RCEM FRCEM exam dumps : FRCEM Primary Examination

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Aug 16, 2026     Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pathology5%- Neoplasia and systemic pathology
- Inflammation and immune response
- Haematology and haemostasis
- Cell injury and repair
Topic 2: Evidence-Based Medicine6%- Critical appraisal and clinical guidelines
- Study design and methodology
- Biostatistics and data interpretation
Topic 3: Microbiology9%- Infection control and immunity
- General microbiology principles
- Bacterial, viral, fungal and parasitic pathogens
Topic 4: Physiology33%- Gastrointestinal system
- Endocrine and metabolic physiology
- Cellular physiology
- Renal and fluid balance
- Respiratory system
- Cardiovascular system
Topic 5: Pharmacology13%- Cardiovascular drugs
- Antimicrobials and anti-infectives
- Fluids, electrolytes and emergency drugs
- Principles of pharmacology
- Respiratory drugs
- Central nervous system and analgesics
Topic 6: Anatomy33%- Upper limb
- Head, neck and central nervous system
- Abdomen and pelvis
- Thorax
- Lower limb

RCEM FRCEM Primary Examination Sample Questions:

1. A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?

A) Zona glomerulosa
B) Zona reticularis
C) Zona fasciculata
D) Adrenal cortex
E) Adrenal medulla.


2. A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?

A) Anatomical dead space
B) Inspiratory reserve
C) Residual volume
D) Expiratory reserve
E) Physiological dead space


3. A 43 year old man with presents with an infective exacerbation of COPD Your consultant advises you to give IV hydrocortisone What best describes the mechanism of action of this treatment for this acute condition?

A) Adrenal suppression
B) Binding with glucocorticoid receptor
C) Activation of phospholipid A2
D) Inhibition of prostaglandin synthesis
E) Activation of NF-kappa B


4. You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?

A) S2, 3, 4
B) L3,4
C) S1.2
D) L12
E) L5


5. An 80 year old man presents to the ED with clinical features suggestive of ischaemic bowel Which artery is most commonly occluded in this condition?

A) Superior mesenteric
B) Left colic
C) Coeliac
D) Gastroduodenal
E) Inferior mesenteric


Solutions:

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

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