Syllabus · Current · V5 (2025) · Musculoskeletal System

I1 · Musculoskeletal System Anatomy and Physiology

I1.ii · Muscle Physiology

Official V5 objective
Describe the physiology of skeletal, smooth and cardiac muscle including excitation-contraction coupling.
4 SAQ topics 6 SAQ appearances 4 VIVA stations

Written examination

SAQ history

6 appearances
Describe the physiology of skeletal muscle cell contraction.
34%
(a) Explain the excitation contraction mechanism as it relates to the smooth muscle of the myometrium including a gravid uterus (50% of marks). (b) For each tocolytic agent: salbutamol, nifedipine, magnesium sulphate, provide the following information: (i) List the class (10% of marks) (ii) Provide a dose (10% of marks) (iii) Describe the mechanism of action (20% of marks) (iv) Outline the adverse effects (10% of marks)
42%
Smooth Muscle Coupling
2 exam appearances
Describe the process of excitation-contraction coupling and relaxation in smooth muscle.
36%
Describe the processes of excitation and contraction within a smooth muscle cell (60% of marks). Briefly outline the mechanism by which nitric oxide affects smooth muscle cell activity (40% of marks)
20%
Compare and contrast the anatomy and physiology of smooth and skeletal muscle.
53%
Compare and contrast the anatomy and physiology of skeletal and smooth muscle.
23%

Oral examination

VIVA history

4 stations

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