Physiology and Biochemistry
Demonstrates knowledge of: |
---|
GENERAL |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_01 |
Organization of the human body and control of internal environment |
A,C,E |
1 |
PB_BK_02a |
Changes at birth and in early life |
A,C,E |
1 |
PB_BK_02b |
Changes with advancing age |
A,C,E |
1 |
PB_BK_03 |
Cells; components and organelles |
A,C,E |
1 |
PB_BK_04 |
Function of cells; genes and their expression |
A,C,E |
1 |
PB_BK_05 |
Cell membrane characteristics; cell junctions, receptors |
A,C,E |
1 |
PB_BK_06 |
Protective mechanisms of the body |
A,C,E |
1 |
BIOCHEMISTRY |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_07 |
Definition of pH. Strong and weak acids. |
A,C,E |
1 |
PB_BK_08 |
Acid base balance. Includes buffers, Henderson-Hasselbalch equation and anion gap |
A,C,E |
1 |
PB_BK_09 |
Ions e.g. Na+, K+, Ca++, Mg++, Cl-, HCO3- |
A,C,E |
1 |
PB_BK_10 |
Cellular metabolism; aerobic vs anaerobic |
A,C,E |
1 |
PB_BK_11 |
Enzymes |
A,C,E |
1 |
BODY FLUIDS AND THE FUNCTIONS AND CONSTITUENTS |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_12 |
Capillary dynamics and interstitial fluid; osmosis, filtration and convection |
A,C,E |
1 |
PB_BK_13 |
Osmolarity: osmolality, partition of fluids across membranes, tonicity |
A,C,E |
1 |
PB_BK_14 |
Lymphatic system |
A,C,E |
1 |
PB_BK_15 |
Special fluids especially cerebrospinal fluid: also pleural, pericardial and peritoneal fluids |
A,C,E |
1 |
PB_BK_16 |
Active cellular transport mechanisms |
A,C,E |
1 |
HAEMATOLOGY AND IMMUNOLOGY |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_17 |
Blood: physical properties, components, functions |
A,C,E |
1 |
PB_BK_18 |
Red blood cells: production and turnover, haematinics, haemoglobin and its variants including abnormal haemoglobins eg thalassaemia, HbS |
A,C,E |
1 |
PB_BK_19 |
Anaemia: acute and chronic adaptations – Iron absorption, transportation, metabolism |
A,C,E |
1 |
PB_BK_20 |
Polycythaemia: causes and implications |
A,C,E |
1 |
PB_BK_21 |
Blood groups: ABO, Rhesus, others |
A,C,E |
1 |
PB_BK_22 |
Transfusion reactions; rhesus incompatibility |
A,C,E |
1 |
PB_BK_23 |
Haemostasis and coagulation, fibrinolysis – including abnormalities, congenital and acquired |
A,C,E |
1 |
PB_BK_24 |
Alternative oxygen carrying solutions |
A,C,E |
1 |
PB_BK_25 |
White blood cells: types, origins, characteristics, turnover |
A,C,E |
1 |
PB_BK_26 |
The inflammatory response, systemic inflammatory responses, hypersensitivity reactions |
A,C,E |
1 |
PB_BK_27 |
Immunity and allergy; innate vs acquired, non-specific vs specific, humoral vs cellular |
A,C,E |
1 |
PB_BK_28 | Immunodeficiency – congenital and acquired | A,C,E | 1 |
MUSCLE |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_29 |
Action potential generation and its transmission |
A,C,E |
1 |
PB_BK_30 |
Neuromuscular junction and transmission, motor end-plate |
A,C,E |
1 |
PB_BK_31 |
Disturbances of neuromuscular transmission |
A,C,E |
1 |
PB_BK_32 |
Myopathies – congenital and acquired |
A,C,E |
1 |
PB_BK_33 |
Muscle contracture – malignant hyperthermia, myoclonus, burns |
A,C,E |
1 |
PB_BK_34 |
Muscle types; skeletal, smooth, cardiac |
A,C,E |
1 |
PB_BK_35 |
Skeletal muscle excitation-contraction coupling |
A,C,E |
1 |
PB_BK_36 |
Smooth muscle contraction: sphincters |
