Updated: Jul 28, 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 |
| Real Exam Qty: | 180 |
| Certificate Validity Period: | No expiry (part of FRCEM examination progression) |
| Available Languages: | English |
| Passing Score: | Standardised pass mark (typically scaled; approximate 70% equivalent) |
| Exam Price: | Varies (~£400–£500 GBP depending on exam cycle) |
| Related Certifications: | MRCEM FRCEM Intermediate SAQ FRCEM OSCE |
| Exam Format: | Single Best Answer (SBA), Multiple Choice Questions (MCQ), Computer-based exam |
| Exam Duration: | 180 minutes |
| 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 |
|---|---|
| Anatomy | - System-based anatomy relevant to emergency medicine
|
| Physiology | - Core human physiology
|
| Evidence-Based Medicine | - Research methods and statistics
|
| Pharmacology | - Principles of drug action
|
| Pathology and Microbiology | - Disease mechanisms and infection
|
1. A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?
A) Physiological dead space
B) Anatomical dead space
C) Inspiratory reserve
D) Expiratory reserve
E) Residual volume
2. A 63 year old patienl presents with symptoms of hemiplegia and sensory loss of the right side of face and extremities. Which artery is most likely to be involved?
A) Posterior cerebral
B) Middle cerebral
C) Vertebral
D) Anterior cerebral
E) Anterior communicating
3. 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 artery
B) Brachiocephalic trunk
C) Axillary vein
D) Subclavian vein
E) Brachiocephalic vein
4. 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) C4
B) C5
C) C2
D) C1
E) C3
5. You are treating a patient with left ventricular failure and decide to revise some cardiovascular physiology to help you understand the likely response to treatment Which statement best describes Starling's law in relation to cardiac output?
A) Increased force of contraction due to an increase in preload
B) Increased filling pressure leading to an increase in heart rate ID.
C) Increased heart rate due to an increase in sympathetic stimulation
D) Increased contractility leading to an increase in stroke volume
E) Increased afterload due to an increase in cardiac output
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: C |
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