RCEM : FRCEM Questions & Answers
Updated: May 30, 2026
No. of Questions: 182 Questions & Answers with Testing Engine
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RCEM FRCEM Primary Examination Sample Questions:
1. A 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED Which drug is the most likely cause of this anaemia'?
A) Ketamine
B) Nitrous oxide
C) Heroin
D) Cannabis
E) Cocaine
2. A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?
A) Methanol
B) Hypoalbummaemia
C) Salicylates
D) Rhabdomyolysis
E) Diabetic ketoacidosis
3. A patient presents to the ED a few days after a significant head injury He is polyuric with hypernatremia and high plasma osmolality Which hormone is most likely to cause this picture?
A) Corticotropm-releasing
B) Somatostatin
C) Vasopressin
D) Adrenocorticotropic
E) Dopamine
4. A 50 year old man with HIV has not been taking his treatment and presents with severe headache and neck stiffness His current CD4+ count is 180/mmc (normal 500-1400/mmc) What is the most likely causative agent of his meningitis?
A) Sporothrix
B) Aspergillus
C) Malassezia
D) Cryptococcus
E) Candida
5. A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A
A) Femoral vein
B) Inguinal ligament
C) Psoas muscle
D) Femoral artery
E) Iliacus muscle
Solutions:
| Question # 1 Answer: E | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: D |
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