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RCEM FRCEM

FRCEM

Exam Code: FRCEM

Exam Name: FRCEM Primary Examination

Updated: Sep 10, 2026

Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

RCEM FRCEM Primary Examination Sample Questions:

Question #1
A keen cyclist attends the ED complaining of clumsiness and tingling in his right hand When he attempts to grip paper in his first web space he is only able to achieve this by flexing his right thumb.
Innervation of which muscle is most likely compromised?

A. Opponens pollicis
B. First dorsal interosseous
C. Abductor pollicis brevis
D. Extensor pollicis brevis
E. Adductor pollicis


Question #2
A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?

A. Vitamin D
B. Albumin
C. Chloride
D. Phosphate
E. Sodium


Question #3
You are conducting a study of children presenting with febrile convulsions. As pari of your data collection you record their temperature in degrees Celsius on arrival Which is the best description of this type of data?

A. Discrete
B. Ordinal
C. Nominal
D. Ratio
E. Interval


Question #4
A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?

A. Pelvis
B. Calyx
C. Medulla
D. Capsule
E. Cortex


Question #5
A 23 year old presents with episodes of a painful left arm which becomes swollen and cyanosed after they have been kayaking Obstruction of which structure is most likely to cause these symptoms'?

A. Subclavian vein
B. Axillary vein
C. Brachiocephalic trunk
D. Subclavian artery
E. Brachiocephalic vein


Solutions:

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

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