Syllabus · Current · V5 (2025) · Haematological and Immunological System
N1 · Physiology of Haematological System
N1.i · Blood & Plasma Components
Outline the components of blood and plasma including their synthesis and function.
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 Structure
2 exam appearances
Plasma & Albumin
2 exam appearances
Outline the composition of plasma (50% of marks). Describe the functions of albumin (50% of marks).
30%
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%
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%
IV Fluids — Albumin
1 exam appearance
Oral examination
VIVA history
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2022B · Day 2 · VIVA 3
This viva will explore your understanding of the plasma proteins. What are the 3 most abundant types of plasma proteins and in what concentrations do they normally exist?
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2021A · Day 3 · VIVA 6
This viva will explore your knowledge of haematology. What is blood plasma and what are its non-protein components?
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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.