Viva 6

The initial information given to the candidates was -
This viva will mostly cover pharmacology and physiology of insulin.
Describe the primary function of insulin.
This viva explored the candidates’ knowledge in relation to the following points
Structure, mechanism of action and physiology of natural insulin
Insulin preparations
Pathophysiology of re-feeding syndrome
Examination feedback: Candidates knowledge in relation to the physiology of insulin was
good and much stronger than their knowledge in relation to the pharmacology of the different
insulin preparations. It is important that candidates have a good understanding of the
pharmacology of insulin preparations as well as remain up to date with changes in those
preparations. Candidates also struggled with describing the basic elements, in particular the
changes to electrolytes, associated with the re-feeding syndrome.