Some candidates read on a tablet; others prefer drilling in a simulator. ValidVCE's RCEM FRCEM Primary Examination package comes as a printable PDF, a Windows desktop test engine, and a browser-based online engine, so the 182 practice questions for the FRCEM exam fit the way you actually study.
RCEM FRCEM Exam Overview:
| Certification Vendor: | Royal College of Emergency Medicine (RCEM) |
|---|---|
| Exam Name: | MRCEM Primary Examination |
| Exam Number: | MRCEM Primary |
| Available Languages: | English |
| Passing Score: | Determined by Angoff standard-setting method (varies each diet) |
| Real Exam Qty: | 180 |
| Related Certifications: | MRCEM OSCE MRCEM SBA |
| Exam Duration: | 180 minutes |
| Exam Format: | Multiple choice questions (Single Best Answer) |
| 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 |
|---|---|
| Pharmacology | - Central nervous system - Endocrine system - Immunological products and vaccines - Musculoskeletal system - Anaesthesia pharmacology - Gastrointestinal pharmacology - Fluids and electrolytes - Respiratory system - Cardiovascular system - Infections |
| Pathology | - Haematology - Immune responses - Inflammatory responses - Wound healing - Infection |
| Anatomy | - Head and Neck - Thorax - Cranial nerve lesions - Upper limb - Central Nervous System - Abdomen - Lower limb |
| Evidence-Based Medicine | - Study methodology - Principles of critical appraisal - Statistics |
| Microbiology | - Pathogen groups - Principles of microbiology |
| Physiology | - Endocrine physiology - Gastrointestinal physiology - Respiratory physiology - Renal physiology - Cardiovascular physiology - Basic cellular physiology |
Answers to the Most Common Questions About RCEM FRCEM Primary Examination
The FRCEM exam is the official RCEM exam for RCEM FRCEM Primary Examination. Passing it earns you the FRCEM Certification credential, which sits at the Membership level. It is also connected to MRCEM SBA, MRCEM OSCE, so what you learn carries over if you plan to pursue those paths as well. Employers treat the certification as verified proof of skill, which is why structured preparation with ValidVCE's practice questions pays off.
The FRCEM exam contains 180 questions, and the time limit is 180 minutes. Translate that into a pacing plan before exam day: know roughly how long you can afford per item, flag anything that stalls you, and circle back at the end instead of burning minutes. Two or three full timed sessions in ValidVCE's test engine will teach you that rhythm far better than untimed reading ever will.
Hold a primary medical qualification accepted by the General Medical Council and current medical registration; eligibility criteria as per RCEM regulations. Eligibility details can change, so before you register, confirm the current requirements on the official exam page: https://rcem.ac.uk/mrcem-exams/.
Yes. ValidVCE offers a free PDF demo of the RCEM FRCEM Primary Examination practice questions on the samples page, so you can judge the format and quality yourself before paying anything. Every purchase also includes 365 days of free updates, and after the product expires you can extend the update service at a 50% discount from within your member zone.
If you take the corresponding exam within 60 days of purchase and do not pass, ValidVCE backs you with a 100% money-back guarantee. To claim it, submit a scanned copy of your exam enrollment slip together with your official Score Report PDF within 2 days of the exam, and the refund is processed within 7 days. The guarantee does not apply to attempts made within the first 3 days after purchase, to products downloaded without actually sitting the exam, or to free materials and expired orders, and the candidate name must match the payer's name. If you would rather have study material than money, you can instead exchange for two additional exam products of equal value, free of charge, while keeping the update service on your original purchase. Delivery itself is instant: your download is available right after payment and a copy reaches your mailbox within one minute — if nothing arrives within 2 hours, contact customer service. You may install the product on as many computers as you need.
The official RCEM FRCEM Primary Examination blueprint is organized into 6 domains. The leading areas are:
- Pharmacology
- Microbiology
- Anatomy
For the complete domain-by-domain breakdown with every subtopic, see the Exam Topics outline above.
RCEM FRCEM Primary Examination Sample Questions:
A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?
- A. Kawasaki's disease
- B. Respiratory syncytial virus
- C. Pneumococcal pneumonia
- D. Influenza type A
- E. Whooping cough
Correct Answer: D 🗳️
A patient with major trauma requires a central line. They have right sided neck and chest burns You decide to insert a left subclavian central line.
Which complication is more likely to occur during this procedure on the left in comparison to the right?
- A. Injury to the phrenic nerve
- B. Pneumothorax
- C. Injury to the thoracic duct ID.
- D. Injury to the recurrent laryngeal nerve
- E. Perforation of the oesophagus.
Correct Answer: C 🗳️
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. Type 2 error
- B. Alternative hypothesis
- C. False negative
- D. Type 1 error
- E. False positive
Correct Answer: A 🗳️
A 60 year old woman presents following blunt trauma to her abdomen A CT scan demonstrates herniation of small intestine into the chest At what site is the diaphragmatic injury most likely to have occurred1?
- A. Costal cartilage of 7-10th ribs
- B. 11-12th ribs
- C. Central tendon
- D. Xiphoid process
- E. Lumbar vertebrae
Correct Answer: A 🗳️
A 15 year old girl with sickle cell anaemia attends with left leg swelling and pain Further investigations suggest a diagnosis of osteomyelitis of her tibia.
What is the most likely causative organism?
- A. Escherichia coli
- B. Haemophilus influenza
- C. Pseudomonas aeruginosa
- D. Streptococcus pneumoniae
- E. Salmonella typhimunum
Correct Answer: E 🗳️
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