Syllabus · Current · V5 (2025) · Musculoskeletal System
I1 · Musculoskeletal System Anatomy and Physiology
I1.ii · Muscle Physiology
Describe the physiology of skeletal, smooth and cardiac muscle including excitation-contraction coupling.
Written examination
SAQ history
Muscle Physiology — Skeletal Contraction
1 exam appearance
Obstetric Pharmacology — Myometrium & Tocolytics
1 exam appearance
(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%
Muscle Physiology — Skeletal vs Smooth
2 exam appearances
Oral examination
VIVA history
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2023B · Day 1 · VIVA 3
This viva will examine muscle physiology and monitoring. Describe the events that lead to skeletal muscle contraction in response to a motor neurone action potential.
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2022B · Day 1 · VIVA 3
This viva will explore your understanding of skeletal muscle. What is a motor unit? Describe events in the motor unit resulting in skeletal muscle contraction and relaxation.
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2021B · Day 2 · VIVA 5
This viva will assess your knowledge on cardiovascular physiology. Outline the structure of cardiac muscle and explain how it contracts.
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2010A · VIVA 4
This station is concerned with the physiology and pharmacology related to the musculoskeletal system Candidates were asked to draw and label a sacromere, outline the physiological events relating to muscle contraction, length – tension relationship, muscle relaxants, malignant hyperthermia and dantrolene
Sources: objective text from the relevant CICM syllabus; historical SAQ and VIVA wording from CICM examiner reports.