FRCR 2B Rapid Reporting Exam

The Facts

30 cases in 35 minutes. The exam is all electronic. You review the cases online and record your answers accordingly. It is not held in London but either Stockport, Birmingham, Glasgow and Belfast. For UK candidates you have a first and second choice. Overseas candidates on the ballot system are allocated a place.

Mark allocation system

Image TypeCandidate ResponseMark

Normal Image


·        Correctly Classified

·        Incorrectly Classified

·        No answer given






Abnormal Image


·        Correctly Classified and Correctly Identified

·        Correctly Classified but in incorrectly Identified

·        Incorrectly Classified (false negative)

·        No answer given







Score out of 30

Total MarksOverall Marks

  • 0-24
  • 24.5
  • 25-25.5
  • 26-26.5
  • 27
  • 27.5-28
  • 28.5-29
  • 29.5
  • 30

  • 4
  • 4.5
  • 5
  • 5.5
  • 6
  • 6.5
  • 7
  • 7.5
  • 8


Electronic Reporting

The responses are recorded electronically. It is recommended to check the Royal College website to familiarise yourself with the software before the exam. Please note that the software used monitors your actual mouse movements and keyboard use so when the all stop is given by the examiner, please do not touch the mouse or keyboard. You might be unfairly disadvantaged. In the instance of equipment failure please check with the examiners regarding extra time and make sure they have agreed with extra time for you.  The responses are marked electronically via automated software which references against a number of in-built answers. Responses that do not match the software answers are checked by examiners.

How should you prepare for this exam.

I will offer my opinion on two important questions I often get asked. 1) How long should I prepare for the Rapid part. 2) How many cases should I see in my preparation. I will temper my answer by saying that it is my opinion and not fact and I strongly recommend you speak with one or two people who know you best and ideally someone who has done the exam recently. For the first question I advice six months of preparation and suggest reporting 30 cases per day, done in 35 minutes (same as the length of the exam).  My answer to question two is aim for 5,000 cases in the revision period before your exam. I recognise that International doctors often get a short notice confirmation for the exam which might be two to three months. If you find yourself in this position perhaps consider reporting 60 plain films per day, as an alternative to get to the target number. I genuinely believe the Rapid Reporting Component is numbers based and can be passed with hard work.  Everybody has blind spots and things they miss and overcall. You will not know your weakness until you reports lots of cases. Aim to develop a systemtatic approach. Make sure you do not neglect paediatrics as you can get a paeds films in the exam.

How useful are courses?

As a dress rehearsal for the main event a course is certainly useful. However I do not think you are going to learn lots of radiology from an actual course so as a tool to learn it is less useful. Courses also happen towards the end of the revision I.e. close to the exam and therefore might be less useful to identify mistakes and fix blind spots which everyone has.

How useful are online resources?

The online resources are significantly cheaper then a course and from talking with people on my WhatsApp and telegram groups certainly the response is very positive. Please liase with people doing the exam for advice on which websites but please make websites the ‘desert’ of your revision not the main course !

Where can I lose marks?

You can get the answer right and still lose marks or get no marks at all. For example if the patient has a fractured left tuft of the ring finger. You will get no marks for saying abnormal x Ray positive for fracture. You will get 0.5 marks for saying fracture ring finger. To score the full mark you must state. Fracture tuft of ring finger!

Is there a fixed number of normal and abnormal in the exam?

When I did the exam there was a suggestion that mathematically if you spotted 15 abnormals, then stop! The theory being there won’t be more than 18 and no less than 12 and therefore if you get 3 wrong you can still pass.  My personal view is that if you have done the ground work you should be able to be confident in all the cases and call things you are certain. Most people fail because they over call. Building up your for confidence and getting your eye in for it should stop against that. However personally if you have spotted 20 abnormals you might be onto a loser as I think it unlikely you will see that many abnormal

How useful is this website ?

There are 10 Packets in this website. The packets have been designed to contain normal and abnormal cases. I would recommend that you USE THE PACKETS AT THE START OF YOUR REVISION and time yourself to 35 minutes for maximum value when practising. Do one to two packets per day, ideally you should finish them over one week. Keep a record of where you are going wrong i.e. are you ‘over calling’ or ‘under calling’ and is there a pattern to which areas you are making mistakes. You should then use this momentum to push on with practising for the Rapid Reporting Exam. 


In the exam, you will electronically have to type the answers into a keyboard, as you observe the cases. I suggest you write the answers on a piece of paper but you can always practice writing on a word document using my cases to get used to the exam format of typing should you feel.