The First FRCR

The first FRCR exam consists of two modules:



Dates and Venues:

It is normally held in March in the first year of training (ST1 year). The anatomy exam is held in London at the Royal College and the Physics one can be done at various centres including Birmingham, Dublin, London and Manchester.


The anatomy exam is examined by and image viewing session (delivered using OsiriX)delivered on individual workstations. They are single images with an arrow pointing to the relevant structure that needs to be identified and named. Answers are written in pen on an answer sheet.

This exam covers all body systems and imaging modalities. There will be some questions that state ‘What is the normal variants’ as well as ‘identify what structure the arrow is pointing to’. There may even be questions asking what age do certain structures fuse. In some years they may exclude certain topics such as neonatal anatomy, however this best checked with your deanery and information at the RCR website. However, it is best to learn all anatomy as you would need to know this for your career in the future.

The modalities that are included are: cross-sectional , plain radiographs, contrast studies and ultrasound.


The maximum mark per question is 2, the least is 0. You get one mark for getting the correct site (as long as you have the correctly named structure!) so always remember to say left or right as appropriate.

Please do take time to look at the RCR website for sample questions and guidance.



This can a bit daunting at first but physics is a fundamental part of radiology and it is vital to learn the physics behind imaging modalities to understand how images are actually obtained. This module covers a UK ionizing radiation legislation, patient safety and physical principles of diagnostic imaging.

This module consists of 200 true or false questions from 40 stem questions and five statements for each stem. Again all modalities are included in the paper. The exam lasts for 2hours.

A tip is not to leave questions blank. If you don’t know the answer its best to make a logical guess. Always remember to mark the answer sheet correctly and you can rub out the answer if you change your mind. Always check the question number of the answer matches to the question, as its easy to lose track of which question you may be on.

Click here to see the SRT Recommended books for the First FRCR Anatomy and Physics exams.