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RCEM FRCEM : FRCEM Primary Examination

Exam Code: FRCEM

Exam Name: FRCEM Primary Examination

Updated: Sep 07, 2026

Q & A: 182 Questions and Answers

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RCEM FRCEM Exam Syllabus Topics:

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

RCEM FRCEM Primary Examination Sample Questions:

Question #1

A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?

  • A. Opposition of the thumb
  • B. Flexion of the proximal interphalangeal joints
  • C. Flexion of the distal interphalangeal joints
  • D. Flexion of the wrist
  • E. Abduction of the little finger
Answer: E
Question #2

A 23 year old presents with episodes of a painful left arm which becomes swollen and cyanosed after they have been kayaking Obstruction of which structure is most likely to cause these symptoms'?

  • A. Subclavian vein
  • B. Brachiocephalic trunk
  • C. Axillary vein
  • D. Subclavian artery
  • E. Brachiocephalic vein
Answer: D
Question #3

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. Pectoralis major
  • B. Scalenus anterior
  • C. Platysma
  • D. Trapezius
  • E. Sternocleidomastoid
Answer: A
Question #4

A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?

  • A. Thyroid stimulating
  • B. Follicle-stimulating
  • C. Luteinizing
  • D. Adrenocorticotropic
  • E. Prolactin
Answer: C
Question #5

An 85 year old man complains of double vision on looking down. You note his right eye does not move when he looks down and medially.
Impaired (unction of which nerve is most likely responsible?

  • A. Abducens
  • B. Trigeminal
  • C. Vestibulocochlear
  • D. Trochlear
  • E. Oculomotor
Answer: B

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