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RCEM FRCEM real answers - FRCEM Primary Examination

FRCEM
  • Exam Code: FRCEM
  • Exam Name: FRCEM Primary Examination
  • Updated: Jul 29, 2026
  • Q & A: 182 Questions and Answers
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RCEM FRCEM Exam Syllabus Topics:

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

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    1. A ten day old baby is brought in with purulent conjunctivitis. The gram stain of the purulent exudate did not show any organisms. Which bacteria is the most likely cause?

                                    A) Escherichia coli
                                    B) Chlamydia trachomatis
                                    C) Neisseria gonorrhoeae
                                    D) Listeria monocytogenes
                                    E) Streptococcus pneumoniae


                                    2. A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero Which organism is most likely to cause this clinical presentation?

                                    A) Cytomegalovirus
                                    B) Treponema pallidum
                                    C) Toxoplasma gondii
                                    D) Group B streptococcus
                                    E) Rubella


                                    3. A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
                                    Which statistic are you most likely to use in your explanation?

                                    A) Post-test probability
                                    B) Likelihood ratio
                                    C) Negative predictive value
                                    D) Specificity
                                    E) Sensitivity


                                    4. A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?

                                    A) False negative
                                    B) Alternative hypothesis
                                    C) False positive
                                    D) Type 1 error
                                    E) Type 2 error


                                    5. A 32 year old man presents with suspected acute appendicitis A medical student asks you what the commonest anatomical position of the appendix is What is the most likely position?

                                    A) Postileal
                                    B) Preileal
                                    C) Subileal
                                    D) Paracaecal
                                    E) Retrocaecal


                                    Solutions:

                                    Question # 1
                                    Answer: B
                                    Question # 2
                                    Answer: E
                                    Question # 3
                                    Answer: B
                                    Question # 4
                                    Answer: E
                                    Question # 5
                                    Answer: E

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