For FRCS (Plast) Section 1 · JCIE blueprint 2023
1,500 single best answer questions written the way the paper asks them, mapped to every topic of the JCIE syllabus — with two-paper timed mocks, the Daily Five, interactive 3D anatomy and analytics that show you exactly what to fix.
Radial forearm flap · Mark the flap and expose the artery
Allen’s test, then mark the radial artery by its pulse, design the paddle with its radial edge over the artery, and open the distal end to find the vessels.
Explore with hotspotsDrag to turn · scroll to zoom
01Try it, no account
Twenty questions, one from every corner of the syllabus, with the full explanation underneath. Have a go at this one — rate your confidence first, the way the app asks you to.
Six weeks after a motorcycle crash, a 23-year-old has paralysis of the long finger flexors and hand intrinsics, with anaesthesia of the little finger and medial forearm. Shoulder and elbow function are normal. Nerve conduction studies show a normal ulnar sensory nerve action potential recorded from the anaesthetic little finger.
Where is the lesion most likely to be?
02Explanations that teach
The exam is passed on judgement, not recall. So every explanation follows the same four moves — the ones you'll make in the exam hall.
This is a lower-plexus traction injury, and a preserved sensory nerve action potential in an anaesthetic territory localises it proximal to the dorsal root ganglion.
In a preganglionic avulsion the sensory axons stay connected to their cell bodies in the ganglion, so the SNAP survives even though the territory is numb — the cord has been disconnected, not the peripheral nerve.
A postganglionic rupture or cord injury would abolish the SNAP; an ulnar nerve lesion at the elbow would spare the medial forearm and the long finger flexors.
Reference: Key Notes on Plastic Surgery 2e — brachial plexus injury; Janis, Essentials of Plastic Surgery 3e.
Name the diagnosis the vignette hid
The stem implies, never states. The explanation says it out loud first.
Justify the single best answer
The mechanism and the threshold that make it best — not just "correct".
Dismantle the distractors
Why each close contender fails on this stem. Same-category options, one discriminator.
Cite the source
Current UK guidance first, then the standard texts, so you can check us.
03Mapped to the JCIE blueprint
Every question is tagged to one of 75 topics across the twelve domains of the syllabus, so you can drill a weak area tonight and see the gap close.
See the full FRCS (Plast) syllabus and revision topics, with question counts for every topic.
04Sit the exam before the exam
The real format, end to end: two papers of 120 questions, 2 hours 15 minutes each, a question navigator, flagging, and review only after you submit. Watch an answer go through the app — confidence first, then the reveal, then where it lands on your readiness picture.
Confidence × competence
Last 48 answers
Underconfident
unsure · correct
0
Mastery
confident · correct
0
Knowledge gap
unsure · wrong
0
Dangerous misconception
confident · wrong
0
05Analytics that tell you what to fix
Before every answer you rate your confidence. Combined with whether you were right, each attempt lands in one of four quadrants — and the one that matters most is the dangerous misconception: confidently wrong. We find those and bring them back until they're fixed.
06Revision that fits the rota
On the commute, between cases, in the coffee queue. Every day the app builds you a five-minute session: a drill from your weakest topics and lapses, one surgical pearl to flip and cement, and a micro-case that tests your judgement across three decisions.
Smart drill
Five questions picked for you: weak topics, lapses and new ground, with spaced repetition that brings misses back on schedule.
1,500 QsPearl of the Day
Flip-card essentials — flaps, classifications, formulas — grounded in the core textbooks.
200 pearlsMicro-case
One patient, three decisions. An evolving vignette that trains judgement, not just recall.
100 cases07Free, no account
A growing library of original revision articles with our diagrams, and interactive 3D anatomy you can rotate, zoom and animate — flap designs, pedicles and cross-sections.
Bilobed flap (Zitelli) — drag to rotate, press play to transpose the lobes.All 8 3D models
08Editorial standards
No recalled questions, no invented exam frequencies, no guaranteed-pass claims. Just a transparent process you can read in full.
Written to the official structure
Every item follows the JCIE sample paper: lean vignette, five same-category options, one defensible best answer.
Referenced to current UK guidance
NICE, BAD, BBA/EMSB and BOAST first; Janis, Key Notes and Grabb & Smith for the rest. Where a US text and UK guidance differ, UK guidance wins.
Honest about review
Every item is checked against its cited reference. Specialist clinical review is ongoing and we publish which sections have had it — no claims of sign-off that hasn't happened.
Open corrections
Spot an error? Report it from any question. We triage every report, fix or retire the item, and record the change.
09Simple, honest pricing
Start free. Pay monthly, or save with a one-off block that covers your whole run-up to the exam and never auto-renews.
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Prices in GBP, payment by Stripe. Monthly plans cancel any time; blocks never auto-renew. Full refund within 14 days if you've attempted fewer than 20 questions. Full comparison
Yes. The JCIE calls the written examination Section 1 of the Intercollegiate Specialty Examination in Plastic Surgery; trainees often call it Part 1 or Part A. It is two single best answer papers of 120 questions, each lasting 2 hours 15 minutes.
Twenty questions with full referenced explanations on the free questions page — no account needed — plus, with a free account, the Daily Five drill, Pearl of the Day, core analytics and a preview of the notes library. No card is required.
Questions are original items written to the structure of the official JCIE sample paper against current UK guidance and standard texts, and every explanation ends with its reference so you can check it. Specialist clinical review is ongoing and we say which sections have had it. Read how the questions are written and reviewed.
Before each answer you rate your confidence. We combine that with whether you were right to place every attempt in a mastery quadrant, then derive a composite readiness score weighted across the syllabus — the method is explained inside the app.
Monthly plans can be cancelled at any time and run to the end of the paid month. The 3- and 6-month blocks are one-off payments that never auto-renew. If a purchase isn't right for you, message us within 14 days having attempted fewer than 20 questions for a full refund.
More in the full FAQ and the FRCS (Plast) Section 1 exam guide.
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