Date:22/10/2025
The Final FRCEM SBA is more than a knowledge test — it’s an applied reasoning exam that mirrors daily Emergency Department (ED) decision-making. It challenges doctors to integrate RCEM, NICE, and RCUK guidance under realistic time pressure.
At FRCEMStudyZone.co.uk
, our consultant team has analysed recent exam trends and live dashboard analytics to answer the most frequent questions Final FRCEM candidates ask — with practical, exam-relevant strategies.
The exam consists of two papers (90 questions each, 2 hours per paper) delivered via Pearson VUE. Each question has five plausible options, but only one aligns precisely with UK guidance.
👉 Study Zone Tip: Practise realistic timing using our Mock Exam Simulator
— each paper runs up to 120 minutes, and you can take two complete simulations with instant analytics and a downloadable certificate.
Based on the RCEM 2021 Curriculum, NICE guidance, and recent exam recalls, the following are high-yield domains:
Domain Examples of Question Themes
Resuscitation & Airway | ALS, peri-arrest arrhythmias, post-ROSC care
Major Trauma | CT Head, C-Spine, pelvic bleeding control
Cardiology | Syncope, ACS, PCI timing, heart block
Paediatrics & Neonatology | Neonatal sepsis (NICE NG195), Fever under 5s (NICE NG143), Bronchiolitis (NICE NG9), Croup (NICE CG160), Paediatric rashes
Toxicology & Sepsis | Paracetamol toxicity, DIC, NICE NG51
Ethics & Leadership | Capacity, DVLA driving rules, GMC duty
📊 Dashboard Snapshot:
Our candidates have answered 683 + questions across all SLO domains, with an average accuracy rate of 85 % — proof that timed mock practice significantly boosts real-exam performance.
💡 Study Zone Tip: Each pack in our Exam Resources Hub
maps directly to RCEM SLOs and NICE guidelines, ensuring structured, curriculum-based coverage.
Our Mock Exam Feature recreates the official Pearson VUE environment and provides real-time analytics.
Key Features:
✅ Timed Simulations (30–120 min) mirroring one RCEM paper
✅ Two attempts per mock to benchmark progress
✅ Performance Dashboard: category scores (Resus 85 %, Paediatrics 84 %), accuracy tracking across 683 + questions
✅ Quiz History & Trend Tracking
✅ Downloadable Certificates for CPD and CESR
✅ Category Comparison View for targeted revision
👉 Access our 120-Minute Mock Exam Simulator
to experience authentic timed practice with detailed feedback.
In the Final FRCEM SBA, some question stems are intentionally long — designed not to test your reading speed, but your ability to scan efficiently and extract the most relevant clinical information.
Do not read these stems like a magazine article or journal abstract. Train yourself to locate the core decision point quickly.
The stem may tell a rich clinical story, yet the actual question at the end often tests a single principle from NICE, RCEM, or Resuscitation Council UK guidance — for example:
🧠 Study Zone Take-Home Message:
Don’t be misled by story length — examiners are assessing focus and guideline application, not reading endurance.
Practise this skill in our Mock Exam Simulator (30–120 min)
, which reproduces these complex long-stems and trains you to filter critical data under timed conditions.
RCEM questions include distractors to test judgment under pressure.
Strategy:
🔗 Practise this technique through your Quiz Performance Analytics
.
Core Resources for High-Scoring Candidates:
At FRCEM Study Zone, our SBA packs combine these trusted resources into consultant-reviewed, evidence-based questions that mirror real exam scenarios.
💡 Study Zone Tip: Candidates who complete two mock papers show a sustained accuracy rate of 85 % and markedly greater confidence on exam day.
✅ Consultant-authored RCEM-aligned SBA banks
✅ Full mock exam simulation (30–120 min)
✅ Performance analytics & trend tracking
✅ Downloadable certificates for CPD / CESR
✅ Topic organisation by SLO & NICE guidance
✅ Continuous content upload reflecting recent exam themes
Explore our complete packs here:
🔗 FRCEM Final Exam Packs →