Structure and Marking

The Final Written exam is blue printed to the Intermediate Level Curriculum.  It is a written examination taken at various centres across the UK.

Structure of the exam
Multiple Choice Questions

90 Multiple Choice Questions in three hours, 60 x Multiple True/False (MTF) questions plus 30 x Single Best Answer Questions (SBA), comprising approximately of:

60 Multiple True-False (MTF):

  • 20 Advanced sciences to underpin anaesthetic practise
  • 20 General duties (essential units)
  • 17 Specialist (essential units)
  • 3 Optional units

30 Single Best Answer (SBA):

  • 15 General duties (essential units)
  • 15 Specialist (essential units)/Optional Units'

 

Short Answer Questions

12 compulsory questions in three hours normally comprising of:

  • Six questions from mandatory units: anaesthetic practice relevant to neurosurgery, neuroradiology and neurocritical care, cardiothoracic surgery, intensive care medicine, obstetrics, paesdiatrics and pain medicine.
  • Four questions from general duties:  airway management, day surgery, critical incidents, general/urology/gynaecology surgery, ENT/maxillo facial/dental surgery, management of respiratory and cardiac arrest, non theatre duties, orthopaedic surgery, regional anaesthesia, sedation practice, transfer medicine, trauma and stabilization practice.
  • Two questions from optional units:  anaesthetic practice relevant to ophthalmic surgery, plastics and burns surgery, vascular surgery and advanced sciences (anatomy, applied clinical pharmacology, applied physiology/biochemistry, physics/clinical measurement and statistical basis of clinical trial management).

The marking system

Final Written exam

  • The pass mark is the sum of the percentage pass marks of the MCQ and SAQ papers.
  • The pass mark for each paper will be calculated as a percentage and rounded down to two decimal places.
  • The resultant pass mark for each paper is added together and the combined percentage score rounded down to one decimal place.

MCQ

  • One mark will be awarded for each correct answer in the MTF section.
  • Four marks will be awarded for each correct question in the SBA section.
  • With 60 MTF and 30 SBA the maximum mark obtainable for the MCQ paper is 420 marks.
  • The Pass mark is set by the Examiners using Angoff Referencing.  To allow for the exam reliability this mark is then reduced by 1 x SEM to give the pass mark. 
  • Negative marking is not used.
  • See above re combined pass mark.

SAQ

  • All 12 questions must be attempted; candidates will fail if one or more questions are not attempted.
  • Questions in the wrong answer book will not normally be marked.
  • Each question is marked out of 20.  The pass mark for each question is determined by the examiners collectively using an Angoff Reference method.
  • The pass marks for the 12 questions are summed to give a total mark for the paper. To allow for the exam reliability this is then reduced by 1 x SEM to give the pass mark.
  • See above concerning combined pass mark. 
Final FRCA Written Links
Final FRCA Written Homepage
Dates, Fees and Applications
Results and Statistics

 

This website uses Cookies, for further information see our privacy policy.