriate dose of
> -
Renal Handling of Sodium
Which of the following hormones acts to inhibit Na+ reabsorption in the distal nephron:
> -
Iron Deficiency Anaemia
In iron deficiency anaemia, which of the following would you NOT expect to see:
> -
Structure of the Parasympathetic Nervous System
Parasympathetic preganglionic neurons originate in which of the following locations:
> -
Origin of the Palmar Aponeurosis
You have been asked to review a wound on the hand of a 42 year old gardener. He sustained a deep laceration to the right palm whilst cutting
> -
Clinical Features of Diabetic Ketoacidosis
Which of the following is NOT a typical clinical feature of diabetic ketoacidosis:
> -
Cutaneous Innervation of the Face
The skin of the lower central part of the forehead is primarily supplied by which of the following nerves:
> -
Microbial Mechanisms of Attachment
Which of the following microbes attaches to host cells by its haemagglutinin antigen:
> -
Mechanism of Carbohydrate Digestion
Regarding carbohydrate, which of the following statements is INCORRECT:
> -
Lymphatic Drainage of the Testis
A 21 year old man presents to ED complaining of a scrotal lump. Imaging demonstrates a testicular tumour. The lymphatic drainage of the test
> -
Function of Adrenocorticotropic Hormone
Adrenocorticotropic hormone (ACTH) primarily acts on which of the following target organs:
> -
Surface Anatomy of the Pulmonary Trunk
The pulmonary trunk bifurcates into the right and left pulmonary arteries posterior to the:
> -
Pharmacological Management of Status Epilepticus
A 21 year old patient with known epilepsy is brought into ED by her parents in status epilepticus. You proceed to give intravenous lorazepam
> -
Hypersensitivity Reactions
The early phase of type I hypersensitivity is mediated predominantly by which cell type:
> -
Routine Immunisation Schedule
Pneumococcal conjugate vaccine (PCV) is given at which of the following intervals in the UK routine childhood immunisation schedule:
> -
Mechanism of Postural Hypotension
What is the initial physiological effect resulting in postural hypotension:
> -
Calculation of the Anion Gap
You are calculating the anion gap of an unconscious patient with a metabolic acidosis. Which of the following anions are required to calcula
> -
Function of the Orbital Muscles
The lateral rectus muscle acts to produce which of the following eyeball movements:
> -
Control of Gastric Acid Secretion
The secretion of hydrochloric acid by gastric parietal cells is inhibited by all of the following EXCEPT for:
> -
Arterial Waveforms during the Cardiac Cycle
What does the dicrotic notch on the arterial waveform represent:
> -
Articulations of the Tarsal Bones
The calcaneus bone articulates with which of the following bones:
> -
Phases of the Cardiac Cycle
In the isovolumetric relaxation phase of the cardiac cycle, which of the following statements is INCORRECT:
> -
Clinical Effects of Ulnar Nerve Injury
A 48 year old presents to ED having sustained a deep laceration to his right upper limb. On examination he is unable to extend the interphal
> -
Contents of the Femoral Sheath
A 53 year old man presents to the ED after falling from a horse onto a fence. Imaging has shown trauma to the contents of the left femoral s
> -
Haemolytic Anaemia
Which of the following is NOT mainly characterised by intravascular haemolysis:
> -
Clinical Effects of Ulnar Nerve Injury
A 58 year old man sustains an injury to the ulnar nerve and complains of sensory loss. Which of the following areas of skin would you LEAST
> -
Structure of the Orbital Septum
A 56 year old diabetic man presents to ED with a fever and a painful swollen eye. You diagnose periorbital cellulitis. What anatomical struc
> -
Attachments of the Flexor Carpi Ulnaris Muscle
A patient presents with weakness of the left forearm and hand. You examine the strength of the muscles in the anterior forearm. The flexor c
> -
Definition of Henry's Law
Which of the following describes the relationship between the partial pressure of a gas and the amount of that gas that will dissolve in a l
> -
Water Absorption in the Small Intestine
Whilst on working an elective in Nigeria a patient presents to hospital with profuse watery diarrhoea. Your supervising consultant suspects
> -
Transmission of Mycobacterium Tuberculosis
You are alerted that a patient with known active tuberculosis has presented to ED. How is tuberculosis primarily transmitted:
> -
