RCEM FRCEM Primary Examination : FRCEM

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Jul 26, 2026     Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

RCEM FRCEM Primary Examination Sample Questions:

1. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) Increased viscosity
B) Decreased viscosity
C) High blood volume
D) Laminar flow
E) Turbulent flow


2. A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?

A) Atrial stretch receptors
B) Carotid body receptors
C) Cardiac receptors
D) Baroreceptors
E) Beta 2 vascular receptors


3. A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?

A) Medulla
B) Calyx
C) Pelvis
D) Capsule
E) Cortex


4. A patient presents with a fracture to the mid-clavicle after a fall The medial part of the clavicle is displaced superiorly Which muscle is most likely to cause this displacement?

A) Platysma
B) Trapezius
C) Pectoralis major
D) Sternocleidomastoid
E) Scalenus anterior


5. A 50 year old man with HIV has not been taking his treatment and presents with severe headache and neck stiffness His current CD4+ count is 180/mmc (normal 500-1400/mmc) What is the most likely causative agent of his meningitis?

A) Sporothrix
B) Malassezia
C) Cryptococcus
D) Candida
E) Aspergillus


Solutions:

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

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