ANZCA Primary interactive diagrams
86 interactive teaching figures mapped to 64 ANZCA Primary learning objectives. Each diagram opens inside the matching note in Primex.
Section 2
Pharmacodynamics: dose-response relationships, efficacy, potency (Part 1)
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BT_GS 1.3 Dose-response curvesDose-response curves — Define and explain dose-effect relationships of drugs with reference to: • Graded and quantal response • Therapeutic index • Potency and efficacy • Competitive and non-competitive antagonists • Partial agonists, mixed ag…
Pharmacodynamics: dose-response relationships, efficacy, potency (Part 2)
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BT_GS 1.4 Dose-response curvesDose-response curves — Describe efficacy and potency with reference to dose-response curves
Pharmacokinetics: absorption, distribution, metabolism, excretion (Part 1)
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BT_GS 1.7 PK compartment modelsPK compartment models — Explain the concept of pharmacokinetic modelling of single and multiple compartment models and define: • Half life • Clearance • Zero and first order kinetics • Volume of distribution • Bio-availability • Area under the …
Pharmacokinetics: absorption, distribution, metabolism, excretion (Part 2)
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Context-sensitive half-time + PK compartment models — Explain and describe the clinical application of concepts related to intravenous and infusion kinetics including: • Effect-site and effect-site equilibration time • Concept of context sensitive half time • Calculation of…
Section 4
Pharmacology of inhalational anaesthetic agents (Part 1)
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BT_GS 1.24 Inhalational agent FA/FI uptakeInhalational agent FA/FI uptake — Describe the uptake, distribution and elimination of inhalational anaesthetic agents and the factors which influence induction and recovery from inhalational anaesthesia including the: • Concepts of partition coefficient…
Pharmacology of propofol (Part 1)
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BT_GS 1.30 PK compartment modelsPK compartment models — Discuss the pharmacokinetics of IV anaesthetic and sedative agents, including: • Onset and offset • Clinical implications of differences between drugs
Pharmacology of propofol (Part 2)
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Context-sensitive half-time + PK compartment models — Outline the similarities and differences between commonly used Target Controlled Infusion (TCI) models
Section 5
Effects of anaesthesia and ventilation on respiration
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BT_AM 1.19 Mechanical ventilation modesMechanical ventilation modes — Describe different modes of mechanical ventilation and their physiological consequences
Surfactant, compliance and time constants
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Lung + chest wall compliance (Campbell diagram) — Define compliance (static, dynamic and specific) and relate this to the elastic properties of the lung
Pleural pressure and chest wall mechanics
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Lung + chest wall compliance (Campbell diagram) — Describe the elastic properties of the chest wall and plot pressure-volume relationships of the lung, chest wall and the total respiratory system
Lung volumes and dead space
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BT_PO 1.20 Lung volumes & capacitiesLung volumes & capacities — Describe lung volumes and capacities, their measurement and normal values
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BT_PO 1.21 Oxygen cascade — atmosphere to mitochondrionOxygen cascade — atmosphere to mitochondrion — Describe dead space, its measurement and apply the Bohr equation and alveolar gas equation
Alveolar gas composition and oxygen cascade
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BT_PO 1.22 Oxygen cascade — atmosphere to mitochondrionOxygen cascade — atmosphere to mitochondrion — Describe the composition of ideal alveolar and mixed expired gases
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BT_PO 1.23 Oxygen cascade — atmosphere to mitochondrionOxygen cascade — atmosphere to mitochondrion — Describe the oxygen cascade
Diffusion across the alveolar-capillary membrane
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BT_PO 1.24 Oxygen cascade — atmosphere to mitochondrionOxygen cascade — atmosphere to mitochondrion — Describe the alveolar exchange of oxygen and carbon dioxide
V/Q matching and West's zones
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BT_PO 1.26 V/Q distribution (West / Riley)V/Q distribution (West / Riley) — Describe normal ventilation-perfusion matching
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BT_PO 1.27 V/Q distribution (West / Riley)V/Q distribution (West / Riley) — Describe West’s zones of the lung
Shunt and V/Q inequality
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V/Q distribution (West / Riley) + Oxygen cascade — atmosphere to mitochondrion — Describe the shunt equation
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BT_PO 1.29 V/Q distribution (West / Riley)V/Q distribution (West / Riley) — Discuss regional ventilation-perfusion inequalities and abnormalities, venous admixture, and the effect on oxygenation and carbon dioxide elimination
Oxygen and carbon dioxide carriage in blood
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Oxyhaemoglobin dissociation curve + Oxygen cascade — atmosphere to mitochondrion — Discuss the carriage of oxygen in blood, the oxyhaemoglobin dissociation curve, oxygen stores in the blood and their clinical significance and implications
