RCEM FRCEM Primary Examination : FRCEM

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

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About RCEM FRCEM Exam

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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Evidence-Based Medicine- Study methodology
- Statistics
- Principles of critical appraisal
Topic 2: Anatomy- Central Nervous System
- Thorax
- Head and Neck
- Cranial nerve lesions
- Lower limb
- Upper limb
- Abdomen
Topic 3: Pathology- Wound healing
- Haematology
- Immune responses
- Infection
- Inflammatory responses
Topic 4: Microbiology- Pathogen groups
- Principles of microbiology
Topic 5: Pharmacology- Gastrointestinal pharmacology
- Anaesthesia pharmacology
- Endocrine system
- Fluids and electrolytes
- Central nervous system
- Respiratory system
- Musculoskeletal system
- Cardiovascular system
- Infections
- Immunological products and vaccines
Topic 6: Physiology- Endocrine physiology
- Basic cellular physiology
- Renal physiology
- Gastrointestinal physiology
- Respiratory physiology
- Cardiovascular physiology

RCEM FRCEM Primary Examination Sample Questions:

1. A comatose patient has a respiratory rate of live breaths per minute following an overdose of heroin He receives naloxone and his respiratory rate rapidly improves to 16 breaths per minute Which component of arterial blood gas sampling is most likely to rapidly decrease following this intervention?

A) Pa02
B) pH
C) Base Excess
D) PaC02
E) HC03


2. An 88 year old woman presents with haematemesis CT scan identifies a posterior ulcer of the superior part of the duodenum At what vertebral level would this be evident on the CT scan?

A) L4
B) L3
C) L2
D) T12
E) L1


3. A pregnant patient presents to the department following an eclamptic seizure She requires management for her hypertension.
Which drug would be most appropriate in this case?

A) Atenolol
B) Nifedipine
C) Sodium nitroprusside
D) Labetalol
E) Glyceryl trinitrate


4. You review a paper where patients were recruited through a response to an invitation from a heart foundation charity.
What term best describes this sample?

A) Stratified
B) Systematic
C) Simple random
D) Cluster
E) Self-selected


5. A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?

A) Xiphisternum
B) Sternal notch
C) Umbilicus
D) Apex beat
E) Nipple line


Solutions:

Question # 1
Answer: C
Question # 2
Answer: E
Question # 3
Answer: D
Question # 4
Answer: E
Question # 5
Answer: E

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