RCEM FRCEM : FRCEM Primary Examination

Exam Code: FRCEM

Exam Name: FRCEM Primary Examination

Updated: Sep 08, 2026

Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    Question #1

                                    You are critically appraising a randomised controlled trial about the use of nebulised versus intravenous magnesium in acute asthma You are most interested in whether you can extrapolate the results to your setting and population The presence of which factor would most limit the generalisability/external validity of the results?

                                    • A. Poor randomisation strategy
                                    • B. Allocation bias
                                    • C. Selection bias
                                    • D. Absence of blinding
                                    • E. Confounders
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

                                    Question #2

                                    An 85 year old man complains of double vision on looking down. You note his right eye does not move when he looks down and medially.
                                    Impaired (unction of which nerve is most likely responsible?

                                    • A. Trigeminal
                                    • B. Trochlear
                                    • C. Vestibulocochlear
                                    • D. Abducens
                                    • E. Oculomotor
                                    Reveal Solution  Discussion  0

                                    Correct Answer: A  🗳️

                                    Question #3

                                    A 43 year old man with presents with an infective exacerbation of COPD Your consultant advises you to give IV hydrocortisone What best describes the mechanism of action of this treatment for this acute condition?

                                    • A. Adrenal suppression
                                    • B. Binding with glucocorticoid receptor
                                    • C. Activation of NF-kappa B
                                    • D. Inhibition of prostaglandin synthesis
                                    • E. Activation of phospholipid A2
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Question #4

                                    A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?

                                    • A. Right cerebellar
                                    • B. Left basal ganglia
                                    • C. Bilateral hemispheric
                                    • D. Right basal ganglia
                                    • E. Left cerebellar
                                    Reveal Solution  Discussion  0

                                    Correct Answer: E  🗳️

                                    Question #5

                                    A patient presents with acute cardiac failure and is prescribed a loop diuretic In which part of the nephron will the diuretic inhibit the sodium-potassium-chloride cotransporter?

                                    • A. Collecting duct
                                    • B. Thin ascending limb
                                    • C. Distal convoluted tubule
                                    • D. Thick ascending limb
                                    • E. Proximal tubule
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

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