We're so confident of our products that we provide no hassle product exchange.
RCEM FRCEM Exam Overview:
| Certification Vendor: | RCEM (Royal College of Emergency Medicine) |
| Exam Name: | RCEM MRCEM Primary Examination (Previously FRCEM Primary) |
| Exam Number: | MRCEM-PRIMARY |
| Exam Duration: | 180 minutes |
| Exam Price: | £429–£609 (varies by membership status and location) |
| Passing Score: | Variable (Angoff standard-setting method, no fixed percentage) |
| Certificate Validity Period: | 7 years from date of passing |
| Exam Format: | Single Best Answer (SBA), Computer-based |
| Available Languages: | English |
| Related Certifications: | MRCEM Intermediate SBA MRCEM OSCE FRCEM SBA FRCEM OSCE |
| Real Exam Qty: | 180 |
| Recommended Training: | RCEM Exam Regulations & Information RCEM Basic Sciences Curriculum |
| Exam Registration: | RCEM Official Registration Portal |
| Sample Questions: | RCEM FRCEM Sample Questions |
| Exam Way: | Computer-based test at global Pearson VUE / Surpass Assessment centres |
| Pre Condition: | Hold a primary medical qualification (PMQ) accepted by the GMC; hold provisional or full medical registration |
| Official Syllabus URL: | https://rcem.ac.uk/mrcem-exams/ |
RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Study design and methodology - Critical appraisal and clinical guidelines |
| Physiology | 33% | - Endocrine and metabolic physiology - Cardiovascular system - Renal and fluid balance - Cellular physiology - Respiratory system - Gastrointestinal system |
| Microbiology | 9% | - General microbiology principles - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens |
| Pharmacology | 13% | - Cardiovascular drugs - Central nervous system and analgesics - Principles of pharmacology - Fluids, electrolytes and emergency drugs - Antimicrobials and anti-infectives - Respiratory drugs |
| Pathology | 5% | - Neoplasia and systemic pathology - Haematology and haemostasis - Cell injury and repair - Inflammation and immune response |
| Anatomy | 33% | - Abdomen and pelvis - Lower limb - Thorax - Head, neck and central nervous system - Upper limb |
RCEM FRCEM Primary Examination Sample Questions:
1. A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?
A) Thromboxane
B) Fibrinogen
C) Fibrin
D) Prostacyclin
E) Plasminogen
2. You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?
A) Ropivacame
B) Bupivacaine
C) Tetracaine
D) Prilocaine
E) Lidocaine
3. 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) Thin ascending limb
B) Collecting duct
C) Proximal tubule
D) Thick ascending limb
E) Distal convoluted tubule
4. A 56 year old presents unwell They are diagnosed with a hypertensive crisis. You decide to start sodium nitroprusside What best describes the mechanism of action of this drug?
A) Antagonises the renm-angiotensm-aldosterone system
B) Decreases angiotensin II
C) Releases nitric oxide
D) Inhibits angiotensin converting enzyme
E) Decreases the breakdown of bradykmin
5. A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?
A) Likelihood ratio
B) Post-test probability
C) Sensitivity
D) Negative predictive value
E) Specificity
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: A |
By Constance
