RCEM FRCEM Valid Test : FRCEM Primary Examination

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Aug 02, 2026
  • Q&As: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Physiology- Core human physiology
  • 1. Renal physiology
    • 2. Cardiovascular physiology
      • 3. Endocrine physiology
        • 4. Respiratory physiology
          Topic 2: Pharmacology- Principles of drug action
          • 1. Pharmacodynamics
            • 2. Emergency medications
              • 3. Pharmacokinetics
                Topic 3: Pathology and Microbiology- Disease mechanisms and infection
                • 1. Viral infections
                  • 2. Bacterial infections
                    • 3. Inflammation and tissue injury
                      Topic 4: Evidence-Based Medicine- Research methods and statistics
                      • 1. Study design
                        • 2. Statistical interpretation
                          • 3. Sensitivity and specificity
                            Topic 5: Anatomy- System-based anatomy relevant to emergency medicine
                            • 1. Musculoskeletal anatomy
                              • 2. Cardiovascular anatomy
                                • 3. Respiratory anatomy
                                  • 4. Neurological anatomy

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    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) IgA protease production
                                    B) Expression of Protein A
                                    C) Attachment using haemagglutmin antigen
                                    D) Adhesins on the fimbriae
                                    E) Binding to CD4 antigen


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


                                    3. You are teaching a medical student about the knee and discuss the structures that border the popliteal fossa Which structure best describes the superolateral boundary of this fossa?

                                    A) Semimembranosus
                                    B) Biceps femons
                                    C) Lateral head of gastrocnemius
                                    D) Semitendinosis
                                    E) Medial head of gastrocnemius


                                    4. A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?

                                    A) Opposition of the thumb
                                    B) Flexion of the wrist
                                    C) Flexion of the proximal interphalangeal joints
                                    D) Flexion of the distal interphalangeal joints
                                    E) Abduction of the little finger


                                    5. An 87 year old man is brought to the ED from his nursing home with loose stools and abdominal pain. You suspect Clostridium difficile infection because he had a recent course of antibiotics for pneumonia.
                                    What measure is most likely to reduce the spread of infection to other patients?

                                    A) Hand washing with soap and water
                                    B) Treatment with metronidazole
                                    C) Use of alcohol hand gel
                                    D) Isolation of the patient in a side room
                                    E) Wearing gloves and aprons for patient contact


                                    Solutions:

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

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