Updated: Aug 26, 2026
No. of Questions: 182 Questions & Answers with Testing Engine
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| Certification Vendor: | Royal College of Emergency Medicine (RCEM) |
|---|---|
| Exam Name: | FRCEM Primary Examination |
| Exam Number: | FRCEM Primary |
| Exam Format: | Single Best Answer (SBA), Computer-based exam, Multiple Choice Questions (MCQ) |
| Certificate Validity Period: | No expiry (part of FRCEM examination progression) |
| Passing Score: | Standardised pass mark (typically scaled; approximate 70% equivalent) |
| Exam Price: | Varies (~£400–£500 GBP depending on exam cycle) |
| Exam Duration: | 180 minutes |
| Available Languages: | English |
| Related Certifications: | FRCEM OSCE FRCEM Intermediate SAQ MRCEM |
| Real Exam Qty: | 180 |
| Recommended Training: | RCEM Learning Platform BMJ OnExamination (FRCEM preparation) |
| Exam Registration: | RCEM Official Exams Page |
| Sample Questions: | RCEM FRCEM Sample Questions |
| Exam Way: | Computer-based exam delivered at authorised test centres |
| Pre Condition: | Open entry exam; no mandatory prerequisite, but medical background strongly recommended |
| Official Syllabus URL: | https://rcem.ac.uk/exams-training/fellowship-exams/frcem/primary/ |
| Section | Objectives |
|---|---|
| Topic 1: Pharmacology | - Principles of drug action
|
| Topic 2: Physiology | - Core human physiology
|
| Topic 3: Anatomy | - System-based anatomy relevant to emergency medicine
|
| Topic 4: Pathology and Microbiology | - Disease mechanisms and infection
|
| Topic 5: Evidence-Based Medicine | - Research methods and statistics
|
Question 1
You review a paper where patients were recruited through a response to an invitation from a heart foundation charity.
What term best describes this sample?
A. Systematic
B. Cluster
C. Simple random
D. Self-selected
E. Stratified
Question 2
You see a patient with steatorrhea, weight loss and abdominal pain You suspect they have exocrine pancreatic insufficiency The secretion of which substance is least likely to be affected by this condition?
A. Phospholipase A2
B. Lipase
C. Amylase
D. Cholecystokinin
E. Protease
Question 3
An 87 year old man is brought to the ED from his nursing home with loose stools and abdominal pain. You suspect Clostridium difficile infection because he had a recent course of antibiotics for pneumonia.
What measure is most likely to reduce the spread of infection to other patients?
A. Use of alcohol hand gel
B. Wearing gloves and aprons for patient contact
C. Hand washing with soap and water
D. Isolation of the patient in a side room
E. Treatment with metronidazole
Question 4
You are discussing physiology of the body compartments and distribution of body water while teaching nurse practitioners.
Which extracellular fluid compartment is most likely to contain the most water?
A. Dense connective tissue
B. Transcellular
C. Plasma
D. Interstitial fluid
E. Bone
Question 5
A 60 year old man with alcoholic liver cirrhosis and portal hypertension is brought to the ED because he has been vomiting blood Which vein is the most likely origin of his haematemesis?
A. Left gastric
B. Periumbilical
C. Inferior mesenteric
D. Superior vena cava
E. Azygos
Solutions:
| Question 1 Answer: D | Question 2 Answer: A | Question 3 Answer: C | Question 4 Answer: D | Question 5 Answer: A |
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