RCEM FRCEM Exam : FRCEM Primary Examination

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Aug 25, 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. Musculoskeletal anatomy
    • 2. Neurological anatomy
      • 3. Cardiovascular anatomy
        • 4. Respiratory anatomy
          Pathology and Microbiology- Disease mechanisms and infection
          • 1. Bacterial infections
            • 2. Viral infections
              • 3. Inflammation and tissue injury
                Pharmacology- Principles of drug action
                • 1. Pharmacokinetics
                  • 2. Emergency medications
                    • 3. Pharmacodynamics
                      Evidence-Based Medicine- Research methods and statistics
                      • 1. Statistical interpretation
                        • 2. Study design
                          • 3. Sensitivity and specificity
                            Physiology- Core human physiology
                            • 1. Renal physiology
                              • 2. Respiratory physiology
                                • 3. Endocrine physiology
                                  • 4. Cardiovascular physiology

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    Question 1

                                    A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?

                                    A. Vital capacity
                                    B. Peak expiratory flow rate
                                    C. Physiological dead space
                                    D. Tidal volume
                                    E. Forced expiratory volume


                                    Question 2

                                    A nine month old child is brought to the ED with a (ever and rash The child's mother states that all of her immunisations are up to date What is the most likely cause of this infectious illness?

                                    A. Rubella
                                    B. Diphtheria
                                    C. Haemophilus influenzae b
                                    D. Pertussis
                                    E. Pneumococcus


                                    Question 3

                                    A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A

                                    A. Iliacus muscle
                                    B. Inguinal ligament
                                    C. Femoral artery
                                    D. Psoas muscle
                                    E. Femoral vein


                                    Question 4

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


                                    Question 5

                                    A 30 year old woman attends the ED with a worsening headache and tight periorbital pain over the last (ew hours You suspect cavernous sinus thrombosis Her right eye has ptosis, mydriasis and is deviated laterally and downward Which nerve is most likely to be affected?

                                    A. Oculomotor
                                    B. Optic
                                    C. Trochlear
                                    D. Abducens
                                    E. Trigeminal


                                    Solutions:

                                    Question 1
                                    Answer: E
                                    Question 2
                                    Answer: A
                                    Question 3
                                    Answer: C
                                    Question 4
                                    Answer: A
                                    Question 5
                                    Answer: A

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