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COURSE SYLLABUS

FACULTY CONTACT INFORMATION DAY OFFICE HOURS

(EST)

Instructor Ruth Pandolph, PT, DPT Monday 1:00 pm – 4:00 pm

Phone Number 407-319-1822 Tuesday 9:00 am – 11:30 am 4:00 pm – 4:30 pm

Herzing e-mail rpandolph@herzing.edu Wednesday 1:00 pm – 4:00 pm

Thursday 9:00 am – 11:30 am 4:00 pm – 4:30 pm

Instructional Delivery Method On Campus

Class Location Orlando

Semester Summer 2016

Course Code PT 116

Course Title: Pathophysiology for Physical Therapist Assistants

Course Description

Pathophysiology includes the study of diseases and disorders commonly seen in physical therapy practice. This course is an overview of the etiology, manifestations, and treatment of significant diseases; emphasis will be on the musculoskeletal, nervous, and cardiopulmonary systems. The pharmacological interventions for common system dysfunctions treated in the physical therapy profession will be discussed and presented.

Credit Hours Contact Hours

3 Semester Credit Hours

Lecture Hours Laboratory Hours Internship/Externship/

Clinical/Practicum Hours

Total Contact Hours

45 0 0 45

Study Time

Lecture, Lab, or Internship/Externship/Clinical/Practicum hours as indicated on the syllabus represent scheduled hours spent engaged in learning activities. Students should expect to spend a minimum of two additional hours engaged in learning activities outside of class for each one hour identified as lecture; students should expect to spend one hour engaged in learning activities outside of class for each two hours of scheduled laboratory time. Learning activities outside of class support the achievement of one or more course learning objectives and may be spent reading textbook material, completing homework assignments, preparing for lab assignments, engaged in drill and practice exercises, working on case studies, completing workbook activities, or conducting library research. Additional study time outside of scheduled Internship/Externship/Clinical hours is typically not expected. The total amount of time that students spend engaged in learning activities is consistent, regardless of instructional delivery method. For example, students enrolled a three credit lecture course should expect to spend 45 hours in scheduled class time and an additional 90 hours engaged in learning activities outside of the classroom. Online or blended students should expect to spend the equivalent total of 135 hours engaged in learning activities if they are enrolled in the same course. Determination of the amount of time that a student should expect to spend engaged in learning activities is based upon faculty judgment regarding the average student. The amount of time spent engaged in learning activities is expected to vary among students, based upon previous knowledge of the content, learning style, learning ability, difficulty of the course, and student motivation.

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Guide to Student Engagement in Learning Activities

The timeframes provided below are estimates based upon the average student.

Lower level reading (10-20 pages) 1 hour Higher level reading (10-20 pages) 2 hours Construction of 1 page paper (250 words) 2 hours Development of 10 minute speech 2 hours Watch video lecture 1 hour Read, research and respond to discussion board posting 1 hour Preparation for unit examination 2 hours

Course Length

8 Weeks

Prerequisites

SC 245 AND SC 245L

Co-requisites

PT 105

Course Learning Objectives

Upon successful completion of this course, students should be able to:

1. Recall concepts pertaining to the various body systems. (1-Remembering) 2. Identify the impact of pathologies to the field of physical therapy. (1-Remembering) 3. Explain terminology related to prevention, pathology, impairments, activity limitations, and

participation restrictions. (2- Understanding)

CAPTE Competencies

Upon successful completion of this course, students should be able to:

1. Define and use terminology related to prevention, pathology, impairments, functional limitations, and disability appropriately.

2. Utilize resources in order to describe the pathology, signs and symptoms, treatment, and prognosis for disease processes of the human body.

3. Identify normal and abnormal integumentary changes. 4. Distinguish between viable and nonviable tissue. 5. Describe the role of the PTA when working with patients with a disease or disorder. 6. Utilize resources to describe the pharmacological interventions for common system dysfunctions

treated in the physical therapy profession. 7. Demonstrate ability to utilize resources to locate information regarding a patient’s pathology to assist

with formulating decisions regarding treatment interventions. 8. Differentiate between common gastrointestinal pathologies. 9. Define common dysfunctions related to the metabolic and endocrine systems commonly seen by

physical therapist assistants.

Program Learning Outcomes Supported

Program Learning Outcome Course Learning Objective Supported

1. Demonstrate safe and effective technical skills during the provision of physical therapy within the scope of an entry-level physical therapy assistant. 2. Assess a patient’s response to treatment and contribute to the clinical decision making process following a plan of care developed by a physical therapist. 3. Articulate effective and culturally inclusive communication to establish relationships with diverse patients and team members. 4. Apply evidence-based physical therapy practice utilizing appropriate resources.

1. 1, 2, 3, 4, 5, 6, 7, 8, 9

2. 1, 2, 3, 4, 8, 9

3. 1, 2, 5, 6, 7

4. 1, 2, 6, 7

Required Textbook(s)

Dutton, M. (2012). Physical therapist assistant exam: review guide. Sudbury, MA: Jones & Bartlett Learning. Moini, J. (2013). Introduction to pathology for the physical therapist assistant. Burlington, MA: Jones &

Barlett Learning. (Referred to throughout text as: IPPTA)

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Optional Textbook(s)

Mosby’s Medical, Nursing and Allied Health Dictionary. 9th Edition. St. Louis, MO: Mosby-Year Book, Inc.,

2013.

