100+ Free FIMC RCSEd Part A Practice Questions

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2026 Statistics

Key Facts: FIMC RCSEd Part A Exam

180

Part A SBA Questions

FIMC RCSEd Regulations March 2023

180 min

Part A Time Limit

FIMC RCSEd Regulations March 2023

£1130

Examination Fee

RCSEd Exam Details page

Level 8

Skills for Health Performance Level

FIMC RCSEd Regulations March 2023

DipIMC

Required Prerequisite Diploma

FIMC RCSEd Regulations March 2023

100

Free Practice Questions

OpenExamPrep

FIMC RCSEd Part A is 180 SBAs in 180 minutes (£1130 combined fellowship fee per RCSEd). It is blueprinted to UK PHEM phases 1–2 (IBTPHEM) at Skills for Health Level 8; Part B OSPE is separate. Applicants must hold DipIMC and meet post-registration experience plus PHEM TPD countersignature or a Certificate of FIMC Eligibility.

Sample FIMC RCSEd Part A Practice Questions

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

1FIMC RCSEd is utilised by IBTPHEM primarily as which assessment within UK PHEM training?

A.Phase 2 national summative assessment for clinicians in PHEM training programmes

B.Phase 1 national summative assessment only

C.A formative workplace-based assessment used only within a single ambulance Trust

D.An optional CPD attendance certificate with no role in national PHEM summative assessment

Explanation: FIMC is the highest formal pre-hospital qualification and is used by IBTPHEM as the phase 2 national summative assessment for PHEM trainees. DipIMC maps to phase 1; FIMC covers phases 1–2 at Skills for Health Level 8.

2According to current RCSEd FIMC regulations blueprinting, Part A SBA content is mapped against which curriculum coverage?

A.UK PHEM curriculum phase 1 and phase 2 capabilities and themes

B.Only inpatient geriatric rehabilitation modules without pre-hospital content

C.Only basic life-support competencies for non-clinical bystanders

D.Solely US ATLS provider MCQs without adaptation to UK PHEM practice and guidelines

Explanation: FIMC regulations blueprint the examination against phase 1 and 2 of the current UK PHEM curriculum (GMC/IBTPHEM). Content reflects UK practice and spans the full pre-hospital spectrum including interfacility critical care transfer expectations at Level 8.

3A consultant-level PHEM clinician advising an ambulance service on enhanced care desk tasking should prioritise which principle?

A.Match scarce enhanced-care assets to patients with the greatest clinical need and time-critical benefit, considering geography and resource state

B.Activate HEMS for every call involving a patient over 50 years of age regardless of acuity

C.Refuse all enhanced-care taskings whenever rain is forecast, without considering ground critical-care alternatives

D.Base activation solely on whether a private ambulance subscription is held

Explanation: Level 8 practice includes system-level decision-making: enhanced care/HEMS tasking balances clinical need, time-critical interventions, geography, weather/aviation limits, and scarce resource stewardship—not age alone or insurance status.

4Within UK major trauma networks, the pre-hospital Level 8 clinician’s destination decision for a critically injured adult is best guided by:

A.Network triage tools, injury pattern/physiology, and capability of major trauma centres versus trauma units, balancing time and interventions needed

B.Always transporting to the geographically nearest minor injury unit regardless of injury pattern

C.Choosing destination mainly by the hospital with the shortest elective outpatient waiting list

D.Automatically bypassing every acute hospital, including the MTC, to go direct to a rehabilitation unit

Explanation: UK trauma networks use triage decision tools so that patients with major trauma go to major trauma centres when benefit outweighs extra journey time, while others may appropriately go to trauma units. Destination is a clinical–systems decision, not elective preference or automatic rehab bypass.

5JRCALC guidelines in UK ambulance practice are best described as:

A.National clinical guidelines widely used to standardise ambulance clinician practice, which enhanced-care teams still need to understand when integrating with crews

B.A statute that replaces all local clinical governance and SOPs

C.An optional overseas EMS textbook with no role in UK ambulance practice standards

D.A hospital-only pharmacy formulary without ambulance clinical content

Explanation: JRCALC provides the core national clinical guidelines for UK ambulance services. Fellowship-level clinicians must understand them to integrate safely with ambulance crews even when delivering interventions beyond standard paramedic scope.

