- Exam Code: FRCEM
- Exam Name: FRCEM Primary Examination
- Certification Provider: RCEM
- Corresponding Certification: FRCEM Certification
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Updated: Sep 07, 2026
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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Study design and methodology - Critical appraisal and clinical guidelines |
| Topic 2: Microbiology | 9% | - Bacterial, viral, fungal and parasitic pathogens - General microbiology principles - Infection control and immunity |
| Topic 3: Pharmacology | 13% | - Central nervous system and analgesics - Fluids, electrolytes and emergency drugs - Respiratory drugs - Principles of pharmacology - Cardiovascular drugs - Antimicrobials and anti-infectives |
| Topic 4: Physiology | 33% | - Cellular physiology - Endocrine and metabolic physiology - Gastrointestinal system - Cardiovascular system - Respiratory system - Renal and fluid balance |
| Topic 5: Anatomy | 33% | - Head, neck and central nervous system - Abdomen and pelvis - Lower limb - Upper limb - Thorax |
| Topic 6: Pathology | 5% | - Inflammation and immune response - Neoplasia and systemic pathology - Haematology and haemostasis - Cell injury and repair |
RCEM FRCEM Primary Examination Sample Questions:
A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?
- A. Right ventricular afterload
- B. Left ventricular contractility
- C. Pulmonary venous resistance
- D. Right atrial pressure
- E. Pulmonary arterial blood flow
A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?
- A. Residual volume
- B. Inspiratory reserve
- C. Physiological dead space
- D. Anatomical dead space
- E. Expiratory reserve
A 32 year old football player attends with a painful right knee after a tackle On examination she is unable to dorsiflex her foot Which nerve is most likely injured''
- A. Common peroneal
- B. Pudendal
- C. Medial calcaneal
- D. Tibial
- E. Sural
You are prescribing gentamicin for a patienl. Her serum creatinine level is raised Which property of creatinine best explains why it is used as a marker of glomerular filtration rate?
- A. Active secretion by the peritubular capillaries
- B. Estimation of the 24 hour excretion rate
- C. Free filtration by the glomerulus
- D. Steady state concentration existence in the blood
- E. Indicative of body muscle mass IE.
An 80 year old woman presents to the ED with diarrhoea and vomiting. She is clinically dehydrated The physiological response to this involves release of antidiuretic hormone Where is this hormone most likely to be released from?
- A. Anterior pituitary
- B. Hypothalamus
- C. Adrenal medulla
- D. Adrenal cortex
- E. Posterior pituitary
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