Netter, F. (2010) Atlas of human anatomy, 5th ed. St. Louis, MO: Saunders/Elsevier

Additional Learning Material(s)

TOPICS AND LEARNING ACTIVITIES

Course Learning Objective Supported

Points Possible

DUE DATE

Week 1

Day 1

7/12/16

Topic(s): Syllabus, Health vs Disease, Mechanisms of

Disease, Cell Injury and Cell Death Reading: Syllabus, Ch. 1 Health vs Disease, Ch. 2

Mechanisms of Disease, Ch 5 Cell Injury and Cell Death, Ch 28 p. 437 Discussions: Go to DISCUSSION Tab in left column on

Blackboard and complete Assignment Assignments (Ag):

1. Complete Syllabus agreement on Blackboard (moving forward, Blackboard referred to as BB)

2. Case Studies – Day 1 chapters 3. Vocabulary – Textbook Table 1-1/ p. 5-6

Assessments (As): 1. Presentations

1. Cardiac 2. Blood/Vascular 3. Respiratory 4. Musculoskeletal (see me for info on this topic) 5. Brain/Central Nervous System 6. Nerves/Peripheral Nervous System 7. Hepatic & Gallbladder 8. Pancreas 9. Kidney/Bladder (Urinary) 10. Integumentary 11. Stomach & Intestine

1, 2, 4, 5, 7

Ag 1: 1%

Ag 1 – 7/14 (due

prior to start of class)

Ag 2 – 7/14 Ag 3 – 8/16 As 1- as follows:

1. 7/21 2. 7/21 3. 7/26 4. 7/28 5. 8/2 6. 8/2 7. 8/9 8. 8/11 9. 8/11 10. 8/23 11. 8/25

Day 2

7/14/16

Topic(s): Growth and Development of Children, Health

Problems in Children, Genetic and Congenital Disorders Reading: Ch 3 Growth and Development of Children, Ch

4 Health Problems in Children, Ch 6 Genetic and Congenital Disorders, Ch 29 p. 442 Assignment (Ag):

1. Case Studies – Day 2 chapters (BB) 2. Quiz #1 - BB

Assessment (As):

1, 2, 3, 4, 5, 6, 7

Ag 1 – 7/19 Ag 2– 7/17 Midnight

Week 2

Day 3

7/19/16

Topic(s): Infectious Disease, Inflammation and Healing,

Immune Response/Hypersensitivity/Autoimmune Disorders Reading: Ch 8 Infectious Disease, Ch 9 Inflammation and

Healing, Ch 10 Immune, Response/ Hypersensitivity/ Autoimmune Disorders, Ch 24 p. 399 (Rubber Latex

Allergy) Assignment (Ag):

1. Guided Reading #1/Day 3 – posted in BB 2. Case Studies – Day 3 chapters (BB)

1, 2, 3, 4, 5, 6, 7

Ag 1 – 7/21 Ag 2 – 7/21

Day 4

7/21/16

Topic(s): Cardiovascular Disorders, Blood Disorders,

Lymphatic Disorders Reading: Ch 11 Cardiovascular Disorders, Ch 28 p 435,

Ch 29 p 441-442 Appendix B: Vital Signs, Ch 12 Blood Disorders, Ch 13 Lymphatic Disorders Assignment (Ag):

1. Case Studies – Day 4 chapters (BB)

1, 2, 3, 4, 5, 6, 7

Ag 1 – 7/26

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TOPICS AND LEARNING ACTIVITIES

Course Learning Objective Supported

Points Possible

DUE DATE

2. Quiz #2 - BB Assessment (As):

1. Cardiovascular Disorders Presentation due today

2. Blood Disorders Presentation today

As 1 – 10% As 2 – 10%

Ag 2 – 7/24 Midnight

Week 3

Day 5

7/26/16

Topic(s): Respiratory System Disorders

Fluid, Electrolyte, and Acid-Base Imbalances Reading: Ch 17 Respiratory System Disorders, Ch 24 p.

397-399 (Pulmonary Disorders), Ch 27 Fluid, Electrolyte, and Acid-Base Imbalances, Appendix A: Lab Values Assignment (Ag):

1. Guided Reading #2/Day 5 – posted in BB 2. Case Studies – Day 5 chapters (BB)

Assessment (As): 1. Respiratory Presentation today

1, 2, 3, 4, 5, 6, 7

As 1 – 10%

Ag 1 – 7/28 Ag 2 – 7/28

Day 6

7/28/16

Topic(s): Musculoskeletal Disorders Reading: Ch 16 Musculoskeletal Disorders, Ch 24 p. 396-

397 (Overview through Musculoskeletal Disorders), Ch 28 p. 432, Ch 29 p. 440-441 Assignments (Ag):

1. Case Studies – Day 6 chapters 2. Quiz #3 - BB

Assessments (As): 1. Musculoskeletal Presentation due today

1, 2, 3, 4, 5, 6, 7

As 1 – 10%

Ag 1 – 8/2 Ag 2 – 7/31 Midnight

Week 4

Day 7

8/2/16

Topic(s): Nervous System Disorders Reading: Ch 14 Nervous System Disorders, Ch 28 p.

