Exam Name: FRCEM Primary Examination
Certification Provider: RCEM
Corresponding Certification: FRCEM Certification
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Updated: Jul 24, 2026
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The FRCEM Primary Examination is a computer-based exam that consists of 180 multiple-choice questions. Candidates have three hours to complete the exam. The questions are designed to be challenging and require a deep understanding of emergency medicine principles. FRCEM exam is administered by the RCEM and is held several times a year at test centers around the world.
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RCEM FRCEM Primary Examination is a challenging exam that requires significant preparation and study. Candidates are advised to start preparing well in advance, as the exam covers a broad range of topics and requires a deep understanding of emergency medicine. There are numerous resources available to help candidates prepare, including study guides, online courses, and practice exams.
RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Anatomy | - Upper limb - Cranial nerve lesions - Abdomen - Lower limb - Central Nervous System - Head and Neck - Thorax |
| Topic 2: Pharmacology | - Respiratory system - Musculoskeletal system - Cardiovascular system - Fluids and electrolytes - Gastrointestinal pharmacology - Endocrine system - Anaesthesia pharmacology - Immunological products and vaccines - Infections - Central nervous system |
| Topic 3: Pathology | - Wound healing - Immune responses - Infection - Haematology - Inflammatory responses |
| Topic 4: Physiology | - Gastrointestinal physiology - Endocrine physiology - Respiratory physiology - Cardiovascular physiology - Renal physiology - Basic cellular physiology |
| Topic 5: Evidence-Based Medicine | - Statistics - Study methodology - Principles of critical appraisal |
| Topic 6: Microbiology | - Pathogen groups - Principles of microbiology |
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