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FRCS (ORL-HNS) · FREE SAMPLE

FRCS ENT practice

An independent preparation hub for Section 1 SBA practice and Section 2 clinical, communication and oral rehearsal. It is not official JCIE material.

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ADAPTIVE REVISION

Diagnostic and daily engine

Details

Use all 370 reviewed SBAs to identify weaker domains and build a device-private “due today” queue.

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COMPLETE SECTION 1

Two-paper examination mode

Details

Attempt all 240 questions with two separate 135-minute timers and one combined report.

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SECTION 1 · PAPER 1

Individual timed paper

Details

Attempt 120 questions in 2 hours 15 minutes with answers hidden until submission.

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SECTION 1 · PAPER 2

Individual timed paper

Details

Attempt a second 120-question paper with full post-submission explanations.

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ADDITIONAL PRACTICE

120-question practice form

Details

A further 135-minute rehearsal with a separate score report. This is not an official third examination paper.

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DIFFICULT SUPPLEMENT

10 advanced decision SBAs

Details

Challenge operative anatomy, molecular pathology, skull-base judgement and rescue thresholds with full distractor analysis.

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Browse individual Paper 1 questions · 6 available
SECTION 1 · PAPER 1 BANK

FRCS-level
SBAs.

Each advanced item explains the best answer, every distractor and a scenario-changing “what if?”.

Otology and neuro-otologyREVIEWED

Cholesteatoma with labyrinthine fistula

A 42-year-old with a long-standing attic cholesteatoma develops disequilibrium when the ear is suctioned. CT shows erosion of the lateral semicircular canal, while hearing remains serviceable. There is no facial weakness or intracranial complication. What is the most appropriate management principle?

FORMAT
SBA
STATUS
Reviewed
Open question →
Otology and neuro-otologyREVIEWED

Acute otitis media with facial palsy

A 63-year-old with diabetes presents with severe otalgia, fever, a bulging tympanic membrane and a new complete lower-motor-neurone facial palsy. CT shows opacified mastoid air cells but no abscess. What is the best next management principle?

FORMAT
SBA
STATUS
Reviewed
Open question →
Otology and neuro-otologyREVIEWED

Asymmetric sensorineural hearing loss

A 56-year-old has progressive left-sided hearing difficulty and tinnitus. Audiometry shows a 20 dB asymmetry at two adjacent frequencies; there is no facial weakness. Which investigation is most appropriate?

FORMAT
SBA
STATUS
Reviewed
Open question →
Otology and neuro-otologyREVIEWED

Acute vestibular syndrome

A 68-year-old with hypertension develops continuous vertigo, vomiting and inability to walk without support. Head-impulse testing is normal, direction-changing gaze-evoked nystagmus is present and there is skew deviation. What is the most appropriate action?

FORMAT
SBA
STATUS
Reviewed
Open question →
Rhinology and skull baseREVIEWED

Refractory posterior epistaxis

A 74-year-old taking apixaban has ongoing posterior epistaxis despite resuscitation, correction of reversible factors and correctly placed packing. They are now haemodynamically stable. What is the most appropriate definitive next step in a centre with expertise?

FORMAT
SBA
STATUS
Reviewed
Open question →
Rhinology and skull baseREVIEWED

Suspected acute invasive fungal rhinosinusitis

A neutropenic patient on chemotherapy develops rapidly progressive facial pain, ophthalmoplegia and a pale-to-black nasal turbinate. CT shows unilateral sinus opacification; there is no intracranial collection. What is the best next step?

FORMAT
SBA
STATUS
Reviewed
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