ULMSchoolofPharmacy
PHRD4079SelfCare/PatientAssessmentI
I.ContactInformation
CourseCoordinators LaurelSampognaro,Pharm.D.
AssociateProfessor,ClinicalSciences
Bienville119
318-342-1721
landrews@ulm.edu
Officehours:M&F:8-10am;Tu,W,Th:2-4pm
DavidCaldwell,Pharm.D.
AssociateProfessor,ClinicalSciences
Bienville176B
318-342-1689
dcaldwell@ulm.edu
Officehours:M-W:2-4pm,Th:9-11am,F:Byappointment
CourseInstructors
JessicaBrady,Pharm.D.,BCPS
AssociateProfessor,ClinicalSciences
Bienville115
318-342-1697
brady@ulm.edu
Officehours:M-Th:1-4pm
AlexisHorace,Pharm.D.
AssistantProfessor,ClinicalSciences
BatonRouge203
225-219-9660ext202
horace@ulm.edu
Officehours:M&W:1-4pm,F:8-11am
TibbJacobs,Pharm.D.
AssociateProfessor,ClinicalSciences
Shreveport124
318-632-2007ext225
tjacob@lsuhsc.edu
Officehours:M-F:2-4pm
MaryLewis,Pharm.D.
AssociateProfessor,ClinicalSciences
BatonRouge212
225-219-9660ext204
mlewis@ulm.edu
Officehours:M-Th:1-3pm(byappt.)
ShawnManor,Pharm.D.
Spring2016
AssociateProfessor,ClinicalSciences
Shreveport112
318-632-2007ext230
smanor@lsuhsc.edu
Officehours:M-Th:8-9am&1-2pmbyappt.
LanceNickelson,Pharm.D.
AssistantProfessor,ClinicalSciences
Bienville107
318-342-3172
jnickelson@ulm.edu
Officehours:M-Th:2-4pm
SusanSirmans,Pharm.D.
AssociateProfessor,ClinicalSciences
BatonRouge205
225-219-9660
sirmans@ulm.edu
Officehours:M-Th:1-3pm
JenniferSmith,Pharm.D.
AssistantProfessor,ClinicalSciences
BatonRouge207
225-219-9660ext209
smith@ulm.edu
Officehours:M&T:1-4pm,W&Th:1-3pmorbyappt
II.CoursePrerequisites/Corequisites
Enrollmentinthecourserequiressecondyearpharmacystanding.
III.CourseDescription
Basicpatientassessmentskillsrequiredinthedeliveryofpharmaceuticalcareandprinciplesofselfcareincluding:
determiningifselfcareisappropriateandrecommendingappropriateselfcaretreatment.(4Credithours)
IV.CurricularObjectivesandOutcomes
ProvideComprehensivePatientSpecificPharmaceuticalCare
2.Evaluateeachpatientforself-treatmentorreferral.
5.Documentallactivitiesinvolvedwiththeprovisionofcomprehensivepatientspecific
pharmaceuticalcare.
CommunicateEffectively
6.Counselandeducatepatientsregardingmedicationuse,disease-statemanagement,andhealth
maintenance.
8.Collaboratewithotherhealthcareprofessionalsusingappropriateeffectivecommunicationin
bothwrittenandoralforms.
9.Read,write,speak,listen,andusedata,media,andcomputerstosendandrespondeffectively
tocommunicationsforvariedaudiencesandpurposes.
PromoteHealthImprovementandSelf-Care.
22.Promote/participateineffectivehealthanddiseasepreventionservicesaspartofpatientorpopulation
specificcare.
ThinkCritically
24.Identify,retrieve,understand,analyze,synthesize,andevaluateinformationneededtomake
informed,rational,andethicaldecisions.
25.Solvecomplexproblemsthatrequireanintegrationofone’sideasandvalueswithina
contextofscientific,social,cultural,legal,clinical,andethicalissues.
26.Displayhabits,attitudes,andvaluesassociatedwithmaturecriticalthinking.
DemonstrateAppropriateInterpersonal,Professional,andEthicalBehaviors.
27.Maintainprofessionalcompetence.
28.Representtheprofessioninanethicalmanner.