6Compared with DipIMC, which statement best characterises FIMC performance expectation?

A.Skills for Health Level 8 (consultant/indicative title), including leadership, complex analysis and interfacility critical-care transfer capability

B.Skills for Health Level 6 only, identical to DipIMC with no additional depth

C.Skills for Health Level 4 support-worker standard without leadership expectations

D.No Skills for Health framework mapping is stated in FIMC regulations

Explanation: FIMC regulations explicitly map expected performance to Skills for Health Level 8 (consultant-level). DipIMC maps to Level 6. FIMC additionally emphasises specialist knowledge, leadership responsibility, and safe emergency transfers including ED/critical-care investigation interpretation.

7A multi-agency road traffic collision is managed under Gold–Silver–Bronze command. The on-scene PHEM consultant acting as medical commander most appropriately functions at which level for tactical medical coordination?

A.Silver (tactical) / Bronze (operational) medical command interface with other agency commanders, coordinating clinical priorities at scene and into the system

B.Gold (strategic) remote executive command only, with no tactical or operational scene medical interface

C.Sole police Senior Investigating Officer responsible for forensic scene decisions

D.Hospital bed manager deciding elective theatre lists for the coming week

Explanation: Pre-hospital medical commanders typically operate at Bronze/Silver interfaces: coordinating clinical care, extrication priorities, and resource requests with other agencies. Gold is strategic; police SIO and hospital elective management are separate roles.

8BASICS / volunteer immediate-care schemes relative to NHS ambulance and HEMS systems are best understood as:

A.Providing enhanced immediate-care capability that integrates with ambulance and multi-agency responses under local governance arrangements

B.Replacing the statutory ambulance service entirely within their coverage area

C.Operating without clinical governance obligations because responders are unpaid volunteers

D.Being prohibited from clinical coordination with ambulance paramedics at scene

Explanation: Immediate-care schemes augment the system with enhanced clinical capability under appropriate governance, working with ambulance services and other agencies—not replacing statutory EMS or operating without governance.

9When a Level 8 clinician reviews whether a regional critical care desk should be expanded overnight, the strongest evidence-informed systems argument is based on:

A.Demand/acuity analysis, response-time benefit, intervention rates, safety incidents, and workforce sustainability balanced against cost

B.Anecdote from a single quiet shift without demand or outcome data

C.Whichever option maximises social-media engagement metrics

D.Automatically copying an unrelated overseas staffing model without local epidemiology

Explanation: Consultant-level operational leadership uses population demand, acuity, outcome/process metrics, incident learning and workforce sustainability to justify system design—not anecdote, marketing, or uncritical overseas transplant.

10Eligibility for FIMC via the non-PHEM-training route typically requires which additional Faculty process beyond holding DipIMC and meeting post-registration experience?

A.Submission of a Certificate of FIMC Eligibility issued by the Faculty of Pre-Hospital Care demonstrating comparable experience to a PHEM subspecialty trainee

B.No additional Faculty process; DipIMC alone is always sufficient for non-PHEM applicants

C.Automatic eligibility after any first-aid certificate without DipIMC

D.Substitution of an overseas ATLS card for both DipIMC and Faculty eligibility review

Explanation: Non-PHEM pathway applicants must hold DipIMC (and meet experience requirements) and obtain a Certificate of FIMC Eligibility from FPHC showing training/experience comparable to a PHEM subspecialty trainee. PHEM trainees use TPD countersignature instead.

About the FIMC RCSEd Part A Exam

The Fellowship in Immediate Medical Care (FIMC RCSEd) is the highest formal UK pre-hospital qualification, assessing doctors, nurses and paramedics at Skills for Health Level 8 (consultant-indicative). Part A is a 180-question single-best-answer paper blueprinted to UK PHEM curriculum phases 1 and 2, including interfacility critical-care transfer expectations. IBTPHEM uses FIMC as the phase 2 national summative assessment. This free practice bank targets Part A knowledge only.

