FRCEM Primary Examination: FRCEM Exam

"FRCEM Primary Examination", also known as FRCEM exam, is a RCEM Certification. With the complete collection of questions and answers, iPassleader has assembled to take you through 182 Q&As to your FRCEM Exam preparation. In the FRCEM exam resources, you will cover every field and category in FRCEM Certification Certification helping to ready you for your successful RCEM Certification.

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  • Updated on: Oct 17, 2026
  • No. of Questions: 182 Questions & Answers

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  • Updated on: Oct 17, 2026
  • No. of Questions: 182 Questions & Answers

Not sure whether the FRCEM material is right for you? Download the free PDF demo from iPassleader and review a sample of the 182 practice questions for the RCEM FRCEM Primary Examination before you spend a cent.

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 Price:£429–£609 (varies by membership status and location)
Passing Score:Variable (Angoff standard-setting method, no fixed percentage)
Exam Format:Single Best Answer (SBA), Computer-based
Available Languages:English
Certificate Validity Period:7 years from date of passing
Related Certifications:MRCEM OSCE
MRCEM Intermediate SBA
FRCEM OSCE
FRCEM SBA
Real Exam Qty:180
Exam Duration:180 minutes
Recommended Training:RCEM Basic Sciences Curriculum
RCEM Exam Regulations & Information
Exam Registration:RCEM Official Registration Portal
Sample Questions: DOWNLOAD DEMO
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:

SectionWeightObjectives
Topic 1: Microbiology9%- General microbiology principles
- Bacterial, viral, fungal and parasitic pathogens
- Infection control and immunity
Topic 2: Physiology33%- Respiratory system
- Gastrointestinal system
- Cellular physiology
- Cardiovascular system
- Renal and fluid balance
- Endocrine and metabolic physiology
Topic 3: Pharmacology13%- Principles of pharmacology
- Fluids, electrolytes and emergency drugs
- Central nervous system and analgesics
- Antimicrobials and anti-infectives
- Respiratory drugs
- Cardiovascular drugs
Topic 4: Evidence-Based Medicine6%- Biostatistics and data interpretation
- Critical appraisal and clinical guidelines
- Study design and methodology
Topic 5: Anatomy33%- Lower limb
- Thorax
- Abdomen and pelvis
- Head, neck and central nervous system
- Upper limb
Topic 6: Pathology5%- Cell injury and repair
- Neoplasia and systemic pathology
- Inflammation and immune response
- Haematology and haemostasis

RCEM FRCEM Exam — Your Questions, Answered

The FRCEM exam, officially titled FRCEM Primary Examination, is the RCEM exam you pass to earn the MRCEM Primary (formerly FRCEM Primary) certification, a credential at the Foundation / Entry Level level. Passing it confirms the skills defined in the official exam outline, and it is associated with related credentials such as MRCEM Intermediate SBA, MRCEM OSCE, FRCEM SBA, FRCEM OSCE.

The FRCEM exam includes 180 questions and gives you 180 minutes to finish them. That is a tight pace per question, so get used to reading each stem once, flagging anything uncertain, and moving on rather than getting stuck. Running timed practice tests in the iPassleader desktop or online test engine is the most reliable way to build that rhythm before exam day.

The passing score for the FRCEM exam is Variable (Angoff standard-setting method, no fixed percentage), and the official registration fee is £429–£609 (varies by membership status and location). Keep in mind that a failed attempt means paying £429–£609 (varies by membership status and location) again in full to retake it, so book your slot only when your scores on iPassleader practice tests sit consistently above the passing line.

RCEM lists the following prerequisites or eligibility notes for the FRCEM exam: Hold a primary medical qualification (PMQ) accepted by the GMC; hold provisional or full medical registration. Requirements can change over time, so confirm the details on the official exam page at RCEM's official site before you register.

You can register for the FRCEM exam through the official channels below:

The exam is delivered in the following format: Computer-based test at global Pearson VUE / Surpass Assessment centres. Choose a date that leaves you enough time to work through the full 182-question practice set first.

RCEM recommends the following training resources for FRCEM candidates:

Official courses build the theory, and the 182 practice questions from iPassleader help you turn that theory into exam-ready speed and accuracy.

Yes. iPassleader offers a free PDF demo of the FRCEM material, so you can check the question style and answer quality before purchasing. Every purchase also includes 365 days of free updates, and if your product expires you can extend the update service at a 50% discount from your member zone.

Your purchase is protected by a 100% Money Back Guarantee with clear conditions: if you take the corresponding FRCEM exam within 60 days of purchase and do not pass, you can apply for a full refund. The candidate name must match the payer name, and you need to submit a scanned exam enrollment slip together with the official Score Report PDF within 2 days of taking the exam; claims are processed within 7 days. Sitting the exam within 3 days of purchase, downloading without taking the exam, free materials, and expired orders are not covered. If you would rather not take a refund, you can exchange your order for two free exam products of equal value and keep the update service on your original purchase.

Delivery is instant: your download links are emailed within one minute of payment, and you can also download directly from the website. If nothing arrives within 2 hours, contact customer service and check your spam folder. There is no limit on how many computers you can install the material on.

The FRCEM exam blueprint is divided into 6 domains, starting with Pathology (5%); Anatomy (33%); Physiology (33%). For the complete domain-by-domain breakdown, see the Exam Topics section above — it lists every topic the current outline covers.

RCEM FRCEM Primary Examination Sample Questions:

A 34 year old woman with Graves' disease presents with fever, palpitations, tremor and anxiety Which hormone is most likely to be causing her symptoms?

  • A. Thyroxine (T4)
  • B. Triiodothyronine (T3)
  • C. Thyroid receptor hormone
  • D. Thyroid stimulating hormone
  • E. Adrenaline
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?

  • A. Whooping cough
  • B. Pneumococcal pneumonia
  • C. Kawasaki's disease
  • D. Influenza type A
  • E. Respiratory syncytial virus
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?

  • A. Compression of the posterior vertebral artery
  • B. Herniation of a cervical disc
  • C. Infarction of the anterior spinal artery
  • D. Anterior osteophytes causing compression
  • E. Laxity of the ligamentum flavum
Reveal Solution  Discussion  0

Correct Answer: E  🗳️

A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

  • A. Diptheria
  • B. Polio
  • C. Pertussis
  • D. Haemophilus influenzae B
  • E. Meningococcal
Reveal Solution  Discussion  0

Correct Answer: E  🗳️

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. Low white blood cell count
  • B. High red cell distribution width
  • C. Raised mean corpuscular haemoglobin
  • D. Low haemoglobin
  • E. Raised mean corpuscular volume
Reveal Solution  Discussion  0

Correct Answer: E  🗳️

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