RCEM FRCEM Primary Examination : FRCEM exam

FRCEM
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Aug 04, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Pharmacology- Respiratory system
- Immunological products and vaccines
- Musculoskeletal system
- Endocrine system
- Anaesthesia pharmacology
- Fluids and electrolytes
- Central nervous system
- Cardiovascular system
- Gastrointestinal pharmacology
- Infections
Topic 2: Evidence-Based Medicine- Statistics
- Study methodology
- Principles of critical appraisal
Topic 3: Anatomy- Lower limb
- Thorax
- Upper limb
- Abdomen
- Central Nervous System
- Cranial nerve lesions
- Head and Neck
Topic 4: Microbiology- Pathogen groups
- Principles of microbiology
Topic 5: Pathology- Infection
- Immune responses
- Wound healing
- Inflammatory responses
- Haematology
Topic 6: Physiology- Renal physiology
- Gastrointestinal physiology
- Endocrine physiology
- Basic cellular physiology
- Cardiovascular physiology
- Respiratory physiology

RCEM FRCEM Primary Examination Sample Questions:

1. A 20 year old woman has an incised wound over the angle of her jaw and you suspect damage to a branch of the facial nerve What action are you most likely to test to confirm your suspicion?

A) Protrude lower lip
B) Stick tongue out
C) Mandibular elevation
D) Mandibular retraction
E) Pull corner of lips out and down


2. A 21 year old man with a history of epilepsy presents following a generalised seizure A deformity in his left shoulder was noted and an x-ray confirms a dislocation You plan to reduce the dislocation using midazolam for procedural sedation Sedation will occur as a result of mediation of which neurotransmitter?

A) Glutamate
B) Serotonin
C) Dopamine
D) Gamma-aminobutyric acid
E) Acetylcholine


3. A 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?

A) Liver
B) Adrenal
C) Ileum
D) Pancreas
E) Kidney


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 vein
B) Subclavian artery
C) Thoracic duct
D) Pleura
E) Oesophagus


5. A 17 year old girl presents with a maculopapular rash She has a seven day history of fever and sore throat and was prescribed an antibiotic three days ago Which antibiotic is most likely to have been prescribed?

A) Amoxicillin
B) Cephalexin
C) Clarithromycin
D) Phenoxymethylpemcillin
E) Ciprofloxacin


Solutions:

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

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