Table of Contents – Set 2

Introduction

Examination Advice

Mock Examination

Answers
Introduction
Congratulations on entering radiology specialty training!

And now onto your first part of Fellowship of the Royal College of Radiologists (FRCR)
examination…!

The FRCR Part 1 examination comprises of two modules – the physics and the anatomy module. This
book is aimed to give the well-revised candidate some last minute practice for the anatomy module.

For the first time in the March 2013 sitting, the Royal College of Radiologists (RCR) announced a
change to their usual style of examining the anatomy module which now comprises of 100
radiological images, each with one labeled structure (or a question about the labeled structure) to be
performed in 90 minutes.

Prior to this, the FRCR anatomy module has comprised of 20 images each with 5 labels and you will
find that many of the established FRCR anatomy revision texts on the market will be in this style.
There is absolutely nothing wrong with this format to revise from and several good texts out there are
definitely worth looking at in improving your radiological anatomical knowledge – however, in the
days leading up to your examination having a book that mimics the real examination more closely can
help tremendously in mentally preparing yourself for what to expect and how to divide your time
between the questions.

This is where this book comes in – it consists of one mock anatomy examination set to closely
resemble the new FRCR anatomy format. The book is solely intended for candidates who have
already done adequate background reading and preparation for the anatomy examination. It is not
intended to be a primary revision text and the answers to the questions are not intended to be lengthy
or detailed.

The best way to use this book is as a ‘mock examination’ in the days leading up to the anatomy
examination to highlight areas of your anatomy which you may wish to read up on in further detail and
in aiding you to practice examination time management before the real thing! I sincerely hope that you
find this text useful and wish you the best of luck in your upcoming examinations! Good Luck!
Examination Advice

Here are some tips from previous candidates on how to ace the anatomy module:
- When you start the paper, just quickly go through all the questions and answer what you
definitely know. Do not waste time pondering questions you are not sure about.
- Come back to the difficult questions at the end when you can spend more time pondering
these answers.
- Attempt ALL questions even if you don’t know the answer – there is no negative
marking!
- Where possible, ALWAYS label whether the anatomy is right or left sided. Failure to do
so will lose you half the marks allocated to that answer!
- If you cannot remember the name of the actual structure being pointed at, try to give a
descriptive answer for the anatomical region (i.e. if you cannot remember the term ‘lamina
papyracea’, write ‘medial orbital wall’)
- WRITE LEGIBLY! There is nothing more frustrating for the examiner than trying to
decipher poor handwriting! If it helps, try to write in capital letters as this is usually easier to
read than cursive/connective writing.
- Write your answers in pencil as it will make going back and changing your answers
easier and less messy for the examiner to check.
- Remember to pack a spare eraser, pencil and sharpener if you do want to write in pencil
though!
- READ the question!!! The candidate guidelines state that a ‘single structure on each
image will be indicated by one or more arrows with a single question on that structure’. This
means it will not always be ‘name the labeled structure’ and may say something like ‘what is
the blood supply to the labeled structure’ or ‘what is the origin of the muscle labeled by the
arrow’. Do not fall into the trap of just thinking this is a pure ‘labeling’ examination!!

Revision advice:
- Make sure you give yourself enough time to prepare for this module as there is a lot of
anatomy to learn. Most candidates take 1-2 months of regular study spending approximately
30-60 minutes a day on anatomy and a bit longer for physics.

- Do read a good radiological anatomical text (NOT just a clinical anatomical textbook!).
A popular textbook is called ‘Imaging Atlas of Human Anatomy’ by Weir, Abrahams, Spratt
and Sakowski. If you do prefer to have more explanation rather than just a pictorial atlas,
another good book is called ‘Anatomy for Diagnostic Imaging’ by Stephanie Ryan

- Popular anatomical question books are aplenty on amazon. Some of the more highly
recommended ones include:
o Radiological Anatomy for FRCR Part 1 by Philip Borg
o FRCR Part 1: Cases for the anatomy viewing paper by James D. Thomas
o Get Through First FRCR: Questions for the Anatomy Module by Andrew Baird
o First FRCR Anatomy Examination Revision (MasterPass) by Joanna Fairhurst
- For busy candidates ‘on the go’ who are regularly commuting or own a tablet, you may
wish to download the following books onto your kindle/tablet/smartphone:
o Anatomy Examinations for the FRCR Part 1 by Susan Shelmerdine
o FRCR Part 1 Anatomy Mock Examinations by Shaw/Smith/Howlett

- Alternatively a fun and interactive way to practice anatomy is with the download of a
smartphone application via the AppStore for Apple iphones. Check out:
o FRCR Radiological Anatomy by PowerPass Medical Education
Mock Exam – Set 2

