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A 9-year-old falls from climbing equipment and has a displaced supracondylar humeral fracture. The hand is pale and cool with absent radial pulse, and capillary refill is 5 seconds. What is the best next step?

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to track
2026 Statistics

Key Facts: EBEEM Exam

2 parts

Part A MCQ and Part B SOE make up EBEEM

https://eusem.org/ebeem

200

Part A Single-Best MCQs

https://eusem.org/ebeem/part-a

2 x 2 hours

Part A paper timing, separated by a 1-hour break

https://eusem.org/ebeem/part-a

6 SOEs

Part B station count

https://eusem.org/ebeem/part-b

5 of 6

Part B station pass requirement

https://eusem.org/ebeem/part-b

6 attempts

Maximum attempts for each part

https://eusem.org/ebeem/eligibility-requirements

No licence

Passing EBEEM does not itself confer legal right to practise

https://eusem.org/ebeem

For 2026 planning on 5 June 2026, eu-ebeem-exam is the EUSEM/UEMS European Board Examination in Emergency Medicine. Official current facts include Part A Fall 2026 on 11 September with applications 8 May to 8 June 2026, Part B Fall 2026 on 20-21 November with applications 20 August to 20 September 2026, Part A as 200 Single-Best MCQs in two 2-hour papers plus a 1-hour break, Part B as 6 virtual SOEs of 20 minutes each, Angoff standard setting for Part A, a 5-of-6 station pass requirement for Part B, and a maximum of six attempts per part.