A,C,E |
1 |
PB_BK_37 |
Motor unit concept |
A,C,E |
1 |
HEART/CIRCULATION |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_38 |
Cardiac muscle contraction |
A,C,E |
1 |
PB_BK_39 |
The cardiac cycle: pressure volume relationships, work and power |
A,C,E |
1 |
PB_BK_40 |
Rhythmicity of the heart; cardiac impulse generation |
A,C,E |
1 |
PB_BK_41 |
Regulation of cardiac function; general and cellular |
A,C,E |
1 |
PB_BK_42 |
Control of cardiac output [including Starling relationship] |
A,C,E |
1 |
PB_BK_43 |
Fluid challenge and heart failure, types of shock |
A,C,E |
1 |
PB_BK_44 |
Electrocardiogram and arrhythmias, origin of ECG, effects of temperature, ischaemia, infarction and electrolyte imbalance |
A,C,E |
1 |
PB_BK_45 |
Neurological and humoral control of systemic blood pressures, blood volume and blood flow [at rest and during physiological disturbances e.g. exercise, haemorrhage and Valsalva manoeuvre] |
A,C,E |
1 |
PB_BK_46 |
Peripheral circulation: capillaries, vascular endothelium and arteriolar smooth muscle |
A,C,E |
1 |
PB_BK_47 |
Functions of endothelium |
A,C,E |
1 |
PB_BK_48 |
Characteristics of special circulations including: pulmonary, coronary, cerebral, renal, portal, transitional and fetal |
A,C,E |
1 |
RENAL TRACT |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_49 |
Structure and function, renal circulation |
A,C,E |
1 |
PB_BK_50 |
Blood flow and glomerular filtration, plasma clearance and tubuloglomerular feedback |
A,C,E |
1 |
PB_BK_51 |
Tubular function and urine formation; transport processes |
A,C,E |
1 |
PB_BK_52 |
Assessment of renal function |
A,C,E |
1 |
PB_BK_53 |
Regulation of water and electrolyte [Na+, K+, Ca++, Mg++, PO4--,] balance; response to fluid loss /hypovolaemia. Role of urea and creatinine measurement. |
A,C,E |
1 |
PB_BK_54 |
Regulation of acid-base balance |
A,C,E |
1 |
PB_BK_55 |
Micturition |
A,C,E |
1 |
PB_BK_56 |
Pathophysiology of acute renal failure |
A,C,E |
1 |
RESPIRATION |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_57 |
Gaseous exchange: O2 and CO2 transport, hypoxia and hyper- and hypocapnia, hyper- and hypobaric pressures |
A,C,E |
1 |
PB_BK_58 |
Function of haemoglobin in oxygen carriage and acid-base equilibrium |
A,C,E |
1 |
PB_BK_59 |
Pulmonary ventilation: volumes, capacities, flows, dead space, compliance, work of breathing |
A,C,E |
1 |
PB_BK_60 |
Effect of IPPV on lungs |
A,C,E |
1 |
PB_BK_61 |
Mechanics of ventilation: ventilation/perfusion abnormalities, regional V/Q, surfactant |
A,C,E |
1 |
PB_BK_62 |
Control of breathing, acute and chronic ventilatory failure, effect of oxygen therapy |
A,C,E |
1 |
PB_BK_63 |
Effects of altitude |
A,C,E |
1 |
PB_BK_64 |
Non-respiratory functions of the lungs |
A,C,E |
1 |
NERVOUS SYSTEM |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_65 |
Neuronal structure and function |
A,C,E |
1 |
PB_BK_66 |
Resting membrane potential, action potentials, conduction, synaptic mechanisms, actions of neurotransmitters |
A,C,E |
1 |
PB_BK_67 |
The brain: functional divisions |
A,C,E |
1 |
PB_BK_68 |
Brain stem; organization, interconnections |
A,C,E |
1 |
PB_BK_69 |
Intracranial pressure: cerebrospinal fluid, blood flow |
A,C,E |
1 |
PB_BK_70 |
Maintenance of posture |
A,C,E |
1 |
PB_BK_71 |
Autonomic nervous system; organization, ganglia, adrenergic vs cholinergic |
