- Exam Code: FRCEM
- Exam Name: FRCEM Primary Examination
- Updated: Sep 11, 2026
- Q & A: 182 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 13% | - Central nervous system and analgesics - Principles of pharmacology - Antimicrobials and anti-infectives - Cardiovascular drugs - Respiratory drugs - Fluids, electrolytes and emergency drugs |
| Pathology | 5% | - Neoplasia and systemic pathology - Inflammation and immune response - Haematology and haemostasis - Cell injury and repair |
| Anatomy | 33% | - Thorax - Upper limb - Head, neck and central nervous system - Abdomen and pelvis - Lower limb |
| Physiology | 33% | - Cellular physiology - Respiratory system - Cardiovascular system - Renal and fluid balance - Endocrine and metabolic physiology - Gastrointestinal system |
| Evidence-Based Medicine | 6% | - Study design and methodology - Biostatistics and data interpretation - Critical appraisal and clinical guidelines |
| Microbiology | 9% | - Infection control and immunity - General microbiology principles - Bacterial, viral, fungal and parasitic pathogens |
An 80 year old man presents to the ED with clinical features suggestive of ischaemic bowel Which artery is most commonly occluded in this condition?
Correct Answer: D 🗳️
You are considering procedural sedation for a patient with vascular compromise due to a fracture They ate a meal two hours ago You are trying to remember the factors that affect gastric emptytng in healthy patients What factor will delay gastric emptying?
Correct Answer: D 🗳️
A patient presents with septic shock A venous blood gas shows a metabolic acidosis Following treatment with crystalloid infusion and antibiotics their HR and BP are normal A repeat venous gas shows a persistent metabolic acidosis with a normal anion gap Which mechanism best explains the results of the repeat blood gas?
Correct Answer: B 🗳️
A 45 year old woman requires procedural sedation for a dislocated shoulder She has recently eaten a fatty meal Which substance is most likely to be secreted when the food reaches the small intestine''
Correct Answer: E 🗳️
A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?
Correct Answer: C 🗳️
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