100+ Free FRCR Part 2A Practice Questions
Pass your Final FRCR Part A Examination (Clinical Radiology) - CR2A exam on the first try — instant access, no signup required.
A multiphase CT of the liver in a cirrhotic patient shows a lesion with arterial-phase hyperenhancement and washout on the portal venous/delayed phase. Under current diagnostic criteria, what does this most likely represent?
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Sample FRCR Part 2A Practice Questions
Try these sample questions to test your FRCR Part 2A exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 55-year-old smoker has a solitary pulmonary nodule found incidentally on CT. The nodule is 7 mm, solid, smooth, and located in the right lower lobe. According to current British Thoracic Society guidance, which is the most appropriate next step?
2On a chest radiograph, which finding most specifically indicates a left lower lobe collapse?
3A 30-year-old woman presents with acute pleuritic chest pain and dyspnoea. A CT pulmonary angiogram shows a filling defect in the right main pulmonary artery. Which CT sign is the most reliable indicator of associated right heart strain?
4A high-resolution CT of the chest shows bilateral lower-zone predominant subpleural reticulation, traction bronchiectasis, and honeycombing, without significant ground-glass opacity. This pattern is most consistent with which diagnosis?
5Which radiographic feature best distinguishes a tension pneumothorax requiring immediate decompression from a simple pneumothorax?
6A 65-year-old presents with sudden interscapular pain. CT angiography shows an intimal flap in the ascending and descending thoracic aorta extending to the iliac arteries. According to the Stanford classification, which type is this and what is the typical management?
7A chest radiograph in a patient with chronic dyspnoea shows enlarged central pulmonary arteries with rapid peripheral tapering ('pruning'). This vascular pattern most strongly suggests which condition?
8On CT, an anterior mediastinal mass in a 28-year-old man contains macroscopic fat, fluid, and a focus of calcification. Which diagnosis is most likely?
9A patient with known sarcoidosis has a chest radiograph. Which combination of findings represents the classic Garland triad (1-2-3 sign)?
10A 40-year-old with acute chest pain has a coronary CT angiogram showing a coronary calcium score (Agatston) of 0. What is the most appropriate clinical implication?
About the FRCR Part 2A Exam
The Final FRCR Part A (CR2A) is the written knowledge examination of the Royal College of Radiologists for UK clinical radiology trainees and overseas candidates. It comprises two single-best-answer papers totalling 240 questions, sat over two days, and tests all aspects of clinical radiology and the basic sciences against the Specialty Training Curriculum for Clinical Radiology.
Assessment
Two single-best-answer papers of 120 questions each (240 total), assessed as one combined examination across six clinical radiology modules.
Time Limit
3 hours per paper (two papers)
Passing Score
No fixed percentage; a standard-set pass mark is applied to the whole 240-question assessment for each sitting.
Exam Fee
Varies by RCR membership status and venue (UK fees approximately GBP 535-830 per sitting); confirm current fees on the RCR website. (Royal College of Radiologists (RCR))
FRCR Part 2A Exam Content Outline
Cardiothoracic and Vascular
Chest, cardiac, mediastinal and vascular imaging including lung nodules, interstitial lung disease, pulmonary embolism, aortic syndromes and pulmonary hypertension.
Musculoskeletal and Trauma
Bone tumours, arthropathies, metabolic bone disease, fractures, internal joint derangement and acute trauma imaging.
Gastro-intestinal
Luminal GI tract, hepatobiliary, pancreatic and peritoneal pathology across fluoroscopy, ultrasound, CT and MRI.
Genito-urinary, Adrenal, O&G and Breast
Renal, adrenal, urological, gynaecological, obstetric and breast imaging including lesion characterisation and staging.
Paediatric
Neonatal and childhood imaging including congenital anomalies, paediatric tumours, non-accidental injury and developmental conditions.
Central Nervous System and Head & Neck
Brain, spine, head and neck imaging including stroke, haemorrhage, tumours, infection, ENT and orbital pathology.
How to Pass the FRCR Part 2A Exam
What You Need to Know
- Passing score: No fixed percentage; a standard-set pass mark is applied to the whole 240-question assessment for each sitting.
- Assessment: Two single-best-answer papers of 120 questions each (240 total), assessed as one combined examination across six clinical radiology modules.
- Time limit: 3 hours per paper (two papers)
- Exam fee: Varies by RCR membership status and venue (UK fees approximately GBP 535-830 per sitting); confirm current fees on the RCR website.
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
FRCR Part 2A Study Tips from Top Performers
Frequently Asked Questions
How is the FRCR Part 2A exam structured?
It consists of two single-best-answer papers, each with 120 questions, giving 240 questions in total. Each paper lasts 3 hours and the two papers are assessed together as one examination.
What subspecialties does FRCR Part 2A cover?
Questions are drawn from six modules: cardiothoracic and vascular, musculoskeletal and trauma, gastro-intestinal, genito-urinary/adrenal/obstetrics & gynaecology/breast, paediatric, and central nervous system and head & neck.
Is there a fixed pass mark for FRCR Part 2A?
No. The RCR applies a standard-set pass mark to the combined 240-question assessment, so the threshold can vary slightly between sittings based on paper difficulty.
How often is the FRCR Part 2A exam held?
It is normally held twice a year, in April and November, and is delivered by the RCR on the Speedwell digital examination platform.