Sample EBEEM Practice Questions

Try these sample questions to test your EBEEM exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which statement best describes the current Part A format of the European Board Examination in Emergency Medicine (EBEEM)?
A.A single 4-hour written essay paper administered only at designated test centres
B.A remote online examination with 200 single-best-answer MCQs split into two 2-hour papers separated by a 1-hour break
C.Six structured oral stations, each 20 minutes, with a requirement to pass at least five stations
D.A portfolio assessment that automatically grants a legal licence to practise Emergency Medicine in Europe
Explanation: Part A is the knowledge-based component and currently uses 200 single-best MCQs delivered remotely in two 2-hour papers with a 1-hour break. Six oral stations describe Part B, not Part A. Passing EBEEM supports professional recognition but does not itself grant a legal licence to practise.
2A candidate passed EBEEM Part A five years ago and now applies for Part B. They have appropriate Emergency Medicine experience and documentation. What is the main eligibility problem?
A.Part B can only be taken before Part A
B.Part B is limited to candidates without specialist experience
C.Part B requires only 18 months of Emergency Medicine experience
D.Part B requires Part A to have been passed within the previous 4 years
Explanation: Part B eligibility includes passing Part A within the previous 4 years, so a five-year interval is outside the stated window. Part B follows Part A, is not restricted to non-specialists, and has substantially greater experience requirements than the 18 months listed for Part A.
3Which statement about EBEEM scoring and attempts is most accurate?
A.Part A uses an Angoff-based cut score that may differ by sitting, and each part has a maximum of six attempts
B.Part A has a fixed 70% pass mark for all sittings, and attempts are unlimited
C.Part B is passed by obtaining a global pass in any four of six stations, with unlimited retakes
D.Passing EBEEM automatically authorises independent medical practice in all European countries
Explanation: Part A cut scores are Angoff-based and can vary by sitting, and there is a maximum of six attempts for each part. Part B currently requires passing at least five of six stations. Legal authority to practise remains with national licensing bodies.
4An adult collapses in the ED. They are unresponsive and not breathing normally. What is the most appropriate first action by the assessing clinician?
A.Check a full set of observations before starting compressions
B.Wait for a senior clinician before beginning resuscitation
C.Call for help, activate the resuscitation team, and start high-quality chest compressions while attaching a defibrillator
D.Insert an arterial line before rhythm assessment
Explanation: Unresponsiveness with absent or abnormal breathing should trigger immediate help, CPR, and early defibrillator attachment. Delaying compressions for observations, senior review, or invasive monitoring worsens time-critical cardiac arrest care.
5During adult cardiac arrest, the monitor shows ventricular fibrillation. High-quality CPR is ongoing and the defibrillator is charged. What is the next best intervention?
A.Give atropine and reassess the rhythm in 2 minutes
B.Perform synchronised cardioversion after checking for a pulse
C.Deliver an unsynchronised shock and immediately resume CPR
D.Delay defibrillation until an advanced airway is inserted
Explanation: Ventricular fibrillation is a shockable arrest rhythm, so an unsynchronised shock followed by immediate CPR is indicated. Atropine is not used for VF arrest, synchronised cardioversion is for unstable tachyarrhythmias with a pulse, and airway placement must not delay defibrillation.
6A 68-year-old man is found pulseless. The monitor shows organised narrow-complex electrical activity at 45/min. What rhythm category should guide ALS treatment?
A.Pulseless electrical activity
B.Ventricular fibrillation
C.Pulseless ventricular tachycardia
D.Supraventricular tachycardia with a pulse
Explanation: Organised electrical activity without a palpable pulse is pulseless electrical activity, a non-shockable rhythm. VF and pulseless VT are shockable rhythms. SVT with a pulse is not cardiac arrest and follows a different pathway.
7A patient remains in asystolic cardiac arrest despite CPR. Which reversible cause should be actively sought and treated?
A.Benign early repolarisation
B.Stable first-degree AV block
C.Uncomplicated hypertension
D.Tension pneumothorax
Explanation: Tension pneumothorax is one of the reversible causes of cardiac arrest and requires immediate decompression when suspected. The other options do not explain pulseless asystolic arrest and are not time-critical reversible arrest causes.
8During CPR, capnography shows an abrupt rise in end-tidal CO2 from 1.3 kPa to 5.0 kPa. What is the most likely explanation?
A.Worsening hyperventilation
B.Return of spontaneous circulation
C.Oesophageal intubation
D.Complete pulmonary embolic obstruction
Explanation: A sudden sustained rise in end-tidal CO2 during CPR commonly suggests return of spontaneous circulation because pulmonary blood flow has improved. Oesophageal intubation usually gives absent or rapidly disappearing CO2, while massive embolic obstruction and hyperventilation tend to lower measured CO2.
9After successful resuscitation from out-of-hospital ventricular fibrillation arrest, a patient is comatose, ventilated, and hypotensive. Which immediate post-arrest priority is most appropriate?
A.Stop monitoring once pulses return because the arrest has resolved
B.Optimise oxygenation, ventilation, perfusion, temperature management, and identify the arrest cause
C.Induce severe hyperventilation to rapidly lower PaCO2
D.Avoid coronary evaluation because coma excludes acute coronary occlusion
Explanation: Post-arrest care focuses on preventing secondary injury by optimising oxygenation, ventilation, circulation, temperature strategy, and diagnosing the cause, including coronary occlusion when suspected. ROSC patients remain high risk, hyperventilation may worsen cerebral blood flow, and coma does not exclude acute coronary disease.
10A patient with facial burns has progressive hoarseness, stridor, soot in the mouth, and increasing work of breathing. Oxygen saturation is currently 96% on high-flow oxygen. What is the best airway plan?
A.Observe because oxygen saturation is normal
B.Give nebulised salbutamol only and reassess in 4 hours
C.Avoid intubation until the patient becomes unconscious
D.Call for expert help and perform early controlled tracheal intubation before complete obstruction develops
Explanation: Progressive upper-airway injury after burns can deteriorate rapidly despite initially normal oxygen saturation, so early controlled intubation with skilled help is appropriate. Observation or bronchodilator-only treatment risks losing the airway, and waiting for unconsciousness makes intubation more hazardous.

About the EBEEM Exam

The European Board Examination in Emergency Medicine evaluates whether candidates have the knowledge, skills and behaviours needed for independent Emergency Medicine practice, as described in the European Training Requirements and European Core Curriculum. It is an official exit exam in Malta and has official theoretical-component status for Part A in Flanders, Belgium, but EUSEM states that passing EBEEM does not itself grant a licence to practise.

Assessment

EBEEM is a two-part virtual examination based on the European Training Requirements and European Core Curriculum in Emergency Medicine. Part A is a remote MCQ exam with 200 Single-Best questions. Part B is a virtual Structured Oral Examination with 6 stations assessing management of adult, paediatric and pre-hospital emergency scenarios, communication, clinical data interpretation, leadership, and teaching.

Time Limit

Part A takes up to 5 hours including two 2-hour papers and a 1-hour break. Part B is listed as 2 hours, with 6 SOEs of 20 minutes each.

