Personal Blog · FRCR 2A

FRCR 2A:
my journey
through
the hardest
exam I've sat.

A quick note on the website name — I bought this when I was seriously considering building a question bank. By the time I passed, there were already so many brilliant ones out there that I couldn't see where I'd add value. So this became something different: an honest account of my approach, the resources I leaned on, and the things I wish I'd known from day one.

This is not a question bank. It's a journal. I hope something here helps you.

TL;DRThe Essentials

01. The Template

Download my PowerPoint and edit my personal revision deck.

02. The Anki Deck

Get the 4,000+ question bank found on Reddit.

03. Question Banks

Try FRCRBank or Radwise for mock practice.

04. The Final Mock

Save the Final FRCR: Self-Assessment for your final week.

05. Reddit Advice

The best Reddit posts for FRCR 2A: What r/RadiologyUK actually says.

Cut to the chase: what can you offer me for free?

Skip the philosophy and get straight to the template and resources.

Show me the freebies ↓

Before you read on

This is a
questions-first
blog.

I want to be upfront about who this is for. Since medical school, I have always been a question-heavy learner. For me, doing a question — getting it wrong, understanding why, and moving on — is worth ten pages of passive reading. It's an active process. It keeps me engaged in a way that reading alone never has.

I'm also a slow reader. That's just the truth. Colleagues who absorbed Crack the Core cover to cover and retained it almost photographically — they passed too, and probably more efficiently in some ways. Their approach is completely valid. Reading is important, and I'm not dismissing it.

“Find the method that plays to your strengths. Neither approach is wrong. But know which one you are — and commit to it.”

This blog is probably for you if…

  • You've always learned better by doing than by reading
  • You don't mind being wrong — as long as you understand why afterwards
  • Passive reading alone doesn't stick without active reinforcement
  • You want volume: as many questions as possible
  • You want an honest account, not a polished revision guide

If you prefer books…

You'll still find the resource list, the condition list, and the case examples genuinely useful. The philosophy sections may just read differently for you — take what helps and leave the rest.

My Approach

Think like
a photographer.

This is how I framed my revision — a three-phase model I stumbled on and stuck with. It worked for me because it focused on rhythm over rote.

Gestalt
View Diagram

Phase 1 · Months 1–9

Gestalt

Wide Aperture

I maximised exposure. Volume, not perfection. Broad, rapid absorption — I didn’t worry too much about every wrong answer at this stage.

Reflex
View Diagram

Phase 2 · Months 10–11

Reflex

Fast Shutter Speed

I started trusting my gut. Quick mental shortcuts, faster decisions. I tried to answer first, then verify — not deliberate over every question.

Focus
View Diagram

Phase 3 · Month 12

Focus

Decrease ISO

I narrowed my analysis. Subtle findings, edge cases, nuanced variants. This is where the precision work finally paid off.

The Framework

The mistake I made
for 9 months.

I focused on precision way too early. Looking back, most of those first nine months should have been broad exposure — volume, not depth. The exponential rise only came once I'd built that base.

The exposure triangle — Aperture, ISO, Shutter Speed applied to radiology learning
Zoom view

How I used the analogy

ApertureBreadth of exposure — I opened wide and absorbed broadly first
Shutter SpeedSpeed of recall — I built reflexes for the common patterns
ISOPrecision — I saved the fine detail work for the final month
A Photographic Model — Gestalt, Reflex, Focus phases explained
Three-phase learning curve — 12 month retention and performance graph

Key Insight

The exponential rise is a delayed result of building the right base. I wish I'd trusted that earlier and not rushed to precision.

The Blueprint

My study
note template.

I didn't just wing it. For every diagnosis I found in a question bank, I built a slide using this exact structure. It was my way of forcing organization onto a chaotic syllabus.

1. How I split my notes.

I divided my revision by system. The brackets show how many slides (or conditions) I had for each. It helped me visualize the mountain I had to climb.

System breakdown
Detailed categories

System splits · Slide counts

2. The 5-Point Rule.

Every single card I made followed this rule. If I couldn't find information for all five, I went looking for it. This is the framework that made the information stick.

Buzzwords — Hallmark descriptors you can't miss.
Demographics — Age, gender, and risk factors.
Associations — Related syndromes or findings.
Differentials — The 'must-excludes' for this image.
Next Steps — What the RCR wants you to do next.
Blank template
Worked table

Template vs. Execution

3. What a finished slide looks like.

This is a real capture from my final revision deck. One slide, one diagnosis, everything you need to know in a single glance. No fluff, just the high-yield facts that actually come up in the exam.

