FRCR 2B long cases

The FRCR 2B long cases exam is one of the three parts of the final FRCR 2B exam. It comprises six long cases that are viewed on the OsiriX platform under exam conditions in 60 minutes.

Cases may comprise single or multiple modalities and may include ultrasound, plain film, CT, MRI, or nuclear medicine. In general, the six cases will cover a broad range of the curriculum.

Answers are handwritten and the answer book provided is laid out in sections:

  • observations: recording of factual observations from the studies provided
  • interpretation: interpretation of the observed findings, for example, describing whether the process is aggressive or non-aggressive
  • main diagnosis: the most likely unifying diagnosis
  • differential diagnosis: if there are any differential diagnoses, these should be included here
  • relevant further investigations or management: this might include clinician notification, further investigations, referral pathway or appropriate MDT discussion

Exam technique

One of the most important aspects of this exam is timekeeping. You must make sure you have time to answer all six questions. Being strict with timing is vital, taking nine minutes per case leaves six minutes contingency time to go back to a difficult or complex case at the end. After nine minutes you should move on, even if you have not completed the case in full.

Marking schema

Individual cases are marked out of 8 as indicated below:

3   No answer offered

4   Fail: significant observations missed; correct diagnosis not made 

5   Borderline: appropriate if there are two main diagnoses in the case but only one is mentioned; some observations missed               

6   Pass: most observations made correctly; principal diagnoses correct6

7   Good Pass: additional relevant material included in a "pass" grade answer       

8   Excellent: a perfect answer, clear and confident


Share article

Article information

rID: 35269
Synonyms or Alternate Spellings:

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Case 1: typical case
    Drag here to reorder.
  • Drag
    Case 2
    Drag here to reorder.
  • Drag
    Case 3
    Drag here to reorder.
  • Updating… Please wait.

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.