29.Identify,analyze,andresolveethicalproblemsinvolvedinpharmacypractice.
30.Provideservicetotheprofessionandthecommunity.
31.Collaborateproactivelywithotherhealthcareprofessionals.
32.Practiceinamannerthatisconsistentwithstateandfederallawsandregulations.
33.Accepttheresponsibilitiesembodiedintheprinciplesofpharmaceuticalcare.
34.Demonstrateappropriateinterpersonal,intergroup,andcross-culturalbehaviorsthatpromote
respectandtrustfrompeers,patients,andcommunitymembers.
V.CourseSpecificObjectivesandOutcomes
• Systematicallygatherandgeneraterelevantinformationusingavarietyofmethodsandresearchtools.
• Synthesizeinformationinordertodrawconclusions,hypothesize,conjecturealternatives,ordecideacourseof
action.
• Makeanddefendrational,ethicaldecisions.
• Promulgateaphilosophyofcarewithinhealthcaresettings.
• Demonstrateinteractionbehaviorsthatareappropriateforaparticularinterpersonalsituation.
• Forthediseasestatescovered,thestudentsshouldpracticeandrefinethefollowingabilities:
o Recommendappropriatenon-pharmacologictherapybaseduponpatient-anddiseasespecific
information.
§ Identifyappropriatepatientstobenefitfromnon-pharmacologictherapy.
§ Non-pharmacologictherapyrecommendationsarebasedonpatient-specificinformation(age,
weight,height,lifestyle,occupation,etc)
§ Non-pharmacologictherapyrecommendationsarebasedondisease-specificinformation
(pathophysiology,diseaseseverity)
o Recommendpharmacotherapeuticregimensbaseduponpatient-,disease-,anddrugspecific
information.
§ Identifycorrectdrug,dose,route,frequencyandduration
§ Drugdose,route,andfrequencyarejustifiedbasedondrug-specificdata(pharmacology,
pharmacokinetics,pharmacodynamics)
§ Drugdose,route,frequencyanddurationarebasedonpatient-specificdata(age,weight,renal
function,hepaticfunction,history,signsandsymptoms).
§ Drugdose,route,frequencyanddurationarebasedondisease-statespecificdata
(pathophysiology,diseaseseverity)
§ Recommendationsincludeidentifyingendpointsfortreatmentbasedonthehistoryofthe
underlyingdisease,desiredclinicalendpoints,and/orstandardguidelinesfortherapy
§ IfrecommendingIVtherapy,anendpointforIVtherapyandguidelinesforswitchingfromIVto
oraltherapy(orotherroute)areprovided
o Monitorpharmacotherapyforefficacy,toxicity,andadverseevents.
Monitoringparameterstakeintoaccountdrugspecificdata(pharmacology,pharmacokinetics,
pharmacodynamics)
§ Monitoringparameterstakeintoaccountpatient-specificdata(age,weight,renalfunction,
hepaticfunction,history,signsandsymptoms).
§ Monitoringparameterstakeintoaccountdiseasespecificdata.(pathophysiology,disease
severity)
§ Identifypertinentsubjectiveandobjectiveparametersforefficacy
§ Identifypertinentsubjectiveandobjectiveparametersfortoxicity/adverseeffects
§ Establishintervalsandfrequenciesformonitoring(e.g.,checktemperaturetwicedaily,measure
intakeandoutputevery8hours)
§ Identifypotentialdruginteractionsandmonitorsaccordingly.
Educatepatientsandcaregiversregardingtheappropriateuseofmedications
§ Statesthenameofthedrug,dose,route,frequencyandduration
§ Explaintothepatientwhythemedicationhasbeentaken
§ Explainappropriateadministrationregardingdrugusage,dosage,timing,technique,andmissed
doses.
§ Explainsexpectedresponsetotherapybothsubjectivelyandobjectively
§ Explainspotentialadverseeffectsandtheirmanagement
§ Explainspotentialdruginteractionswiththetherapyastheyapplytothespecificpatient.
§ Summarizesinformationasneeded.
Evaluatetheappropriatenessofpatient-specifictherapyandmodifytherapyasneeded.
