RCEM FRCEM Actual Free Exam Questions & Community Discussion

  • Exam Code/Number: FRCEM
  • Exam Name/Title: FRCEM Primary Examination
  • Certification Provider: RCEM
  • Corresponding Certification: FRCEM Certification
  • Exam Questions: 182
  • Updated On: Jul 09, 2026
A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?
Correct Answer: B Vote an answer
A 28 year old woman presents to the ED after taking an overdose of amitriptyline. Her ECG shows a broad complex tachycardia Blockade of what type of ion channel is most likely to have occurred?
Correct Answer: C Vote an answer
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?
Correct Answer: A Vote an answer
A patient presents to the ED a few days after a significant head injury He is polyuric with hypernatremia and high plasma osmolality Which hormone is most likely to cause this picture?
Correct Answer: C Vote an answer
A four year old boy presents with a cough and fever for the last few weeks which became worse in the last 24 hours. There is no record of his vaccination history His temperature is 38.5 °C, heart rate 135 beats per minute, and oxygen saturations are 97% He is coughing frequently and has bilateral subconjunctival haemorrhages.
Which organism is most likely to have caused his condition?
Correct Answer: E Vote an answer
A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?
Correct Answer: D Vote an answer
A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?
Correct Answer: E Vote an answer
A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?
Correct Answer: A Vote an answer
A patient is brought in unconscious following a collapse and a subsequent CT shows a pontine haemorrhage Which clinical tindmg best describes what you expect on examination of the eyes?
Correct Answer: B Vote an answer
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?
Correct Answer: E Vote an answer
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