1. GRAPHS AND STUFF YOU NEED TO BE ABLE TO DRAW
Christchurch Anaesthesia Primary Revision Course

2. AIMS What you need to draw How to draw it
NOT detailed physiology or pharmacology!

3. RESPIRATORY Oxyhaemoglobin dissociation curve (also content)
Effect of C02, temperature, 2,3-DPG
Myoglobin
Fetal Hb
Anaemia
Pregnancy / Double Bohr effect
CO2 dissociation curve
Oxygen cascade
Ventilatory response to CO2 and O2
Spirometry flung volumes (also changes in pregnancy)
Closing capacity and FRC vs. age
Single breath nitrogen washout
Dynamic compliance curve (pressure-volume curve) showing work of breathing
Static pressure-volume curve and compliance
Flow volume loop
Distribution of ventilation and blood flow in upright lung
Pressures, volumes, flows during a breathing cycle
PVR versus lung volume
Know about:
Iso shunt diagram
VQ line (oxygen vs. carbon dioxide curve)

4. CARDIOVASCULAR Wigger's diagram (will be asked to draw parts of it)
ECG
LA, LV, aortic pressures
LV volume
CVP
Aortic root pressure
Heart sounds
CVP or RA pressure waveform
PA catheter pressure changes
Aortic and radial pressure waveforms
ECG (also vectors)
LV pressure-volume loop
Starling curve and variations
Coronary artery blood flow (cf aortic root pressure trace)
Cardiac output and venous return curves (may be asked by some examiners)
Normal
Haemorrhage
Vasoconstriction
Vasodilation
Changes during the Valsalva manoeuvre
Depolarisation of SAN, AVN, ventricular muscle (including phases, ion fluxes)

5. RENAL MEASUREMENT NEUROPHYSIOLOGY
CBF autoregulation curve (CBF vs. MABP) - change with anaesthesia
CBF versus pCO2, pO2
Intracranial elastance curve (ICP vs. intracranial volume)
Nerve action potential
Renal autoregulation curve (RBF and GFR vs. MABP)
Glucose tmax
MEASUREMENT
Absorption curves for Hb and HbO2
Capnograph

6. PHARMACOKINETICS PHARMACODYNAMICS
Dose-response curves (graded and quantal)
Agonist I antagonist I partial antagonist etc.
Therapeutic index
Drug effects
Effect of volatiles or opioids on CO2 ventilatory response curve
Effect of volatiles on CBF autoregulation
Drug ionisation vs. pH
Alfentanil / fentanyl
STP, lignocaine
Exponential function curve -half-life, time constant etc.
Curves for volatile agents (with values)
Wash-in
Wash-out
Concentration vs. time curves
First order -concentration vs. time after iv bolus dose
Effect site concentration vs. time
Propofol bolus - plasma and effect site concentrations
Zero order
Context sensitive half-times for opioids

7. DRUG STRUCTURES (usually identify rather than draw)
Barbiturate structure (keto and enol forms of STP)
Propofol
Volatile agents (halothane, isoflurane, sevoflurane, desflurane)
Sympathomimetics (synthesis and structure-activity relationships)
Examples of isomers
Identify +/-discuss structure-activity
Opioids (morphine, fentanyl)
Local anaesthetics
Neuromuscular blockers

8. West

9. Nunn

10. Nunn

11. West

12. West

13. Nunn

14. Nunn

15. West

16. West

17. Nunn

18. Nunn

19. West

20. West

21. Power & Kam

22. West

23. West

24. West

25. West

26. West

27. West

28. West

29. Nunn

30. West

31. West

33. Kenny & Davis

36. Power & Kam

37. Berne & Levy

38. Power & Kam

39. Power & Kam

40. Power & Kam