RCEM FRCEM : FRCEM Primary Examination

FRCEM real exams

Exam Code: FRCEM

Exam Name: FRCEM Primary Examination

Updated: Jul 23, 2026

Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Physiology- Core human physiology
  • 1. Endocrine physiology
    • 2. Respiratory physiology
      • 3. Renal physiology
        • 4. Cardiovascular physiology
          Pathology and Microbiology- Disease mechanisms and infection
          • 1. Viral infections
            • 2. Bacterial infections
              • 3. Inflammation and tissue injury
                Pharmacology- Principles of drug action
                • 1. Pharmacodynamics
                  • 2. Pharmacokinetics
                    • 3. Emergency medications
                      Anatomy- System-based anatomy relevant to emergency medicine
                      • 1. Musculoskeletal anatomy
                        • 2. Neurological anatomy
                          • 3. Respiratory anatomy
                            • 4. Cardiovascular anatomy
                              Evidence-Based Medicine- Research methods and statistics
                              • 1. Sensitivity and specificity
                                • 2. Statistical interpretation
                                  • 3. Study design

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    1. A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?

                                    A) Clostridium tetani
                                    B) Neisseria meningitidis
                                    C) Parainfluenza
                                    D) Herpes zoster
                                    E) Influenza


                                    2. A 26 year old man sustains a stab wound to the anterior aspect of the left side of his neck The wound involves the thoracic inlet Which structure is most likely to be encountered and injured first?

                                    A) Pleura
                                    B) Subclavian artery
                                    C) Thoracic duct
                                    D) Oesophagus
                                    E) Subclavian vein


                                    3. A 76 year old patient is found on examination to have an absent jaw jerk What cranial nerve nucleus is the1 most likely site of pathology?

                                    A) Facial
                                    B) Trigeminal
                                    C) Abducens
                                    D) Hypoglossal
                                    E) Glossopharyngeal


                                    4. A 32 year old football player attends with a painful right knee after a tackle On examination she is unable to dorsiflex her foot Which nerve is most likely injured''

                                    A) Medial calcaneal
                                    B) Pudendal
                                    C) Sural
                                    D) Tibial
                                    E) Common peroneal


                                    5. You are conducting a study of children presenting with febrile convulsions. As pari of your data collection you record their temperature in degrees Celsius on arrival Which is the best description of this type of data?

                                    A) Nominal
                                    B) Interval
                                    C) Ratio
                                    D) Ordinal
                                    E) Discrete


                                    Solutions:

                                    Question # 1
                                    Answer: B
                                    Question # 2
                                    Answer: A
                                    Question # 3
                                    Answer: B
                                    Question # 4
                                    Answer: E
                                    Question # 5
                                    Answer: D

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