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Updated: Sep 06, 2026
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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 |
| Available Languages: | English |
| Real Exam Qty: | 180 |
| 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) |
| Exam Price: | £429–£609 (varies by membership status and location) |
| Related Certifications: | MRCEM OSCE FRCEM OSCE FRCEM SBA MRCEM Intermediate SBA |
| 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% | - Critical appraisal and clinical guidelines - Biostatistics and data interpretation - Study design and methodology |
| Anatomy | 33% | - Abdomen and pelvis - Upper limb - Head, neck and central nervous system - Thorax - Lower limb |
| Microbiology | 9% | - Bacterial, viral, fungal and parasitic pathogens - General microbiology principles - Infection control and immunity |
| Physiology | 33% | - Renal and fluid balance - Cardiovascular system - Respiratory system - Gastrointestinal system - Cellular physiology - Endocrine and metabolic physiology |
| Pathology | 5% | - Cell injury and repair - Inflammation and immune response - Neoplasia and systemic pathology - Haematology and haemostasis |
| Pharmacology | 13% | - Fluids, electrolytes and emergency drugs - Cardiovascular drugs - Respiratory drugs - Antimicrobials and anti-infectives - Central nervous system and analgesics - Principles of pharmacology |
RCEM FRCEM Primary Examination Sample Questions:
An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?
- A. Inform the DVLA if insulin treatment for >3 months
- B. You do not need to contact DVLA
- C. Inform the DVLA if insulin dependent
- D. Only inform the DVLA if disabling hypoglycaemia
- E. Inform the DVLA if any episodes of hypoglycaemia
Correct Answer: E 🗳️
A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?
- A. Decreased secretion of calcium from bone
- B. Increased calcitonin secretion
- C. Decreased renal excretion of phosphate
- D. Increased parathyroid secretion
- E. Decreased vitamin D synthesis
Correct Answer: D 🗳️
A patient presents with a fracture to the mid-clavicle after a fall The medial part of the clavicle is displaced superiorly Which muscle is most likely to cause this displacement?
- A. Pectoralis major
- B. Sternocleidomastoid
- C. Platysma
- D. Scalenus anterior
- E. Trapezius
Correct Answer: A 🗳️
A 35 year old man attends after a motorbike accident. He is complaining of abnormal vision and his right eye is slightly adducted when he looks straight ahead.
Which cranial nerve has suffered the most damage?
- A. Superior division of oculomotor
- B. Trochlear
- C. Abducens
- D. Trigeminal
- E. Inferior division of oculomotor
Correct Answer: C 🗳️
A doctor about to sit an important examination has become aware of the urge to detaecate Involuntary relaxation of which muscle is most likely to have occurred?
- A. Circular muscle coat of sigmoid
- B. External anal sphincter
- C. Puborectalis
- D. Internal anal sphincter
- E. Abdominal wall
Correct Answer: D 🗳️
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