RCEM FRCEM : FRCEM Primary Examination

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Sep 11, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:
SectionObjectives
Pathology- Wound healing
- Immune responses
- Haematology
- Infection
- Inflammatory responses
Physiology- Basic cellular physiology
- Cardiovascular physiology
- Renal physiology
- Gastrointestinal physiology
- Endocrine physiology
- Respiratory physiology
Pharmacology- Endocrine system
- Anaesthesia pharmacology
- Musculoskeletal system
- Central nervous system
- Gastrointestinal pharmacology
- Respiratory system
- Infections
- Immunological products and vaccines
- Cardiovascular system
- Fluids and electrolytes
Anatomy- Cranial nerve lesions
- Head and Neck
- Abdomen
- Thorax
- Lower limb
- Upper limb
- Central Nervous System
Microbiology- Principles of microbiology
- Pathogen groups
Evidence-Based Medicine- Study methodology
- Statistics
- Principles of critical appraisal
RCEM FRCEM Primary Examination Sample Questions:
Question #1

A 56 year old man presents with a spiral fracture of the humerus and wrist drop Which structure is most likely to be damaged?

  • A. Ulnar nerve
  • B. Radial nerve
  • C. Brachial artery
  • D. Axillary artery
  • E. Musculocutaneous nerve
Answer: B
Question #2

A 32 year old builder slips with an angle grinder causing a deep facial wound which intersects with the inferomedial edge of the orbit and leaves exposed damaged bone.
What bone is most likely affected?

  • A. Sphenoid
  • B. Zygoma
  • C. Maxilla
  • D. Nasal
  • E. Ethmoid
Answer: A
Question #3

A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?

  • A. Peak expiratory flow rate
  • B. Forced expiratory volume
  • C. Physiological dead space
  • D. Vital capacity
  • E. Tidal volume
Answer: B
Question #4

A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?

  • A. Renin
  • B. Angiotensin
  • C. Aldosterone
  • D. Anti-diuretic hormone
  • E. Adenosine
Answer: A
Question #5

You intubate a patient in the resuscitation room After inducing anaesthesia you lie the patient supine. Which lung volume is most affected by this change in posture?

  • A. Inspiratory reserve volume
  • B. Residual volume
  • C. Functional residual capacity
  • D. Tidal volume
  • E. Inspiratory capacity
Answer: B

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