Question 1

Skull radiograph
Name the arrowed
structure
Question 2

CT Carotid Angiogram
Name the arrowed
structure
Question 3

Micturating Urethrogram
Name the arrowed
structure
Question 4

CT Carotid Angiogram
Name the arrowed
structure
Question 5

CT Pelvis
Name the arrowed
structure
Question 6

CT Thorax
Name the arrowed
structure
Question 7

CT Thorax
Name the arrowed
structure
Question 8

CT Thorax
Name the arrowed
structure
Question 9

MRI Head
Name the arrowed
structure
Question 10

MRI Lumbar Spine

Name the arrowed
structure
Question 11

MRI Lumbar Spine

Name the arrowed
structure
Question 12

MRI Lumbar Spine

Name the arrowed
structure
Question 13

MR Renal Angiogram
Name the arrowed
structure
Question 14

US Brain
Name the arrowed
structure
Question 15

MRI Lumbar Spine

Name the arrowed
structure
Question 16

CT Coronary Angiogram
Name the arrowed
structure
Question 17

Skull Radiograph
Name the arrowed
structure
Question 18

Pelvis Radiograph
Name the arrowed
structure
Question 19

CT Carotid Angiogram
Name the arrowed
structure
Question 20

Foetal MRI
Name the arrowed
structure
Question 21

Lumbar Spine Radiograph

Name the arrowed
structure
Question 22

Foetal MRI
Name the arrowed
structure
Question 23

Shoulder Radiograph
Name the arrowed
structure
Question 24

Foetal MRI
Name the arrowed
structure
Question 25

MRI Brain
Name the area
labeled by the
arrows
Question 26

MRI Pelvis
Name the arrowed
structure
Question 27

CT Thorax
Name the arrowed
structure
Question 28

MRI Brain
Name the arrowed
structure
Question 29

CT Thorax
Name the arrowed
structure
Question 30

Foetal MRI
Name two muscles
which attach to the
arrowed structure
Question 31

MRI Abdomen
Name the arrowed
structure
Question 32

CT Thorax
Name the arrowed
structure
Question 33

CT Thorax
Name the arrowed
structure
Question 34

Skull Radiograph
Name the arrowed
structure
Question 35

CT Carotid Angiogram
Name the arrowed
structure
Question 36

CT Thorax
Name the arrowed
structure
Question 37

MRI Pelvis
Name the arrowed
structure
Question 38

CT Cervical Spine
Name the arrowed
structure
Question 39

Elbow Radiograph
Name the arrowed
structure
Question 40

CT Abdomen
Name the arrowed
structure
Question 41

CT Abdomen
Name the arrowed
structure
Question 42

CT Abdomen
Name the arrowed
structure
Question 43

CT Abdomen
Name the arrowed
structure
Question 44

MRI Knee
Name the arrowed
structure
Question 45

CT Thorax
Name the arrowed
structure
Question 46

MRI Pelvis
Name the arrowed
structure
Question 47

CT Thorax
Name the arrowed
structure
Question 48

Hand Radiograph
Name the arrowed
structure
Question 49

CT Carotid Angiogram
Name the arrowed
structure
Question 50

CT Thorax
Name the arrowed
structure
Question 51

MRI Pelvis
Name the arrowed
structure
Question 52

Micturating Urethrogram
Name the arrowed
structure
Question 53

Skull Radiograph
Name the arrowed
structure
Question 54

MR Renal Angiogram
Name the arrowed
structure
Question 55

MR Cerebral Venogram
Name the arrowed
structure
Question 56

MRI Knee
Name the arrowed
structure
Question 57

MR Pelvis
Name the arrowed
structure
Question 58

CT Abdomen
Name the arrowed
structure
Question 59

MRI Pelvis
Name the arrowed
structure
Question 60

Hand Radiograph
Name the arrowed
structure
Question 61

MRI Shoulder
Name the arrowed
structure
Question 62

MRI Brain
Name the arrowed
structure
Question 63

MRI Knee
Name the arrowed
structure
Question 64

CT Thorax
Name the arrowed
structure
Question 65

MRI Abdomen
Name the arrowed
structure
Question 66

CT Carotid Angiogram
Name the arrowed
structure
Question 67

Chest Radiograph
Name the anatomical
structure that forms
the cardiac shadow
arrowed below
Question 68

