How to Structure Your Answers in FRCR 2B Oral Cases

Structure is the foundation of a strong FRCR 2B oral performance. Even knowledgeable candidates lose marks if responses are disorganised.

Step 1 – Introduce the Study

Start with:

  • Modality
  • Projection or sequence
  • Image adequacy

This demonstrates safe radiology practice.

Step 2 – Describe Findings Systematically

Use a consistent framework depending on modality:

  • Chest X-ray → ABCDE
  • CT abdomen → solid organs, bowel, vessels
  • Mammogram → symmetry, masses, calcifications

Consistency reduces cognitive overload.

Step 3 – Provide Differential Diagnosis

Prioritise:

  • Most likely diagnosis
  • Two reasonable alternatives
  • Justification for ranking

Avoid listing without explanation.

Step 4 – Conclude Clearly

End with:

“In summary…”

A confident conclusion reassures examiners.

Author

Written by FRCR-qualified radiologists with experience in exam preparation and training.

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