Assessment

Two parts across three days: Part A written SBA (180 questions / 180 minutes) and Part B OSPE (normally 14 stations: 12 × 8 minutes and 2 × 24 minutes, including pre-hospital and/or emergency interfacility transfer simulations). Both parts must be passed; parts may be taken in either order. An isolated pass remains valid for a maximum of 3 subsequent available diets.

Time Limit

180 minutes (Part A)

Passing Score

Standard-set each diet (not a fixed published percentage); pass required in both Part A and Part B

Exam Fee

£1130 (Faculty of Pre-Hospital Care, Royal College of Surgeons of Edinburgh)

FIMC RCSEd Part A Exam Content Outline

10%

Working in Emergency Medical Systems

PHEM systems, enhanced care/HEMS, trauma networks, command, FIMC eligibility pathways

30%

Providing Pre-hospital Emergency Care

Advanced clinical care: airway/PHEA, haemorrhage, ALS, trauma, medical, paediatric, obstetric, environmental

10%

Using Pre-hospital Equipment

Sandpiper kit, ventilators, IO, POCUS, pumps, defibrillation, POC testing

10%

Supporting Rescue and Extrication

Scene safety, medically directed extrication, entrapment and HAZMAT interfaces

10%

Supporting Safe Patient Transfer

Handover, packaging, mode choice, logistics, interfacility critical-care transfer

10%

Supporting Emergency Preparedness and Response

Major incidents, triage, command, CBRN/hostile events

Operational Practice

Risk assessment, consent/capacity, IPC, records, controlled drugs

Team Resource Management

Communication, leadership, checklists, debrief/welfare

Clinical Governance

Incident learning, PHEA metrics, CD governance, network audit

Good Medical Practice

Professionalism, candour, confidentiality, competence boundaries

How to Pass the FIMC RCSEd Part A Exam

What You Need to Know

Passing score: Standard-set each diet (not a fixed published percentage); pass required in both Part A and Part B
Assessment: Two parts across three days: Part A written SBA (180 questions / 180 minutes) and Part B OSPE (normally 14 stations: 12 × 8 minutes and 2 × 24 minutes, including pre-hospital and/or emergency interfacility transfer simulations). Both parts must be passed; parts may be taken in either order. An isolated pass remains valid for a maximum of 3 subsequent available diets.
Time limit: 180 minutes (Part A)
Exam fee: £1130

Keys to Passing

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

FIMC RCSEd Part A Study Tips from Top Performers

1Map revision to the six IBTPHEM specialty themes plus operational practice, TRM, clinical governance and Good Medical Practice using published table 2.2 weights (clinical care 30%).

2Emphasise Level 8 gaps versus DipIMC: interfacility critical-care transfer, ventilator/infusion logistics, systems leadership and governance.

3Know RCUK adult/paediatric/newborn ALS and UK trauma haemorrhage priorities (cABCDE, TXA, tourniquets, pelvic binder, DCR) cold.

4Drill major-incident tools: METHANE, CSCATT, triage sieve/sort, and hostile/CBRN zoning principles.

5Practice SBA timing at ~1 minute per question to match the 180-in-180 Part A pace.

Frequently Asked Questions

What is the format of FIMC Part A?

Part A is a single-best-answer written paper of 180 questions lasting 180 minutes, testing underpinning knowledge for specialist pre-hospital emergency care at Level 8. It is blueprinted to phases 1 and 2 of the UK PHEM curriculum.

Do I need to pass Part B as well?

Yes. The fellowship requires a pass in both Part A (SBA) and Part B (OSPE, normally 14 stations including two 24-minute transfer simulations). Parts can be taken in either order; an isolated pass remains valid for up to three subsequent available diets.

How much does the FIMC examination cost?

RCSEd lists the examination fee as £1130 for the Fellowship in Immediate Medical Care. Published resit fees are £450 for the written paper only and £680 for the OSPE only.

Who is eligible to sit FIMC?

Applicants must hold the Diploma in Immediate Medical Care RCSEd and meet minimum post-registration experience. PHEM trainees need Training Programme Director countersignature. Other practitioners need a Certificate of FIMC Eligibility from the Faculty of Pre-Hospital Care demonstrating comparable experience.

Is a fixed pass mark published?

No fixed public percentage pass mark is published. Standards are set each diet; historical review data show written pass marks have varied by sitting. Both parts must be passed.