FRCR 2B long cases

Dr Ian Bickle and Dr Jeremy Jones et al.

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

The most important aspect of this exam is time keeping. 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.


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