Characteristics of the Pulmonary Circulation
Regarding the pulmonary circulation, which of the following statements is CORRECT:
> -
Control of Exocrine Pancreas Secretion
Pancreatic ductal alkaline fluid secretion is mainly stimulated by which of the following hormones:
> -
Origin of the Musculocutaneous Nerve
A 32 year old man presents to the ED following an altercation during which he received a stab wound to the right axilla. You suspect a muscu
> -
Increased vs Normal Anion Gap
Which of the following is typically a cause of a normal anion gap metabolic acidosis:
> -
Clinical Features of Malaria
A 35 year old Nigerian woman presents to ED with a high fever and rigors. She has recently returned from a trip to visit family in her home
> -
Calculation of Cardiac Output
The cardiac output in a healthy adult male at rest is usually about:
> -
Muscle Relaxants: Pharmacology
Regarding muscle relaxant drugs, which of the following statements is CORRECT:
> -
Clinical Features of Influenza
Regarding influenza, which of the following statements is INCORRECT:
> -
Branches of the Mandibular Nerve
A patient with known trigeminal neuralgia presents to ED with worsening symptoms. He complains of pain in his jaw radiating to his ear. Whic
> -
Movements of the Shoulder Joint
A 35 year old woman was involved in a road traffic accident 8 weeks ago, where she suffered a fracture of the lateral border of the scapula.
> -
Clinical Effects of Axillary Nerve Injury
A rugby player has injured his left shoulder during a match. He has anaesthesia on the skin on the lower part of the deltoid muscle. Which m
> -
Anatomy of the Hard Palate
Regarding the hard palate, which of the following statements is CORRECT:
> -
Clinical Features of Hyperthyroidism
A 45 year old woman complains of weight loss, palpitations and heat intolerance. On examination you note tachycardia, finger clubbing and ey
> -
Function of the Pituitary Gland
Which of the following hormones originates in the anterior pituitary:
> -
Anatomical Relations of the Rectum
The rectovesical fascia is located at which of the following sites:
> -
Management of Tachyarrhythmias
What is the initial dose of adenosine recommended for management of a regular narrow-complex tachycardia:
> -
Ketamine: Mechanism of Action
Your consultant decides to use ketamine for a patient requiring procedural sedation in the Emergency Department. At what receptor does ketam
> -
Cutaneous Innervation of the Face
The skin of the upper forehead extending back to the middle of the scalp is primarily supplied by which of the following nerves:
> -
Functional Anatomy of the Nephron
The renal corpuscle, consisting of the Bowman's capsule and the glomerulus is found where in the kidney:
> -
Components of Normal Bacterial Flora
Which of the following is NOT typically present in the nasopharyngeal flora:
> -
Branches of the Mandibular Nerve
The inferior alveolar nerve supplies all of the following EXCEPT for the:
> -
Causative Agents of Ophthalmia Neonatorum
A full term 6 day old neonate is brought in with a unilateral eye purulent discharge which the parents noticed earlier that day. On gram sta
> -
Clinical Features of Graves' Disease
Which of the following clinical features is NOT typical of Graves' disease:
> -
Compartments of the Peritoneal Cavity
Which of the following best describes the location of the omental bursa:
> -
Calculation of the Filtration Fraction
The normal glomerular filtration fraction in a healthy adult is about ______ %:
> -
Clinical Effects of Hyperkalaemia
Which of the following is an ECG change typically associated with hyperkalaemia:
> -
Structure of the Glomerulus
Mesangial cells surround the glomerular capillaries and act to perform all EXCEPT which of the following functions:
> -
Dermatomal supply of the Upper Limb
A 32 year old motorcyclist has been brought in following a head on collision with a car. Following initial resuscitation, you are performin
> -
Types of Vaccines
Which of the following is an example of a vaccine produced from polysaccharide extract:
> -
Incomplete Lesions of the Spinal Cord
A 24 year old builder is brought into ED following an accident at work in which a tool has fallen on his head causing a flexion injury. He h
> -
Complications of Rubella
A pregnant patient presents to ED with a new onset rash which started on her face and spread to her body. She has recently been in contact w
> -
Dermatomal Supply of the Upper Limb
