100+ Free FRCOphth Part 2 Written Practice Questions
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A 67-year-old with type 2 diabetes has reduced vision and OCT shows increased central retinal thickness with intraretinal cysts involving the fovea. According to UK practice, what is the first-line treatment for centre-involving diabetic macular oedema with significant thickening?
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Sample FRCOphth Part 2 Written Practice Questions
Try these sample questions to test your FRCOphth Part 2 Written exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 32-year-old contact lens wearer presents with a painful red eye, a 2 mm central corneal infiltrate with an overlying epithelial defect, and a hypopyon. What is the single most appropriate initial management?
2A 24-year-old man has progressive blurred vision. Slit-lamp examination shows central corneal thinning with a Fleischer ring and Vogt's striae, and topography demonstrates inferior steepening with skewed radial axes. Which intervention is most likely to halt disease progression?
3A 70-year-old develops gradually worsening vision after uneventful cataract surgery 8 years earlier. Examination shows corneal stromal oedema, guttae on the endothelium, and microcystic epithelial oedema worse in the morning. What is the most likely diagnosis?
4A 45-year-old farmer presents 5 days after a corneal injury with a thorn. There is a feathery-edged stromal infiltrate with satellite lesions and minimal hypopyon. Gram stain shows septate hyphae. Which topical antifungal is the most appropriate first-line agent?
5A patient with recurrent unilateral corneal stromal inflammation has reduced corneal sensation, ghost vessels, and a history of childhood interstitial keratitis. Which investigation is most likely to identify the underlying cause?
6A 58-year-old with rheumatoid arthritis presents with a painful red eye, a crescentic peripheral corneal ulcer with stromal thinning and an inflamed adjacent limbus. What is the most appropriate management?
7A contact lens wearer has severe pain disproportionate to signs, perineural infiltrates, and a ring-shaped stromal infiltrate. Confocal microscopy shows double-walled cysts. Which is the most appropriate treatment?
8Which corneal graft technique is most appropriate for a patient with Fuchs endothelial dystrophy and otherwise clear stroma?
9A 20-year-old with atopy has bilateral itchy eyes, large cobblestone papillae on the upper tarsal conjunctiva, limbal Horner-Trantas dots, and a shield ulcer. What is the diagnosis?
10A patient is listed for cataract surgery. According to UK practice, intracameral injection of which antibiotic at the end of surgery is recommended to reduce the risk of postoperative endophthalmitis?
About the FRCOphth Part 2 Written Exam
The Part 2 Written FRCOphth is a single-best-answer examination of 180 questions across two 90-question papers, taken to around ST6 level. It is blueprinted on the entire Ophthalmic Specialist Training curriculum and, with the Part 2 Oral, forms the synoptic exit examination for Fellowship.
Assessment
Two single-best-answer MCQ papers of 90 questions each (180 total), sat on the same day, blueprinted across the full Ophthalmic Specialist Training curriculum.
Time Limit
Two papers of 2 hours each (120 minutes per paper), with a break between papers.
Passing Score
Pass mark set in advance using the Ebel method; candidates must reach the pass mark plus one standard error of measurement (no fixed percentage).
Exam Fee
£725 (2026 RCOphth fee for the Part 2 Fellowship Written examination). (Royal College of Ophthalmologists (RCOphth))
FRCOphth Part 2 Written Exam Content Outline
Cornea and external eye disease
Microbial, immune and dystrophic corneal disease, ocular surface disorders and keratoplasty decision-making.
Cataract and lens
Cataract assessment, biometry and IOL choice, phacoemulsification and management of intraoperative complications.
Glaucoma
Open-angle and angle-closure glaucoma, NICE-guided care, perimetry interpretation, laser and surgical management.
Medical retina
Diabetic eye disease, AMD, retinal vascular occlusions, inherited retinal disease and intravitreal therapy.
Vitreoretinal and surgical retina
Retinal detachment, macular surgery, vitrectomy, tamponade agents and retinopathy of prematurity.
Uveitis and ocular inflammation
Infectious and non-infectious uveitis, scleritis, systemic associations and immunosuppression.
Neuro-ophthalmology
Optic neuropathies, visual pathway and pupil disorders, cranial nerve palsies and neuro-imaging.
Paediatric ophthalmology and strabismus
Amblyopia, strabismus surgery, congenital ocular disease and phakomatoses.
Oculoplastics, orbit and lacrimal
Eyelid malpositions and tumours, thyroid eye disease, orbital and lacrimal disorders.
Optics and refraction
Clinical and physical optics, refractive error and surgery, and ophthalmic instrumentation.
Ocular oncology and pathology
Intraocular and surface tumours, histopathology and systemic malignancy in the eye.
General medicine and pharmacology
Systemic disease, ocular drug toxicity, trauma and patient safety.
Evidence-based medicine, statistics and ethics
Study design, statistics, screening, consent and medico-legal standards.
How to Pass the FRCOphth Part 2 Written Exam
What You Need to Know
- Passing score: Pass mark set in advance using the Ebel method; candidates must reach the pass mark plus one standard error of measurement (no fixed percentage).
- Assessment: Two single-best-answer MCQ papers of 90 questions each (180 total), sat on the same day, blueprinted across the full Ophthalmic Specialist Training curriculum.
- Time limit: Two papers of 2 hours each (120 minutes per paper), with a break between papers.
- Exam fee: £725 (2026 RCOphth fee for the Part 2 Fellowship Written examination).
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
FRCOphth Part 2 Written Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the FRCOphth Part 2 Written exam?
The examination consists of 180 single-best-answer multiple-choice questions delivered as two papers of 90 questions, each lasting two hours and sat on the same day.
What is the pass mark for the Part 2 Written FRCOphth?
There is no fixed percentage. The pass mark is set in advance using the Ebel standard-setting method, and candidates must achieve the pass mark plus one standard error of measurement.
How much does the Part 2 Written FRCOphth cost in 2026?
The 2026 RCOphth fee for the Part 2 Fellowship Written examination is £725. Candidates are allowed a maximum of four attempts.
Who can sit the Part 2 Written FRCOphth and when is it held?
Candidates must first pass Part 1 FRCOphth and the Refraction Certificate. It is aimed at trainees in years 4 to 7 of Ophthalmic Specialist Training and is held twice yearly, in June and late November or December.