Free Practice Questions for RANZCR Rad Onc Anatomy
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Sample RANZCR Rad Onc Anatomy Practice Questions
Try these sample questions to review concepts for the RANZCR Rad Onc Anatomy exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A patient with glioblastoma undergoes post-operative RT. The hippocampi are commonly spared during whole-brain RT. Where are the hippocampi located on axial MRI?
2Which cranial nerve shares the internal auditory canal with the vestibulocochlear nerve (CN VIII) and is therefore at risk in vestibular schwannoma treatment?
3On sagittal MRI, the pituitary gland sits in which bony structure?
4The optic chiasm lies immediately superior to which structure, making it vulnerable during pituitary/sellar RT?
5Which paired dural venous sinuses extend laterally from the confluence of sinuses and are relevant to posterior fossa anatomy?
6The cerebral aqueduct is an important midline landmark on brain MRI. Which ventricles does it connect?
7The internal capsule anterior limb lies between which structures on axial MRI?
8Which statement most accurately describes the arterial supply of the hippocampus?
9The tentorium cerebelli separates which compartments?
10A patient with nasopharyngeal carcinoma may develop skull base invasion. Through which foramen does the maxillary division of CN V exit?
About the RANZCR Rad Onc Anatomy Exam
The RANZCR Radiation Oncology Phase 1 Anatomy examination is one of three Phase 1 written papers (with Radiation Oncology Physics and Radiation and Cancer Biology) that radiation oncology trainees in Australia and New Zealand must pass before progressing to Phase 2 training. The 2-hour paper tests oncological anatomy — cross-sectional and gross anatomy applied to cancer management, contouring, lymphatic drainage, and organ-at-risk relations — through 60 diagram labels, 30 multiple choice questions, and 6 short answer questions. Content is derived from the Radiation Oncology Learning Outcomes and is offered twice yearly in electronic format.
Exam sponsor: Royal Australian and New Zealand College of Radiologists (RANZCR). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
One 2-hour written paper (plus 5 minutes reading time): diagram labelling (60 labels, 0.5 marks each, 30 marks), 30 MCQs (1 mark each, 30 marks), and 6 SAQs (10 marks each, 60 marks), for 120 marks total. Delivered twice a year alongside separate Phase 1 papers in Radiation Oncology Physics and Radiation and Cancer Biology. All three Phase 1 subjects must be passed to progress to Phase 2.
Time Limit
2 hours, with 5 minutes reading time.
Passing Score
Standard-set per sitting; RANZCR publishes minimum cut scores and passing standards in examination reports. The 2025 Series 2 report recorded an Anatomy minimum cut score of 61.9% and passing standard of 67.2%.
Exam / Certification Fees
Confirm current Phase 1 examination fees on the RANZCR membership fees page; fees are reviewed annually and charged per subject paper.
Exam sponsor websiteReported exam pass rate: RANZCR's Phase 1 Examination Report for 2025 Series 2 recorded an Anatomy pass rate (including conceded passes) of 70.0% (7 pass/conceded pass of 10 candidates); Series 1 2025 recorded 82.6% (19 of 23). Rates vary by sitting.. Pass rate reflects the Anatomy paper's own result; all three Phase 1 subjects (Anatomy, Radiation Oncology Physics, and Radiation and Cancer Biology) must still be passed to progress to Phase 2. Check the current RANZCR Phase 1 Examination Report for the latest sitting. This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
CNS and Skull Base
Brain, brainstem, ventricular system, cranial nerves, skull-base foramina, cavernous sinus, and intracranial vascular anatomy for CNS RT.
Head and Neck
Pharyngeal subsites, salivary glands, thyroid, neck spaces, cervical lymph node levels, and perineural spread for H&N RT.
Spine
Vertebral column, spinal cord, conus/cauda equina, epidural space, and dermatome correlation for spinal metastases.
Thorax
Mediastinum, lung/bronchial tree, breast lymphatics, cardiac relations, and thoracic duct for thoracic RT.
Abdomen and Pelvis
Hepatobiliary, pancreas, GI tract, peritoneum, pelvic viscera, and pelvic lymphatics for GI/GU/gynaecological RT.
Limbs and Peripheral Nerves
Brachial/lumbosacral plexus, sciatic and femoral nerves, and limb anatomy for apical lung and extremity RT.
Preparing for the RANZCR Rad Onc Anatomy Exam
What You Need to Know
- Passing score: Standard-set per sitting; RANZCR publishes minimum cut scores and passing standards in examination reports. The 2025 Series 2 report recorded an Anatomy minimum cut score of 61.9% and passing standard of 67.2%.
- Assessment: One 2-hour written paper (plus 5 minutes reading time): diagram labelling (60 labels, 0.5 marks each, 30 marks), 30 MCQs (1 mark each, 30 marks), and 6 SAQs (10 marks each, 60 marks), for 120 marks total. Delivered twice a year alongside separate Phase 1 papers in Radiation Oncology Physics and Radiation and Cancer Biology. All three Phase 1 subjects must be passed to progress to Phase 2.
- Time limit: 2 hours, with 5 minutes reading time.
- Exam / certification fees: Confirm current Phase 1 examination fees on the RANZCR membership fees page; fees are reviewed annually and charged per subject paper. Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
RANZCR Rad Onc Anatomy: Suggested Study Strategy
Frequently Asked Questions
What is the RANZCR Radiation Oncology Anatomy exam?
The Anatomy exam is one of three RANZCR Radiation Oncology Phase 1 written papers (alongside Radiation Oncology Physics and Radiation and Cancer Biology). It is a 2-hour paper testing oncological anatomy through 60 diagram labels, 30 multiple choice questions, and 6 short answer questions, totalling 120 marks.
How does Radiation Oncology Phase 1 Anatomy differ from Clinical Radiology Phase 1 Anatomy?
Clinical Radiology Phase 1 Anatomy is a 3-hour paper with 60 MCQs, 120 image labels, 30 very short answers, and 20 short answers (180 marks). Radiation Oncology Phase 1 Anatomy is a shorter 2-hour paper (120 marks) with fewer MCQs (30 vs 60) but longer SAQs (6 × 10 marks), and emphasises anatomy applied to cancer management rather than broad cross-sectional radiology identification alone.
What is the pass mark for the RANZCR Radiation Oncology Anatomy exam?
RANZCR does not publish a fixed numerical pass mark. The standard is set individually for each sitting using formal standard-setting procedures. The 2025 Series 2 report recorded a minimum cut score of 61.9% and passing standard of 67.2% for Anatomy.
How often is the RANZCR Radiation Oncology Phase 1 Anatomy exam held?
Phase 1 examinations are delivered electronically twice a year. Each Anatomy paper is 2 hours plus 5 minutes reading time, sat on a scheduled day alongside the other Phase 1 subjects across Australia, New Zealand, and approved international venues.
What topics does the Radiation Oncology Anatomy exam cover?
Content is derived from the Radiation Oncology Learning Outcomes and tests oncological anatomy across CNS/skull base, head and neck, spine, thorax, abdomen and pelvis, and limbs — including lymphatic drainage, vascular relations, organ-at-risk boundaries, and anatomy applied to contouring and treatment planning.