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RCEM FRCEM : FRCEM Primary Examination

FRCEM

Exam Code: FRCEM

Exam Name: FRCEM Primary Examination

Updated: Jul 26, 2026

Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Anatomy33%- Abdomen and pelvis
- Lower limb
- Thorax
- Upper limb
- Head, neck and central nervous system
Topic 2: Pathology5%- Neoplasia and systemic pathology
- Inflammation and immune response
- Cell injury and repair
- Haematology and haemostasis
Topic 3: Microbiology9%- General microbiology principles
- Infection control and immunity
- Bacterial, viral, fungal and parasitic pathogens
Topic 4: Physiology33%- Respiratory system
- Cardiovascular system
- Renal and fluid balance
- Cellular physiology
- Endocrine and metabolic physiology
- Gastrointestinal system
Topic 5: Evidence-Based Medicine6%- Critical appraisal and clinical guidelines
- Study design and methodology
- Biostatistics and data interpretation
Topic 6: Pharmacology13%- Respiratory drugs
- Central nervous system and analgesics
- Antimicrobials and anti-infectives
- Fluids, electrolytes and emergency drugs
- Cardiovascular drugs
- Principles of pharmacology

RCEM FRCEM Primary Examination Sample Questions:

1. A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

A) Increased inspiratory capacity
B) Increased FEV,/FVC ratio
C) Increased FVC
D) Increased total lung capacity
E) Increased vital capacity


2. A 43 year old woman has fallen from a horse and has paralysis of the legs She has full movement at the shoulder and wrist but is unable to flex or abduct/adduct her fingers What is the most likely vertebral level of the spinal injury1?

A) C6/C7
B) C7/T1
C) T1/T2
D) C4/C5
E) C5/C6


3. A patient presents with septic shock A venous blood gas shows a metabolic acidosis Following treatment with crystalloid infusion and antibiotics their HR and BP are normal A repeat venous gas shows a persistent metabolic acidosis with a normal anion gap Which mechanism best explains the results of the repeat blood gas?

A) Capillary leak due to sepsis causing continued hypovolamia
B) Hyperchloraemic acidosis due to excessive infusion of normal saline
C) Metabolic acidosis due to occult aspirin overdose
D) Acute kidney injury due to reduced renal blood flow
E) Lactic acidosis due to tissue hypoperfusion


4. An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?

A) Inform the DVLA if insulin dependent
B) Inform the DVLA if insulin treatment for >3 months
C) You do not need to contact DVLA
D) Inform the DVLA if any episodes of hypoglycaemia
E) Only inform the DVLA if disabling hypoglycaemia


5. A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?

A) Herpes zoster
B) Neisseria meningitidis
C) Clostridium tetani
D) Influenza
E) Parainfluenza


Solutions:

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

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