ACEM FEx Questions

Practice questions for the ACEM Fellowship Exam 2015.1 and beyond





Get Involved!

This is a crowd-sourced #FOAMed database, so you are able to add your devious trial questions to the banks. To get an idea of what is around, have a browse through and see what tickles your fancy.

Follow the links above to browse, search or add new scenarios, and spread the word with a

The New Format

From 2015.1, the ACEM Fellowship Exam has taken on a new format, comprising of the written select choice question (SCQ) and short answer question (SAQ) paper, and the clinical OSCE-format examination.

You can read more about these formats from the ACEM website, as well as on the SAQ and OSCE pages


It is not mandatory to register, and you can still browse or add questions without registering. If registered, you can:

  • Keep track of the questions you add and prevent others editing them
  • Save drafts of questions in progress
  • Save personal notes about each question
  • Keep track of those you have done or need to review
  • Create "Trial Exams" of SAQs or OSCEs randomly, within categories, or selected
  • Add comments and discuss questions

If you are responsible for teaching and examining ACEM fellowship candidates, you should register to gain access to the Educator features.

It is possible in the future I might provide email updates, or more user-specific features. So feel free to register, if you don't want to miss out on any of that.


This website is in development to get the basic functionality online. It is not a fully functional site and may break and will not have some features you want. There will be ongoing improvements, and I am keen to hear any suggestions or of any bugs you come across.

The quality of trial questions on this site is fully dependent on the users submitting them. They are unlikely to be moderated/edited very much. They may or may not represent the actual ACEM FEx questions.