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Last Updated: Aug 18, 2026

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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Microbiology- Principles of microbiology
- Pathogen groups
Topic 2: Pathology- Inflammatory responses
- Immune responses
- Wound healing
- Infection
- Haematology
Topic 3: Evidence-Based Medicine- Principles of critical appraisal
- Statistics
- Study methodology
Topic 4: Physiology- Basic cellular physiology
- Gastrointestinal physiology
- Renal physiology
- Respiratory physiology
- Endocrine physiology
- Cardiovascular physiology
Topic 5: Anatomy- Upper limb
- Cranial nerve lesions
- Head and Neck
- Central Nervous System
- Lower limb
- Abdomen
- Thorax
Topic 6: Pharmacology- Endocrine system
- Immunological products and vaccines
- Infections
- Cardiovascular system
- Anaesthesia pharmacology
- Respiratory system
- Gastrointestinal pharmacology
- Central nervous system
- Musculoskeletal system
- Fluids and electrolytes

RCEM FRCEM Primary Examination Sample Questions:

1. A five year old girl presents with a fever, a non-blanching rash and drowsiness. You suspect meningococcal infection What is most likely mode of spread for this infection?

A) Airborne
B) Blood
C) Droplet
D) Skin contact
E) Faecal-oral


2. 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) Neisseria meningitidis
B) Herpes zoster
C) Parainfluenza
D) Clostridium tetani
E) Influenza


3. A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?

A) Positive mantoux test
B) Sputum sample showing ziehl-nielsen stain negative bactena
C) Chest x-ray showing lobar consolidation
D) Absence of a bacille calmette-guenn scar
E) Chest x-ray showing a cavitating lesion


4. A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?

A) Bilateral hemispheric
B) Right basal ganglia
C) Right cerebellar
D) Left cerebellar
E) Left basal ganglia


5. A patient presents with an arrhythmia and as you are treating them you discuss with a student the depolarisation phase of the cardiac action potential Which change initiates this phase of the action potential?

A) Closure of sodium channel
B) Closure of potassium channel
C) Opening of calcium channel
D) Opening of potassium channel
E) Opening of sodium channel


Solutions:

Question # 1
Answer: C
Question # 2
Answer: A
Question # 3
Answer: E
Question # 4
Answer: D
Question # 5
Answer: E

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