§ Determineiftheregimenincludesthecorrectdrug,dose,route,frequencyanddurationbased
ondrug-specificdata.(pharmacology,pharmacokinetics,pharmacodynamics)
§ Determineiftheregimenincludesthecorrectdrug,dose,route,frequencyanddurationbased
onpatient-specificdata.(age,weight,renalfunction,hepaticfunction,history,signsand
symptoms)
§ Determineiftheregimenincludesthecorrectdrug,dose,route,frequencyanddurationbased
ondisease-specificdata.(pathophysiology,diseaseseverity)
§ Justificationisprovidedtosupporttheevaluation,selectionofthemostappropriatedrugandis
basedondrug-,patient-,anddisease-specificdata.
§ Justificationforrulingoutothertherapiesisprovidedandtakesintoaccountdrug-,patient-,and
diseasespecificdata.
§ Therapeuticplanismodifiedasneeded.(e.g.,discontinuinginappropriateorineffectivedrugs,
selectingthemostappropriatedrug.)
§
o
o
VI.CourseTopics
Topicstobecoveredincludephysicalassessmenttechniquesandappropriateselfcarefordermatologic,Head,Eyes,
Ears,Nose,andThroat(HEENT),andfootdisorders,aswellas,GIdisorders,allergy,coughandcold,pain,fever,and
nutrition.
VII.InstructionalMethodsandActivities
Instructionalmethodsmayinclude:traditionallectures,internet-basedlectureswithin-classdiscussion,distance
learning,in-classdiscussionofpatientcases,smallgroupdiscussion,problem-basedlearning,case-basedlearning,useof
SimMan,demonstrationofvariousselfcareaccessoriesand/orPAtechnique,andindividualprojects.CaseStudiesmay
beanapplicationofprinciplesofphysicalassessment,selfcare,andaccessories.Quizzesmayalsobeadministered.
VIII.EvaluationandGradeAssignment
Grading/Class(90%ofTotalGrade)
Threewrittenexamswillbegiventhroughoutthesemester.
Grading/OtherAssignments(10%ofTotalGrade)
TentTriageActivity
Exams
Examdateswillremainasstatedinthesyllabus,andexamquestionsmayconsistofanycombinationofmultiplechoice,
true/false,shortanswer,andclinicalsituations.
TotalGrade
Thetotalgradewillbedetermined,forbothclassandotherassignments,onaten-pointscale.
GradingScale:
90%-100%
=A
80%-89%
=B
70%-79%
=C
60%-69%
=D
Below60%
=F
Thepercentagegradeswillbedeterminedfrompointsearned,asdescribedabove.Whenaveragingpartialpercentage
points,0.5%andabovewillberoundedup(ex.89.5%=A);0.4%andlesswillberoundeddown(ex.89.4%=B).
Undergraduatemid-termgradeswillbepostedon-lineforstudentstoviewviaBanner.Mid-termgradesindicatea
student’sstatusatmid-semesteronlyanddonotindicatethefinalperformanceoutcomeofastudent.
EarlyInterventionPolicy
Studentsscoring<70%onanyexamandanoverallexamaverage<70%(excludesquizzes,assignments,bonus,etc.)will
berequiredtosubmittothecoordinatorwritten,narrativeresponsestoselectlectureobjectivesthatwillbeprovided
within24hoursofthepostingoftheirexamgradetoMoodle.TheseobjectiveswillbeintheformofaMoodle
assignmentandrepresentunit-orlecture-levelobjectivestobetesteduponinthenextscheduledcourseexam.
Writtenresponsesmustbesubmittednolaterthanonecalendarweekbeforethenextscheduledexam.Responses
mustbewrittenincompletesentencesandmaynotbecopiedorpastedfromanysource,includingclassnotes,
treatmentguidelines,textbooks,oranyinternetsite.Submissionsfoundtocontainresponsesthathavenotbeen
writteninastudent’sownwordswillbeconsideredafailuretosubmit.
Inaddition,studentswillberequiredtorevieweachfailedexam’sExamSoft-generatedmisseditemreportwiththe
instructorresponsibleforeachsectionofmaterial.Thediscussionshouldincludethestudent’sreasoningforthe
incorrectansweraswellasthereasonforthecorrectanswer.
