Updated: Aug 23, 2026
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| Certification Vendor: | Royal College of Emergency Medicine (RCEM) |
| Exam Name: | MRCEM Primary Examination |
| Exam Number: | MRCEM Primary |
| Exam Format: | Multiple choice questions (Single Best Answer) |
| Exam Duration: | 180 minutes |
| Available Languages: | English |
| Related Certifications: | MRCEM SBA MRCEM OSCE |
| Passing Score: | Determined by Angoff standard-setting method (varies each diet) |
| Real Exam Qty: | 180 |
| Sample Questions: | RCEM FRCEM Sample Questions |
| Exam Way: | Computer-based examination delivered via global test centres (e.g., Pearson VUE / Surpass) in English. |
| Pre Condition: | Hold a primary medical qualification accepted by the General Medical Council and current medical registration; eligibility criteria as per RCEM regulations. |
| Official Syllabus URL: | https://rcem.ac.uk/mrcem-exams/ |
| Section | Objectives |
|---|---|
| Microbiology | - Principles of microbiology - Pathogen groups |
| Anatomy | - Cranial nerve lesions - Abdomen - Central Nervous System - Thorax - Upper limb - Head and Neck - Lower limb |
| Pharmacology | - Musculoskeletal system - Central nervous system - Anaesthesia pharmacology - Cardiovascular system - Infections - Immunological products and vaccines - Respiratory system - Fluids and electrolytes - Endocrine system - Gastrointestinal pharmacology |
| Pathology | - Immune responses - Inflammatory responses - Infection - Haematology - Wound healing |
| Evidence-Based Medicine | - Study methodology - Principles of critical appraisal - Statistics |
| Physiology | - Cardiovascular physiology - Gastrointestinal physiology - Renal physiology - Endocrine physiology - Basic cellular physiology - Respiratory physiology |
1. A 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED Which drug is the most likely cause of this anaemia'?
A) Ketamine
B) Nitrous oxide
C) Cocaine
D) Heroin
E) Cannabis
2. A 63 year old patienl presents with symptoms of hemiplegia and sensory loss of the right side of face and extremities. Which artery is most likely to be involved?
A) Anterior cerebral
B) Anterior communicating
C) Vertebral
D) Posterior cerebral
E) Middle cerebral
3. A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?
A) Cervical ganglia of sympathetic trunk
B) Phrenic
C) Right vagus
D) Left vagus
E) Recurrent laryngeal
4. A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist Injury at which location of the brachial plexus best explains her neurological symptoms?
A) Lateral cord
B) Posterior cord
C) Lower trunk
D) Upper trunk
E) Medial cord
5. A 32 year old man presents with suspected acute appendicitis A medical student asks you what the commonest anatomical position of the appendix is What is the most likely position?
A) Retrocaecal
B) Postileal
C) Subileal
D) Preileal
E) Paracaecal
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: E | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: A |
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