RCEM FRCEM actual dump : FRCEM Primary Examination

FRCEM
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Sep 11, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

RCEM FRCEM Primary Examination Sample Questions:

Question #1

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?

  • A. Left colic
  • B. Gastroduodenal
  • C. Inferior mesenteric
  • D. Superior mesenteric
  • E. Coeliac
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Question #2

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?

  • A. Release of gastrin
  • B. More liquids than solids in the stomach
  • C. Increased gastric distention
  • D. Decreased duodenal luminal pH
  • E. Low fat content of chyme
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Question #3

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?

  • A. Acute kidney injury due to reduced renal blood flow
  • B. Hyperchloraemic acidosis due to excessive infusion of normal saline
  • C. Capillary leak due to sepsis causing continued hypovolamia
  • D. Metabolic acidosis due to occult aspirin overdose
  • E. Lactic acidosis due to tissue hypoperfusion
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #4

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''

  • A. Gastrointestinal peptide
  • B. Secretin
  • C. Vasoactive intestinal peptide
  • D. Gastrin
  • E. Cholecystokmin
Reveal Solution  Discussion  0

Correct Answer: E  🗳️

Question #5

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?

  • A. Superomedial superficial
  • B. Superolateral superficial
  • C. Deep inguinal
  • D. Inferior superficial
  • E. External iliac
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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