FACEM Study Guide 2026
Everything you need to pass the FACEM exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 FACEM Exam Format at a Glance
📚 FACEM Topics to Study (69)
✍️ Sample FACEM Questions & Answers
1. When using the Canadian C-Spine Rule to clear the cervical spine clinically, which factor makes radiographic imaging mandatory?
The Canadian C-Spine Rule mandates imaging for high-risk factors including age ≥65, dangerous mechanism, or paresthesias in extremities.
2. For a patient in refractory ventricular fibrillation after 3 defibrillation attempts, what is the correct dose of IV amiodarone as per ACLS guidelines?
300 mg IV bolus of amiodarone is given after the third defibrillation attempt in refractory VF/pulseless VT, with a second dose of 150 mg available.
3. A patient is found unresponsive with miosis, respiratory rate of 6 breaths/min, and oxygen saturation of 78%. What is the most appropriate antidote?
The classic opioid toxidrome — miosis, respiratory depression, and decreased consciousness — is rapidly reversed by naloxone, a competitive opioid antagonist.
4. What role does collaboration play in emergency medicine research within the Fellowship?
Collaboration is a cornerstone of effective emergency medicine research within the FACEM Fellowship. By bringing together diverse expertise and perspectives, collaboration facilitates the generation of innovative solutions to complex problems encountered in emergency care. This interdisciplinary approach often leads to more comprehensive and impactful research outcomes.
5. Activated charcoal is most effective when administered within what timeframe after ingestion, and for which drug type?
Activated charcoal is most effective within 1 hour of ingestion for organic compounds that bind well; it is NOT effective for metals (iron, lithium), alcohols, or strong acids/bases.
6. When inserting a thoracostomy tube for haemothorax, which intercostal space and anatomical landmark is the standard insertion site?
The 5th intercostal space at the mid-axillary line ('safe triangle') avoids the diaphragm and neurovascular bundle while providing optimal drainage.