FRCR 2B long cases exam

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 RCR digital examination platform (Practique) under exam conditions. The time allowed for the exam is 60 minutes.

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

Answers are typed. The structure is:

  • 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 multidisciplinary team (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 correct

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

8   Excellent: a perfect answer, clear and confident

 

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Article information

rID: 35269
Synonyms or Alternate Spellings:
  • Fellowship of the Royal College of Radiologists 2B long cases exam

Cases and figures

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    Case 1: typical case
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    Case 2
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    Case 3
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    Case 4
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