434, Ch 29 p. 440 (Overview) Assignments (Ag):

1. Be ready for MIDTERM on Thursday

2. Case Studies – Day 7 chapters Assessments (As):

1. Brain/Central Nervous System Presentation due today

2. Nerves/Peripheral Nervous System Presentation due today

1, 2, 3, 4, 5, 6, 7

As 1 – 10% As 2 – 10%

Ag 2 – 8/9

Day 8

8/4/16

Topic(s): 1. Midterm Exam time/place TBA ________

2. Eye & Ear Disorders (independent/not in class, per Assignment)

Reading: Ch 15 Disorders of the Eye and Ear Assignments(Ag):

1. Guided Reading #3/Day 8 posted in BB (opens after Midterm)

2. Case Studies - Day 8 Ch 15 3. Quiz #4 – BB

Assessments (As): MIDTERM Written Exam

On campus, On Respondus

1, 2, 3, 4, 5, 6, 7

As 18%

Ag 1 – 8/9 Ag 2 – 8/9 Ag 3 – 8/7 Midnight

Week 5 Day 9

8/9/16

Topic(s): Digestive System Disorders Reading: Ch 18 Digestive System Assignments(Ag):

1. Case Studies Day 9 chapters Assessments (As):

1. Hepatic & Gallbladder Presentation due today

1, 2, 3, 4, 5, 6, 7, 8

As 1 – 10%

Ag 1 – 8/11

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TOPICS AND LEARNING ACTIVITIES

Course Learning Objective Supported

Points Possible

DUE DATE

Day 10

8/11/16

Topic(s): Urinary System Disorders Reading: Ch 19 Urinary System Disorders, Ch 28 p. 436,

Ch 29 p. 442 Assignments (Ag):

1. Case Studies Day 10 chapters 2. Quiz #5 on BB

Assessments (As): 1. Pancreas Presentation due today 2. Kidney/Bladder (Urinary System)

Presentation due today

1, 2, 3, 4, 5, 6, 7

As 1 – 10% As 2 – 10%

Ag 1 – 8/16 Ag 2 – 8/14 Midnight

Week 6

Day 11

8/16/16

Topic(s): Endocrine System Disorders Reading: Ch 20 Endocrine System Disorders, Ch 28 p.

435 Assignments (Ag):

1. Case Studies Day 11 chapters 2. Guided Reading #4/Day 11 posted in BB 3. Assignment on Ch 25 Psychological… for Day

12

Vocabulary Test (VT) today Assessments (As):

1, 2, 3, 4, 5, 6, 7, 8, 9

VT – 1.5%

Ag 1 – 8/18 Ag 2 – 8/18 Ag 3 – 8/18

Day 12

8/18/16

Topic(s): Male and Female Reproductive System

Disorders Psychological Disorders and Influences of Stress Reading: Ch 21 Male Reproductive System, Ch 28 p.

436, Ch 22 Female Reproductive System, Ch 28 p. 436, Ch 25 Psychological Disorders and the Influences of Stress Assignments (Ag):

1. JB Review Questions due today

2. Case Studies – Day 12 chapters 3. Quiz #6 on BB

Assessments (As):

1, 2, 3, 4, 5, 6, 7, 9

Ag 1 - 3% JB Review Questions due today Ag 2 – 8/23 Ag 3 – 8/21 Midnight

Week 7

Day 13

8/23/16

Topic(s): Integumentary System Disorders Reading: Ch 23 Integumentary System Disorders, Ch 24

p. 399, Ch 28 p. 432, Ch 29 p. 440 Assignments (Ag):

1. Case Studies – Day 13 chapters Assessments (As):

1. Integumentary Presentation due today

1, 2, 3, 4, 5, 6, 7

As 1 – 10%

Ag 1 – 8/25

Day 14

8/25/16

Topic(s): Class Review, Final Assignments (Ag):

1. Case Studies – Day 14 chapters 2. Quiz #7 on BB

Assessment (As): 1. Stomach & Intestine Presentation due today

1, 2, 3, 4, 5, 6, 7

As 1 – 10%

Ag 1 – 8/30 Ag 2 – 8/28 Midnight

Week 8 Day 15

8/30/16

Topic(s): Comprehensive Written FINAL EXAM Location TBA:_________ Assignment (Ag):

1. Bring completed Fact Sheet Notebook 2. Bring completed Portfolio

Assessments (As): Final Exam

1, 2, 3, 4, 5, 6, 7

As - 20% Ag 1 – 1%

Ag 1, 2 due at beginning of Final Written Exam IN COMPUTER LAB

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POLICIES

University policies, such as attendance philosophy, notification of absences, extenuating circumstances, accommodation requests, academic dishonesty, grading and grading symbols, and student conduct are included in the University catalog. Students should reference the catalog for the complete listing of policies.

Note: In some cases, program and/or course specific information may be appended to the syllabus. In these instances, students must consider the syllabus to be inclusive of any appended information, and as such, students must adhere to all course requirements as described in the document in its entirety.

