100+ Free FRCS Urol Practice Questions
Pass your Intercollegiate Specialty Fellowship Examination in Urology (FRCS Urol) exam on the first try — instant access, no signup required.
A 70-year-old man reports predominantly nocturia (waking 3 times nightly to void) with otherwise mild daytime symptoms. A frequency-volume chart shows that more than a third of his 24-hour urine output occurs at night. What is the most likely contributing diagnosis?
Explore More MRCS & FRCS Surgical Exams
Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.
Sample FRCS Urol Practice Questions
Try these sample questions to test your FRCS Urol exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 64-year-old man has a PSA of 6.8 ng/mL and an MRI showing a PI-RADS 4 lesion. Transperineal biopsy reveals Gleason 3+4=7 (ISUP grade group 2) in 3 of 12 cores. According to NICE NG131 risk stratification, into which category does this disease fall?
2A 58-year-old man with newly diagnosed metastatic, hormone-sensitive prostate cancer (high-volume, CHAARTED criteria) is starting androgen deprivation therapy. Based on current UK practice and STAMPEDE evidence, which addition to ADT offers the greatest overall survival benefit in this setting?
3A 70-year-old man with castration-resistant prostate cancer has bone-only metastases and rising PSA despite abiraterone. Genomic testing reveals a germline BRCA2 mutation. Which targeted agent is specifically indicated for BRCA-mutated metastatic CRPC?
4A 67-year-old man undergoes TURBT for a 2.5 cm solitary papillary bladder tumour. Histology shows high-grade pT1 urothelial carcinoma with no muscle in the specimen. What is the most appropriate next step?
5Following TURBT for a small, solitary, low-grade pTa bladder tumour in a 55-year-old woman, which intervention reduces the risk of early tumour recurrence with the strongest evidence base?
6A 62-year-old man with muscle-invasive (cT2N0M0) bladder urothelial carcinoma and good renal function is being counselled before radical cystectomy. What is the most appropriate evidence-based recommendation regarding peri-operative systemic therapy?
7A 48-year-old woman has an incidentally detected 3.5 cm enhancing solid renal mass. Imaging shows no metastases and a normal contralateral kidney. What is the most appropriate management of this cT1a renal tumour?
8A complex cystic renal lesion on CT shows multiple thick septa with measurable enhancement of the septal walls but no enhancing soft-tissue nodule. According to the Bosniak classification, which category best describes this lesion and what is the implication?
9A 60-year-old man has a 9 cm right renal cell carcinoma with tumour thrombus extending into the renal vein but not reaching the inferior vena cava, and no nodal or distant disease. What is the TNM (8th edition) clinical T stage?
10A 26-year-old man presents with a painless right testicular lump. Ultrasound confirms a 3 cm intratesticular solid mass. After staging bloods, what is the correct initial surgical management?
About the FRCS Urol Exam
The FRCS Urol is the Intercollegiate Specialty Fellowship Examination in Urology required for CCT and consultant practice as a urologist in the UK and Ireland. Section 1 is a computer-based written examination of two 120-question single-best-answer papers delivered at Pearson VUE centres, leading to the Section 2 structured clinical and oral examination.
Assessment
Section 1 is two computer-based Single Best Answer papers of 120 questions each (240 SBA), sat on the same day; passing Section 1 grants eligibility for the Section 2 structured clinical/oral examination.
Time Limit
Section 1: two papers of 2 hours 15 minutes each (4 hours 30 minutes total).
Passing Score
No fixed percentage; the eligibility-to-proceed mark is set per sitting by the modified Angoff method (one standard deviation added to the Angoff cut score). No negative marking.
Exam Fee
Combined fee GBP 2,000 (Section 1 GBP 580; Section 2 GBP 1,420) up to 31 December 2026; GBP 2,070 from 1 January 2027. (Joint Committee on Intercollegiate Examinations (JCIE))
FRCS Urol Exam Content Outline
Urological Oncology
Prostate, bladder, kidney, testicular and penile cancer plus upper tract urothelial carcinoma: NICE/EAU risk stratification, staging, surgery, intravesical and systemic therapy.
Stone Disease and Urinary Tract Infection
Stone pathophysiology and metabolic evaluation, ESWL, ureteroscopy and PCNL, medical expulsive therapy, UTI, urosepsis and Fournier's gangrene.
Imaging, Technology and Transplant
Uroradiology and nuclear renography, endoscopic and energy technology, surgical principles, urethral reconstruction and renal transplantation.
Functional and Female Urology
Stress and urgency incontinence, overactive bladder, neurogenic bladder, urodynamics, pelvic organ prolapse and bladder pain syndrome.
BPH and LUTS
Benign prostatic enlargement, IPSS assessment, alpha-blockers and 5-ARIs, TURP and HoLEP, TUR syndrome and acute urinary retention.
Emergency and Trauma Urology
Testicular torsion, renal, bladder and urethral trauma, penile fracture, clot retention and iatrogenic ureteric injury.
Andrology
Erectile dysfunction, male infertility, Peyronie's disease, priapism, varicocele, vasectomy and acute scrotal conditions.
Paediatric Urology
Undescended testis, posterior urethral valves, vesicoureteric reflux grading, hypospadias, PUJ obstruction and the paediatric acute scrotum.
How to Pass the FRCS Urol Exam
What You Need to Know
- Passing score: No fixed percentage; the eligibility-to-proceed mark is set per sitting by the modified Angoff method (one standard deviation added to the Angoff cut score). No negative marking.
- Assessment: Section 1 is two computer-based Single Best Answer papers of 120 questions each (240 SBA), sat on the same day; passing Section 1 grants eligibility for the Section 2 structured clinical/oral examination.
- Time limit: Section 1: two papers of 2 hours 15 minutes each (4 hours 30 minutes total).
- Exam fee: Combined fee GBP 2,000 (Section 1 GBP 580; Section 2 GBP 1,420) up to 31 December 2026; GBP 2,070 from 1 January 2027.
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
FRCS Urol Study Tips from Top Performers
Frequently Asked Questions
What is the format of FRCS Urol Section 1?
Since January 2021, Section 1 consists of two computer-based Single Best Answer (SBA) papers of 120 questions each (240 total), each lasting 2 hours 15 minutes and sat on the same day at a Pearson VUE test centre. There is no negative marking.
How is the FRCS Urol Section 1 pass mark determined?
There is no fixed percentage pass mark. The eligibility-to-proceed mark is standard-set for each sitting using the modified Angoff method (with one standard deviation added to the Angoff cut score), so the threshold varies with question difficulty.
How much does the FRCS Urol examination cost?
The combined Section 1 and Section 2 fee is GBP 2,000 (GBP 580 for Section 1 and GBP 1,420 for Section 2) for examinations up to 31 December 2026, rising to GBP 2,070 from 1 January 2027, per the JCIE.
Who administers the FRCS Urol exam and what does passing it allow?
The exam is governed by the Joint Committee on Intercollegiate Examinations (JCIE) on behalf of the four surgical Royal Colleges. Passing both sections is required for the Certificate of Completion of Training (CCT) and consultant urology practice in the UK and Ireland.