RCEM FRCEM actual dump : FRCEM Primary Examination

FRCEM
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Oct 08, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Evidence-Based Medicine6%- Study design and methodology
- Critical appraisal and clinical guidelines
- Biostatistics and data interpretation
Topic 2: Microbiology9%- Infection control and immunity
- General microbiology principles
- Bacterial, viral, fungal and parasitic pathogens
Topic 3: Pathology5%- Cell injury and repair
- Inflammation and immune response
- Haematology and haemostasis
- Neoplasia and systemic pathology
Topic 4: Physiology33%- Cellular physiology
- Renal and fluid balance
- Respiratory system
- Cardiovascular system
- Endocrine and metabolic physiology
- Gastrointestinal system
Topic 5: Anatomy33%- Lower limb
- Head, neck and central nervous system
- Abdomen and pelvis
- Thorax
- Upper limb
Topic 6: Pharmacology13%- Antimicrobials and anti-infectives
- Principles of pharmacology
- Fluids, electrolytes and emergency drugs
- Respiratory drugs
- Central nervous system and analgesics
- Cardiovascular drugs

RCEM FRCEM Primary Examination Sample Questions:

Question #1

A 60 year old woman presents lo the ED feeling generally unwell She is found to be uraemic She has missed several of her renal dialysis sessions.
Urea will most likely move through the dialysis membranes by which mechanism?

  • A. Facilitated diffusion
  • B. Co-transport
  • C. Active transport
  • D. Osmosis
  • E. Simple diffusion
Reveal Solution  Discussion  0

Correct Answer: E  🗳️

Question #2

A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?

  • A. Superomedial superficial
  • B. Superolateral superficial
  • C. Deep inguinal
  • D. Inferior superficial
  • E. External iliac
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Question #3

A 76 year old patient is found on examination to have an absent jaw jerk What cranial nerve nucleus is the1 most likely site of pathology?

  • A. Trigeminal
  • B. Abducens
  • C. Hypoglossal
  • D. Glossopharyngeal
  • E. Facial
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #4

A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?

  • A. Increased sympathetic supply to cutaneous vessels
  • B. Increased cutaneous blood pressure
  • C. Reduced blood velocity in cutaneous vessels
  • D. Cutaneous vasoconstriction
  • E. Reduced blood volume in cutaneous vessels
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #5

A patient presents with anaphylaxis requiring adrenaline She is markedly vasodilated Which substance is most likely to be responsible for this appearance?

  • A. Leukotrienes
  • B. Platelet activating factor.
  • C. Prostaglandin
  • D. Histamine
  • E. Tumour necrosis factor alpha
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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