RCEM : FRCEM Questions & Answers
Updated: Aug 28, 2026
No. of Questions: 182 Questions & Answers with Testing Engine
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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Pathology and Microbiology | - Disease mechanisms and infection
|
| Topic 2: Evidence-Based Medicine | - Research methods and statistics
|
| Topic 3: Physiology | - Core human physiology
|
| Topic 4: Pharmacology | - Principles of drug action
|
| Topic 5: Anatomy | - System-based anatomy relevant to emergency medicine
|
RCEM FRCEM Primary Examination Sample Questions:
Question 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
Question 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
Question 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
Question 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
Question 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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