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BT_PO 1.32 CO₂ dissociation curve (Haldane effect)CO₂ dissociation curve (Haldane effect) — Discuss the carriage of carbon dioxide in blood, the carbon dioxide dissociation curve and their clinical significance and implications
Positive pressure ventilation, PEEP and hypoxaemia
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BT_PO 1.35 Mechanical ventilation modesMechanical ventilation modes — Discuss the physiological consequences of intermittent positive pressure ventilation and positive end-expiratory pressure
Section 7
Anatomy of the heart, great vessels, and coronary circulation
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Wiggers diagram — cardiac cycle (animated) + Cardiac action potential — Describe the physiological basis of electrical activity and its relationship to mechanical events including the: • Ionic basis of automaticity • The normal and abnormal processes of cardiac excitation • Physiological bas…
Pressure-volume relationships of the cardiac cycle, Starling relationships
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BT_PO 1.44 Cardiac action potentialCardiac action potential — Describe the physiology of cardiac muscle and the mechanism of excitation contraction coupling
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BT_PO 1.44a Ventricular pressure-volume loopVentricular pressure-volume loop — Describe the events of the cardiac cycle using a Wiggers diagram and pressure-volume loop
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BT_PO 1.45 Frank-Starling curveFrank-Starling curve — Discuss the factors that determine and control cardiac output and the implications for clinical practice including: • Preload, afterload and contractility • The Frank-Starling mechanism • Cardiac output and vascular func…
Applied cardiovascular physiology including exercise, Valsalva, posture, gravity, IPPV and PEEP
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BT_PO 1.48 Mechanical ventilation modesMechanical ventilation modes — Discuss the cardiovascular responses to: • Changes in posture • Exercise • Valsalva manoeuvre • Positive pressure ventilation and PEEP • Pneumoperitoneum • Haemorrhage and hypovolaemia • Surgery and trauma
Pharmacology of antiarrhythmic drugs
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BT_PO 1.56 Cardiac action potentialCardiac action potential — Outline the physiological and pharmacological basis of classifying antiarrhythmic agents
Pharmacology of antihypertensive agents / Pharmacology of antianginal agents
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BT_PO 1.58 Renin-angiotensin-aldosterone systemRenin-angiotensin-aldosterone system — Describe the pharmacology of • Glyceryl trinitrate • Sodium nitroprusside Outline the pharmacology of other antihypertensive agents
Pharmacology of drugs used in cardiac failure
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Nephron + diuretic sites + Renin-angiotensin-aldosterone system — Outline the pharmacology of drugs used to manage acute or chronic cardiac failure
Section 8
Renal blood flow, glomerular filtration, tubular function, and concentrating mechanisms (Part 1)
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BT_PO 1.61 Nephron + diuretic sitesNephron + diuretic sites — Outline the functional anatomy of the nephron
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Renal autoregulation (RBF + GFR vs MAP) + Renin-angiotensin-aldosterone system + Acute kidney injury staging — Explain the physiology of renal blood flow
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Starling capillary forces + Nephron + diuretic sites + Acute kidney injury staging — Describe glomerular filtration and tubular function
Renal blood flow, glomerular filtration, tubular function, and concentrating mechanisms (Part 2)
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Renal autoregulation (RBF + GFR vs MAP) + Nephron + diuretic sites + Renin-angiotensin-aldosterone system + Acute kidney injury staging — Explain the mechanisms involved in the regulation of renal function
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BT_PO 1.68 Starling capillary forces + Renal autoregulation (RBF + GFR vs MAP) + Acute kidney injury stagingStarling capillary forces + Renal autoregulation (RBF + GFR vs MAP) + Acute kidney injury staging — Describe the principles of measurement of glomerular filtration rate and renal blood flow
Variability in drug response: pharmacogenomics, age, disease states (Part 1)
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BT_PO 1.66 Nephron + diuretic sites + Renin-angiotensin-aldosterone system + Acute kidney injury stagingNephron + diuretic sites + Renin-angiotensin-aldosterone system + Acute kidney injury staging — Outline the endocrine functions of the kidney
Renal regulation of electrolytes and body fluid composition and volume
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BT_PO 1.69 Acute kidney injury stagingAcute kidney injury staging — Describe the physiological effects and clinical assessment of renal dysfunction
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Renin-angiotensin-aldosterone system + Acute kidney injury staging — Explain the renal responses to hypovolaemia
Pharmacology of diuretics
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BT_PO 1.81 Nephron + diuretic sitesNephron + diuretic sites — Classify diuretics based on their site of action
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BT_PO 1.82 Nephron + diuretic sitesNephron + diuretic sites — Outline the pharmacology of diuretics
Section 9
Electrolyte composition of body fluids, ionic equilibria, and transport of ions
