Syllabus · Current · V5 (2025) · Nervous System including autonomic and pain
H6 · Neuropharmacology
H6.viii · Autonomic Drugs & Toxins
Understand the pharmacology of drugs and/or toxins acting upon the autonomic nervous system.
Written examination
SAQ history
Autonomic Pharmacology — Anticholinesterases
2 exam appearances
Classify anticholinesterase drugs according to chemical interaction with an example of each (30% of marks). Outline the pharmacodynamic effects of anticholinesterase drugs and their clinical indications (70% of marks).
32%
Describe the pharmacodynamic effects and indications for the use of anticholinesterase drugs.
25%
Autonomic Pharmacology — Atropine
1 exam appearance
Autonomic Pharmacology — Atropine vs Glycopyrrolate
1 exam appearance
Compare and contrast the pharmacology of intravenously administered atropine and glycopyrrolate
50%
Autonomic Pharmacology — Organophosphate Poisoning
1 exam appearance
Oral examination
VIVA history
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2016B · Day 1 · VIVA 2
This viva tested knowledge related to cholinergic receptors. The pharmacology of Atropine was specifically discussed. The second part of the viva discussed the pharmacology of propofol including rationale for its use in ICU, contents of the ampoule and adverse effects.
Sources: objective text from the relevant CICM syllabus; historical SAQ and VIVA wording from CICM examiner reports.