RCEM FRCEM Primary Examination : FRCEM

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Aug 06, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    1. A 56 year old man presenls with a rash in the supraclavicular fossa which is typical of herpes zoster Which dermatomal level best describes the area affected?

                                    A) C3
                                    B) C2
                                    C) C5
                                    D) C4
                                    E) C1


                                    2. A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance Which type of blood vessels are most likely implicated in causing her hypotension?

                                    A) Arteries
                                    B) Capillaries
                                    C) Veins
                                    D) Venules
                                    E) Arterioles


                                    3. A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
                                    Which of these medications is the most likely cause of this abnormality?

                                    A) Spironolactone
                                    B) Fluoxetine
                                    C) Ramipnl
                                    D) Prednisolone
                                    E) Furosemtde


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


                                    5. A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
                                    What is the recommended absence period?

                                    A) Until fever has settled for 24 hours
                                    B) Four days after the onset of rash
                                    C) Until conjunctivitis and mucous membrane rash has resolved
                                    D) Seven days after the rash has disappeared
                                    E) Until the rash has disappeared


                                    Solutions:

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

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