Syllabus · Historical · V4 (2023) · Cardiovascular System
G7 · Cardiovascular Pharmacology
G7.iii · Cardiovascular Pharmacology
Understand the pharmacology of anti-arrhythmic drugs.
Written examination
SAQ history
Amiodarone
5 exam appearances
Describe the pharmacology of amiodarone using the following headings: (i) Indications for use (5% of marks) (ii) Dose (10% of marks) (iii) Mechanism of Action (20% of marks) (iv) Pharmacodynamics including adverse effects (25% of marks) (v) Pharmacokinetics (25% of marks) (vi) Drug Interactions (15% of marks).
65%
Antiarrhythmics — Adenosine
1 exam appearance
Outline the Vaughan Williams classification of anti-arhythmic drugs with examples (30% of Marks). Describe the relevant pharmacology of adenosine (70% of Marks)
67%
Antiarrhythmics — Class I Drugs
1 exam appearance
Classify the anti-arrhythmic drugs using the Vaughan-Williams classification (30% of marks). Compare and contrast the electrophysiological effects of Class 1 anti-arrhythmic drugs (70% of marks).
72.7%
Antiarrhythmics — Classification
1 exam appearance
Classify antiarrhythmic drugs, including their mechanisms of action, and give an example of one drug from each group.
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Antiarrhythmics — Digoxin vs Amiodarone
2 exam appearances
Antiarrhythmics — Digoxin vs Sotalol
1 exam appearance
Compare and contrast the mechanism of action, pharmacokinetics and adverse effects of digoxin and sotalol.
19%
Antiarrhythmics — Sotalol
1 exam appearance
Classify anti-arrhythmic drugs by mechanism of action, giving examples of each (75% of marks). Describe the electrophysiological and ECG effects of sotalol (25% of marks).
88%
Oral examination
VIVA history
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2026A · VIVA 5
Relevant examiner prompt
How is digoxin toxicity affected by serum potassium level?
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2026A · VIVA 6
Relevant examiner prompt
IV Lignocaine can be used to treat arrhythmias. Why do we use lignocaine and not bupivacaine?
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2021B · Day 3 · VIVA 6
This viva will assess your knowledge of the cardiac action potential and anti-arrhythmic drugs. This image shows the phases of the cardiac muscle action potential. Describe the electrophysiological processes responsible for each phase. (Image removed from report).
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2020B · Day 1 · VIVA 1
This viva will explore your knowledge of anti-arrhythmic agents and the electrocardiogram. Briefly describe the phases of an action potential of the SA nodal / pacemaker cell. (Image removed from report.)
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2018A · Day 1 · VIVA 2
This viva will examine pacemaker cells and antiarrhythmic drugs. Explain the ionic currents responsible for spontaneous electrical activity of sinus node pacemaker cells.
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2018A · Day 2 · VIVA 6
This viva will explore your understanding of antibiotics and antiarrhythmics. Which classes of antibiotics are effective against Gram positive organisms?
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2017B · Day 3 · VIVA 3
This viva is on cardiac electrical physiology and anti-arrhythmic drugs. This is a normal trace obtained from the Lead II of the electrocardiogram. Describe the features of this trace. (Image removed from report.)
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2016A · Day 1 · VIVA 1
This viva tested knowledge of cardiovascular physiology. It discussed cardiac output, stroke volume, sarcomere length myocardial contractility, the role of calcium and then related pharmacology of drugs that increase cardiac contractility including catecholamines and digoxin.
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2015A · VIVA 1
This Viva tested knowledge of cardiovascular physiology, ECG and Antiarrhythmic pharmacology.
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2013B · VIVA 6
This Viva tested knowledge of on the physiology of calcium and the pharmacology of calcium channel antagonists. Although some candidates performed well, there was generally a lack of sufficient knowledge of the control of calcium.
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2012B · VIVA 4
This viva will examine knowledge of Calcium. Consider the normal levels of calcium in blood and factors which affect it. Subsequent discussion focused on calcium physiology and pharmacology of verapamil.
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2012A · VIVA 2
This Viva will test your knowledge of common β-blockers, and their pharmacology. How would you classify β Blockers? .../12 12. Subsequent questions explored knowledge of haemodynamic properties, receptor mediated effects, esmolol pharmacokinetics and sotalol as an antiarythmic drug. Following which, candidates were asked about the Pressure-Volume loop of the cardiac cycle and changes in that loop following administration of esmolol and labetalol.
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2009A · VIVA 3
This viva will assess your knowledge of the action potential of the ventricle, sinus node and the atrioventricular node. It will also assess knowledge of anti-arrhythmic drugs. From where does this action potential arise?
Sources: objective text from the relevant CICM syllabus; historical SAQ and VIVA wording from CICM examiner reports.