Grade Summary Percentage (%)

Professionalism/Participation 3

JB Review Questions 3

Quizzes/Tests 18

Midterm Exam 18

Assignments Chapter Questions/Case

Scenarios (13%) Guided Reading (13%) In-Class Assignments (1%) Notebook/Binder (1%)

28

Presentation 10

Final Exam 20

Totals 100

Minimum Passing Grade Scale

A 93.00% - 100.00%

A- 90.00% - 92.99%

B+ 87.00% - 89.99%

B 83.00% - 86.99%

B- 80.00% - 82.99%

C+ 76.00% - 79.99%

F 75.99% or below

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PTA Appendices

General Policies for PTA:

Please refer to PTA Student Handbook for details on University and Program Policies. Students are expected to adhere to the policies and procedures of Herzing University at all times. The student will:

1. Actively participate in class. 2. Organize ideas in a logical and purposeful way, using effective verbal and nonverbal skills to explain those ideas in a

variety of oral communication interactions. 3. Articulate ideas or problems. 4. Produce appropriately written documents that are legible, grammatical correct and accurate 5. Use appropriate problem-solving methods 6. Demonstrate professional behavior by coming to class on time, being prepared and assuming responsibility for

learning. 7. Demonstrate understanding and use of attentive, effective, and respectful listening behaviors in oral communications

situations. 8. Demonstrate analysis of information to support a chosen viewpoint with attention to consequences. 9. Treat others with respect and dignity, recognizing and accepting individual and cultural differences.

Participation and Professionalism

Students are expected to display behavior consistent with the ethical standards of professionalism and participation, according to the APTA, the PT-PTA profession and Herzing University PRICE Model. Over the course of the term, you will be able to earn points in this category by engaging in the following professionalism skills (these are examples, but not limited to):

On time for class/events

Notification of absences

Appropriate dress for class/lab/presentations (have lab clothing daily)

Assignments turned in by due date/time

Preparation for class demonstrated by an ability to answer instructor, classmates and guest lecturers questions

Participation in class discussion, activities, group activities, assignments

Respectable communication with classmates, patients, and or instructors

Participation in keeping lab and classroom clean

Students are expected to display behavior consistent with the ethical standards of professionalism and participation, according to the APTA, the PT-PTA profession and Herzing University PRICE Model. You will start with a total of 100 points (100%) in this category and will have points ducted for each infringement. You are expected to engage in the following (these are

examples, but not limited to): Teaching Methods

Lecture, discussion, role play, assigned readings, videos, demonstrations, laboratory practice, case studies, guest speakers, assignments, quizzes, journaling, group assignments, and debates may be used as teaching methods in this class. Didactic vs. Lab Courses

In all classes that have a lab component, both the lab portion of the class as well as the didactic portion of the class must be passed with a 76% in order to pass the entire class. Students who fail to pass either the didactic or the lab sections will receive an "F" for the class and will need to retake the class again to proceed in the PTA curriculum. Immunizations

Verification of immunization history on the health form including Hepatitis B immunization series and a current TB/PPD is required of all students enrolled in PTA core classes. Additional verification of the status of a student’s health may be required during the program if deemed necessary to meet safety requirements. TB tests/PPD must be kept current annually from the start date of the program to the completion of the final clinical. Documentation for all immunizations and pre-clinical requirements must be up to date with the ACCE at all times. Failure to meet these requirements will result in the student’s inability to participate in the class, field trip, or clinical, and any related assignments directly related to the class/field trip/clinical. It is the student’s responsibility to ensure that all immunizations are up to date. Grade Questions

If you have a concern about a grade, you must discuss it with your instructor within one week from the time that the assignment has been graded or it will not be eligible for review. Changes to the Syllabus

Please note, this syllabus is subject to change. A syllabus is an initial course guideline. Your instructor may adjust or alter scheduled activities, deliverables, and class policies in accordance with the Herzing Undergraduate Catalogue http://www.herzing.edu/files/herzing-university-undergraduate-catalog.pdf to increase student learning. Your instructor posts all

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syllabus changes on blackboard and discusses them in class. It is the student’s responsibility to attend class and be attentive to all blackboard communication. Please verify that you have read the syllabi by going into Blackboard and answering “true” to the following statement:

I have carefully read the syllabus and agree to abide by all classroom polices.

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Assignments/Assessments/Miscellaneous

JB Review Questions

Students must successfully complete National Exam Questions from Mark Dutton’s JB Review: Physical Therapist Assistant Exam (26/35 from Ch 9, p. 315-357 and 4/4 from Ch. 15, p. 509-520) before the end of the term. Students will turn in a

printout or email a screenshot of their performance to the primary instructor prior to finals – be sure it is legible andyou’re your name on it. Students must pass the generated exam with a 76% to receive credit for the questions. Students may generate multiple exams. This is to be done independently; students may use any resource to pass the exam. The grade received on the printout/email will be inputted into the gradecenter on Blackboard. Although it is not required to take all questions from each section, it is highly recommended that students take all the questions in each section in order to better prepare for the National Exam. If you wish to turn this in PRIOR to the due date, the instructor’s box will be the only place it will be accepted. Quizzes/Tests:

All quizzes, including in-class and ‘pop’ are derived from required readings and lecture materials may be given at any time during the PTA courses, including lecture or lab. Students are considered absent excused from lecture and/or lab if they contact the instructor prior to the beginning of class. The student is also tardy excused if notice is given to the instructor prior to the beginning of the lecture and/or lab.

