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 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED
Which drug is the most likely cause of this anaemia'?
A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?
A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?
A young man arrives by ambulance having dislocated his patella playing football. Rehabilitation should focus on which muscle to reduce chances of recurrent dislocation?
A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?
A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?
A 45 year old builder attends with an elbow injury An x-ray confirms fracture of the medial epicondyle On examination there is hyperextension of the metacarpophalangeal joint and flexion of the interphalangeal joint of ring and little fingers.
Which nerve is most likely to be injured?
A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
What is the recommended absence period?
A 27 year old woman presents with visual problems and has known optic neuritis. What is the most likely cause of the slowing of impulse conduction in her optic nerve?
A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A A. Femoral artery
B. Femoral vein
C. Iliacus muscle
D. Inguinal ligament
E. Psoas muscle
A patient presents with a food bolus obstruction and you decide hyoscine butylbromide should not be administered Presence of which physiological feature is most likely to have influenced your decision?
A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?
A patient presenting with acute onset neurological symptoms has a CT scan of their brain that shows an acute pontine haemorrhage What is the most likely clinical finding?
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?
