Try and practice the latest RCEM : FRCEM real questions & answers

Last Updated: Aug 22, 2026

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RCEM FRCEM Exam Syllabus Topics:

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

RCEM FRCEM Primary Examination Sample Questions:

1. A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.
Which situation is most likely to allow him to continue driving according to the DVLA?

A) Having type II diabetes treated with oral medications
B) Needing laser treatment to both eyes
C) An episode of severe hypoglycaemia while driving
D) Having more than one episode of severe hypoglycaemia in 12 months
E) Development of impaired awareness of hypoglycaemia


2. A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A) Colon
B) Caecum
C) Duodenum
D) Stomach
E) Ileum


3. 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) 1
B) 50
C) 10
D) 2
E) 100


4. An 88 year old woman presents with haematemesis CT scan identifies a posterior ulcer of the superior part of the duodenum At what vertebral level would this be evident on the CT scan?

A) L2
B) L3
C) T12
D) L4
E) L1


5. You have designed a randomised control trial and need to make a calculation as to the sample size required such that we do not reject the null hypothesis when it is false Which component of the sample size calculation is most likely to avoid this error'?

A) Smallest effect of interest
B) Variability
C) Standardised difference
D) Significance level
E) Power


Solutions:

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

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