MRCEM Primary

Member Content

We are sorry but this content is for members only

The MRCEM Primary examination is a theoretical exam mapped to the Emergency Medicine Curriculum with more detailed information provided in the RCEM Basic Sciences Curriculum which is available on the RCEM website. All applicants for the MRCEM Primary examination are strongly advised to familiarise themselves with the Basic Sciences Curriculum in preparation for sitting the MRCEM Primary examination.

For more details regarding the MRCEM Primary like who can sit the exam, where the exam takes place and how it is marked and when the results are given visit the RCEM Exam pages.


The MRCEM Primary examination consists of a 3-hour, multiple choice question (MCQ) paper of 180, single best answer questions (SBAQ).

Category Sub-Category Questions
Anatomy Upper limb Lower limb Thorax Abdomen Head and Neck Central Nervous System Cranial Nerve Lesions 60
Physiology Basic celluar physiology Respiratory physiology Cardiovascular physiology Gastrointestinal physiology Renal physiology Endocrine physiology 60
Pharmacology Gastrointestinal pharmacology Cardiovascular system Respiratory system Central Nervous System Infections Endocrine system Fluids and electrolytes Muscoskeletal system Immunological products and vaccines Anaesthesia 24
Microbiology Principles of microbiology Pathogen groups 17
Pathology Inflammatory responses Immune responses Infection Wound healing Haematology 9
Evidence Based Medicine Statistics Study Methodology Principles of Critical Appraisal 10
Total 180

RCEMLearning Exam Support

On RCEMLearning we have a number of MRCEM Primary exam sample question modules for you to prepare for the exam. Each module has 12 MRCEM Primary exam style questions, after completing the module you will be able to see feedback on each question as well as your overall score, you can do each module as many times as you want.

MRCEM Primary exam questions

Getting Ready for the exam

Preparing for the MRCEM Primary exam requires a systematic approach and a combination of studying and practice. Here are some steps you can follow to enhance your preparation:

Understand the Exam Format:

Familiarise yourself with the structure, timing, and content of the MRCEM Primary exam. This will give you a clear idea of what to expect and help you plan your study schedule accordingly.

Create a Study Plan:

Develop a comprehensive study plan that covers all the relevant topics tested in the exam. Divide your study time based on the weightage of different subjects and allocate sufficient time for each.

Gather Study Materials:

Collect high-quality study resources such as textbooks, online courses, and question banks, specifically designed for the MRCEM Primary exam. Make sure the materials are up to date and aligned with the exam syllabus.

Focus on Core Topics:

Understand the key topics and concepts that frequently appear in the exam. Concentrate your efforts on mastering these core areas such as anatomy, physiology, pharmacology, microbiology, pathology, and clinical examination skills.

Take Regular Practice Tests:

Practice is crucial for success in the MRCEM Primary exam. Solve practice questions and take mock tests to assess your knowledge, identify weak areas, and improve your time management skills. Use the feedback from these tests to refine your study plan.

Utilise Online Resources:

Online platforms offer a wealth of resources to aid your preparation. Access online forums, discussion boards, and study groups to interact with fellow candidates, share knowledge, and clarify doubts. Additionally, some websites provide study materials, flashcards, and mnemonics tailored to MRCEM Primary exam preparation.

Maintain a Healthy Study Routine:

Establish a consistent study routine and allocate dedicated study time every day. Take regular breaks, stay physically active, and maintain a healthy lifestyle to keep your mind sharp and focused.

Revise and Consolidate:

Set aside time for regular revision to reinforce your understanding of key concepts. Review your notes, revisit difficult topics, and solve additional practice questions to consolidate your knowledge.

Stay Calm and Confident:

Exam preparation can be stressful, but its essential to remain calm and confident. Trust your preparation, believe in your abilities, and maintain a positive mindset. Confidence will help you perform better during the exam.

Remember, everyone has a unique learning style, so adapt these steps to suit your preferences. Stay disciplined, maintain a positive attitude, and approach your preparation systematically.

Good luck with your MRCEM Primary exam!

Leave a Reply