So yes, the RS5’s engine has more in common with the R8 than with the RS4. There are aftermarket rods/pistons for the R8 which should work with the RS5’s motor. I’d make sure the cylinder walls are not scored heavily due to oil contamination.
I think those bearings are done!
The V8 M3’s had major bearing issues, with many cars requiring new bearings in as little as 40K miles. I’m just about to turn 70K and the motor is still going strong.
If your motor is consuming oil, take a good hard look at the PCV system. I was consuming oil for a while and did have to replace my PCV valves. I think they go bad and contribute to oil consumption long before they start to “whistle”.
I’ve had, literally, zero oil consumption since my last oil change using the Motul Sport (and new PCV valves). But…consumption was greatly reduced when I switched back to Motul Specific from Liqui-Moly.