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Instant Download RCEM : FRCEM Questions & Answers as PDF & Test Engine

FRCEM
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Oct 20, 2026
  • No. of Questions: 182 Questions and Answers
  • Download Limit: Unlimited
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Some candidates buy twice because the first version went stale. Lead2Passed prevents that: your FRCEM purchase includes 365 days of free updates, so the latest RCEM FRCEM Primary Examination content is always a download away in 2026.

RCEM FRCEM Exam Overview:

Certification Vendor:Royal College of Emergency Medicine (RCEM)
Exam Name:FRCEM Primary Examination
Exam Number:FRCEM Primary
Real Exam Qty:180
Related Certifications:FRCEM Intermediate SAQ
FRCEM OSCE
MRCEM
Passing Score:Standardised pass mark (typically scaled; approximate 70% equivalent)
Certificate Validity Period:No expiry (part of FRCEM examination progression)
Exam Duration:180 minutes
Exam Format:Computer-based exam, Multiple Choice Questions (MCQ), Single Best Answer (SBA)
Available Languages:English
Exam Price:Varies (~£400–£500 GBP depending on exam cycle)
Recommended Training:BMJ OnExamination (FRCEM preparation)
RCEM Learning Platform
Exam Registration:RCEM Official Exams Page
Sample Questions: DOWNLOAD DEMO
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/

RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Pharmacology- Principles of drug action
  • 1. Emergency medications
    • 2. Pharmacodynamics
      • 3. Pharmacokinetics
        Physiology- Core human physiology
        • 1. Cardiovascular physiology
          • 2. Respiratory physiology
            • 3. Renal physiology
              • 4. Endocrine physiology
                Pathology and Microbiology- Disease mechanisms and infection
                • 1. Bacterial infections
                  • 2. Inflammation and tissue injury
                    • 3. Viral infections
                      Anatomy- System-based anatomy relevant to emergency medicine
                      • 1. Cardiovascular anatomy
                        • 2. Neurological anatomy
                          • 3. Musculoskeletal anatomy
                            • 4. Respiratory anatomy
                              Evidence-Based Medicine- Research methods and statistics
                              • 1. Study design
                                • 2. Sensitivity and specificity
                                  • 3. Statistical interpretation

                                    The FRCEM Exam and Our Services, Question by Question

                                    RCEM recommends the following official training resources:

                                    Choose the format that fits your schedule, then reinforce it with regular question practice.

                                    The latest exam information lists 180 questions for the FRCEM exam, to be completed within 180 minutes minutes. Knowing the format cold is half the battle — timed practice handles the other half.

                                    These are the core domains of the RCEM FRCEM Primary Examination blueprint:

                                    • Evidence-Based Medicine
                                    • Physiology
                                    • Pharmacology

                                    The remaining domains appear in the full official outline, all of which our bank addresses.

                                    RCEM sets the following prerequisites for the RCEM FRCEM Primary Examination: Open entry exam; no mandatory prerequisite, but medical background strongly recommended.

                                    Check the current requirements on the official certification page before scheduling.

                                    Validity is maintained, not assumed. Our dedicated IT team checks the system and pushes new versions to the site continuously, so the FRCEM bank on sale is always the latest — with expert-verified answers across the RCEM FRCEM Primary Examination objectives. You can also pick the format that fits your devices: an easy-to-read PDF, a Windows PC test engine, or a browser-based online engine for Windows, Mac, Android, and iOS. Questions? Support replies to instant messages and emails within two hours.

                                    Upon successful payment, the complete materials are available immediately: a download link on screen and an automatic email to your mailbox within about a minute. If nothing arrives within two hours, check spam and contact support. Every purchase carries a 365-day service warranty — you can download the latest valid version free whenever it is released, no matter when you bought — and a 50% renewal discount follows when the period ends.

                                    Use the official registration channels below:

                                    Pick a center or online appointment that suits your timeline, and book early for the best selection of dates.

                                    Yes, we keep our promises — in writing. If you fail the corresponding exam within 60 days of purchase, email us a scanned copy of your enrollment slip and your official Score Report PDF within two days of the exam date; we process verified refunds in full within seven days. The exclusions are plain: exams taken within three days of purchase, candidate names that do not match the payer, and free or expired products. If you prefer, we will exchange your product for two others of equal value at no charge.

                                    As of the latest information, the FRCEM exam's passing score is Standardised pass mark (typically scaled; approximate 70% equivalent) and the registration fee is Varies (~£400–£500 GBP depending on exam cycle). RCEM can adjust either figure, so verify both on the official site before you book.

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    A 33 year old man presents with epigastric pain
                                    What best describes the function of the gastric chief cell'?

                                    • A. Secretes pepsinogen
                                    • B. Absorbs vitamin B1
                                    • C. Secretes intrinsic factor
                                    • D. Absorbs vitamin B12
                                    • E. Secretes hydrochloric acid
                                    Reveal Solution  Discussion  0

                                    Correct Answer: A  🗳️

                                    A 56 year old man presents with a spiral fracture of the humerus and wrist drop Which structure is most likely to be damaged?

                                    • A. Axillary artery
                                    • B. Ulnar nerve
                                    • C. Brachial artery
                                    • D. Musculocutaneous nerve
                                    • E. Radial nerve
                                    Reveal Solution  Discussion  0

                                    Correct Answer: E  🗳️

                                    An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?

                                    • A. Cytotoxin
                                    • B. Haemotoxm
                                    • C. Necrotoxin
                                    • D. Tetrodotoxm
                                    • E. Endotoxin
                                    Reveal Solution  Discussion  0

                                    Correct Answer: A  🗳️

                                    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 wrist
                                    • C. Flexion of the distal interphalangeal joints
                                    • D. Abduction of the little finger
                                    • E. Flexion of the proximal interphalangeal joints
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

                                    A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

                                    • A. Increased FVC
                                    • B. Increased inspiratory capacity
                                    • C. Increased total lung capacity
                                    • D. Increased FEV,/FVC ratio
                                    • E. Increased vital capacity
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

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