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Total 54 questions
Exam Code: FRCEM                Update: Oct 15, 2025
Exam Name: FRCEM Primary Examination

RCEM FRCEM Primary Examination FRCEM Exam Dumps: Updated Questions & Answers (October 2025)

Question # 1

A 56 year old woman with hypothyroidism is found to have significant hypokalemia Which feature is most likely to be seen on her ECG?

A.

J waves

B.

Prolonged PR interval

C.

Prominent U waves

D.

Short QT interval

E.

Tall T waves

Question # 2

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?

A.

Axonal loss

B.

Compression of the nerve

C.

Damage to presynaptic calcium channels.

D.

Loss of saltatory conduction.

E.

Sodium channel blockade at nodes of Ranvier

Question # 3

You see a patient with steatorrhea, weight loss and abdominal pain You suspect they have exocrine pancreatic insufficiency The secretion of which substance is least likely to be affected by this condition?

A.

Amylase

B.

Cholecystokinin

C.

Lipase

D.

Phospholipase A2

E.

Protease

Question # 4

A 50 year old man presenls with a history of a productive cough and fever Chest x-ray shows right middle lobe consolidation Which is the most likely causative organism?

A.

Influenza virus

B.

Klebsiella pneumoniae

C.

Mycoplasma pneumoniae

D.

Pseudomonas aeruginosa

E.

Streptococcus pneumoniae

Question # 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.

Paracaecal

B.

Postileal

C.

Preileal

D.

Retrocaecal

E.

Subileal

Question # 6

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 atrium

B.

Left ventricle

C.

Right atrium

D.

Right ventricle

Question # 7

A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?

A.

Campylobacter jejuni

B.

Klebsiella spp

C.

Mycoplasma pneumoniae

D.

Salmonella typhii

E.

Shigella spp

Question # 8

A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?

A.

Codeine

B.

Dihydrocodeine

C.

Morphine

D.

Oxycodone

E.

Pethidine

Question # 9

A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?

A.

Alpha

B.

Beta

C.

Delta

D.

Exocrine

E.

Gamma

Question # 10

A 53 year old man on anticoagulation presents with pain over his anterior abdomen following an episode of coughing A CT scan identifies an isolated haematoma within the rectus sheath above the arcuate line

Which artery is most likely to have been injured?

A.

Deep circumflex

B.

Inferior epigastric

C.

Superficial circumflex

D.

Superficial epigastric

E.

Superior epigastric

Page: 1 / 6
Total 54 questions

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