RCEM FRCEM : FRCEM Primary Examination

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Sep 16, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    Question #1

                                    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
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Question #2

                                    A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?

                                    • A. Theilena microti
                                    • B. Anaplasma phagocytophilum
                                    • C. Borrelia burgdorferi
                                    • D. Bartonella qumtana .
                                    • E. Brucella abortus
                                    Reveal Solution  Discussion  0

                                    Correct Answer: C  🗳️

                                    Question #3

                                    A patient presents with a fracture to the mid-clavicle after a fall The medial part of the clavicle is displaced superiorly Which muscle is most likely to cause this displacement?

                                    • A. Pectoralis major
                                    • B. Sternocleidomastoid
                                    • C. Platysma
                                    • D. Trapezius
                                    • E. Scalenus anterior
                                    Reveal Solution  Discussion  0

                                    Correct Answer: A  🗳️

                                    Question #4

                                    A 26 year old man sustains a stab wound to the anterior aspect of the left side of his neck The wound involves the thoracic inlet Which structure is most likely to be encountered and injured first?

                                    • A. Subclavian artery
                                    • B. Oesophagus
                                    • C. Pleura
                                    • D. Subclavian vein
                                    • E. Thoracic duct
                                    Reveal Solution  Discussion  0

                                    Correct Answer: C  🗳️

                                    Question #5

                                    You are prescribing gentamicin for a patienl. Her serum creatinine level is raised Which property of creatinine best explains why it is used as a marker of glomerular filtration rate?

                                    • A. Estimation of the 24 hour excretion rate
                                    • B. Indicative of body muscle mass IE.
                                    • C. Steady state concentration existence in the blood
                                    • D. Active secretion by the peritubular capillaries
                                    • E. Free filtration by the glomerulus
                                    Reveal Solution  Discussion  0

                                    Correct Answer: E  🗳️

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