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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)
  • Dose-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)
  • Dose-response curves — Describe efficacy and potency with reference to dose-response curves
Pharmacokinetics: absorption, distribution, metabolism, excretion (Part 1)
  • PK 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)
  • 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)
  • Inhalational 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)
  • PK 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)

Section 5

Effects of anaesthesia and ventilation on respiration
  • Mechanical ventilation modes — Describe different modes of mechanical ventilation and their physiological consequences
Surfactant, compliance and time constants
Pleural pressure and chest wall mechanics
  • 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
Alveolar gas composition and oxygen cascade
Diffusion across the alveolar-capillary membrane
V/Q matching and West's zones
Shunt and V/Q inequality
Oxygen and carbon dioxide carriage in blood
Positive pressure ventilation, PEEP and hypoxaemia
  • Mechanical 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
  • 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
  • Cardiac action potential — Describe the physiology of cardiac muscle and the mechanism of excitation contraction coupling
  • Ventricular pressure-volume loop — Describe the events of the cardiac cycle using a Wiggers diagram and pressure-volume loop
  • Frank-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
  • Mechanical 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
  • Cardiac action potential — Outline the physiological and pharmacological basis of classifying antiarrhythmic agents
Pharmacology of antihypertensive agents / Pharmacology of antianginal agents
  • Renin-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

Section 8

Renal blood flow, glomerular filtration, tubular function, and concentrating mechanisms (Part 1)
Renal blood flow, glomerular filtration, tubular function, and concentrating mechanisms (Part 2)
Variability in drug response: pharmacogenomics, age, disease states (Part 1)
Renal regulation of electrolytes and body fluid composition and volume
Pharmacology of diuretics

Section 9

Electrolyte composition of body fluids, ionic equilibria, and transport of ions
Body fluids: total body water, intracellular and extracellular compartments, interstitial fluid
Venous and capillary systems, micro-circulation, lymphatics
  • Starling 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

Section 11

Cerebral blood flow and intracranial pressure (Part 2)

Section 12

Opioid pharmacology — receptors, mechanism of action and agonist-antagonist types
  • Dose-response curves — Describe the actions of agonists, partial agonists, mixed agonist-antagonists and antagonists

Section 13

Pharmacology of depolarising neuromuscular blocking agents (Part 2)
  • Train-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
The pituitary gland and hypothalamus / Thyroid hormones and their control
  • Hypothalamic-pituitary-adrenal axis — Outline control of secretion and the functions of: • Pituitary hormones • Thyroid hormones • Adrenocortical hormones • Adrenomedullary hormones
Pharmacology of corticosteroids
  • BT_PO 1.90 Glucose homeostasis
    Glucose homeostasis — Outline the pharmacology of: • Insulin preparations • Oral hypoglycaemics
  • 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
  • BT_PO 1.110 Iron homeostasis
    Iron homeostasis — Describe the physiological consequences of acute and chronic anaemia, including iron deficiency.
  • BT_PO 1.112 Coagulation cascade
    Coagulation cascade — Describe the physiology of haemostasis, including: • Coagulation • The role of platelets • Fibrinolysis
Coagulation cascade and fibrinolysis / Platelets and their role in haemostasis
  • BT_PO 1.114 Coagulation cascade
    Coagulation cascade — Describe the methods for assessing coagulation, platelet function and fibrinolysis
Pharmacology of protamine
  • BT_PO 1.118 Coagulation cascade
    Coagulation cascade — Describe the pharmacology of heparin and low molecular weight heparins including their side-effects
Pharmacology of anticoagulants and thrombolytic agents (Part 1)
  • BT_PO 1.120 Coagulation cascade
    Coagulation cascade — Describe the pharmacology of warfarin and other anticoagulant drugs
  • BT_PO 1.121 Coagulation cascade
    Coagulation cascade — Describe methods to reverse the effect of warfarin and other anticoagulant drugs
Pharmacology of iron replacement / Blood groups and transfusion
  • BT_PO 1.124a Iron homeostasis
    Iron homeostasis — Outline the pharmacology of iron replacement

Section 21

Physiology of the newborn (Part 2)
  • SS_PA 1.26 Glucose homeostasis
    Glucose 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
  • Train-of-four monitoring — Describe the concept of depth of neuromuscular blockade and explain the use of neuromuscular monitoring

Additional diagrams

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