Syllabus · Current · V5 (2025) · Nervous System including autonomic and pain

H6 · Neuropharmacology

H6.viii · Autonomic Drugs & Toxins

Official V5 objective
Understand the pharmacology of drugs and/or toxins acting upon the autonomic nervous system.
4 SAQ topics 5 SAQ appearances 1 VIVA station

Written examination

SAQ history

5 appearances
Classify anticholinesterase drugs according to chemical interaction with an example of each (30% of marks). Outline the pharmacodynamic effects of anticholinesterase drugs and their clinical indications (70% of marks).
32%
Describe the pharmacodynamic effects and indications for the use of anticholinesterase drugs.
25%
Describe the pharmacology of atropine.
53%
Compare and contrast the pharmacology of intravenously administered atropine and glycopyrrolate
50%
Describe the pharmacological basis of the management of organophosphate poisoning.
40%

Oral examination

VIVA history

1 station

Sources: objective text from the relevant CICM syllabus; historical SAQ and VIVA wording from CICM examiner reports.