RCEM FRCEM Primary Examination : FRCEM

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

                                    A two year old child is diagnosed with meningitis likely due to Neisseria meningitidis A medical student asks you why this organism is able to cross the blood brain barrier more easily than other pathogens To which characteristic is your explanation most likely to refer?

                                    • A. Binding to CD4 antigen
                                    • B. Attachment using haemagglutmin antigen
                                    • C. Adhesins on the fimbriae
                                    • D. IgA protease production
                                    • E. Expression of Protein A
                                    Reveal Solution  Discussion  0

                                    Correct Answer: C  🗳️

                                    Question #2

                                    An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
                                    What is the most likely causative organism?

                                    • A. Salmonella typhimunum
                                    • B. Staphylococcus aureus
                                    • C. Haemophilus influenza
                                    • D. Streptococcus pneumoniae
                                    • E. Streptococcus pyogenes
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Question #3

                                    An 85 year old man complains of double vision on looking down. You note his right eye does not move when he looks down and medially.
                                    Impaired (unction of which nerve is most likely responsible?

                                    • A. Trigeminal
                                    • B. Vestibulocochlear
                                    • C. Oculomotor
                                    • D. Trochlear
                                    • E. Abducens
                                    Reveal Solution  Discussion  0

                                    Correct Answer: A  🗳️

                                    Question #4

                                    A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?

                                    • A. Increased calcitonin secretion
                                    • B. Decreased secretion of calcium from bone
                                    • C. Decreased vitamin D synthesis
                                    • D. Decreased renal excretion of phosphate
                                    • E. Increased parathyroid secretion
                                    Reveal Solution  Discussion  0

                                    Correct Answer: E  🗳️

                                    Question #5

                                    A 33 year old man presents with signs of sepsis. A venous blood gas is taken which confirms an elevated haematocnt level What best describes the normal range of haematocnt you expect to find in a healthy male of this age?

                                    • A. 20-29%
                                    • B. 50-59%
                                    • C. 30-39%
                                    • D. 40-49%
                                    • E. 10-19%
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

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