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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: | Computer-based, Single Best Answer (SBA) |
| Available Languages: | English |
| Related Certifications: | FRCEM OSCE MRCEM Intermediate SBA FRCEM SBA MRCEM 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 |
|---|---|---|
| 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 |
| Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Study design and methodology - Critical appraisal and clinical guidelines |
| Anatomy | 33% | - Abdomen and pelvis - Lower limb - Thorax - Head, neck and central nervous system - Upper limb |
| Pathology | 5% | - Neoplasia and systemic pathology - Haematology and haemostasis - Cell injury and repair - Inflammation and immune response |
| Pharmacology | 13% | - Cardiovascular drugs - Central nervous system and analgesics - Principles of pharmacology - Fluids, electrolytes and emergency drugs - Antimicrobials and anti-infectives - Respiratory drugs |
RCEM FRCEM Primary Examination Sample Questions:
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
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
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
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
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
By Gail
