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RCEM FRCEM Primary Examination : FRCEM

FRCEM

Exam Code: FRCEM

Exam Name: FRCEM Primary Examination

Updated: Aug 21, 2026

Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

RCEM FRCEM Primary Examination Sample Questions:

1. A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A) Meningococcal
B) Pertussis
C) Haemophilus influenzae B
D) Diptheria
E) Polio


2. You are teaching a medical student and are discussing how fluid compartment ratios can change in relation to age and gender You note that some population groups have proportionally higher total body water which increases the extracellular to intracellular fluid ratio What population group best demonstrates this?

A) Adult male
B) Elderly
C) Neonate
D) Adult female
E) Child


3. A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?

A) Adrenal medulla.
B) Zona fasciculata
C) Zona reticularis
D) Zona glomerulosa
E) Adrenal cortex


4. A 60 year old woman presents following blunt trauma to her abdomen A CT scan demonstrates herniation of small intestine into the chest At what site is the diaphragmatic injury most likely to have occurred1?

A) Central tendon
B) Xiphoid process
C) 11-12th ribs
D) Lumbar vertebrae
E) Costal cartilage of 7-10th ribs


5. A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.
Which drug is most likely to be responsible?

A) Diclofenac
B) Aspirin
C) Naproxen
D) Ibuprofen
E) Mefenamic acid


Solutions:

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

Related Certifications
FRCEM Certification
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