INTENDED LEARNING OUTCOMES (ILOs) Of RESPIRATORY BLOCK (RESP 224) Page7 RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College Table of guidelines/Requirements to achieve the ILOs RESPIRATORY BLOCK (RESP 224) The intended Learning Outcomes Describe the anatomical structure and histological features of the upper respiratory tract Discuss the developmental formation of the upper respiratory tract& related congenital anomalies Being oriented by the types of pathogenic bacteria that cause upper respiratory tract infection. Recognize medications used to control upper respiratory tract diseases symptoms. Page8 Requirements to achieve the ILOs Anatomy Discuss the anatomical structure of nose. Define Paranasal sinuses. Describe the anatomical structure of pharynx. Enlist the extrinsic and intrinsic muscles of the pharynx with their nerve supply and actions. Describe anatomical structure of larynx. Enlist the cartilages of the larynx. Define inlet of the larynx. Enlist the extrinsic and intrinsic muscles of the larynx with their nerve supply and actions. RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College Histology Differentiate between the olfactory and nasal mucosa. Discuss the microscopic structure of larynx Embryology Discuss the formation of the lung buds. Describe the development of larynx. Physiology Understand the conducting zone and non-conducting zone of respiratory system Define the respiratory and non-respiratory functions. Recognize the functions of alveoli, pleura, and pleural cavity Microbiology Enlist the pathogenic bacteria that cause upper respiratory tract infection. Differentiate these microbes according to the different microbiologicalaspects. Identify the clinical picture of each infectious microbe. Summarize the major toxic substances produced by these bacteria and their role in inflammation and disease complications. Pharmacology Describe the mechanisms of action, pharmacokinetics, adverse effects, drug interactions & therapeutic uses of drugs used to treat cough &allergic rhinitis. Page9 RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College Describe the anatomical structure, functional anatomy and histological features of the trachea, bronchial tree, pleura, lungs, respiratory wall, chest muscles & diaphragm. Discuss the developmental formation of the trachea, bronchial tree & lungs & related congenital anomalies Understand the main physiological& biochemical aspects of breathing & respiration with focusing on mechanics & control of breathing in addition to concepts of lung volume, capacities & compliance. Recognize the various infectious microbes & viruses that can affect the respiratory system with their impact on pathological features with special focus on pneumonia & tuberculosis. Discuss the main pathological aspects concerning different common respiratory diseases including chronic obstructive pulmonary diseases (COPDs)& lung tumors. Being oriented with medications used for COPDs Page10 Anatomy Discuss the anatomical structure of the trachea with its relations. Define the term bronchial tree. Describe bronchopulmonary segments. Explain pleura. Define mediastinum. Discuss the anatomical structure of lungs. Enlist the relations of right and left lungs. Give the blood and nerve supply of the lungs. Identify the sternum and ribs with their characteristic features. Define intercostal space with its contents. Describe intercostal muscles with their nerve supply and actions. Enlist the respiratory muscles with their actions. Explain the Bucket handle and pump handle movements. Discuss the origin and insertion of diaphragm. Enlist the openings (with their contents) in the diaphragm. Give the motor and sensory nerve supply of the diaphragm. Histology Describe the microscopic structure of trachea and lungs. Differentiate between the terminal and respiratory bronchioles. Explain alveolar cells. RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College Embryology Explain the mechanism of formation of trachea, bronchi and lungs. Differentiate between the periods of lung maturation. Discuss the congenital anomalies of the respiratory system. Physiology Intra-alveolar, intra pulmonary pressure and atmospheric pressure How lungs expand during inspiration and air comes in and out of lungs Respiratory muscles of normal inspiration and forced inspiration and expiration Air way resistance Lung Volumes: TV, IRV, ERV and RV Lung capacities: VC, IC, FRC and TLC Importance of VC and FEV1 in obstructive and restrictive lung disease What physiological and pathological factors can affect lung volumes and capacities What is Compliance? What factors affect it? Surfactant and surface tension Transmural Pressure and factors which keep the alveoli open Respiratory distress syndrome, factors which can cause collapse of alveoli Recognize the physiological aspects of the control of breathing. Being oriented of the factors affecting respiration. Page11 RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College Physiology Explain how ventilation is regulated by the CNS Explain how blood gases and pH influence ventilation Describe the changes in percent oxyhemoglobin as a function of arterial PO2 and explain how this relates to oxygen transport Describe the various conditions that influence the oxyhemoglobin