Your consultant asks you to perform a neurological assessment of a trauma patient. The patient fell approximately 4 metres on a building si
> -
Mechanism of Cardiac Excitation-Contraction Coupling
In cardiac myocyte excitation-contraction coupling, Ca2+ is released from which of the following organelles:
> -
Function of the Orbital Muscles
The inferior oblique muscle acts to produce which of the following eyeball movements:
> -
Management of Tetanus-Prone Wounds
A nurse practitioner working in minors is concerned about a patient's wound and asks for your advice. All of the following are considered to
> -
Heparin: Comparison of Drugs
Which of the following is NOT a benefit of low molecular weight heparin (LMWH) over unfractionated heparin (UFH) therapy:
> -
Function of the Gluteus Maximus Muscle
A 21 year old man received a stab wound to the posterior part of his gluteal region. Following resuscitation, he is found to have great diff
> -
Innervation of the Orbicularis Oculi Muscle
You are examining a patient who presented with facial weakness. You note weakness of the orbicularis oculi muscle. The orbicularis oculi mus
> -
Microbial Mechanisms of Attachment
Which of the following microbes adheres to the genital mucosa using fimbriae:
> -
Clinical Features of Hyperthyroidism
Which of the following clinical features is NOT a typical feature of hyperthyroidism:
> -
Anatomy of the Parotid Gland
Regarding the parotid gland, which of the following statements is INCORRECT:
> -
Propofol: Mechanism of Action
A 47 year old woman requires procedural sedation for DC cardioversion of atrial fibrillation. You plan to use propofol. Sedation is more lik
> -
Surface Anatomy of the Colon
The sigmoid colon extends as low as which of the following vertebral levels:
> -
Openings of the Diaphragm
Which of the following structures pass through the oesophageal opening in the diaphragm:
> -
Functional Anatomy of the Kidney
The renal pelvis is continuous distally with which of the following structures:
> -
Innervation of the Fibularis Longus Muscle
The fibularis longus muscle is innervated by which of the following nerves:
> -
Clinical Features of Herpes Simplex Encephalitis
Herpes simplex encephalitis has a predilection for which of the following sites:
> -
Definition of Einthoven's Triangle
Regarding Einthoven's triangle, which of the following statements is CORRECT:
> -
Cutaneous Innervation of the Face
You are testing the sensation of the face in a patient who presented with facial droop. Which of the following nerves supplies the skin abov
> -
Blood Supply of the Heart
A 61 year old patient presents to ED with sudden onset central crushing chest pain. ECG demonstrates a STEMI and bradycardia with a heart ra
> -
Human Normal Immunoglobulin: Indications
Human normal immunoglobulin are used primarily to confer protection against which of the following infectious diseases:
> -
Autoregulation of Renal Blood Flow
Regarding renal autoregulation, which of the following does NOT cause vasoconstriction:
> -
Obstructive vs Restrictive Lung Disease
A patient with known lung fibrosis presents to ED with worsening breathlessness. You are reviewing her most recent lung function tests. Whic
> -
Origin of the Femoral Artery
A 35 year old woman presents to the Emergency Department with a painful swelling in her left groin. She is an intravenous drug user who regu
> -
Haemolytic Anaemia
Which of the following clinical features is NOT a typical feature of haemolytic anaemias:
> -
Function of Parathyroid Hormone
Which of the following is NOT an action of parathyroid hormone (PTH):
> -
Coagulation Cascade
Regarding the coagulation cascade, the intrinsic pathway requires which of the following clotting factors:
> -
Supply of the Femoral Artery
A 32 year old man presents to the ED after falling through a glass door. He has sustained a deep laceration to the thigh. Imaging shows a so
> -
Clinical Effects of Shoulder Joint Dislocation
A 28 year old man is brought to ED with a severely painful arm after being involved in a collapsed scrum during a rugby match. An x-ray of h
> -
Mechanism of Synaptic Transmission
Regarding the synapse, which of the following statements is CORRECT:
> -
Routine Immunisation Schedule
Regarding the UK selective immunisation schedule, which of the following statements is INCORRECT:
> -
Cutaneous Innervation of the Face
A 45 year old man presents to ED with Hutchinson's sign; a vesicular rash on the tip of the nose. You are concerned about the possibility of