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BT_PO 1.73 Renin-angiotensin-aldosterone systemRenin-angiotensin-aldosterone system — Describe the mechanisms involved in the maintenance of fluid and electrolyte balance
Body fluids: total body water, intracellular and extracellular compartments, interstitial fluid
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BT_PO 1.76 Renin-angiotensin-aldosterone systemRenin-angiotensin-aldosterone system — Describe the regulation of osmolality
Venous and capillary systems, micro-circulation, lymphatics
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BT_PO 1.77 Starling capillary forcesStarling capillary forces — Outline the significance of oncotic pressure, colloid osmotic pressure and reflection coefficients
Section 10
Acid-base balance including buffer systems, the Henderson-Hasselbalch equation, base excess
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Davenport acid-base diagram + Anion gap and delta ratio — Describe the regulation of acid/base balance
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Davenport acid-base diagram + Anion gap and delta ratio — Describe acid-base chemistry using the Henderson- Hasselbach equation and strong ion difference
Section 11
Cerebral blood flow and intracranial pressure (Part 2)
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BT_RT 1.12 Monro-Kellie intracranial volume + ICP curveMonro-Kellie intracranial volume + ICP curve — Discuss the factors determining intracranial pressure and its regulation
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Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) — Describe the regulation of cerebral blood flow, and factors leading to loss of autoregulation
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BT_RT 1.14 Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curveCerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve — Describe cerebral perfusion pressure
Section 12
Opioid pharmacology — receptors, mechanism of action and agonist-antagonist types
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BT_PM 1.14 Dose-response curvesDose-response curves — Describe the actions of agonists, partial agonists, mixed agonist-antagonists and antagonists
Section 13
Pharmacology of depolarising neuromuscular blocking agents (Part 2)
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BT_GS 1.38 Train-of-four monitoringTrain-of-four monitoring — Describe the adverse effects of neuromuscular blocking agents and factors that may modify responses to muscle relaxants
Section 16
Nutrition, metabolism, and energy balance
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BT_PO 1.85 Glucose homeostasisGlucose homeostasis — Explain the control of blood glucose
The pituitary gland and hypothalamus / Thyroid hormones and their control
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BT_PO 1.87 Hypothalamic-pituitary-adrenal axisHypothalamic-pituitary-adrenal axis — Outline control of secretion and the functions of: • Pituitary hormones • Thyroid hormones • Adrenocortical hormones • Adrenomedullary hormones
Pharmacology of corticosteroids
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BT_PO 1.90 Glucose homeostasisGlucose homeostasis — Outline the pharmacology of: • Insulin preparations • Oral hypoglycaemics
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Hypothalamic-pituitary-adrenal axis + Glucose homeostasis — Outline the pharmacology of: • Thyroid hormone replacement and anti- thyroid drugs • Corticosteroids • Glucagon • Vasopressin and analogues
Section 17
White blood cells
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BT_PO 1.110 Iron homeostasisIron homeostasis — Describe the physiological consequences of acute and chronic anaemia, including iron deficiency.
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BT_PO 1.112 Coagulation cascadeCoagulation cascade — Describe the physiology of haemostasis, including: • Coagulation • The role of platelets • Fibrinolysis
Coagulation cascade and fibrinolysis / Platelets and their role in haemostasis
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BT_PO 1.114 Coagulation cascadeCoagulation cascade — Describe the methods for assessing coagulation, platelet function and fibrinolysis
Pharmacology of protamine
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BT_PO 1.118 Coagulation cascadeCoagulation cascade — Describe the pharmacology of heparin and low molecular weight heparins including their side-effects
Pharmacology of anticoagulants and thrombolytic agents (Part 1)
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BT_PO 1.120 Coagulation cascadeCoagulation cascade — Describe the pharmacology of warfarin and other anticoagulant drugs
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BT_PO 1.121 Coagulation cascadeCoagulation cascade — Describe methods to reverse the effect of warfarin and other anticoagulant drugs
Pharmacology of iron replacement / Blood groups and transfusion
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BT_PO 1.124a Iron homeostasisIron homeostasis — Outline the pharmacology of iron replacement
Section 21
Physiology of the newborn (Part 2)
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SS_PA 1.26 Glucose homeostasisGlucose homeostasis — Outline glucose homeostasis in the neonate and explain the changes that occur with growth and development
Section 22
Neuromuscular monitoring including train-of-four and other methods
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BT_GS 1.55 Train-of-four monitoringTrain-of-four monitoring — Describe the concept of depth of neuromuscular blockade and explain the use of neuromuscular monitoring
Additional diagrams
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BT_PO 1.111 Iron homeostasisIron homeostasis
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