Final revision slide example
Click to expand final worked example

Want the full deck?

If you found this template useful and want the full PowerPoint deck for your own revision, I'm more than happy to share it.

The best way to grab it is to head over to the original Reddit thread and drop a comment. If you can, shoot me a quick direct message as well — that way I'll get a notification and can send the link straight over to you.

Get the slide deck on Reddit →

I check DMs daily

I Wish I'd Known This

I wish I had
this at the
start.

FRCR Exam Prep publishes a condition list broken down by system — essentially the syllabus as a checklist. I found it near the end and used it retrospectively. Turned out I'd missed very little, but if I'd had it on day one I would have structured my entire revision around it from the beginning.

How I'd use it now

  • Download the list at the very start of your revision
  • Use it as a checklist; tick off each condition as you cover it
  • Run through it again in the final month to find any gaps
  • Any unticked condition is a question bank session waiting to happen
Download PDF →
FRCR Exam Prep condition list — upper GI syllabus checklist
Download syllabus checklist ↓

“I only missed a little bit. But I wish I'd had this on day one so I could structure my revision around it.”

What I Actually Used

There is no
perfect bank.

Every question bank has its flaws. I cast my net wide — as many questions as possible, from as many sources as possible. Here is what I used, in order.

No. 1Start here for scope

FRCR Exam Prep

I'd use this first to understand the scope of the exam. It has a condition list broken down by system — essentially the syllabus as a checklist. I found it retrospectively and only missed a little. If I'd found it on day one, I would have structured everything around it.

Visit site →
FRCR Exam Prep — condition list by system
No. 2Spaced repetition

Anki & r/medicalschoolanki

Found on Reddit: an Anki deck of ~4,000 FRCR 2A questions. The books behind it are a little dated, but it laid a brilliant foundation. It takes a long time to get through — but that time compounds. I used FSRS scheduling for maximum retention.

r/medicalschoolanki →
Reddit r/medicalschoolanki — MCQ/SBA deck for FRCR 2A
Anki — FRCR 2A MCQ deck by system
No. 3The Bible — covers ~95% of the syllabus

Crack the Core Exam

The undisputed Bible of the FRCR 2A. Around 95% of the exam syllabus sits within its pages. Every deanery says the same thing: candidates who knew this book inside out were the ones who passed. I only read ~40% of it — I'm a slow reader and I preferred questions — but do not underestimate it. If you can absorb this cover to cover, you are in a very strong position.

Note: MDT pathways and optimal MRI sequences are not covered — study these separately.

Crack the Core Exam Volume 1
Crack the Core Exam Volume 2
Crack the Core Exam Volume 3
No. 4Where deep understanding is built

FRCRBank

My favourite thing about FRCRBank was the tables and the structured explanations — genuinely the best I found anywhere. Every question comes with a proper breakdown that goes well beyond just the right answer. In terms of difficulty, the questions sit at about 5% below the real exam, which actually makes them ideal as a learning resource: challenging enough to stretch you, detailed enough to teach you. This is where deep understanding is built. I discovered it too late. Don't make the same mistake.

frcrbank.com →

In retrospect, I wish I'd found this earlier. I might have replaced FRCR Exam Prep with this instead.

FRCRBank question interface
Press to zoom

FRCRBank — The Gold Standard

Every question comes with a table like this. Press the image to zoom in and read the full breakdown.

See live examples below ↓
FRCRBank explanation table
Press to zoom — see the full explanation table
No. 5Final crunch

Radwise

Pitched at the same difficulty as the real exam — probably the hardest question bank out there. I wouldn't recommend it for early revision, but it was excellent in the final weeks when I needed to test myself under proper exam conditions. If you can perform well here, you're ready.

radwise.co.uk →
Radwise question bank
Zoom
No. 64 mocks — save for the very end

Final FRCR: Self-Assessment

The most accurate mock paper I found. Only 4 mocks — treat each one like an exam day. I'd do one per week in the month before sitting. My actual exam score tracked this book very closely, which tells you how well-calibrated it is. Save it for last: it's the closest thing to the real paper I encountered.

Don't waste these mocks early. 4 is all you get.

Rabone — Final FRCR Self-Assessment

Free & Additional Resources

More resources the
community swears by.

Beyond the six main resources I used, these are the most recommended across Reddit threads, Radiology Cafe, and the broader community — many completely free.

