Primary FRCA question bank: 4,500+ practice MCQs

A Primary FRCA question bank of more than 4,500 single-best-answer questions covering pharmacology, physiology, physics and clinical measurement, anatomy and statistics, mapped to the Royal College of Anaesthetists syllabus — with explanations that work through the underlying science, timed 90-question papers, and analytics that show which subject is holding your score back.

What's in the Primary FRCA bank

4,500+ active SBAs mapped to the RCoA Primary FRCA syllabus, reviewed and added to continuously.

  • 4,500+ single-best-answer questions across the full basic sciences syllabus.
  • Explanations grounded in physiology, pharmacology and measurement principles, with the numbers that matter.
  • Timed exam mode matching the 90-question SBA paper, plus quarter and half papers.
  • Smart Revision for flagged questions and previously incorrect answers.
  • Per-topic analytics with anonymised peer benchmarking.
  • A personalised study coach that turns your recent results into what to revise next.
  • Syllabus tutorials for each topic, so you can learn a subject and then test it.
  • AI viva practice for the Primary FRCA structured oral, available as a separate product.

Syllabus coverage

Pharmacology

  • Pharmacokinetics and dynamics
  • Intravenous and inhalational agents
  • Neuromuscular blockade and reversal
  • Local anaesthetics and analgesics
  • Cardiovascular and autonomic drugs

Physiology

  • Respiratory physiology and gas exchange
  • Cardiovascular physiology and the cardiac cycle
  • Renal, fluids and acid-base
  • Neurophysiology and pain
  • Endocrine, temperature and applied physiology

Physics and clinical measurement

  • Gas laws and vaporisers
  • Pressure, flow and ventilators
  • Monitoring and capnography
  • Temperature measurement and humidity
  • Electrical safety and equipment

Anatomy and statistics

  • Airway, larynx and thorax
  • Brachial plexus and regional anatomy
  • Vertebral column and epidural space
  • Study design, bias and data types
  • Probability, distributions and hypothesis testing

Why use a question bank for the Primary FRCA?

The Primary FRCA written paper is a three-hour, 90-question MCQ split evenly between pharmacology, physiology, and physics and clinical measurement. The questions turn on precise mechanisms, curves and numbers, so the gap between recognising a topic and being able to answer on it is wide — and only question practice exposes that gap.

Practice also gives you data. Accuracy by subject across a few thousand attempts is a far better readiness signal than how a revision session felt, and because the three subjects are equally weighted, one subject sitting well below the others is the single most useful thing to find early.

What the Examrix Primary FRCA question bank contains

The bank currently holds more than 4,500 active single-best-answer questions mapped to the RCoA Primary FRCA syllabus. The largest sets are physiology and pharmacology, with substantial coverage of physics, clinical measurement and equipment, alongside anatomy and statistics.

Questions are reviewed as guidance and practice change, and new items are added continuously rather than in occasional batches, so the bank does not go stale between diets.

Detailed answer explanations

  • Every question explains why the correct option is correct, working from the underlying physiology, pharmacology or measurement principle.
  • Each distractor is addressed in turn, so a near miss teaches you the discriminating detail you missed.
  • Explanations carry the numbers that decide Primary FRCA questions: MAC values, half-lives, normal physiological ranges, gas laws and device characteristics.
  • Where a topic has a matching Examrix tutorial, you can move straight from the question to the full subject.

Performance analytics and finding your weak subject

  • Accuracy by subject and topic, so a weak third of the paper surfaces as data rather than a hunch.
  • Progress over time, showing whether a topic you revised has actually improved on re-testing.
  • Anonymised peer benchmarking for context on where your accuracy sits.
  • Smart Revision, which rebuilds sessions from flagged questions and everything you previously got wrong.
  • Question-level history, so you can tell a knowledge gap from a misread stem.

Personalised study coach

The study coach turns your recent performance into a daily plan: which topics to practise next, which previously incorrect questions are due for another attempt, and which tutorials to read for the subjects sitting below your average.

It removes the daily decision of what to revise — where a lot of revision time quietly disappears — and you can refresh it as your results change or ignore it and drive your own plan from the analytics.

Timed practice and exam-style functionality

Exam mode reproduces the real written paper: 90 questions against a three-hour clock with explanations withheld until you submit, at roughly two minutes per question. Shorter 30- and 45-question blocks let you rehearse pacing during a working week.

Tutor mode is the opposite — explanations appear as you answer, which is the right setting early on when you are still learning a subject rather than testing it.

Using the question bank alongside the tutorials

The most reliable pattern is learn, then test, then review. Read the tutorial for a topic, do a focused question block on it the same day, and review every incorrect answer before moving on — the review is where most of the learning happens.

Free Primary FRCA tutorials you can read now include the oxygen-haemoglobin dissociation curve and the cardiac cycle in physiology, MAC and neuromuscular reversal in pharmacology, and capnography and temperature measurement in physics and clinical measurement.

Who the Primary FRCA question bank is for

  • Anaesthetics trainees preparing for their first sitting of the Primary FRCA written paper.
  • Candidates resitting after a near miss who need to find and rebuild one weak subject.
  • Trainees outside UK programmes who want systematic coverage of the RCoA basic sciences syllabus.
  • Anyone revising physics and clinical measurement from a standing start — usually the highest-yield third of the paper.

How to start

Create an account for a three-day full-access trial, no card required, then run a short mixed block to get a baseline across the three subjects. Use the analytics to pick your weakest topic, read its tutorial, and test it the same day.

As the diet approaches, shift the balance towards timed 90-question papers so pacing and stamina are rehearsed rather than assumed.

Sample Primary FRCA question

A patient's capnograph shows a normal waveform shape but the end-tidal CO₂ has fallen abruptly from 4.8 kPa to 1.5 kPa with unchanged ventilation. What is the most likely cause?

  1. A.Bronchospasm
  2. B.Pulmonary embolism
  3. C.Malignant hyperthermia
  4. D.Rebreathing
  5. E.Oesophageal intubation

Answer: Pulmonary embolism

An abrupt fall in end-tidal CO₂ with a preserved waveform points to a sudden increase in alveolar dead space — classically pulmonary embolism or another cause of reduced pulmonary blood flow. Bronchospasm slopes the upstroke, malignant hyperthermia raises end-tidal CO₂, and rebreathing raises the baseline.

Frequently asked questions

How many questions are in the Primary FRCA question bank?

More than 4,500 active single-best-answer questions, mapped across physiology, pharmacology, physics and clinical measurement, anatomy and statistics, with new items added continuously.

What is the Primary FRCA pass mark?

There is no fixed percentage — the standard is set for each diet, so the marks required move between sittings. Our Primary FRCA pass mark guide explains how standard setting works and what to target in mocks.

Does it match the Royal College SBA paper?

Yes — exam mode runs 90-question SBA papers in the RCoA format, with 30- and 45-question options for shorter sittings.

Is viva practice included?

Primary FRCA Viva Practice is a separate Examrix product with AI examiner sessions for the structured oral.

How long before the exam should I start?

Most trainees begin structured revision 3–4 months out, using tutorials to learn a topic and the question bank to test retention.

Keep reading

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