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RCEM FRCEM Exam Overview:
| Certification Vendor: | Royal College of Emergency Medicine (RCEM) |
|---|---|
| Exam Name: | MRCEM Primary Examination |
| Exam Number: | MRCEM Primary |
| Related Certifications: | MRCEM OSCE MRCEM SBA |
| Real Exam Qty: | 180 |
| Exam Duration: | 180 minutes |
| Available Languages: | English |
| Exam Format: | Multiple choice questions (Single Best Answer) |
| Passing Score: | Determined by Angoff standard-setting method (varies each diet) |
| Sample Questions: | RCEM FRCEM Sample Questions |
| Exam Way: | Computer-based examination delivered via global test centres (e.g., Pearson VUE / Surpass) in English. |
| Pre Condition: | Hold a primary medical qualification accepted by the General Medical Council and current medical registration; eligibility criteria as per RCEM regulations. |
| Official Syllabus URL: | https://rcem.ac.uk/mrcem-exams/ |
RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Evidence-Based Medicine | - Study methodology - Principles of critical appraisal - Statistics |
| Microbiology | - Pathogen groups - Principles of microbiology |
| Pharmacology | - Fluids and electrolytes - Central nervous system - Respiratory system - Infections - Endocrine system - Immunological products and vaccines - Anaesthesia pharmacology - Cardiovascular system - Gastrointestinal pharmacology - Musculoskeletal system |
| Pathology | - Immune responses - Infection - Wound healing - Haematology - Inflammatory responses |
| Anatomy | - Abdomen - Head and Neck - Cranial nerve lesions - Upper limb - Central Nervous System - Thorax - Lower limb |
| Physiology | - Basic cellular physiology - Cardiovascular physiology - Renal physiology - Respiratory physiology - Gastrointestinal physiology - Endocrine physiology |
RCEM FRCEM Primary Examination Sample Questions:
A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?
- A. Absence of a bacille calmette-guenn scar
- B. Sputum sample showing ziehl-nielsen stain negative bactena
- C. Positive mantoux test
- D. Chest x-ray showing a cavitating lesion
- E. Chest x-ray showing lobar consolidation
Correct Answer: D 🗳️
A patient presents with acute cardiac failure and is prescribed a loop diuretic In which part of the nephron will the diuretic inhibit the sodium-potassium-chloride cotransporter?
- A. Proximal tubule
- B. Distal convoluted tubule
- C. Thin ascending limb
- D. Thick ascending limb
- E. Collecting duct
Correct Answer: D 🗳️
A 50 year old man presenls with a history of a productive cough and fever Chest x-ray shows right middle lobe consolidation Which is the most likely causative organism?
- A. Influenza virus
- B. Klebsiella pneumoniae
- C. Mycoplasma pneumoniae
- D. Streptococcus pneumoniae
- E. Pseudomonas aeruginosa
Correct Answer: D 🗳️
A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?
- A. Spironolactone
- B. Furosemtde
- C. Ramipnl
- D. Fluoxetine
- E. Prednisolone
Correct Answer: D 🗳️
A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?
- A. Atrial stretch receptors
- B. Baroreceptors
- C. Beta 2 vascular receptors
- D. Carotid body receptors
- E. Cardiac receptors
Correct Answer: B 🗳️
By Hilary
