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RCEM FRCEM Questions & Answers - in .pdf

FRCEM pdf
  • Total Q&A: 182
  • Update: Aug 13, 2026
  • Price: $59.99
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  • Vendor: RCEM
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
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RCEM FRCEM Q&A - Testing Engine

FRCEM Study Guide
  • Total Q&A: 182
  • Update: Aug 13, 2026
  • Price: $59.99
Testing Engine
  • Vendor: RCEM
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
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RCEM FRCEM Exam Overview:

Certification Vendor:Royal College of Emergency Medicine (RCEM)
Exam Name:FRCEM Primary Examination
Exam Number:FRCEM Primary
Exam Price:Varies (~£400–£500 GBP depending on exam cycle)
Certificate Validity Period:No expiry (part of FRCEM examination progression)
Real Exam Qty:180
Exam Format:Single Best Answer (SBA), Multiple Choice Questions (MCQ), Computer-based exam
Passing Score:Standardised pass mark (typically scaled; approximate 70% equivalent)
Related Certifications:MRCEM
FRCEM Intermediate SAQ
FRCEM OSCE
Exam Duration:180 minutes
Available Languages:English
Recommended Training:BMJ OnExamination (FRCEM preparation)
RCEM Learning Platform
Exam Registration:RCEM Official Exams Page
Sample Questions:RCEM FRCEM Sample Questions
Exam Way:Computer-based exam delivered at authorised test centres
Pre Condition:Open entry exam; no mandatory prerequisite, but medical background strongly recommended
Official Syllabus URL:https://rcem.ac.uk/exams-training/fellowship-exams/frcem/primary/

RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Pathology and Microbiology- Disease mechanisms and infection
  • 1. Bacterial infections
    • 2. Inflammation and tissue injury
      • 3. Viral infections
        Topic 2: Pharmacology- Principles of drug action
        • 1. Emergency medications
          • 2. Pharmacodynamics
            • 3. Pharmacokinetics
              Topic 3: Anatomy- System-based anatomy relevant to emergency medicine
              • 1. Neurological anatomy
                • 2. Cardiovascular anatomy
                  • 3. Musculoskeletal anatomy
                    • 4. Respiratory anatomy
                      Topic 4: Physiology- Core human physiology
                      • 1. Respiratory physiology
                        • 2. Endocrine physiology
                          • 3. Cardiovascular physiology
                            • 4. Renal physiology
                              Topic 5: Evidence-Based Medicine- Research methods and statistics
                              • 1. Sensitivity and specificity
                                • 2. Study design
                                  • 3. Statistical interpretation

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    1. You have designed a randomised control trial and need to make a calculation as to the sample size required such that we do not reject the null hypothesis when it is false Which component of the sample size calculation is most likely to avoid this error'?

                                    A) Significance level
                                    B) Standardised difference
                                    C) Smallest effect of interest
                                    D) Power
                                    E) Variability


                                    2. A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?

                                    A) Left ventricular contractility
                                    B) Right ventricular afterload
                                    C) Pulmonary arterial blood flow
                                    D) Pulmonary venous resistance
                                    E) Right atrial pressure


                                    3. A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?

                                    A) Inhibition of oestrogen receptors
                                    B) Alteration of intestinal flora
                                    C) Increased renal clearance of the contraceptive pill
                                    D) Interference with protein binding of the contraceptive pill
                                    E) Liver enzyme induction


                                    4. A young man arrives by ambulance having dislocated his patella playing football. Rehabilitation should focus on which muscle to reduce chances of recurrent dislocation?

                                    A) Adductor magnus
                                    B) Sartonus
                                    C) Vastus mediahs
                                    D) Vastus lateralis
                                    E) Gracilis


                                    5. A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?

                                    A) Influenza
                                    B) Clostridium tetani
                                    C) Neisseria meningitidis
                                    D) Parainfluenza
                                    E) Herpes zoster


                                    Solutions:

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

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