Syllabus · Historical · V4 (2023) · Endocrine System
U2 · Endocrine Pharmacology
U2.vii · Endocrine Pharmacology
Understand the pharmacology of vasopressin and its analogues.
Written examination
SAQ history
Inotropes & Vasopressors — Adrenaline vs Vasopressin
1 exam appearance
Compare and contrast the relevant pharmacology of intravenous adrenaline and vasopressin.
20%
Noradrenaline vs Vasopressin
3 exam appearances
Vasopressin & Analogues
2 exam appearances
Describe the pharmacology of vasopressin (70% of marks) and its analogues (30% of marks).
28%
Describe the actions of endogenous vasopressin. (60% of marks) List the vasopressin analogues and their uses. (40% of marks)
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Oral examination
VIVA history
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2026A · VIVA 3
Relevant examiner prompt
Why may we use terlipressin to assist in the management of variceal bleeding?
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2016A · Day 1 · VIVA 2
This viva tested knowledge of Respiratory Physiology. It discussed compliance, Functional Residual Capacity (FRC), Pressure Volume Loops and the work of breathing. It went on to discuss abdominal pressure, splanchnic blood flow and pharmacology of terlipressin.
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2014B · VIVA 1
This Viva tested knowledge of cerebral physiology and aspects of pharmacology. It explored topics such as cerebral blood flow, autoregulation and moved on to vasopressin pharmacology.
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2010A · VIVA 5
This Viva will examine knowledge of intravenous fluids, colligative properties What is in a bag of Normal Saline? Areas of knowledge that candidates were tested on included concepts of osmolality, osmolarity, anion gap, mannitol, and colligative properties of fluid. In addition this viva tested knowledge of the pituatary gland, specifically anatomy, hormones secreted and in particular, Anti Diuretic Hormone.
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2009B · VIVA 6
The initial information given to the candidates was – This viva will test your knowledge about the use of diuretics, pharmacokinetics and dynamics. And Use of drugs during a cardiac arrest. Candidates were asked to explain mechanism of action of diuretics, in particular frusemide. Candidates were also tested upon the basis that various vasoactive drugs (eg adrenaline and vasopressin) are used in cardiac arrest, in particular their mechanism of action and routes of administration.
Sources: objective text from the relevant CICM syllabus; historical SAQ and VIVA wording from CICM examiner reports.