A. Any student that is absent excused must take the quiz that was missed before the beginning of the next class that the student attends. However, the make

B. -up quiz may be a different format than the original missed quiz. The student may miss the beginning of this lecture, but will not be considered absent or tardy. It will be the student's responsibility to obtain all class materials that were presented while absent and taking the quiz.

B. Any student that is tardy excused will be required to take the quiz when they enter the class or lab room. The student will be responsible for all class materials presented while taking the quiz.

C. It is the STUDENT'S RESPONSIBILITY to make up all quizzes as stated above. Any quiz requested after this time

frame may be taken and evaluated but a "0" will be recorded. Assignments & In-Class Assignments All assignments must be turned in no later than the beginning of the scheduled class time on the due date. All assignments may be delivered to the instructors or given to the Administrative Assistant. Time, and date received will be recorded by the Administrative Assistant and forwarded to the instructor. DO NOT LEAVE ASSIGNMENTS UNDER OFFICE/CLASSROOM DOORS, THE JANITOR MAY DISPOSE OF THEM.

Late Assignments: Any assignment turned in after the due date time will be accepted until the end of the PTA scheduled class day of that date but will be lowered one complete grade. Assignments submitted after the end of the

PTA scheduled class day will not be accepted and the student will receive a “0.” Guided Reading

These will be assigned throughout the term. Will be posted on Blackboard. Instructions will be given per assignment. These are to be HANDWRITTEN, and done as your own individual work using your textbook. Question &

Answers. Each Chapter is to be separate, labeled appropriately with your Name, Chapter # and title, and stapled PRIOR to the start of class/deadline. Do not copy anyone else’s work; all parties involved (giving and receiving of work) will both receive a “0” for the entire assignment, and possibly the entire category of your grade. These are due at the beginning of class on the specified due date (some will be due prior to the topic, and other following the topic, per instruction)

Chapter Questions/Case Scenarios

These are due at the beginning of class on the day FOLLOWING the covered topic. See blackboard for chapter

questions/scenarios. This is to be HANDWRITTEN – Question & Answers, and done as your own individual work using your textbook. Each Chapter is to be separate, labeled appropriately with your Name, Chapter # and title, and stapled PRIOR to the start of class/deadline. Do not copy anyone else’s work; all parties involved (giving and

receiving of work) will both receive a “0” for the entire assignment, and possibly the entire category of your grade. Chapter 24, 28, 29 questions are to be turned in on Day 15/Final Written Exam day – they may be turned in sooner, but must be separate from other chapters.

In-Class assignments

Assigned throughout the term. If you have an unexcused absence on a day one of these assignments is done, you will receive a “0” for that assignment, unless other arrangements are made.

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Fact Sheet Notebook (3 Ring Binder)

You are required to have a 1-2” ring binder where you will keep ONLY factsheets and vocabulary throughout the program. For this term, you will have all the factsheets under one (1) tab labeled “Body Systems”. You will have other tabs set up for the remaining terms of the program, which are to be labeled: Shoulder, Elbow, Wrist/Hand, Hip/Pelvis, Knee, Ankle/Foot, Trunk/Neck/TMJ, Other. It must look professional. Your name must be visibly on it.

1. All presentation fact sheets 2. Vocabulary/terminology/Pathologies/Medications throughout the course

It will be checked throughout the term and at the end of the term for a grade. Grade will be based on completeness, organization. Your name must be clearly marked on/in the notebook. See Rubric.

3-Ring Fact Sheet Notebook RUBRIC

o 3-Ring Binder……………………………...(40 pts)

o Name somewhere on Binder…………….(5 pts)

o All Fact Sheet Present……………………(20 pts)

o Fact Sheets punched-in………………….(15 pts)

o Tabs (real, not post-its, etc._…………….(5 pts)

o Tabs Labeled………………………………(5 pts)

o Organized/order…………………………...(10 pts)

TOTAL: _____ pts/100 points Presentation You will be assigned to a group for this presentation. A specific body system will be assigned to your group, and your group

will present at the START of class on that topic’s day (see syllabus calendar for date details).

There are 3 PARTS to this assignment:

1. FACT SHEET required elements:

A diagram/picture of the organ and its location in the body.

Its purpose

A description of the organ/system, how it works

Any hormones that it secretes, regulates, metabolizes

The function of each hormone in #4

List and describe 3 medications used to treat 3 conditions (one for each condition) related to that system (1 med for each condition), One of them can be the one used in the presentation.

Include references in APA format

Provide black/white copies for each classmate and professor at the start of your presentation Even though copies are black/white, they must be of good quality: look finished, clear, professional.

