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- Total Questions: 182
- Updated on: Oct 19, 2026
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- Total Questions: 182
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Skeptical before spending? Good instinct. Download the free demo of the FRCEM questions from ExamPrepAway — or leave your email and we will send it — and judge the RCEM FRCEM Primary Examination material with your own eyes before any money moves.
RCEM FRCEM Exam Overview:
| Certification Vendor: | Royal College of Emergency Medicine (RCEM) |
|---|---|
| Exam Name: | FRCEM Primary Examination |
| Exam Number: | FRCEM Primary |
| Real Exam Qty: | 180 |
| Exam Format: | Single Best Answer (SBA), Computer-based exam, Multiple Choice Questions (MCQ) |
| Exam Price: | Varies (~£400–£500 GBP depending on exam cycle) |
| Certificate Validity Period: | No expiry (part of FRCEM examination progression) |
| Exam Duration: | 180 minutes |
| Passing Score: | Standardised pass mark (typically scaled; approximate 70% equivalent) |
| Available Languages: | English |
| Related Certifications: | MRCEM FRCEM OSCE FRCEM Intermediate SAQ |
| Recommended Training: | RCEM Learning Platform BMJ OnExamination (FRCEM preparation) |
| Exam Registration: | RCEM Official Exams Page |
| Sample Questions: | DOWNLOAD DEMO |
| Exam Way: | Computer-based exam delivered at authorised test centres |
| Pre Condition: | Open entry exam; no mandatory prerequisite, but medical background strongly recommended |
| Official Syllabus URL: | https://rcem.ac.uk/exams-training/fellowship-exams/frcem/primary/ |
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: Anatomy | - System-based anatomy relevant to emergency medicine
|
| Topic 4: Physiology | - Core human physiology
|
| Topic 5: Pharmacology | - Principles of drug action
|
RCEM FRCEM Exam FAQ: Read This First
The RCEM FRCEM Primary Examination exam spans 5 domains, and they are not weighted equally. The top areas are Evidence-Based Medicine, Anatomy, Physiology. Budget your study hours to match those weights; the full domain list is in the outline section further up this page.
Yes. RCEM officially recommends these training options for the RCEM FRCEM Primary Examination exam:
Training builds the foundation — then measure it with the 182 practice questions for the FRCEM exam from ExamPrepAway to see how you perform when the clock is running.
The FRCEM exam is RCEM's official certification test, and passing it earns the Fellowship of the Royal College of Emergency Medicine (FRCEM) credential at the Professional level. In career terms, it is verified proof of skill — the kind that moves you up the shortlist when your company works with RCEM technologies, or when you apply to one that does. The same track also includes MRCEM, FRCEM Intermediate SAQ, FRCEM OSCE, so this exam can anchor a longer certification plan.
You pass the RCEM FRCEM Primary Examination exam at Standardised pass mark (typically scaled; approximate 70% equivalent), and each attempt costs Varies (~£400–£500 GBP depending on exam cycle) — fail, and that fee is due again in full for the retake. Treat mock exams as insurance: keep practicing with ExamPrepAway until your scores sit comfortably above Standardised pass mark (typically scaled; approximate 70% equivalent) twice in a row, then schedule the real FRCEM exam.
Please do. ExamPrepAway offers a free demo download for the RCEM FRCEM Primary Examination exam — grab it from the product page or leave your email and we will send it over. Purchases come with 365 days of free updates; after that year, extending the update service costs 50% of the original price in your member zone.
The RCEM FRCEM Primary Examination exam packs 180 questions into 180 minutes. That ratio leaves almost no room for stalling, so time management is a trained skill, not luck. Our suggestion: rehearse full-length timed sessions in the ExamPrepAway engine, learn to park a question and return later, and walk into the FRCEM exam with a pacing plan already rehearsed.
Open entry exam; no mandatory prerequisite, but medical background strongly recommended Since RCEM revises these rules from time to time, confirm the current prerequisites on the official exam page (https://rcem.ac.uk/exams-training/fellowship-exams/frcem/primary/) before booking your RCEM FRCEM Primary Examination exam.
Delivery is effectively instant: your FRCEM download link is emailed within one minute of payment, with no cap on how many computers you install it on. If the email has not shown up within 2 hours, check spam and contact our 7x24 support — we reply quickly and resend immediately. If you fail the RCEM FRCEM Primary Examination exam itself, the refund policy applies when you took the corresponding exam within 60 days of purchase: submit a scanned enrollment slip and the official Score Report PDF within 2 days after the exam, and the refund is processed within 7 days. Not covered: attempts within 3 days of purchase, exams never actually taken, free materials, and expired orders — and the candidate name must match the payer name. Prefer material over money? Exchange for two free exam products of equal value and keep the update service on your original purchase.
Use RCEM's official registration channels:
The exam is offered as Computer-based exam delivered at authorised test centres — choose the format that fits your situation when you schedule.
RCEM FRCEM Primary Examination Sample Questions:
An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?
- A. Cytotoxin
- B. Endotoxin
- C. Necrotoxin
- D. Haemotoxm
- E. Tetrodotoxm
Correct Answer: A 🗳️
You see a patient with steatorrhea, weight loss and abdominal pain You suspect they have exocrine pancreatic insufficiency The secretion of which substance is least likely to be affected by this condition?
- A. Amylase
- B. Phospholipase A2
- C. Protease
- D. Cholecystokinin
- E. Lipase
Correct Answer: B 🗳️
A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?
- A. Decreased vitamin D synthesis
- B. Increased parathyroid secretion
- C. Decreased renal excretion of phosphate
- D. Increased calcitonin secretion
- E. Decreased secretion of calcium from bone
Correct Answer: B 🗳️
A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring Which nerve are you most likely to need to block?
- A. Auricular branch of vagus
- B. Greater auricular
- C. Posterior auncular branch of facial
- D. Lesser occipital
- E. Auriculotemporal
Correct Answer: B 🗳️
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. Thick ascending limb
- B. Thin ascending limb
- C. Proximal tubule
- D. Distal convoluted tubule
- E. Collecting duct
Correct Answer: A 🗳️
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