RCEM FRCEM Exam : FRCEM Primary Examination

FRCEM
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Jul 30, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Anatomy- Central Nervous System
- Abdomen
- Lower limb
- Thorax
- Head and Neck
- Cranial nerve lesions
- Upper limb
Topic 2: Evidence-Based Medicine- Statistics
- Study methodology
- Principles of critical appraisal
Topic 3: Physiology- Gastrointestinal physiology
- Renal physiology
- Basic cellular physiology
- Cardiovascular physiology
- Respiratory physiology
- Endocrine physiology
Topic 4: Pathology- Haematology
- Wound healing
- Inflammatory responses
- Infection
- Immune responses
Topic 5: Pharmacology- Central nervous system
- Respiratory system
- Cardiovascular system
- Endocrine system
- Musculoskeletal system
- Anaesthesia pharmacology
- Gastrointestinal pharmacology
- Fluids and electrolytes
- Infections
- Immunological products and vaccines
Topic 6: Microbiology- Principles of microbiology
- Pathogen groups

RCEM FRCEM Primary Examination Sample Questions:

1. A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?

A) Arterial occlusion
B) Oncotic pressure
C) Lymphatic obstruction
D) Capillary hydrostatic pressure
E) Venous obstruction


2. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

A) Jejunum
B) Ileum
C) Stomach
D) Ascending colon
E) Duodenum


3. A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?

A) Co-amoxiclav
B) Aspirin
C) Paracetamol
D) Phenytoin
E) Thyroxine


4. A patient presenting with acute onset neurological symptoms has a CT scan of their brain that shows an acute pontine haemorrhage What is the most likely clinical finding?

A) Reduced conscious level
B) Unilateral sensory disturbance
C) Hemianopia
D) Unilateral motor disturbance
E) Speech disturbance


5. A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?

A) False positive
B) False negative
C) Type 2 error
D) Type 1 error
E) Alternative hypothesis


Solutions:

Question # 1
Answer: B
Question # 2
Answer: C
Question # 3
Answer: A
Question # 4
Answer: A
Question # 5
Answer: C

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