dissociation curve and oxygen transport Microbiology Identify the infectious microbes of pneumonia according to microscopic features, cultural characteristics, biotyping, biochemical activities, and serotyping. Discriminate between granulomatous pneumonia, hospital acquired pneumonia, and community acquired pneumonia according to etiology and mechanism of inflammation. Enlist the clinical specimens that collected for diagnosis of pneumonia. Discriminate between laboratory methods and their significant diagnostic value for different types of pneumonia. Biochemistry Recall the structure, classification and general functions of phospholipids Recognize lung surfactant and respiratory distress syndrome. Understand the types and functions of phospholipases. Page12 RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College Pathology Understanding the concept of chronic suppurative lung dis. Recognizing etiopathogenesis of bronchiectasis Describing the gross and microscopic picture of bronchiectatic lung. Be aware of the complications of bronchiectasis. Understanding the concept of pneumonia. Knowing the types of pneumonitis. Being able to differentiate between lobar pneumonia and bronchopneumonia. Microbiology Enlist the infectious microbes that cause tuberculosis. Differentiate between Mycobacterium species according to microscopic examination, cultural morphology and biochemical activities. Pathology Identify the clinical picture and clinical diagnosis of tuberculosis. Understand the definition and mechanism of granulomatous inflammation. Recognize predisposing factors for T.B. Being oriented of types and morphological features of pulmonary tuberculosis. Being aware of the complications of pulmonary T.B Page13 RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College Microbiology Identify the most common viruses transmitted by respiratory droplets. Differentiate these viruses according to their structure, clinical picture and laboratory diagnosis. Define the antigenic drift and antigenic shift characters of Influenza virus. Define Latency and know the most common latent viruses. Pathology Understand in brief the structure of respiratory acinus. Recognize the mechanism of lung tissue destruction in emphysema. Being oriented of the gross and microscopic picture of emphysematous lung. Be aware of the complications and outcome of emphysematous patients. Understanding the main concept of obstructive pulmonary disease. Recognizing pathological aspect of bronchial asthma as regard its types, morphological picture and complications. Being aware of the definition of chronic bronchitis. Understanding the pathogenesis and the morphologic changes of chronic bronchitis. Understanding the concept ofcorpulmonale and its significant. Page14 RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College pharmacology Explain the first line & alternative drugs used as antihistamincs with special emphases on bronchodilators, corticosteroids and anti-inflammatory drugs, their pharmacokinetics , pharmacodynamics, adverse effects & route of administration. Enumerate drugs used in various types of COPD. Pathology Recalling in brief classifications of lung tumors. Discussing the predisposing factors for bronchogenic carcinoma. Recognizing methods of distant spread of bronchogenic carcinoma. Understanding the morphological features of bronchogenic carcinoma. Being oriented of the complications of bronchogenic carcinoma. Recalling in brief some metastatic tumors to the lung and methods of diagnosis. Page15 RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College Recognize the mechanisms of the cellular respiratory chain & its role in generating cellular energy. Biochemistry Discuss the importance of mechanisms of energy production by cells. Describe the main concepts of the electron transport chain (respiratory chain) of the mitochondria. Discuss the mechanisms of oxidative phosphorylation & its role in energy production in the cells. Recognize the concepts of uncoupling proteins. Discuss the concepts of pulmonary ventilation & gas exchange & transport system Physiology Explain how inspiration and expiration are accomplished Describe lung volumes and capacities, and explain how pulmonary function tests relate to pulmonary disorders Explain how partial gas pressures are calculated, and their significance in measurements of arterial blood gases Describe the factors that influence the partial pressure of blood gases and the total content of oxygen in the blood Explain how oxygen and carbon dioxide is transported by the blood Explain the relationship between blood levels of carbon dioxide and the blood pH Describe the physiological & biochemical mechanisms concerning acid-base balance &respiratory type of its disorders. Page16 RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College Biochemistry Recall the structure of oxygen binding proteins. Recognize the different statesof hemoglobin Identify factors affecting binding of hemoglobin to oxygen Understand concepts of acid-base balance Recognize laboratory investigations for assessing acid-base status. Identify types of disturbance of acid-base balance with reference to lab investigations results. Page17 RESPIRATORY BLOCK (RESP 226) Student Guide – College of Medicine- Al-Maarefa College