RCEM FRCEM Q&A - in .pdf

  • FRCEM pdf
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Aug 28, 2026
  • Q & A: 182 Questions and Answers
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  • FRCEM Testing Engine
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
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  • Q & A: 182 Questions and Answers
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RCEM FRCEM Exam Syllabus Topics:

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

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    Question 1

                                    A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.
                                    Which drug is most likely to be responsible?

                                    A. Aspirin
                                    B. Ibuprofen
                                    C. Diclofenac
                                    D. Naproxen
                                    E. Mefenamic acid


                                    Question 2

                                    A 56 year old woman with hypothyroidism is found to have significant hypokalemia Which feature is most likely to be seen on her ECG?

                                    A. Prominent U waves
                                    B. Prolonged PR interval
                                    C. J waves
                                    D. Short QT interval
                                    E. Tall T waves


                                    Question 3

                                    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. Baroreceptors
                                    C. Carotid body receptors
                                    D. Beta 2 vascular receptors
                                    E. Cardiac receptors


                                    Question 4

                                    A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A

                                    A. Inguinal ligament
                                    B. Femoral artery
                                    C. Femoral vein
                                    D. Psoas muscle
                                    E. Iliacus muscle


                                    Question 5

                                    A 45 year old builder attends with an elbow injury An x-ray confirms fracture of the medial epicondyle On examination there is hyperextension of the metacarpophalangeal joint and flexion of the interphalangeal joint of ring and little fingers.
                                    Which nerve is most likely to be injured?

                                    A. Axillary
                                    B. Musculocutaneous
                                    C. Median
                                    D. 'I'M'
                                    E. Radial


                                    Solutions:

                                    Question 1
                                    Answer: E
                                    Question 2
                                    Answer: A
                                    Question 3
                                    Answer: B
                                    Question 4
                                    Answer: B
                                    Question 5
                                    Answer: D

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