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FRCEM pdf
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Sep 13, 2026
  • Q & A: 182 Questions and Answers
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  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Sep 13, 2026
  • Q & A: 182 Questions and Answers
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  • 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
Pathology and Microbiology- Disease mechanisms and infection
  • 1. Viral infections
    • 2. Bacterial infections
      • 3. Inflammation and tissue injury
        Physiology- Core human physiology
        • 1. Cardiovascular physiology
          • 2. Renal physiology
            • 3. Endocrine physiology
              • 4. Respiratory physiology
                Pharmacology- Principles of drug action
                • 1. Pharmacokinetics
                  • 2. Emergency medications
                    • 3. Pharmacodynamics
                      Evidence-Based Medicine- Research methods and statistics
                      • 1. Sensitivity and specificity
                        • 2. Study design
                          • 3. Statistical interpretation
                            Anatomy- System-based anatomy relevant to emergency medicine
                            • 1. Neurological anatomy
                              • 2. Musculoskeletal anatomy
                                • 3. Cardiovascular anatomy
                                  • 4. Respiratory anatomy

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    Question #1

                                    A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
                                    Which muscle is most likely to have been injured?

                                    • A. Infraspinatus
                                    • B. Supraspinatus
                                    • C. Teres minor
                                    • D. Teres major
                                    • E. Subscapulars
                                    Reveal Solution  Discussion  0

                                    Correct Answer: E  🗳️

                                    Question #2

                                    A 56 year old man presenls with a rash in the supraclavicular fossa which is typical of herpes zoster Which dermatomal level best describes the area affected?

                                    • A. C3
                                    • B. C5
                                    • C. C2
                                    • D. C1
                                    • E. C4
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Question #3

                                    An 83 year old woman presents with acute dyspnoea and is diagnosed with cardiac failure She has a history of dysphagia and CT confirms oesophageal cancer.
                                    Compression of which chamber of the heart is most likely to have caused her cardiac failure? A Both ventricles

                                    • A. Left atrium
                                    • B. Left ventricle
                                    • C. Right atrium
                                    • D. Right ventricle
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Question #4

                                    A 21 year old woman is confirmed to have giardiasis
                                    Which characteristic of this specific parasite best explains its persistent intestinal attachment?

                                    • A. Intestinal mucosa penetration
                                    • B. Oral sucker
                                    • C. Sucking disc
                                    • D. Hooks
                                    • E. Vacule formation
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

                                    Question #5

                                    A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?

                                    • A. Sputum sample showing ziehl-nielsen stain negative bactena
                                    • B. Absence of a bacille calmette-guenn scar
                                    • C. Positive mantoux test
                                    • D. Chest x-ray showing a cavitating lesion
                                    • E. Chest x-ray showing lobar consolidation
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

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