RCEM FRCEM Exam : FRCEM Primary Examination

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Jul 25, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

RCEM FRCEM Primary Examination Sample Questions:

1. A 67 year old woman is being treated for haematemesis Within a few minutes of starting transfusion of packed red cells she reports dizziness, breathlessness, tingling of her lips and develops a maculopapular rash What type of hypersensitivity reaction is most likely to be occurring?

A) Type III
B) Type IV
C) Type I
D) Type II
E) Type V


2. A comatose patient has a respiratory rate of live breaths per minute following an overdose of heroin He receives naloxone and his respiratory rate rapidly improves to 16 breaths per minute Which component of arterial blood gas sampling is most likely to rapidly decrease following this intervention?

A) Pa02
B) HC03
C) pH
D) Base Excess
E) PaC02


3. A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?

A) Bartonella qumtana .
B) Theilena microti
C) Brucella abortus
D) Borrelia burgdorferi
E) Anaplasma phagocytophilum


4. A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?

A) Beta
B) Gamma
C) Exocrine
D) Alpha
E) Delta


5. A 33 year old man presents with epigastric pain
What best describes the function of the gastric chief cell'?

A) Secretes hydrochloric acid
B) Absorbs vitamin B1
C) Secretes pepsinogen
D) Secretes intrinsic factor
E) Absorbs vitamin B12


Solutions:

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

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