- Exam Code: FRCEM
- Exam Name: FRCEM Primary Examination
- Updated: Oct 08, 2026
- Q & A: 182 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Evidence-Based Medicine | 6% | - Study design and methodology - Critical appraisal and clinical guidelines - Biostatistics and data interpretation |
| Topic 2: Microbiology | 9% | - Infection control and immunity - General microbiology principles - Bacterial, viral, fungal and parasitic pathogens |
| Topic 3: Pathology | 5% | - Cell injury and repair - Inflammation and immune response - Haematology and haemostasis - Neoplasia and systemic pathology |
| Topic 4: Physiology | 33% | - Cellular physiology - Renal and fluid balance - Respiratory system - Cardiovascular system - Endocrine and metabolic physiology - Gastrointestinal system |
| Topic 5: Anatomy | 33% | - Lower limb - Head, neck and central nervous system - Abdomen and pelvis - Thorax - Upper limb |
| Topic 6: Pharmacology | 13% | - Antimicrobials and anti-infectives - Principles of pharmacology - Fluids, electrolytes and emergency drugs - Respiratory drugs - Central nervous system and analgesics - Cardiovascular drugs |
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?
Correct Answer: E 🗳️
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?
Correct Answer: C 🗳️
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?
Correct Answer: A 🗳️
A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?
Correct Answer: A 🗳️
A patient presents with anaphylaxis requiring adrenaline She is markedly vasodilated Which substance is most likely to be responsible for this appearance?
Correct Answer: D 🗳️
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