RCEM FRCEM Primary Examination : FRCEM

FRCEM
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Aug 17, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

RCEM FRCEM Primary Examination Sample Questions:

1. A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?

A) Prolactin
B) Adrenocorticotropic
C) Follicle-stimulating
D) Luteinizing
E) Thyroid stimulating


2. A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A

A) Psoas muscle
B) Femoral artery
C) Femoral vein
D) Iliacus muscle
E) Inguinal ligament


3. A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?

A) Negative predictive value
B) Specificity
C) Likelihood ratio
D) Post-test probability
E) Sensitivity


4. An 83 year old woman presents with acute dyspnoea and is diagnosed with cardiac failure She has a history of dysphagia and CT confirms oesophageal cancer.
Compression of which chamber of the heart is most likely to have caused her cardiac failure? A Both ventricles

A) Right ventricle
B) Right atrium
C) Left atrium
D) Left ventricle


5. You intubate a patient in the resuscitation room After inducing anaesthesia you lie the patient supine. Which lung volume is most affected by this change in posture?

A) Inspiratory reserve volume
B) Tidal volume
C) Residual volume
D) Functional residual capacity
E) Inspiratory capacity


Solutions:

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

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