RCEM FRCEM Primary Examination : FRCEM

  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Oct 20, 2026
  • Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Evidence-Based Medicine- Principles of critical appraisal
- Study methodology
- Statistics
Topic 2: Pharmacology- Infections
- Cardiovascular system
- Gastrointestinal pharmacology
- Central nervous system
- Musculoskeletal system
- Immunological products and vaccines
- Endocrine system
- Respiratory system
- Anaesthesia pharmacology
- Fluids and electrolytes
Topic 3: Microbiology- Principles of microbiology
- Pathogen groups
Topic 4: Anatomy- Cranial nerve lesions
- Abdomen
- Central Nervous System
- Head and Neck
- Upper limb
- Thorax
- Lower limb
Topic 5: Pathology- Haematology
- Infection
- Inflammatory responses
- Immune responses
- Wound healing
Topic 6: Physiology- Basic cellular physiology
- Renal physiology
- Respiratory physiology
- Endocrine physiology
- Cardiovascular physiology
- Gastrointestinal physiology

RCEM FRCEM Primary Examination Sample Questions:

Question #1

A patient presents with a fracture to the mid-clavicle after a fall The medial part of the clavicle is displaced superiorly Which muscle is most likely to cause this displacement?

  • A. Sternocleidomastoid
  • B. Trapezius
  • C. Platysma
  • D. Scalenus anterior
  • E. Pectoralis major
Reveal Solution  Discussion  0

Correct Answer: E  🗳️

Question #2

A 27 year old woman presents with visual problems and has known optic neuritis. What is the most likely cause of the slowing of impulse conduction in her optic nerve?

  • A. Compression of the nerve
  • B. Axonal loss
  • C. Damage to presynaptic calcium channels.
  • D. Sodium channel blockade at nodes of Ranvier
  • E. Loss of saltatory conduction.
Reveal Solution  Discussion  0

Correct Answer: E  🗳️

Question #3

You are discussing the different muscles within the medial thigh and movements at the hip joint with a medical student. Which muscle within this compartment is most likely to be involved in hip extension?

  • A. Gracilis
  • B. Pectineus
  • C. Adductor magnus
  • D. Adductor brevis
  • E. Adductor longus
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Question #4

An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?

  • A. You do not need to contact DVLA
  • B. Inform the DVLA if any episodes of hypoglycaemia
  • C. Only inform the DVLA if disabling hypoglycaemia
  • D. Inform the DVLA if insulin treatment for >3 months
  • E. Inform the DVLA if insulin dependent
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #5

When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

  • A. Ileum
  • B. Stomach
  • C. Jejunum
  • D. Ascending colon
  • E. Duodenum
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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