Try and practice the latest RCEM : FRCEM real questions & answers
Updated: Jul 11, 2026
No. of Questions: 182 Questions & Answers with Testing Engine
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RCEM FRCEM Primary Examination Sample Questions:
1. A 21 year old man with a history of epilepsy presents following a generalised seizure A deformity in his left shoulder was noted and an x-ray confirms a dislocation You plan to reduce the dislocation using midazolam for procedural sedation Sedation will occur as a result of mediation of which neurotransmitter?
A) Acetylcholine
B) Gamma-aminobutyric acid
C) Serotonin
D) Dopamine
E) Glutamate
2. A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?
A) Anti-diuretic hormone
B) Renin
C) Angiotensin
D) Adenosine
E) Aldosterone
3. 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) Phospholipase A2
B) Amylase
C) Cholecystokinin
D) Protease
E) Lipase
4. A 20 year old woman presents with symptoms and signs suggestive of infectious mononucleosis Proliferation of which cells on the peripheral blood film would best support your diagnosis?
A) Neutrophils
B) Monocytes
C) Basophils
D) Lymphocytes
E) Eosinophils
5. A 60 year old woman presents with shortness of breath and signs of pulmonary oedema. An echocardiogram demonstrates reduced left ventricular systolic function.
Which measurement on echocardiogram best demonstrates this?
A) Stroke volume
B) Left ventricle end diastolic volume
C) Ejection fraction
D) Left ventricle end diastolic volume and pressure
E) Left ventricle end diastolic pressure
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: C |
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