Failuretosubmitthisrequiredassignmentwillresultinineligibilitytoremediate.
IX.ClassPoliciesandProcedures
Ataminimum,allpoliciesstatedinthecurrentULMStudentPolicyManual&OrganizationalHandbookshouldbe
followed(seehttp://www.ulm.edu/studentpolicy/).Additionalclasspoliciesinclude:
Textbook(s)andMaterials(required):
• KrinskyD,FerreriS,etal.HandbookofNonprescriptonDrugs:AnInteractiveApproachtoSelf-Care,18th
edition,Washington,DC,AmericanPharmaceuticalAssociation,2015.
• Stethoscopewithbellanddiaphragm
TextbookandMaterials(suggested):
• PatientAssessmentinPharmacyPractice,byR.M.JonesandR.M.Rospond
AttendancePolicy:
Classattendanceisrequired.Classattendanceisregardedasanobligationaswellasaprivilege,andstudentsare
expectedtoknowattendanceregulationsandtoattendregularlyandpunctuallyatclassesinwhichtheyareenrolled.
Failuretodoso:(1)maypreventaccesstotheclassroomduringregularlyscheduledtimes;(2)mayjeopardizea
student’sscholasticstanding;and(3)mayleadtosuspensionfromthecollegeorUniversity.Studentsshallsubmit
excusesforallclassabsencestoprofessorwithinthreeclassdaysafterreturningtoclasses.Professorsshallacceptan
officialUniversityexcuse.
Withthefollowingexceptions,thedesignatedCourseCoordinatoristodeterminewhetherabsencesareexcusedor
unexcused:
1. AbsencesarisingfromauthorizedtripsawayfromtheUniversityorfromspecialdutiesattheUniversityshallbe
excused.
2. Absencesarisingfromastudent’sconfinementinahospitalorotherin-patientfacilityordoctor’sexcused
absencesshallbeexcused.Studentsareresponsibleforprovidingdocumentationofanysucheventstothe
faculty,whowillverifytheauthenticityandacceptabilityofthisinformation.
3. Absencesarisingfromadeathintheimmediatefamilyshallbeexcused.Theimmediatefamilyisdefinedas
spouse,child,step-child,mother,father,sister,brother,grandmother,grandfather,step-mother,step-father,
step-brother,step-sister,aunt,uncle,mother-in-laworfather-in-law.Studentsareresponsibleforproviding
documentationofanysucheventstothefaculty,whowillverifytheauthenticityandacceptabilityofthis
information.
Make-upPolicy:
Ifthestudentcannotattendanexam,ADVANCENOTICEMUSTBEGIVENtotheinstructor.Ifthestudenthasa
Universityapprovedexcuseformissingtheexam,anopportunitywillbegivenforamake-upexamduringthe
appropriatefinalexamperiod(finalsweek).Failuretoattendascheduledmake-upwillresultinagradeofzero(0)for
thatexam.Amissedmidtermorfinalexamthatisnotexcusedwillbetreatedasanincompleteandwillbehandled
withintheguidelinessetforthintheUniversityCatalog.
Excusedmake-upswillbewithinoneweekofthestudent’sreturntoclassattheconvenienceoftheinstructor.Excused
absenceswillbedeterminedusingtheguidelinesstatedintheUniversityCatalog.
AcademicIntegrity:
FacultyandstudentsmustobservetheULMpublishedpolicyonAcademicDishonesty(seetheULMStudentPolicy
Manual-http://www.ulm.edu/studentpolicy/).Allprofessionalstudentswilladheretothestandardssetforthinthe
CollegeofPharmacy’sCodeofConduct.http://www.ulm.edu/pharmacy/documents/ospa/codeofconductv82011.pdf
Cheating,plagiarism,orotherinappropriateconductwillnotbetolerated.Academiccheatingincludesbutisnotlimited
totheaccomplishmentorattemptedaccomplishmentofthefollowing:
• Copyingorobtaininginformationfromanotherstudent'stestpaper.*
• Using,duringatest,materialsnotauthorizedbythepersongivingthetest.**
• Collaborating,conspiring,orcooperatingduringanin-classortake-hometestwithanyotherpersonbygivingor
receivinginformationwithoutauthority.
