Exam Name: FRCEM Primary Examination
Certification Provider: RCEM
Corresponding Certification: FRCEM Certification
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Updated: Jul 29, 2026
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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Anatomy | 33% | - Abdomen and pelvis - Upper limb - Head, neck and central nervous system - Lower limb - Thorax |
| Evidence-Based Medicine | 6% | - Study design and methodology - Critical appraisal and clinical guidelines - Biostatistics and data interpretation |
| Pharmacology | 13% | - Principles of pharmacology - Cardiovascular drugs - Fluids, electrolytes and emergency drugs - Respiratory drugs - Central nervous system and analgesics - Antimicrobials and anti-infectives |
| Microbiology | 9% | - Bacterial, viral, fungal and parasitic pathogens - Infection control and immunity - General microbiology principles |
| Pathology | 5% | - Inflammation and immune response - Neoplasia and systemic pathology - Cell injury and repair - Haematology and haemostasis |
| Physiology | 33% | - Cellular physiology - Respiratory system - Endocrine and metabolic physiology - Cardiovascular system - Gastrointestinal system - Renal and fluid balance |
RCEM FRCEM Primary Examination Sample Questions:
1. A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.
Which parameter is most likely to increase by a factor of 16 as a result?
A) Resistance
B) Elasticity
C) Blood flow
D) Pressure gradient
E) Capacitance
2. A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance Which type of blood vessels are most likely implicated in causing her hypotension?
A) Capillaries
B) Arteries
C) Veins
D) Arterioles
E) Venules
3. A 40 year old woman with history o! anorexia, presents with sudden onset of confusion, loss of balance and a wide based gait. Which medication is most likely to be prescribed in the early stages of her treatment?
A) Thiamine
B) Ascorbic acid
C) Glutathione
D) Vitamin D
E) Cyanocobalamin
4. A five year old girl presents with a fever, a non-blanching rash and drowsiness. You suspect meningococcal infection What is most likely mode of spread for this infection?
A) Airborne
B) Blood
C) Skin contact
D) Faecal-oral
E) Droplet
5. A nine month old child is brought to the ED with a (ever and rash The child's mother states that all of her immunisations are up to date What is the most likely cause of this infectious illness?
A) Pneumococcus
B) Rubella
C) Haemophilus influenzae b
D) Pertussis
E) Diphtheria
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: E | Question # 5 Answer: B |
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