> -
Megaloblastic Anaemia
Regarding vitamin B12 requirements, which of the following statements is CORRECT:
> -
Pathway of the Gag Reflex
Which of the following nerves is the afferent pathway of the gag reflex:
> -
Innervation of the Pectoralis Minor Muscle
An 18 year old man presents to the Emergency Department following a rugby match. He is complaining of pain over his left shoulder and is una
> -
Microbial Mechanisms of Immune Evasion
Which of the following microbes has a polysaccharide capsule:
> -
Generation of an Action Potential
Regarding the neuronal action potential, which of the following statements is CORRECT:
> -
Clinical Effects of Facial Nerve Leison
A 45 year old lady presents to ED with right sided facial weakness. Your consultant suspects a facial nerve palsy. Which of the following c
> -
Pharmacological Management of Status Epilepticus
After what time period should pharmacological treatment be commenced in a patient with an ongoing convulsive seizure:
> -
Properties of the Resting Membrane Potential
The membrane threshold potential for a neurone, at which point an action potential can occur, is usually about:
> -
Lithium: Drug Interactions
Which of the following classes of drugs may predispose to lithium toxicity:
> -
Clinical Effects of Hypokalaemia
A 29 year old man presents to the Emergency Department complaining of fatigue and muscle cramps. He is found to be hypokalaemic. A 12-lead E
> -
Boundaries of the Femoral Ring
A 87 year old woman presents to the ED after her carers noted she was complaining of pain in the right groin. On examination you note a tend
> -
Aminoglycosides: Mechanism of Action
What is the mechanism of action of aminoglycoside antibiotics:
> -
Clinical Effects of Frontal Lobe Lesion
A 69 year old patient is brought to ED with acute onset facial weakness on the right side, and difficulty with speech. He is able to respond
> -
Function of the Loop of Henle
In which part of the loop of Henle is Na+ reabsorbed via the Na+/K+/2Cl- symporter:
> -
Homeostasis and Feedback Loops
Regarding homeostasis, which of the following statements is CORRECT:
> -
Microstructure of the Cardiac Myocyte
Action potentials are transmitted from myocyte to myocyte via which of the following:
> -
Functional Anatomy of the Pituitary Gland
Which of the following statements regarding the pituitary gland is CORRECT:
> -
Characteristics of Klebsiella Spp.
Regarding Klebsiella spp. which of the following statements is CORRECT:
> -
Anatomical Relations at the Thoracic Inlet
A 47 year old presents to ED complaining of left hand pain. She has recently fractured her left clavicle which was treated conservatively. O
> -
Calculation of Mean Arterial Pressure
Which of the following best describes the mean arterial pressure (MAP):
> -
Anatomy of the Thymus Gland
Regarding the thymus gland, which of the following statements is INCORRECT:
> -
Clinical Features of Encephalitis
A 19 year old patient is brought to ED with acute onset confusion, headache, and fever worsening over the past few days. You note a crusted
> -
Increased vs Normal Anion Gap
Which of the following is typically a cause of an increased anion gap metabolic acidosis:
> -
Phases of the Cardiac Cycle
Regarding the cardiac cycle, which of the following statements is INCORRECT:
> -
Innervation of the Quadriceps Femoris Muscle
You are examining a 65 year old man who presents with left leg weakness. You note a loss of power to the left quadriceps femoris muscles. Th
> -
Structure of the Uterine Tube
Regarding the uterine tubes, which of the following statements is CORRECT:
> -
Function of the Psoas Major Muscle
A 76 year old woman presents with left flank pain and fever. A CT scan has shown a psoas abscess. The psoas major muscle acts primarily to p
> -
Surface Anatomy of the Pulmonary Trunk
The pulmonary trunk arises from the conus arteriosus of the right ventricle at which of the following locations:
> -
Pathogenesis of Tetanus
Regarding Clostridium tetani, which of the following statements is CORRECT:
> -
Function of the Obturator Externus Muscle
A 19 year old man self presents to the ED following a fight in a nearby street. He has sustained multiple stab wounds and lacerations to the
> -
Organelles of Eukaryotic Cells
You are seeing a child with known mitochondrial disease who has presented breathlessness and cough. Which of the following best describes th
>
