Learn with RCEM : FRCEM training material for 100% pass
Updated: Aug 07, 2026
No. of Questions: 182 Questions & Answers with Testing Engine
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RCEM FRCEM Exam Overview:
| Certification Vendor: | RCEM (Royal College of Emergency Medicine) |
| Exam Name: | RCEM MRCEM Primary Examination (Previously FRCEM Primary) |
| Exam Number: | MRCEM-PRIMARY |
| Exam Format: | Single Best Answer (SBA), Computer-based |
| Exam Duration: | 180 minutes |
| Real Exam Qty: | 180 |
| Certificate Validity Period: | 7 years from date of passing |
| Available Languages: | English |
| Passing Score: | Variable (Angoff standard-setting method, no fixed percentage) |
| Exam Price: | £429–£609 (varies by membership status and location) |
| Related Certifications: | MRCEM Intermediate SBA MRCEM OSCE FRCEM SBA FRCEM OSCE |
| Recommended Training: | RCEM Exam Regulations & Information RCEM Basic Sciences Curriculum |
| Exam Registration: | RCEM Official Registration Portal |
| Sample Questions: | RCEM FRCEM Sample Questions |
| Exam Way: | Computer-based test at global Pearson VUE / Surpass Assessment centres |
| Pre Condition: | Hold a primary medical qualification (PMQ) accepted by the GMC; hold provisional or full medical registration |
| Official Syllabus URL: | https://rcem.ac.uk/mrcem-exams/ |
RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 13% | - Central nervous system and analgesics - Antimicrobials and anti-infectives - Fluids, electrolytes and emergency drugs - Cardiovascular drugs - Respiratory drugs - Principles of pharmacology |
| Topic 2: Physiology | 33% | - Cardiovascular system - Respiratory system - Gastrointestinal system - Cellular physiology - Renal and fluid balance - Endocrine and metabolic physiology |
| Topic 3: Microbiology | 9% | - General microbiology principles - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens |
| Topic 4: Anatomy | 33% | - Thorax - Lower limb - Abdomen and pelvis - Head, neck and central nervous system - Upper limb |
| Topic 5: Evidence-Based Medicine | 6% | - Study design and methodology - Biostatistics and data interpretation - Critical appraisal and clinical guidelines |
| Topic 6: Pathology | 5% | - Inflammation and immune response - Cell injury and repair - Neoplasia and systemic pathology - Haematology and haemostasis |
RCEM FRCEM Primary Examination Sample Questions:
1. A 43 year old woman has fallen from a horse and has paralysis of the legs She has full movement at the shoulder and wrist but is unable to flex or abduct/adduct her fingers What is the most likely vertebral level of the spinal injury1?
A) C5/C6
B) C7/T1
C) C4/C5
D) C6/C7
E) T1/T2
2. You are teaching a medical student and are discussing how fluid compartment ratios can change in relation to age and gender You note that some population groups have proportionally higher total body water which increases the extracellular to intracellular fluid ratio What population group best demonstrates this?
A) Child
B) Adult male
C) Elderly
D) Neonate
E) Adult female
3. A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.
Which drug is most likely to be responsible?
A) Aspirin
B) Diclofenac
C) Mefenamic acid
D) Naproxen
E) Ibuprofen
4. 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) Trapezius
B) Scalenus anterior
C) Platysma
D) Pectoralis major
E) Sternocleidomastoid
5. A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?
A) Raised mean corpuscular haemoglobin
B) High red cell distribution width
C) Low haemoglobin
D) Low white blood cell count
E) Raised mean corpuscular volume
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: E | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: E |
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