US Brain
Name the arrowed
structure
Question 69

CT Coronary Angiogram
Name the arrowed
structure
Question 70

US Brain
Name the arrowed
structure
Question 71

US Abdomen
Name the arrowed
structure
Question 72

MRI Foot
Name the arrowed
structure
Question 73

MRI Wrist
Name the arrowed
structure
Question 74

US Spine TS
Name the arrowed
structure
Question 75

MRI Neck
Name the arrowed
structure
Question 76

MRI Foot
Name the arrowed
structure
Question 77

US Hip
Name the arrowed
structure
Question 78

Hand Radiograph
Name the arrowed
structure
Question 79

Upper GI Contast Study

Name the arrowed
structure
Question 80

US Pelvis
Name the arrowed
structure
Question 81

MRI Foot
Name the arrowed
structure
Question 82

CT Internal Acoustic Meatus

Name the arrowed
structure
Question 83

MRI Knee
Name the arrowed
structure
Question 84

MRI Knee
Name the arrowed
structure
Question 85

MRI Knee (Medial Aspect)

Name the arrowed
structure
Question 86

MRI Neck
Name the arrowed
structure
Question 87

MRI Wrist
Name the arrowed
structure
Question 88

MRI Head
Name the arrowed
structure
Question 89

MRI Shoulder
Name the arrowed
structure
Question 90

US Spine
Name the arrowed
structure
Question 91

MRI Wrist
Name the structure
indicated by the
arrows
Question 92

MRI Head
Name the arrowed
structure
Question 93

MRI Shoulder
Name the arrowed
structure
Question 94

US Hip
Name the arrowed
structure
Question 95

MRI Foot
Name the arrowed
structure
Question 96

MRI Shoulder
Name the arrowed
structure
Question 97

US Right Hip
Name the arrowed
structure
Question 98

MRI Wrist
Name the arrowed
structure
Question 99

MRI Knee
Name the arrowed
structure
Question 100

MRI Wrist
Name the arrowed
structure
Answers – Set 2

1. Left greater wing of sphenoid

2. Left vertebral artery

3. Prostatic urethra
4. Internal cerebral vein
5. Left pectineus muscle
6. Superior vena cava

7. Left pulmonary artery

8. Left inferior pulmonary vein
9. Medulla
10. L4/L5 intervertebral disc space
11. Right quadratus lumborum muscle
12. Right ligamentum flavum
13. Right renal artery
14. Genu of corpus callosum
15. Intervertebral foramen of L1/L2

16. Right atrium

17. Planum sphenoidale
18. Greater trochanter of right femur
19. Internal carotid artery
20. Foetal stomach
21. L4/5 intervertebral disc space
22. Placenta
23. Left acromioclavicular joint
24. Foetal heart
25. Left lentiform nucleus (Putamen is also an acceptable answer)

26. Corpus spongiosus of penis

27. Horizontal fissure

28. Left cochlea

29. Left lower lobe of the lung

30. Bladder
31. Right ureter
32. Left latisimus dorsi muscle

33. Left main bronchus

34. External occipital protuberance
35. Superior thyroid artery
36. Left atrium
37. Right quadratus femoris muscle
38. Epiglottis
39. Olecranon
40. Common hepatic artery
41. Body of pancreas

42. Spleen
43. Inferior vena cava
44. Lateral collateral ligament
45. Left pectoralis minor
46. Left spermatic cord
47. Interatrial septum
48. Middle phalanx of the left index finger
49. Left subclavian artery
50. Left trapezius muscle
51. Left ischial spine

52. Bulbous urethra

53. Coronal suture

54. Splenic artery

55. Great cerebral vein of Galen

56. Posterior tibial artery
57. Corpus cavernosum of penis
58. Left gluteus maximus muscle

59. Left rectus femoris muscle

60. Left trapezium bone
61. Subscapularis muscle
62. Fourth ventricle
63. Iliotibial tract
64. Mitral valve
65. Superior mesenteric vein
66. Left common carotid artery
67. Left ventricle

68. Thalamus
69. Right main coronary artery
70. Left foramen of Monroe
71. Right adrenal gland (body)
72. Plantar aponeurosis
73. Tendon of extensor carpi ulnaris muscle
74. Mid thoracic vertebral body
75. Left mid scalene muscle
76. Adductor hallucis muscle
77. Left femoral head ossification centre

78. Left hamate bone

79. Duodenal jejunal flexure

80. Dominant follicle of the left ovary

81. Adductor hallucis muscle and tendon

82. Left zygomatic arch
83. Great saphenous vein
84. Popliteal vein

85. Medial head of gastrocnemius tendon

86. Left trapezius muscle
87. Tendon of extensor pollicis longus muscle
88. Right parotid gland
89. Subscapularis muscle
90. Mid thoracic spinal cord
91. Quadratus pronator muscle
92. Left retromandibular vein
93. Teres minor muscle

94. Right bony ilium

95. Tendon of tibialis anterior muscle
96. Superior labrum of the glenohumeral joint
97. Right labrum of the hip joint
98. Tendon of abductor pollicis longus
99. Popliteal artery
100. Radial artery