FRCEM FRCEM Primary Examination Free Practice Exam Questions (2025 Updated)
Prepare effectively for your RCEM FRCEM FRCEM Primary Examination certification with our extensive collection of free, high-quality practice questions. Each question is designed to mirror the actual exam format and objectives, complete with comprehensive answers and detailed explanations. Our materials are regularly updated for 2025, ensuring you have the most current resources to build confidence and succeed on your first attempt.
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 19 year old old runner presents with pain in the lateral compartment of the lower leg when running and you suspect intermittent compartment syndrome
Which movement of the ankle and foot would most likely replicate the pain?
A 21 year old woman is confirmed to have giardiasis
Which characteristic of this specific parasite best explains its persistent intestinal attachment?
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?
You are teaching a medical student about the knee and discuss the structures that border the popliteal fossa Which structure best describes the superolateral boundary of this fossa?
An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?
A 21 year old man is diagnosed with diabetic ketoacidosis. A medical student asks you to assist them in calculating the patients blood pH using the Henderson-Hasselbach equation.
What best describes the two required constituents for this equation?
A therapeutic trial demonstrates that everyone who received the drug has improved while no one improved with placebo What best describes the expected number needed to treat?
A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist
Injury at which location of the brachial plexus best explains her neurological symptoms?
A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?
A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?
A nine month old child is brought to the ED with a (ever and rash The child's mother states that all of her immunisations are up to date What is the most likely cause of this infectious illness?
A 50 year old man with HIV has not been taking his treatment and presents with severe headache and neck stiffness His current CD4+ count is 180/mmc (normal 500-1400/mmc)
What is the most likely causative agent of his meningitis?
You are conducting a study of children presenting with febrile convulsions. As pari of your data collection you record their temperature in degrees Celsius on arrival
Which is the best description of this type of data?
A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?
A 37 year old man is injured and has significant blood loss Following blood transfusion his systolic blood pressure increases from 70 to 100
Which physiological parameter is most likely to decrease in response?
A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.
Which parameter is most likely to increase by a factor of 16 as a result?
A 34 year old man presents with bruising and swelling over the anterior arm after lifting weights at the gym. There is pain and weakness on attempted internal rotation and adduction of the shoulder.
Rupture of which muscle best explains these findings?
A patient presents with septic shock A venous blood gas shows a metabolic acidosis Following treatment with crystalloid infusion and antibiotics their HR and BP are normal A repeat venous gas shows a persistent metabolic acidosis with a normal anion gap
Which mechanism best explains the results of the repeat blood gas?
You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?