2. A presentation of the elements of the Fact Sheet

3. ROLE PLAY

The body system – get creative, become and act out that organ system. o This is NOT a question/answer review format o This is you coming up with a way to physically demonstrate the function of the organ

Presentation time limit: 20 minutes- Midterm Written Examination

All tests will be administered on the scheduled dates. If you are unable to attend class on the scheduled test day, prior notification is required in order to take the exam. Excused absences are illnesses and emergency situations. If the absence is excused, a makeup test will be scheduled without any point reduction. Exams that are missed due to the excused absence MUST be taken in the Herzing University Learning Center and be completed within 48 hours of the original test time. Test

NOT completed within the 48 hour time frame will be recorded as a ZERO. Comprehensive Final Examination

Final written exams MUST BE completed by the posted time and date. No make-ups will be permitted AFTER the posted date and time during finals week unless pre-approved by the Program Director.

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Weekly Objectives

Week / Dates Topic Learning Objectives

Week/Unit 1 Day 1: Tuesday

Day 2: Thursday

Ch. 1: Health vs Disease Ch. 2: Mechanisms of

Disease Ch. 5: Cell Injury and

Cell Death Ch. 28, p. 437 Ch. 3: Growth and Development of Children Ch. 4: Health Problems

in Children Ch. 29: p. 442 Ch. 6: Genetic and

Congenital Disorders

CHAPTER 1 Define pathophysiology. Describe how disease affects homeostasis. Identify the major classifications of human diseases. Discuss how a pathologic condition or disease may develop. Define vocabulary terms related to pathophysiology that appear in this chapter. Explain the importance of patient history in the treatment of diseases. List and understand the various steps involved in maintaining homeostasis. Describe the differences between acute, subacute, and chronic disease. Describe the various types of diagnostic tests and procedures discussed in this chapter. CHAPTER 2 Describe the effects of age and gender on various diseases. Explain how socioeconomic status can affect development of disease. Describe the effects of lifestyle on the progression of disease. Define obesity and explain its effects on the body. Define “body mass index”. Describe the effects of physical trauma on development of disease. Understand the factors that are important to cultural diversity. Explain how psychological factors impact the development and progression of disease. CHAPTER 5 Explain cellular changes. Describe tissue necrosis. Discuss cellular adaptation. Know the various types of asphyxial injuries. Describe accidental injuries and list six examples. Define hypertrophy, metaplasia, and hyperplasia. Explain the mechanisms of chemical injury. CHAPTER 3 Describe the major events that occur during prenatal growth and development. Define the embryonic period. Define the terms “low birth weight”, “small for gestational age”, and “large for gestational age”. Identify the reasons for abnormal intrauterine growth. Describe the grasp and Babinski reflexes. List the four methods of heat loss in the newborn. Explain the major cardiovascular changes after birth. Describe the immaturity of the urinary system after birth. CHAPTERS 4 Define the terms “hypotonia”, “kernicterus”, “macrosomia”, and “retinopathy”. Discuss the common health problems of newborn infants. Explain sudden infant death syndrome. Describe respiratory distress syndrome in premature infants. Identify the two most common causes of bacterial sepsis. Identify the leading cause of death in children between one and four years of age. Explain the most common health problems in middle to late childhood. Identify the common reasons of obesity in children and adolescents. CHAPTERS 6 Define the terms congenital, gene mutation, genotype, phenotype, and karyotype. Describe three types of single-gene disorders. Compare disorders due to multifactorial inheritance with those caused by single gene inheritance. Describe the meaning of autosomal recessive disorders and list three disorders in this group. Define X-linked recessive disorders. Explain the diagnostic tools used to determine certain abnormalities during pregnancy. Describe gene therapy.

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Relate maternal age and occurrence of Down syndrome.

Week/Unit 2 Day 3: Tuesday

& Day 4: Thursday

Ch. 8: Infectious Disease Ch. 9: Inflammation and

Healing Ch. 10: Immune

Response, Hypersensitivity, and Autoimmune Disorders

Ch. 24: p. 399 (Rubber Latex Allergy)

Ch. 11: Cardiovascular

Disorders Ch. 28, p. 435 Ch. 29, p. 441-442 Appendix B: Vital Signs Ch. 12: Blood Disorders Ch. 13: Lymphatic Disorders

