Syllabus · Historical · V4 (2023) · Haematological System
Q1 · Physiology of Haematological System
Q1.i · Physiology of Haematological System
Outline the physiological production of blood and its constituents.
Written examination
SAQ history
Blood Constituents — Haemoglobin
2 exam appearances
Blood Constituents — Myoglobin vs Haemoglobin
1 exam appearance
Explain the similarities and differences between myoglobin and adult haemoglobin (60% of marks) and their physiologic relevance (40% of marks).
23%
Blood Constituents — Platelets
3 exam appearances
Outline the following with respect to platelets: (a) Formation (15% of marks). (b) Structure (40% of marks). (c) Function (45% of marks).
58%
Blood Constituents — RBC Lifecycle
2 exam appearances
(a) With respect to red blood cell production, outline the following: (i) the site (10% of marks). (ii) the stimuli (5% of marks). (iii) the process (15% of marks). (b) With respect to red cell breakdown, outline the following; (i) the usual lifespan in neonates and adults (10% of marks). (ii) the process of red cell aging, degradation and clearance (40% of marks). (iii) the process of haemoglobin breakdown (20% of marks).
72%
Briefly outline the production and fate of Red Blood Cells (RBC) (40% of marks). Describe the breakdown of haemoglobin (Hb) (60% of marks).
60%
Blood Constituents — RBC Structure
2 exam appearances
Platelets & Clopidogrel
1 exam appearance
Describe the structure and function of platelets (50% marks). Outline the pharmacology of clopidogrel (50% marks).
52%
Blood Constituents — ATP Generation
1 exam appearance
Describe the generation of ATP by mitochondria (50% marks) and outline the processes by which ATP is generated in red blood cells (50% marks).
15%
Oral examination
VIVA history
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2022B · Day 3 · VIVA 4
This viva will explore your understanding of red blood cell production, storage, and transfusion. How are red blood cells formed?
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2021B · Day 3 · VIVA 8
This viva will assess your knowledge of haematology. Describe the formation of red blood cells.
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2015A · VIVA 8
This Viva tested knowledge on the physiology and pharmacology of iron and haemoglobin.
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2012A · VIVA 4
This Viva will examine your understanding of blood and blood transfusion. What are the main components of blood? Subsequent questions explored knowledge of human blood groups, common blood group antigens, storage of blood, and changes to stored blood over time and process of group and screen for transfusion.
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2009A · VIVA 5
This viva will test your knowledge of Red Blood Cells and the Clark electrode. Outline the main functions of the red blood cell.
Sources: objective text from the relevant CICM syllabus; historical SAQ and VIVA wording from CICM examiner reports.