Passing Score

Part A cut scores are set by the Angoff method and can differ by sitting. For Part B, candidates must be successful on at least 5 of 6 stations.

Exam Fee

Each part has a EUR 100 non-refundable pre-registration fee. Part A exam fees are EUR 600/500/400/250 depending on non-member, national-society country, EUSEM member, or EUSEM member in training status. Part B exam fees are EUR 600/500/450/300 for the same tiers. (EMERGE, a joint committee of EUSEM and the UEMS Section of Emergency Medicine)

EBEEM Exam Content Outline

Part A

Single-Best MCQ Knowledge

Remote Part A structure, 200 single-best questions, two 2-hour papers, 1-hour break, Angoff cut score, applied basic sciences, and emergency medicine knowledge.

Part B

Structured Oral Examination

Six virtual SOE stations, 5 minutes preparation and 15 minutes examination each, independent station judgement, minimum two examiners, and 5-of-6 station passing rule.

Core clinical

Resuscitation and Adult Emergencies

Airway, shock, sepsis, cardiac arrest, ACS, arrhythmias, respiratory failure, stroke, seizures, toxicology, acid-base disorders, and time-critical decisions.

Core clinical

Trauma, Paediatrics, and Obstetrics

Major trauma, bleeding control, head injury, fractures, paediatric sepsis and respiratory distress, safeguarding, pregnancy emergencies, and procedural sedation.

Professional practice

ED Leadership and Safety

Triage, crowding, pre-hospital interfaces, communication, ethical decisions, supervision, handover, quality improvement, ultrasound, and safe procedure governance.

How to Pass the EBEEM Exam

What You Need to Know

  • Passing score: Part A cut scores are set by the Angoff method and can differ by sitting. For Part B, candidates must be successful on at least 5 of 6 stations.
  • Assessment: EBEEM is a two-part virtual examination based on the European Training Requirements and European Core Curriculum in Emergency Medicine. Part A is a remote MCQ exam with 200 Single-Best questions. Part B is a virtual Structured Oral Examination with 6 stations assessing management of adult, paediatric and pre-hospital emergency scenarios, communication, clinical data interpretation, leadership, and teaching.
  • Time limit: Part A takes up to 5 hours including two 2-hour papers and a 1-hour break. Part B is listed as 2 hours, with 6 SOEs of 20 minutes each.
  • Exam fee: Each part has a EUR 100 non-refundable pre-registration fee. Part A exam fees are EUR 600/500/400/250 depending on non-member, national-society country, EUSEM member, or EUSEM member in training status. Part B exam fees are EUR 600/500/450/300 for the same tiers.

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

EBEEM Study Tips from Top Performers

1Use the European Training Requirements and Core Curriculum as the spine for revision, then map topics to real ED chief complaints.
2Practise Part A as single-best-answer clinical reasoning, not simple recall.
3For Part B, rehearse a structured approach: immediate threats, differential diagnosis, investigations, treatment, communication, disposition, and reassessment.
4Be explicit about paediatric, obstetric, pre-hospital, and safeguarding differences because Part B can include adults and children and pre-hospital care.
5Review current resuscitation, NICE, ESC, SIGN, ERC, toxicology, ultrasound, and procedural safety guidance relevant to emergency practice.

Frequently Asked Questions

Who develops EBEEM?

EBEEM is developed and implemented by EMERGE, the Emergency Medicine Examination Reference Group in Europe, a joint committee of EUSEM and the UEMS Section of Emergency Medicine.

What is the Part A format?

The current EUSEM Part A page lists 200 Single-Best MCQs, two 2-hour papers separated by a 1-hour break, delivered remotely through an online portal.

What is the Part B format?

The current EUSEM Part B page lists 6 virtual Structured Oral Examinations of 20 minutes each, with 5 minutes preparation and 15 minutes examination.

How do candidates pass Part B?

Candidates must be successful on at least 5 of 6 Part B stations. Each station or scenario is judged independently by at least two examiners.

Does EBEEM grant a licence to practise?

No. EUSEM states that success in EBEEM does not confer a legal right to work as a non-specialist or specialist; licensing remains dependent on national competent authorities.

What are the remaining 2026 EBEEM dates?

As of 5 June 2026, the remaining listed 2026 dates are Part A on 11 September 2026 and Part B on 20-21 November 2026.