CHAPTER 8 Describe the basic characteristics of bacteria, viruses, chlamydia, rickettsia, mycoplasmas, and fungi. Describe pathogens and resident (normal) flora. Explain the factors contributing to pathogenicity and virulence of microbes. Describe the methods of transmitting microbes. Describe the stages in the development and course of an infection. Explain the common diagnostic tests for infection and the purpose of each. Explain the basic guidelines for the use of antimicrobial drugs. CHAPTER 9 Describe the purpose of inflammation. List the five main signs of acute inflammation and describe the physiologic mechanisms involved in their production. Differentiate between acute and chronic inflammation. List four types of inflammatory mediators and state their function. Name and describe the five types of inflammatory exudates. Explain the components of the “RICE” therapy for inflammation. Describe tissue repair. Describe the phases of wound healing. CHAPTER 10 Describe the basic features of humoral and cell-mediated immunity. Explain the role of lymphocytes in the immune response. Compare hypersensitivity and immunity. Explain the classification of antibodies and how they differ from one another. Describe hypersensitivity reactions and the various types. List the major autoimmune disorders. Explain the methods of diagnosis for systemic lupus erythematosus. Describe the pathophysiology of AIDS. CHAPTER 11 Compare atherosclerosis and arteriosclerosis. Describe myocardial infarction and common diagnostic tests. Discuss congestive heart failure. List risk factors causing coronary artery disease. Explain rheumatic fever and its effects on the heart. Distinguish endocarditis, myocarditis, and pericarditis. Describe phlebitis, thrombophlebitis, and varicose veins. Distinguish Raynaud’s disease and Buerger’s disease. CHAPTER 12 Describe the composition of blood. List various types of anemia. Identify the significance of blood-clotting disorders. List the common diagnostics used to determine blood disorders. Describe the important signs and symptoms of various anemias. Compare polycythemia vera with leukemia. Discuss the causes of disseminated intravascular coagulation. Describe and compare hemophilia with sickle cell anemia. CHAPTER 13 Discuss the major functions of the lymphatic system. Describe the common signs and symptoms of lymphatic system disorders. Distinguish between lymphangitis and lymphedema. Explain Reed-Sternberg cells in lymphoma. List the other name for multiple myeloma and discuss how it affects older adults. Distinguish Hodgkin’s disease and non-Hodgkin’s lymphoma. Discuss risk factors and prognosis for non-Hodgkin’s lymphoma.

13 | PT 116 6/24/2016

Week/Unit 3 Day 5: Tuesday & Day 6 Thursday

Ch. 27: Fluid, Electrolyte,

and Acid-Base Imbalances

Appendix A: Lab Values Ch. 17: Respiratory

System Disorders Ch. 24: p. 397-399

(Pulmonary Disorders)

Ch. 28: p. 436 Ch. 29: p. 441 Ch. 16: Musculoskeletal Disorders Ch. 24: p. 396-397

(Overview through Musculoskeletal Disorders)

Ch. 28: p. 432 Ch. 29: p. 440-441

CHAPTER 27 Define the terms electrolyte, osmotic pressure, and acid-base balance. Differentiate the intracellular from the extracellular fluid compartments in terms of distribution and composition of water and electrolytes. List the causes of hypokalemia and hyperkalemia. Describe water intoxication and the causes of edema. Explain acid-base balance. Describe the factors that cause acidosis. Differentiate between respiratory alkalosis and respiratory acidosis. Explain the difference between metabolic acidosis and metabolic alkalosis. CHAPTERS 17 Explain the structures and functions of the respiratory system. Describe the causes and clinical effects of chronic bronchitis. Define hemothorax and pleural effusion. Differentiate between bronchitis and bronchiectasis. Describe the clinical manifestations and treatment of chronic obstructive pulmonary disease. Describe the cause and manifestations of bronchial asthma and respiratory distress syndrome. Explain the cause and effects of pulmonary embolism. Describe the risk factors for lung cancer and the principles of treatment. CHAPTER 24 (Integrated into other sections/chapters) Identify the risk factors for occupational injuries. Define ergonomics. Explain the two principles of basic ergonomics. Identify the risk factors for occupational asthma. Describe the most prevalent types of musculoskeletal injuries. Define pneumoconioses, mesothelioma, and hypersensitivity pneumonitis. Describe rubber latex allergy. List four specific substances or conditions that may be related to various cancers. CHAPTER 28 (Integrated into other sections/chapters) Define the terms sedentary, apoptosis, and sarcopenia. Compare the changes on the skeleton and integumentary system due to the aging process. Explain the pathophysiology of osteoporosis. Describe the common changes on the brain related to the aging process. Explain the incidence of type II diabetes mellitus due to the aging process. List two common disorders of the eyes that may cause blindness. Explain the changes of the digestive system in the elderly. Describe the risk factors of more prevalent cancers related to the aging process. CHAPTER 29 (Integrated into other sections/chapters) Describe decubitus ulcers (pressure ulcers). Define the terms atrophy, hemiplegia, quadriplegia (tetraplegia), and paraplegia. Explain how immobility may lead to the development of thrombi in the veins. Describe the effects of immobility on the urinary system. Identify methods that can prevent skin breakdown in patients who are immobilized. Explain the effects of immobility on the tendons and ligaments. Describe the effects of immobility on the cardiovascular system. Define a negative balance of nitrogen (protein deficit) that is caused by inactivity. CHAPTER 16 List and describe the function of various types of bone cells. Describe osteoporosis and its predisposing factors. Describe common bone tumors. Compare and contrast osteoarthritis and rheumatoid arthritis. Explain factors affecting bone formation and metabolism. Explain the etiology and common signs of gout. Describe risk factors for osteoporosis. Describe muscular atrophy and myasthenia gravis.