Revise Radiology

Paid — expensive

I'll be honest: I didn't use this. I looked at the price and decided it was too expensive for me personally. But I can't argue with the community — a huge number of people swear by it. 6,000 questions plus a 4-day intensive course with 4 full mock exams. If your budget allows, the consensus is to do it in the final 4–6 weeks. Widely rated as the closest question bank to the real exam.

6,000 questions4 mock examsHighly recommended
reviseradiology.com/exam/frcr-part-2a→

Radiology Cafe

Free

The best free starting point on the internet for FRCR prep. Exam overview, top tips, book reviews, and a curated resource list. If you're not sure where to begin, start here.

FreeExam overviewTips + books
www.radiologycafe.com/exams/2a-exam/→

Radiopaedia

Free

The standard radiology reference for imaging findings, differential diagnoses, and management guidelines. Especially strong for unusual or rare conditions you encounter in question banks.

FreeCases + articlesReference
radiopaedia.org→

R-ITI (e-LfH Radiology)

Free

NHS-funded e-learning platform covering all radiology subspecialties. Structured, trustworthy, and aligned with RCR curriculum. Underused by most trainees — do not underestimate it.

Free (NHS)Structured modulesRCR aligned
www.e-lfh.org.uk/programmes/radiology/→

Books Worth Knowing

The books I actually used — split between question books for active revision and reference books for deep-dives.

Question Books

Get Through Final FRCR 2A: SBAs
Questions

Get Through Final FRCR 2A: SBAs

Chin, Shelmerdine, Ganguly · CRC Press

120 SBA questions with detailed explanations. Good structured revision across all seven categories.

Imaging Single Best Answer — BIR
Very Hard

Imaging SBA Questions

BIR · British Institute of Radiology

Genuinely very hard — I was scoring in the mid-50s consistently. Stretches you beyond most question banks.

SBAs for the Final FRCR 2A — Lindsay
Hard & wordy

SBAs for the Final FRCR 2A

Lindsay, Gillespie · Oxford Press

Hard, wordy questions — a step up from the easier question banks. Good for stretching your precision.

The Final FRCR Self-Assessment — Rabone
Featured → No. 6

Final FRCR: Self-Assessment

Rabone · MasterPass (CRC Press)

Only 4 mocks — save every one. The most accurate reflection of the real exam. My top recommendation.

Reference Books

Reference

Chapman & Nakielny's Aids to Differential Diagnosis

Organised by what you see on the image, not by diagnosis. Think like the exam does.

MSK

Fundamentals of Skeletal Radiology — Helms

The “pink book”. A brilliant introduction to MSK. Worth reading before starting 2A practice.

Reference

Radiology Review Manual — Dahnert

Comprehensive reference for deep-dives when question banks surface knowledge gaps.

From the Community

What r/RadiologyUK
actually says.

Hundreds of trainees have shared their experience on Reddit. Here are the most upvoted, most repeated pieces of advice — distilled.

The Mental Game

It will burn.
Trust the
process.

Preparation is as much mental as it is academic. I hit walls. I felt behind. I questioned everything. This is normal — and temporary. The process works if you stick with it.

Study burnout — head on fire surrounded by papers

The burnout is real. Structure helps more than grinding harder.

On AI & shortcuts

On not relying on AI shortcuts

I tried leaning on AI early on. It wasn't useful for actual learning — pattern recognition only comes from deliberate, repeated exposure. There's no shortcut that replaces the reps.

What helped me

Training in formal, exam-like environments from day one

Accepting that distractions will happen — and planning for them

Volume over perfection in months 1–9

Timed practice and precision only in the final two months

Using question bank analytics to find where I was actually weak

Example Cases — FRCRBank

5 cases from within
the expected scope.

These aren't the “top 5 most likely” cases — they're examples drawn from within the reasonable, expected scope of the FRCR 2A. Click a case, read the clinical stem, then flip the card.

Questions and explanation tables from FRCRBank — the structured explanation tables there are genuinely the best I found anywhere.

1

Supratentorial Intra-axial Lesions

1 / 5

Clinical Stem

A 65-year-old male with a renal transplant presents with progressive confusion. MRI brain shows multiple supratentorial intra-axial lesions with restricted diffusion and enhancement.

Case 1 question
Zoom view
1

Supratentorial Intra-axial Lesions

High-Yield Answer

Primary CNS Lymphoma

Key Differentiation

Key differentials: GBM (typically shows central necrosis), Toxoplasmosis (often smaller, multiple), PML (typically non-enhancing, white matter focus).

Case 1 analysis
Click to zoom in on the detailed table