Exam Name: FRCEM Primary Examination
Certification Provider: RCEM
Corresponding Certification: FRCEM Certification
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FRCEM Primary Examination: FRCEM Exam Premium File as PDF & Test Engine
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Last Updated: Oct 09, 2026
No. of Questions: 182 Questions & Answers with Testing Engine
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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Anatomy | - Upper limb - Thorax - Cranial nerve lesions - Abdomen - Head and Neck - Lower limb - Central Nervous System |
| Evidence-Based Medicine | - Principles of critical appraisal - Statistics - Study methodology |
| Microbiology | - Pathogen groups - Principles of microbiology |
| Physiology | - Basic cellular physiology - Gastrointestinal physiology - Respiratory physiology - Cardiovascular physiology - Endocrine physiology - Renal physiology |
| Pathology | - Wound healing - Immune responses - Infection - Inflammatory responses - Haematology |
| Pharmacology | - Gastrointestinal pharmacology - Immunological products and vaccines - Anaesthesia pharmacology - Respiratory system - Central nervous system - Fluids and electrolytes - Musculoskeletal system - Infections - Cardiovascular system - Endocrine system |
RCEM FRCEM Primary Examination Sample Questions:
A 77 year old woman is brought to the ED following a house fire Arterial blood gas confirms she has an increased carboxyhaemoglobin level What is the most likely effect on the oxygen dissociation curve?
- A. Bohr effect
- B. Hyperbolic curve
- C. Shift to the left
- D. Shift to the right
- E. No effect
Correct Answer: C 🗳️
A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?
- A. Goblet cells
- B. Mast cells
- C. Acinar cells
- D. Club cells
- E. Columnar epithelial cells
Correct Answer: E 🗳️
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. Gamma-aminobutyric acid
- B. Glutamate
- C. Dopamine
- D. Acetylcholine
- E. Serotonin
Correct Answer: A 🗳️
A patient presents with unilateral tongue swelling with no additional signs of allergic reaction She is on multiple cardiac medications Which drug is most likely to have caused these symptoms?
- A. Atenolol
- B. Lisinopril
- C. Bendroflumethiazide
- D. Aspirin
- E. Simvastatin
Correct Answer: B 🗳️
A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?
- A. Absence of sweating on the face
- B. Increased lacrimation
- C. Deviation of the eye inferolaterally
- D. Absent corneal reflex
- E. Constriction of the pupil
Correct Answer: C 🗳️
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