Syllabus · Historical · V4 (2023) · Nervous System – Including Pain

K2 · Pharmacology Related to the Nervous System

K2.i · Pharmacology Related to the Nervous System

Official V4 objective
Understand the pharmacology of sedating drugs.
12 SAQ topics 17 SAQ appearances 16 VIVA stations

Written examination

SAQ history

17 appearances
Compare and contrast dexmedetomidine and ketamine
50%
Compare and contrast ketamine and midazolam.
62%
Compare and contrast the cardiovascular effects of an induction dose of Propofol and ketamine.
29%
Outline the structure and function of the N-methyl-D-aspartate (NMDA) receptor (25% marks). Discuss the pharmacology of ketamine (75% marks).
74%
Describe the physiology of the NMDA (N-Methyl D-aspartate) receptor (40% of marks). Outline the pharmacology of ketamine (60% of marks).
49%
Midazolam vs. Dexmedetomidine
2 exam appearances
Compare and contrast the pharmacokinetics and pharmacodynamics of midazolam and dexmedetomidine.
27%
Compare and contrast the pharmacology of midazolam and dexmedetomidine when used for sedation.
Compare and contrast the pharmacology of haloperidol and diazepam.
50%
List the adverse properties of Propofol and Ketamine
30%
Compare and contrast the pharmacology of dexmedetomidine and propofol.
70%
Sedatives — Ideal Sedative
2 exam appearances
Describe the ideal sedative agent for an Intensive Care patient (50% of marks). How does midazolam compare to this (50% of marks)?
60%
Outline the pharmacological properties of an ideal agent for sedating patients undergoing mechanical ventilation in intensive care (50% of marks). Describe how propofol compares to the ‘ideal’ agent (50% of marks).
Sedatives — Midazolam
1 exam appearance
Describe the pharmacology of midazolam.
88%
Sedatives — Propofol
3 exam appearances
Describe the pharmacology of propofol
76%
Describe the pharmacology of propofol
60%
Describe the pharmacology of propofol.
Compare and contrast the pharmacology of propofol and midazolam.
77%

Oral examination

VIVA history

16 stations

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