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  • Total Questions: 182
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Reading study notes is one thing; sitting a timed exam is another. 2Pass4sure's desktop and online test engines recreate the pressure of the FRCEM testing environment, so the RCEM FRCEM Primary Examination exam feels familiar long before exam day arrives.

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
Certificate Validity Period:7 years from date of passing
Exam Duration:180 minutes
Related Certifications:MRCEM Intermediate SBA
FRCEM OSCE
MRCEM OSCE
FRCEM SBA
Exam Price:£429–£609 (varies by membership status and location)
Available Languages:English
Real Exam Qty:180
Exam Format:Computer-based, Single Best Answer (SBA)
Passing Score:Variable (Angoff standard-setting method, no fixed percentage)
Recommended Training:RCEM Exam Regulations & Information
RCEM Basic Sciences Curriculum
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: Anatomy33%- Upper limb
- Thorax
- Head, neck and central nervous system
- Lower limb
- Abdomen and pelvis
Topic 2: Physiology33%- Respiratory system
- Cellular physiology
- Renal and fluid balance
- Gastrointestinal system
- Cardiovascular system
- Endocrine and metabolic physiology
Topic 3: Evidence-Based Medicine6%- Study design and methodology
- Critical appraisal and clinical guidelines
- Biostatistics and data interpretation
Topic 4: Pharmacology13%- Principles of pharmacology
- Antimicrobials and anti-infectives
- Central nervous system and analgesics
- Cardiovascular drugs
- Fluids, electrolytes and emergency drugs
- Respiratory drugs
Topic 5: Microbiology9%- Bacterial, viral, fungal and parasitic pathogens
- Infection control and immunity
- General microbiology principles
Topic 6: Pathology5%- Cell injury and repair
- Neoplasia and systemic pathology
- Haematology and haemostasis
- Inflammation and immune response

RCEM FRCEM Exam FAQ — What Candidates Ask Most

The FRCEM exam is the official RCEM exam for RCEM FRCEM Primary Examination. Passing it earns you the MRCEM Primary (formerly FRCEM Primary) credential, which sits at the Foundation / Entry Level level. It is also connected to MRCEM Intermediate SBA, MRCEM OSCE, FRCEM SBA, FRCEM OSCE, so what you learn carries over if you plan to pursue those paths as well. Employers treat the certification as verified proof of skill, which is why structured preparation with 2Pass4sure's practice questions pays off.

The FRCEM exam contains 180 questions, and the time limit is 180 minutes. Translate that into a pacing plan before exam day: know roughly how long you can afford per item, flag anything that stalls you, and circle back at the end instead of burning minutes. Two or three full timed sessions in 2Pass4sure's test engine will teach you that rhythm far better than untimed reading ever will.

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). Remember that a failed attempt means paying that fee again in full for a retake, so treat self-assessment as part of the budget: run 2Pass4sure's practice questions under timed conditions and only book your seat once your scores sit comfortably above the passing bar.

Hold a primary medical qualification (PMQ) accepted by the GMC; hold provisional or full medical registration Eligibility details can change, so before you register, confirm the current requirements on the official exam page: https://rcem.ac.uk/mrcem-exams/.

You can book the FRCEM exam through the official registration channels below:

Exam delivery method: Computer-based test at global Pearson VUE / Surpass Assessment centres.

RCEM points candidates to the following official training options:

Once the coursework has built your foundation, the fastest way to turn theory into exam readiness is drilling with 2Pass4sure's 182 practice questions for the RCEM FRCEM Primary Examination exam.

Yes. 2Pass4sure offers a free PDF demo of the RCEM FRCEM Primary Examination practice questions on the samples page, so you can judge the format and quality yourself before paying anything. Every purchase also includes 365 days of free updates, and after the product expires you can extend the update service at a 50% discount from within your member zone.

If you take the corresponding exam within 60 days of purchase and do not pass, 2Pass4sure backs you with a 100% money-back guarantee. To claim it, submit a scanned copy of your exam enrollment slip together with your official Score Report PDF within 2 days of the exam, and the refund is processed within 7 days. The guarantee does not apply to attempts made within the first 3 days after purchase, to products downloaded without actually sitting the exam, or to free materials and expired orders, and the candidate name must match the payer's name. If you would rather have study material than money, you can instead exchange for two additional exam products of equal value, free of charge, while keeping the update service on your original purchase. Delivery itself is instant: your download is available right after payment and a copy reaches your mailbox within one minute — if nothing arrives within 2 hours, contact customer service. You may install the product on as many computers as you need.

The official RCEM FRCEM Primary Examination blueprint is organized into 6 domains. The leading areas are:

  • Evidence-Based Medicine — 6% of the exam
  • Pharmacology — 13% of the exam
  • Physiology — 33% of the exam

For the complete domain-by-domain breakdown with every subtopic, see the Exam Topics outline above.

RCEM FRCEM Primary Examination Sample Questions:

Question 1

You are leaching medical students cardiovascular examination and the link between heart sounds and the cardiac cycle. Which phase best correlates with the start of the first heart sound?

A. Ventricular filling
B. Atrial systole
C. Isovolumetric contraction
D. Isovolumetric relaxation
E. Ventricular ejection


Question 2

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. Primary oesophageal peristalsis
B. Pancreatic polypeptide secretion
C. Secondary oesophageal peristalsis
D. Gastric acid secretion
E. Glucagon release


Question 3

An 83 year old woman presents with acute dyspnoea and is diagnosed with cardiac failure She has a history of dysphagia and CT confirms oesophageal cancer.
Compression of which chamber of the heart is most likely to have caused her cardiac failure? A Both ventricles

A. Left ventricle
B. Right atrium
C. Right ventricle
D. Left atrium


Question 4

A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?

A. Teres major
B. Supraspinatus
C. Infraspinatus
D. Teres minor
E. Subscapulars


Question 5

A 26 year old man sustains a stab wound to the anterior aspect of the left side of his neck The wound involves the thoracic inlet Which structure is most likely to be encountered and injured first?

A. Pleura
B. Subclavian vein
C. Thoracic duct
D. Oesophagus
E. Subclavian artery


Solutions:

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

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