RCEM FRCEM : FRCEM Primary Examination

FRCEM real exams

Exam Code: FRCEM

Exam Name: FRCEM Primary Examination

Updated: Sep 09, 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. Sensitivity and specificity
    • 2. Study design
      • 3. Statistical interpretation
        Topic 2: Physiology- Core human physiology
        • 1. Respiratory physiology
          • 2. Endocrine physiology
            • 3. Cardiovascular physiology
              • 4. Renal physiology
                Topic 3: Pharmacology- Principles of drug action
                • 1. Pharmacodynamics
                  • 2. Emergency medications
                    • 3. Pharmacokinetics
                      Topic 4: Anatomy- System-based anatomy relevant to emergency medicine
                      • 1. Cardiovascular anatomy
                        • 2. Musculoskeletal anatomy
                          • 3. Respiratory anatomy
                            • 4. Neurological anatomy
                              Topic 5: Pathology and Microbiology- Disease mechanisms and infection
                              • 1. Bacterial infections
                                • 2. Inflammation and tissue injury
                                  • 3. Viral infections

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    Question #1

                                    You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation Which receptors are most likely to be targeted by this treatment?

                                    • A. Alpha 1
                                    • B. Beta 1
                                    • C. Muscarinic
                                    • D. Beta 2
                                    • E. Nicotinic
                                    Reveal Solution  Discussion  0

                                    Correct Answer: C  πŸ—³οΈ

                                    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. Diphtheria
                                    • B. Rubella
                                    • C. Pertussis
                                    • D. Pneumococcus
                                    • E. Haemophilus influenzae b
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  πŸ—³οΈ

                                    Question #3

                                    You are treating a patient with a dysrhythmia You are teaching your students about the phases of the cardiac action potential and emphasize the absolute refractory period as a means of preventing another action potential being generated Which factor is most important for this period?

                                    • A. Potassium channel mactivation
                                    • B. Sodium channel inactivation
                                    • C. Potassium channel activation
                                    • D. Sodium channel activation
                                    • E. Calcium channel activation
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  πŸ—³οΈ

                                    Question #4

                                    A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.
                                    Which situation is most likely to allow him to continue driving according to the DVLA?

                                    • A. Development of impaired awareness of hypoglycaemia
                                    • B. Having more than one episode of severe hypoglycaemia in 12 months
                                    • C. An episode of severe hypoglycaemia while driving
                                    • D. Having type II diabetes treated with oral medications
                                    • E. Needing laser treatment to both eyes
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  πŸ—³οΈ

                                    Question #5

                                    A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
                                    Concentration of NaCI in the intraluminal fluid in the kidney decreases.
                                    Which hormone is most likely to be released by the juxtaglomerular apparatus in response?

                                    • A. Renin
                                    • B. Anti-diuretic hormone
                                    • C. Adenosine
                                    • D. Angiotensin
                                    • E. Aldosterone
                                    Reveal Solution  Discussion  0

                                    Correct Answer: A  πŸ—³οΈ

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