A,C,E |
1 |
PB_BK_72 |
Neurological reflexes: monosynaptic, polysynaptic, stretch, inhibition |
A,C,E |
1 |
PB_BK_73 |
Motor function: basal ganglia, spinal and peripheral |
A,C,E |
1 |
PB_BK_74 |
Sense: receptors, nociception, proprioception, sight, taste, smell, hearing, balance, touch, temperature |
A,C,E |
1 |
PB_BK_75 |
Pain: afferent nociceptive pathways, dorsal horn, peripheral and central mechanisms, neuromodulatory systems, supraspinal mechanisms, visceral pain, neuropathic pain, influence of therapy on nociceptive mechanisms |
A,C,E |
1 |
PB_BK_76 |
Spinal cord: anatomy and blood supply, effects of spinal cord section |
A,C,E |
1 |
PB_BK_77 |
Nausea and vomiting |
A,C,E |
1 |
LIVER |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_78 |
Functional anatomy and blood supply, immunological functions |
A,C,E |
1 |
PB_BK_79 |
Metabolic and digestive functions |
A,C,E |
1 |
GASTROINTESTINAL |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_80 |
Gastric function; secretions, nausea and vomiting |
A,C,E |
1 |
PB_BK_81 |
Gut motility, sphincters and reflex control – neurohumoral integration |
A,C,E |
1 |
PB_BK_82 |
Digestive functions; composition of secretions; digestion of carbohydrates, lipids, proteins, vitamins, minerals |
A,C,E |
1 |
PB_BK_83 |
Immune functions |
A,C,E |
1 |
METABOLISM |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_84 |
Energy homeostasis. Energy balance and nutritional status. Body mass/composition: body mass index, body fat estimation. Functional measurements: e.g. handgrip strength, work/exercise capacity. Biochemical measurements. Immune function. |
A,C,E |
1 |
PB_BK_85 |
Principles of nutrition: carbohydrates, fats, proteins, vitamins and minerals. Energy requirements/expenditure and measurement. |
A,C,E |
1 |
PB_BK_86 |
Metabolic pathways, energy production and enzymes; metabolic rate; lactate metabolism |
A,C,E |
1 |
PB_BK_87 |
Hormonal control of metabolism: regulation of plasma glucose, response to trauma |
A,C,E |
1 |
PB_BK_88 |
Physiological alterations in starvation, obesity [including normal and abnormal BMI ranges], exercise and the stress response. |
A,C,E |
1 |
PB_BK_89 |
Body temperature and its regulation, [including differences at extremes of age] |
A,C,E |
1 |
ENDOCRINOLOGY |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_90 |
Hormones; types, receptors, hierarchy, extracellular signalling |
A,C,E |
1 |
PB_BK_91 |
Mechanisms of hormonal control; feedback mechanisms, effects on membrane and intracellular receptors |
A,C,E |
1 |
PB_BK_92 |
Hypothalamic and pituitary function |
A,C,E |
1 |
PB_BK_93 |
Adrenocortical hormones |
A,C,E |
1 |
PB_BK_94 |
Adrenal medulla; adrenaline and noradrenaline |
A,C,E |
1 |
PB_BK_95 |
Pancreas; insulin, glucagons and exocrine function |
A,C,E |
1 |
PB_BK_96 |
Thyroid and parathyroid hormones and calcium homeostasis |
A,C,E |
1 |
PREGNANCY |
---|
Competence |
Description |
Assessment Methods |
GMP |
---|---|---|---|
PB_BK_97 |
Physiological changes associated with pregnancy |
A,C,E |
1 |
PB_BK_98 |
Maternofetal, fetal and neonatal circulation |
A,C,E |
1 |
PB_BK_99 |
Function of placenta; placental transfer |
A,C,E |
1 |
PB_BK_100 |
Fetus; physiological changes at birth |
A,C,E |
1 |
PB_BK_101 |
Lactation |
A,C,E |
1 |