Last Updated: Aug 25, 2026
No. of Questions: 182 Questions & Answers with Testing Engine
Download Limit: Unlimited
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| Certification Vendor: | Royal College of Emergency Medicine (RCEM) |
|---|---|
| Exam Name: | MRCEM Primary Examination |
| Exam Number: | MRCEM Primary |
| Exam Format: | Multiple choice questions (Single Best Answer) |
| Available Languages: | English |
| Real Exam Qty: | 180 |
| Related Certifications: | MRCEM OSCE MRCEM SBA |
| Exam Duration: | 180 minutes |
| Passing Score: | Determined by Angoff standard-setting method (varies each diet) |
| Sample Questions: | DOWNLOAD DEMO |
| 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/ |
| Section | Objectives |
|---|---|
| Physiology | - Gastrointestinal physiology - Basic cellular physiology - Endocrine physiology - Cardiovascular physiology - Renal physiology - Respiratory physiology |
| Pathology | - Wound healing - Immune responses - Inflammatory responses - Haematology - Infection |
| Evidence-Based Medicine | - Statistics - Study methodology - Principles of critical appraisal |
| Microbiology | - Principles of microbiology - Pathogen groups |
| Anatomy | - Cranial nerve lesions - Lower limb - Thorax - Abdomen - Head and Neck - Central Nervous System - Upper limb |
| Pharmacology | - Endocrine system - Musculoskeletal system - Anaesthesia pharmacology - Respiratory system - Infections - Cardiovascular system - Gastrointestinal pharmacology - Fluids and electrolytes - Immunological products and vaccines - Central nervous system |
The RCEM FRCEM Primary Examination exam (exam code FRCEM) is the official RCEM exam that leads to the FRCEM Certification certification, sitting at the Membership level of the RCEM certification track. It is also connected with MRCEM SBA, MRCEM OSCE. If this is the credential you are working toward, the 182 practice questions at Actual4Cert map directly to its objectives.
The RCEM FRCEM Primary Examination exam includes 180 questions, and you have 180 minutes to complete them. Divide the time limit by the question count and you get a tight average pace per item, so train yourself to flag time-consuming questions and return to them later instead of getting stuck. Before test day, run at least one full timed session in the Actual4Cert test engine under the same limits — the clock should never surprise you.
According to RCEM, candidates should meet the following before registering: Hold a primary medical qualification accepted by the General Medical Council and current medical registration; eligibility criteria as per RCEM regulations.. Requirements can change, so confirm the latest details on the official exam page before you register.
Yes. A free PDF demo of the FRCEM practice questions is available to download, so you can judge the format and quality before paying anything. Every purchase also includes 365 days of free updates, and if your product expires you can extend the update service at a 50% discount.
Your order is covered by a conditional 100% money-back guarantee: if you take the corresponding exam within 60 days of purchase and do not pass, you may apply for a full refund. Exams taken within 3 days of purchase are not eligible, nor are free materials or expired orders, and the candidate name must match the payer name. To claim, submit a scanned enrollment slip and your official Score Report PDF within 2 days of the exam; claims are processed within 7 days. Prefer to keep studying? You can instead exchange your purchase for two free products of equal value while keeping the update service on your original one. Delivery itself is immediate: your product unlocks for instant download right after payment and a copy is emailed to you within a minute — if nothing arrives within 2 hours, contact our support team. There is no limit on the number of computers you can install it on.
The RCEM FRCEM Primary Examination blueprint is divided into 6 major domains, starting with Evidence-Based Medicine, Physiology, and Microbiology. The full breakdown, including every subdomain and its weighting, is listed in the Exam Topics section above — review it against your own weak areas before scheduling the exam.
Question 1
An 80 year old man presents with a stroke This has resulted in loss of all vagal output to his gastrointestinal tract Which function is most likely to be completely abolished in this patient?
A. Secondary oesophageal peristalsis
B. Gastric acid secretion
C. Glucagon release
D. Pancreatic polypeptide secretion
E. Primary oesophageal peristalsis
Question 2
A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?
A. Pulmonary valve
B. Mitral valve
C. Foramen ovale
D. Tricuspid valve
E. Aortic valve
Question 3
You are discussing the different muscles within the medial thigh and movements at the hip joint with a medical student. Which muscle within this compartment is most likely to be involved in hip extension?
A. Adductor magnus
B. Pectineus
C. Gracilis
D. Adductor brevis
E. Adductor longus
Question 4
A 75 year old man presents to the ED with burning epigastric abdominal pain You note that he has rheumatoid arthritis and is on diclofenac.
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?
A. Eradication of Helicobacter pylori
B. Starting misoprostol
C. Use of enteric coated medication
D. Combining diclofenac with omeprazole
E. Change diclofenac to indomethacm
Question 5
A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?
A. Inferior oblique
B. Inferior rectus
C. Superior rectus
D. Superior oblique
E. Levator palpebrae superioris
Solutions:
| Question 1 Answer: A | Question 2 Answer: C | Question 3 Answer: A | Question 4 Answer: E | Question 5 Answer: B |
Tom
Adelaide
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Lena
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