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RCEM FRCEM Certification FRCEM

FRCEM

Exam Code: FRCEM

Exam Name: FRCEM Primary Examination

Updated: Oct 12, 2026

Q&A Number: 182 Q&As

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RCEM FRCEM Exam Syllabus Topics:

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

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    Question #1
                                    A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
                                    Which medication is the most likely cause of her jaundice?

                                    A. Paracetamol
                                    B. Thyroxine
                                    C. Phenytoin
                                    D. Co-amoxiclav
                                    E. Aspirin


                                    Question #2
                                    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. Carotid body receptors
                                    B. Beta 2 vascular receptors
                                    C. Atrial stretch receptors
                                    D. Baroreceptors
                                    E. Cardiac receptors


                                    Question #3
                                    A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
                                    What is the recommended absence period?

                                    A. Four days after the onset of rash
                                    B. Until fever has settled for 24 hours
                                    C. Until conjunctivitis and mucous membrane rash has resolved
                                    D. Seven days after the rash has disappeared
                                    E. Until the rash has disappeared


                                    Question #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. Blood
                                    B. Droplet
                                    C. Skin contact
                                    D. Airborne
                                    E. Faecal-oral


                                    Question #5
                                    A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?

                                    A. Salmonella typhii
                                    B. Shigella spp
                                    C. Klebsiella spp
                                    D. Mycoplasma pneumoniae
                                    E. Campylobacter jejuni


                                    Solutions:

                                    Question #1
                                    Correct Answer: D
                                    Question #2
                                    Correct Answer: D
                                    Question #3
                                    Correct Answer: D
                                    Question #4
                                    Correct Answer: B
                                    Question #5
                                    Correct Answer: E

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