Download RCEM : FRCEM Questions & Answers as PDF & Test Software
Updated: Sep 12, 2026
No. of Questions: 182 Questions & Answers with Testing Engine
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RCEM FRCEM Exam Overview:
| Certification Vendor: | RCEM (Royal College of Emergency Medicine) |
|---|---|
| Exam Name: | RCEM MRCEM Primary Examination (Previously FRCEM Primary) |
| Exam Number: | MRCEM-PRIMARY |
| Certificate Validity Period: | 7 years from date of passing |
| Exam Format: | Computer-based, Single Best Answer (SBA) |
| Exam Price: | £429–£609 (varies by membership status and location) |
| Passing Score: | Variable (Angoff standard-setting method, no fixed percentage) |
| Exam Duration: | 180 minutes |
| Related Certifications: | MRCEM OSCE MRCEM Intermediate SBA FRCEM SBA FRCEM OSCE |
| Real Exam Qty: | 180 |
| Available Languages: | English |
| Recommended Training: | RCEM Basic Sciences Curriculum RCEM Exam Regulations & Information |
| Exam Registration: | RCEM Official Registration Portal |
| Sample Questions: | RCEM FRCEM Sample Questions |
| Exam Way: | Computer-based test at global Pearson VUE / Surpass Assessment centres |
| Pre Condition: | Hold a primary medical qualification (PMQ) accepted by the GMC; hold provisional or full medical registration |
| Official Syllabus URL: | https://rcem.ac.uk/mrcem-exams/ |
RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pathology | 5% | - Haematology and haemostasis - Inflammation and immune response - Cell injury and repair - Neoplasia and systemic pathology |
| Topic 2: Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Study design and methodology - Critical appraisal and clinical guidelines |
| Topic 3: Microbiology | 9% | - Infection control and immunity - General microbiology principles - Bacterial, viral, fungal and parasitic pathogens |
| Topic 4: Physiology | 33% | - Gastrointestinal system - Renal and fluid balance - Respiratory system - Cardiovascular system - Cellular physiology - Endocrine and metabolic physiology |
| Topic 5: Anatomy | 33% | - Lower limb - Abdomen and pelvis - Upper limb - Thorax - Head, neck and central nervous system |
| Topic 6: Pharmacology | 13% | - Antimicrobials and anti-infectives - Cardiovascular drugs - Respiratory drugs - Principles of pharmacology - Fluids, electrolytes and emergency drugs - Central nervous system and analgesics |
RCEM FRCEM Primary Examination Sample Questions:
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. Peak expiratory flow rate
- B. Vital capacity
- C. Forced expiratory volume
- D. Tidal volume
- E. Physiological dead space
Correct Answer: C 🗳️
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. Axillary vein
- B. Subclavian artery
- C. Subclavian vein
- D. Brachiocephalic trunk
- E. Brachiocephalic vein
Correct Answer: B 🗳️
A 75 year old man presents to the ED with burning epigastric abdominal pain You note that he has rheumatoid arthritis and is on diclofenac.
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?
- A. Combining diclofenac with omeprazole
- B. Eradication of Helicobacter pylori
- C. Use of enteric coated medication
- D. Starting misoprostol
- E. Change diclofenac to indomethacm
Correct Answer: E 🗳️
A 40 year old woman with history o! anorexia, presents with sudden onset of confusion, loss of balance and a wide based gait. Which medication is most likely to be prescribed in the early stages of her treatment?
- A. Cyanocobalamin
- B. Thiamine
- C. Glutathione
- D. Vitamin D
- E. Ascorbic acid
Correct Answer: B 🗳️
A 32 year old football player attends with a painful right knee after a tackle On examination she is unable to dorsiflex her foot Which nerve is most likely injured''
- A. Medial calcaneal
- B. Sural
- C. Tibial
- D. Common peroneal
- E. Pudendal
Correct Answer: D 🗳️
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