RCEM FRCEM Primary Examination - FRCEM

RCEM FRCEM Actual PDF
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Aug 23, 2026
  • Q & A: 182 Questions and Answers
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RCEM FRCEM Exam Syllabus Topics:
SectionWeightObjectives
Topic 1: Microbiology9%- General microbiology principles
- Infection control and immunity
- Bacterial, viral, fungal and parasitic pathogens
Topic 2: Pharmacology13%- Cardiovascular drugs
- Fluids, electrolytes and emergency drugs
- Principles of pharmacology
- Central nervous system and analgesics
- Respiratory drugs
- Antimicrobials and anti-infectives
Topic 3: Physiology33%- Respiratory system
- Cellular physiology
- Renal and fluid balance
- Endocrine and metabolic physiology
- Cardiovascular system
- Gastrointestinal system
Topic 4: Pathology5%- Cell injury and repair
- Inflammation and immune response
- Haematology and haemostasis
- Neoplasia and systemic pathology
Topic 5: Anatomy33%- Abdomen and pelvis
- Lower limb
- Thorax
- Upper limb
- Head, neck and central nervous system
Topic 6: Evidence-Based Medicine6%- Study design and methodology
- Critical appraisal and clinical guidelines
- Biostatistics and data interpretation
RCEM FRCEM Primary Examination Sample Questions:

1. A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?

A) Specificity
B) Negative predictive value
C) Post-test probability
D) Likelihood ratio
E) Sensitivity


2. A 68 year old man with a history of Addison's disease presents having recently been diagnosed with a urinary tract infection He is hypotensive, tachycardic and clammy His biochemistry shows hyponatraemia and hyperkalemia.
Which hormone imbalance best explains his biochemical abnormalities?

A) Glucocorticoid deficiency
B) Adrenocorticotropic hormone excess
C) Beta lipotropin excess
D) Mineralocorticoid deficiency
E) Cortisol deficiency


3. A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?

A) Zona glomerulosa
B) Zona fasciculata
C) Adrenal medulla.
D) Adrenal cortex
E) Zona reticularis


4. A 48 year old man presents with a flare up of gout You recommend treatment with a non-steroidal anti-inflammatory drug (NSAID) He is concerned because his wife suffered a peptic ulcer associated with NSAID use Which medication would be your first choice NSAID to minimise his risk of gastrointestinal side effects?

A) Naproxen
B) Indomethacin
C) Diclofenac
D) Ibuprofen
E) Piroxicam


5. A 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?

A) Adrenal
B) Liver
C) Pancreas
D) Kidney
E) Ileum


Solutions:

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

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