RCEM FRCEM Primary Examination : FRCEM

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Sep 17, 2026
  • Q & A: 182 Questions and Answers

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About RCEM FRCEM Primary Examination : FRCEM Exam

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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Anatomy- System-based anatomy relevant to emergency medicine
  • 1. Cardiovascular anatomy
    • 2. Musculoskeletal anatomy
      • 3. Neurological anatomy
        • 4. Respiratory anatomy
          Topic 2: Physiology- Core human physiology
          • 1. Respiratory physiology
            • 2. Renal physiology
              • 3. Cardiovascular physiology
                • 4. Endocrine physiology
                  Topic 3: Pharmacology- Principles of drug action
                  • 1. Emergency medications
                    • 2. Pharmacodynamics
                      • 3. Pharmacokinetics
                        Topic 4: Evidence-Based Medicine- Research methods and statistics
                        • 1. Sensitivity and specificity
                          • 2. Statistical interpretation
                            • 3. Study design
                              Topic 5: Pathology and Microbiology- Disease mechanisms and infection
                              • 1. Viral infections
                                • 2. Bacterial infections
                                  • 3. Inflammation and tissue injury

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    Question #1

                                    A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?

                                    • A. Reduced blood velocity in cutaneous vessels
                                    • B. Increased cutaneous blood pressure
                                    • C. Cutaneous vasoconstriction
                                    • D. Reduced blood volume in cutaneous vessels
                                    • E. Increased sympathetic supply to cutaneous vessels
                                    Reveal Solution  Discussion  0

                                    Correct Answer: E  🗳️

                                    Question #2

                                    A patient presents with an area of cellulitis with discharge on their foot following a puncture wound A swab shows a large number of gram positive rods on initial culture.
                                    Which organism does this most likely represent?

                                    • A. Pseudomonas aeruginosa
                                    • B. Clostridium perfnngens
                                    • C. Helicobacter cinaedi
                                    • D. Staphylococcal aureus
                                    • E. Streptococcus pyogenes
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Question #3

                                    A 20 year old woman presents with symptoms and signs suggestive of infectious mononucleosis Proliferation of which cells on the peripheral blood film would best support your diagnosis?

                                    • A. Lymphocytes
                                    • B. Neutrophils
                                    • C. Monocytes
                                    • D. Basophils
                                    • E. Eosinophils
                                    Reveal Solution  Discussion  0

                                    Correct Answer: A  🗳️

                                    Question #4

                                    A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?

                                    • A. Gamma
                                    • B. Beta
                                    • C. Alpha
                                    • D. Delta
                                    • E. Exocrine
                                    Reveal Solution  Discussion  0

                                    Correct Answer: C  🗳️

                                    Question #5

                                    A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?

                                    • A. Left basal ganglia
                                    • B. Right cerebellar
                                    • C. Right basal ganglia
                                    • D. Bilateral hemispheric
                                    • E. Left cerebellar
                                    Reveal Solution  Discussion  0

                                    Correct Answer: E  🗳️

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