Respiratory MRCEM SBA Questions

Practise 74 single best answer questions on respiratory medicine for the MRCEM SBA exam. Every question comes with a detailed explanation, so you learn why the right answer is right and why the others are wrong.

Why respiratory matters in the MRCEM SBA

Breathlessness is one of the most common ED presentations. Questions test BTS guidance on asthma, pneumothorax and COPD, and the recognition of life-threatening features.

High-yield topics in this bank

Sample question

A 35-year-old man had a small primary spontaneous pneumothorax 6 weeks ago, managed conservatively. He is now well, and today's chest X-ray shows full re-expansion. He wants to fly in 7 days.

What is the most appropriate advice?

A. He may fly now, as he is asymptomatic
B. Wait 1 week from symptom resolution
C. Wait 1 week after confirmed radiographic resolution
D. Wait 2 weeks after confirmed radiographic resolution
E. He must never fly again

Answer: C. Gas trapped in the pleural space expands at altitude. Guidance advises waiting 1 week after radiographic resolution is confirmed, so his flight in 7 days is acceptable.

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