Exam Name: FRCEM Primary Examination
Certification Provider: RCEM
Corresponding Certification: FRCEM Certification
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Check Updated on: Oct 09, 2026
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- Total Questions: 182
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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 13% | - Antimicrobials and anti-infectives - Central nervous system and analgesics - Respiratory drugs - Principles of pharmacology - Cardiovascular drugs - Fluids, electrolytes and emergency drugs |
| Anatomy | 33% | - Abdomen and pelvis - Lower limb - Head, neck and central nervous system - Upper limb - Thorax |
| Microbiology | 9% | - General microbiology principles - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens |
| Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Critical appraisal and clinical guidelines - Study design and methodology |
| Pathology | 5% | - Neoplasia and systemic pathology - Inflammation and immune response - Haematology and haemostasis - Cell injury and repair |
| Physiology | 33% | - Endocrine and metabolic physiology - Gastrointestinal system - Cellular physiology - Cardiovascular system - Renal and fluid balance - Respiratory system |
RCEM FRCEM Primary Examination Sample Questions:
A 50 year old man complains of pain and reduced movements of the shoulder joint after a fall. He is unable to initiate abduction of his arm Which muscle is most likely to be injured?
- A. Subscapulars
- B. Deltoid
- C. Trapezius
- D. Serratus anterior
- E. Supraspinatus
Correct Answer: E 🗳️
A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.
Which parameter is most likely to increase by a factor of 16 as a result?
- A. Pressure gradient
- B. Capacitance
- C. Resistance
- D. Elasticity
- E. Blood flow
Correct Answer: C 🗳️
A 35 year old man attends after a motorbike accident. He is complaining of abnormal vision and his right eye is slightly adducted when he looks straight ahead.
Which cranial nerve has suffered the most damage?
- A. Trigeminal
- B. Inferior division of oculomotor
- C. Superior division of oculomotor
- D. Trochlear
- E. Abducens
Correct Answer: E 🗳️
A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.
Which drug is most likely to be responsible?
- A. Mefenamic acid
- B. Diclofenac
- C. Naproxen
- D. Aspirin
- E. Ibuprofen
Correct Answer: A 🗳️
A 23 year old man presents to the ED after cutting his wrist with a kitchen knife There is a wound on the flexor aspect of the wrist and you are concerned about median nerve injury.
Which examination of motor function would best test for damage to this nerve?
- A. Pronation of the forearm
- B. Adduction of the fingers
- C. Extension of the wrist
- D. Opposition of the thumb
- E. Extension of finger metacarpophalangeal joints
Correct Answer: D 🗳️
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