Syllabus · Historical · V4 (2023) · Musculoskeletal System

L1 · Musculoskeletal System Physiology

L1.iii · Musculoskeletal System Physiology

Official V4 objective
Describe the mechanism of excitation-contraction coupling.
2 SAQ topics 3 SAQ appearances 0 VIVA stations

Written examination

SAQ history

3 appearances
(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%

Oral examination

VIVA history

0 stations

No mapped VIVA history for this objective.

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