14 | PT 116 6/24/2016

Week/Unit 4

Day 7 Tuesday &

Day 8 Thursday

Ch. 14: Nervous System

Disorders Ch. 28: p. 434 Ch. 29: p. 440

(Overview) Midterm Ch. 15: Disorders of the Eye and Ear

CHAPTER 14 List the structures of the brainstem and diencephalon. Name the cranial nerves and their functions. Differentiate between cerebrovascular accident and transient ischemic attack. Describe the etiology of meningitis and the most common cause. State the possible causes for the development of Parkinson’s disease and characterize its manifestations. Describe the manifestations of epilepsy. List the common causes of insomnia. Differentiate between concussions and contusions, and describe the best treatment of each. CHAPTER 15 Describe macular degeneration. Describe the conditions known as cataracts and glaucoma. Explain the differences between “nearsightedness” and “farsightedness”. State the causes and treatment of dry eye. List the structures of the external, middle, and inner ear, and explain their actions. Identify and understand the various conditions that may lead to hearing loss. Explain the characteristics of tinnitus. List three common symptoms of acute otitis media.

Week/Unit 5 Day 9 Tuesday & Day 10 Thursday

Ch. 18: Digestive System Disorders Ch. 28: p. 436 Ch. 29: p. 442 Ch. 19: Urinary System Disorders Ch. 28: p. 436 Ch. 29: p. 442

CHAPTER 18 Describe the structures and functions of the stomach, small intestine, and large intestine. Explain the major functions of the liver. Describe the causes of esophageal varices and reflux esophagitis. Describe the etiology and early signs of gastric cancer. Differentiate between cirrhosis of the liver and cholecystitis. Explain malabsorption syndrome and its etiology. Describe pancreatic cancer and its common signs and symptoms. Compare diverticulosis with diverticulitis, and explain the most common diagnostic test. CHAPTER 19 Describe the structure and functions of the kidneys. Describe the clinical manifestations of glomerulonephritis and nephrosclerosis. Explain the manifestations of urinary tract obstruction. List the signs and symptoms of pyelonephritis. Describe methods used in the diagnosis and treatment of kidney stones. Explain the manifestations of the nephrotic syndrome. Describe the causes, signs, and symptoms of renal failure. Describe the principles and techniques of hemodialysis.

Week/Unit 6 Day 11 Tuesday & Day 12 Thursday

Ch. 20: Endocrine

System Disorders Ch. 28: p. 435 Ch. 21: Male

Reproductive System Disorders

Ch. 28: p. 436 Ch. 22: Female

Reproductive System Disorders

Ch. 28: p. 436

CHAPTER 20 Describe the role of the hypothalamus in regulating pituitary control of endocrine function. State the major difference between positive and negative feedback control mechanisms. Describe the mechanisms of endocrine hypofunction and hyperfunction. State the effects of a deficiency in growth hormone. Relate the functions of thyroid hormone to hypothyroidism and hyperthyroidism. Relate the functions of the adrenal cortical hormones to Addison’s disease and Cushing’s syndrome. Compare the three types of diabetes and their etiology. Define dwarfism, diabetes insipidus, simple goiter, and Hashimoto’s disease. CHAPTER 21 Name the anatomic structures of the male reproductive system. Discuss the causes of male infertility. Describe common congenital abnormalities in males. Explain cryptorchidism and its treatment. Differentiate benign prostatic hypertrophy from cancer of the prostate. Explain various hormones of the male reproductive system. Compare epididymitis and orchitis. Describe the signs and symptoms of testicular cancer.

15 | PT 116 6/24/2016

CHAPTER 22 Describe the anatomic relation of the structures of the external genitalia. List the three layers of the uterus and describe the function of the inner layer. Characterize the development of cervical cancer. Define the terms amenorrhea, dysmenorrhea, metrorrhagia, and menorrhagia. Differentiate between benign ovarian cysts and ovarian cancer. Describe pelvic inflammatory disease. Explain the risk factors for breast cancer and the importance of breast self-examinations and mammography. Name the organisms responsible for genital herpes, gonorrhea, syphilis, and condylomata acuminata.

Week/Unit 7 Day 13 Tuesday & Day 14 Thursday

Ch. 23: Integumentary System Disorders Ch. 24: p. 399 Ch. 28: p. 432 Ch. 29: p. 440 Ch. 7: Oncology Ch. 24: p. 399

(Occupational Cancers)

Ch. 25: Psychological

Disorders and the Influences of Stress

CHAPTER 23 Describe the major functions of the skin. Identify the components of the dermis. Describe keratinocytes and melanocytes. Compare sweat glands and sebaceous glands. Compare contact dermatitis with eczema and psoriasis. Describe common bacterial and fungal infections. Compare squamous cell carcinoma with malignant melanoma. Describe keratoses and Kaposi’s sarcoma. CHAPTER 7 Contrast benign and malignant tumors. List the warning signs of cancer. Describe the local and systemic effects of cancer.. Explain common diagnostic tests. Discuss metastasis and spread of malignancy. Describe cancer staging. List common risk factors for cancer. Discuss possible treatments for malignant tumors. CHAPTER 25 Describe the limbic system of the brain and its function. Define perceptions, hallucinations, and delusions. Discuss the functions of neuromediators. Compare schizophrenia with bipolar depression. List classifications of anxiety disorders. Explain major depression and dysthymia. Define neuroimaging. Differentiate panic disorder with obsessive-compulsive disorder.

Week/Unit 8 Day 15 Tuesday (LAST Day)

Comprehensive Written

Final Exam

Pass the final written exam, demonstrating that student grasps the material in this course. Pass the course successfully and move on to next term.