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You don't review every detail. You look where it matters first: the lung edge and absent peripheral lung markings, mediastinal position, the deep sulcus sign, tracheal deviation. Trained search beats exhaustive search under a clock.
We don't teach you to describe images - we train the read you make under pressure: partial history, first-line imaging, and a clock.
54M, 3 weeks breathlessness, smoker. First-line CXR reported. What is the read?
Built by FRCR radiologists
The exam is partial history, partial imaging and a clock. Every case runs the same four beats a radiologist runs on-call, with safety woven through.
24M, sudden pleuritic chest pain + breathlessness after a long flight. First-line CXR reported. What is the read?
You don't review every detail. You look where it matters first: the lung edge and absent peripheral lung markings, mediastinal position, the deep sulcus sign, tracheal deviation. Trained search beats exhaustive search under a clock.
State what you want to confirm or exclude. Confirm pneumothorax size; exclude TENSION first (the worse outcome) before anything less urgent. Align to guideline (BTS). Only escalate (erect film, CT) when it changes management.
A tension pneumothorax needs immediate decompression (needle or finger thoracostomy) and a radiologist must recognise and flag it. Size and stability then decide chest drain versus conservative. The treatment choice falls directly out of the imaging parameters.
Alert ED and respiratory / on-call immediately and in the right order, document the finding, and escalate. This is where you show you run on-call patient flow and join the MDT, not just describe a picture.
Real viva cases hide a second finding that distracts, modifies treatment, or is more urgent than the referral reason. We score the way the examiner does.
Describe it well: distribution, air bronchograms, volume, silhouette sign. This is the referral reason and the safe core of the answer.
Not why they sent the patient, but it needs follow-up. Integrating it lifts you from a pass into a strong answer.
Flips management entirely. Miss it and your prescribed plan is wrong, and a perfect read of the main finding cannot save the case.
Clean description of the consolidation. That is a pass: the floor, not the ceiling.
You also spot the nodule and recommend follow-up. +2 marks for joined-up reading.
The pneumothorax / obstructing mass cancels your management. Perfect main read, failed case.
The skill isn't seeing one thing well. It's seeing the thing that changes the plan, every time, under the clock.
Five tools that work off the same content and the same progress data, all pointed at one thing: clinical reasoning under exam pressure.
A plan that bends to your exam date with phase-based pacing, then re-balances when you fall behind or surge ahead. A live readiness countdown tells you exactly where you stand.
Paces reasoning practice so it peaks the week you sit the exam.
An AI examiner runs you through a mock oral exam: case prompts, follow-up questions, and structured feedback on exactly where you lost marks.
Rehearses reasoning out loud, under questioning, the way the real viva tests it.
Spaced-repetition clinical-reasoning cards, scheduled for the moment you are about to forget.
Keeps the reasoning patterns from fading between study blocks.
Cards you get wrong auto-resurface through spaced repetition until you have mastered them.
Targets the exact reasoning gaps you keep slipping on.
Readiness science: Mastery x Coverage, a 4-rank mastery ladder, and your percentile versus peers.
Measures reasoning depth, not just questions answered.
We turn "am I ready?" into something you can read off a dial: how deeply you've mastered the reasoning, how much of the exam you've covered, and where you sit against peers. Built to inform, not to pressure.
Mastery x Coverage, mapped over the six FRCR 2B subspecialties. The wider the shape, the more even your reasoning.
Strongest: Neuro, MSK. Needs work: Vascular & IR, GI/GU.
How reliably you reach the right read, not how many cards you've seen.
Share of the FRCR 2B blueprint you've practised at least once.
Four ranks describe where your reasoning sits, in plain words. They report progress; they never gamify it.
Readiness is Mastery x Coverage, not a streak. The numbers exist to point you at the next weak area, never to nudge you with badges.
Every subspecialty carries its own clinical-reasoning cards and viva cases, structured topic by topic.
Brain, spine, head & neck: from stroke patterns to the posterior fossa.
Non-accidental injury, congenital anomalies and the paediatric chest and abdomen.
Trauma, arthropathies and bone tumours, with the classic exam aunt-minnies.
Chest radiograph and CT patterns, interstitial lung disease and cardiac anatomy.
Hepatobiliary, luminal GI, renal tract and gynae imaging across modalities.
Vascular anatomy, common interventions and the complications you'll be asked about.
A pile of cases tests recall. We train the read you make under pressure and pace it to your exam date.
| What you get | Tungsten People | A static question bankbuy a pile, work through it |
|---|---|---|
| Adaptive pacingThe plan re-balances when you fall behind or surge ahead. | Plan adapts to your progress |
Fixed list, you self-pace |
| Spaced-repetition schedulingCards return the moment you're about to forget them. | FSRS-scheduled, wrong answers resurface |
Re-do questions manually, if at all |
| Readiness predictionTurns "am I ready?" into a number you can read. | Mastery x Coverage, percentile vs peers |
A % of questions answered, no readiness |
| AI viva practiceThe #1 fear, and the hardest thing to rehearse. | Viva Arena: AI mock-oral (coming soon) |
None: text questions only |
| Clinical-reasoning methodSearch → Image → Manage → Communicate, safety woven through. | Every card trains the read, not recall |
Recall and pattern-matching |
| Paced to your exam dateThe plan counts down to the day you sit. | Built around your date, no per-day extension fees |
Time-boxed access, some charge to extend |
Honest comparison: features marked coming soon are on the roadmap, not yet live.
"The planner is the part I didn't know I needed. I stopped re-reading the same chapter and started clearing what I'd actually forgotten."
"The readiness score finally answered the question I kept asking myself: am I actually ready? I stopped panic-buying courses and trusted the plan."
"The reasoning cards read like real reporting, not textbook trivia. That's what made the difference on rapid reporting for me."
Sample testimonials shown for layout - real candidate stories to be added.
Free to start. One monthly subscription per exam course. Viva Arena is our premium tier.
Plan your prep and sample the content before you commit.
Full FRCR 2B: all subspecialties, clinical-reasoning cards, Smart Review and readiness analytics.
Everything in Course, plus Viva Arena: our AI mock-oral examiner.
The FRCR Part 2B in radiology, end to end: rapid reporting (30 cases in 35 minutes), 6 long cases, and a 12-case viva. You have to pass the standard across all three components, so we train all three. More FRCR exams are on the way as separate courses (Part 1 Physics, Part 1 Anatomy and 2A).
Yes. A free account gives you the Adaptive Study Planner plus a sample of cards, so you can try the method and see how it fits your revision before you pay for the full course.
The FSRS algorithm schedules each clinical-reasoning card for the moment you're about to forget it, so you spend time on weak material instead of what you already know. Anything you get wrong is auto-resurfaced through Smart Review until it sticks.
An AI mock-oral examiner that runs you through cases, asks follow-up questions, and gives structured feedback on where marks were won and lost. It is coming soon as part of our Premium tier.
We're complementary and smarter. A static bank is a pile of cases to grind; we add adaptive pacing to your exam date, readiness analytics, Smart Review of your weak spots, and (coming soon) AI viva practice, all built around a clinical-reasoning method rather than recall. Run it alongside whatever you already have.
Readiness is Mastery x Coverage, shown as mastery ranks and your percentile against peers. It's there to point you at the next weak area, not to pressure you: information, never nagging.
Subscriptions are monthly and you can cancel whenever you like from your account settings. Access continues to the end of the billing period.
Start free today, build your plan in minutes, and turn the months you have into the read you'll make under pressure on exam day.
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