• Stealing,buying,orotherwiseobtainingallorpartofanunadministeredtest.
• Sellingorgivingawayallorpartofanunadministeredtestoranyinformationconcerningspecificquestionsand
itemsonanunadministeredtest.
• Requesting,bribing,blackmailing,orinanyotherwaycausinganyotherpersontoobtainanunadministered
testorinformationaboutanunadministeredtestoratestintheprocessofbeingadministered.
• Substitutingforanotherstudent,orpermittinganyotherpersontosubstituteforoneselftotakeatest.
• Submittingasone'sown,infulfillmentofacademicrequirements,anyworkpreparedtotallyorinpartby
anotherperson.
• Anyselling,giving,orotherwisesupplyingtoanotherstudentforuseinfulfillingacademicrequirementany
work.
• Submittingartificiallyproduceddataorinformationintheplaceofdescriptive,experimental,orsurveyresults.
• Anyotherdeviousmeansofsecuringanunearnedgradeinanon-creditcourseorinacourseofferedforcredit.
•
Using,duringatest,anyelectronicstoragedevice,wirelessand/orinternet-basedtechnology,oranyother
meansthatprovidesinformationnotauthorizedforuseduringthetestingperiod.
*Astudentlookingonanotherstudent'spaperisconsideredcheating.
**Thepresenceonone'sperson(orincloseproximitythereto)ofacondensationoftestinformationwhichcouldbe
regardedasa"cheatsheet"willbeconsideredadequateevidencetoestablishcheating.
Plagiarismistheuseofanyotherperson'swork(suchworkneednotbecopyrighted)andtheunacknowledged
incorporationofthatworkinone'sownworkofferedforcredit.
AcademicdishonestywillresultinareferraltoCommitteeonEthicalandProfessionalStandardswitharecommendation
foragradeof“F”forthecourseandexpulsionfromtheCollege.Academicdishonestyincludesbutisnotlimitedtothe
useofinformationtakenfromothersworkorideas,theprovisionofhelptoothersonnon-collaborativeevaluations
(tests,quizzes,etc.),collaborationontakehomeexams,ortheuseofunapprovedinformationorelectronicdevicesto
assistinobtainingananswertothequestion.
CourseEvaluationPolicy:
Studentsareexpectedtocompletetheon-linecourseevaluation.ItisrequestedthattheyalsocompletetheCollegeof
Pharmacycourseandinstructorevaluations,includingprovidingcomments.Inaddition,individualfeedbackis
encouragedthroughoutthecourse.
StudentServices:
InformationconcerningstudentservicesintheCollegeofPharmacycanbefoundintheCollegeofPharmacyStudent
Handbook.Inparticular,studentsyoupayspecialattentiontotheCollegestechnicalstandardsandpoliciesconcerning
studentswithspecialneeds.ULMstudentservices,suchasStudentSuccessCenter(http://ulm.edu/cass/),Counseling
Center(http://ulm.edu/counselingcenter/),andStudentHealthServices,isavailableatthefollowingStudentServices
websitehttp://ulm.edu/studentaffairs/
Ifyouarehavingproblemswithemotional,social,and/orbehavioralissuespleasecallanyofthementalhealthclinicson
theULMcampustomakeanappointment.AllservicesarefreetoULMstudents,staff,andfaculty,andarestrictly
confidential.
• COPOfficeofStudentandProfessionalAffairs:342-3800
• ULMCounselingCenter:342-5220
• MarriageandFamilyTherapyClinic:342-5678
• CommunityCounselingCenter:342-1263
• ULMHELPS(HelpingEducatorsandLearnersPreventSuicide)ProjectOffice:342-1335
TheUniversityofLouisianaatMonroestrivestoservestudentswithspecialneedsthroughcompliancewithSections504
oftheRehabilitationActof1973andtheAmericanswithDisabilitiesAct.Theselawsmandatethatpostsecondary
institutionsprovideequalaccesstoprogramsandservicesforstudentswithdisabilitieswithoutcreatingchangestothe
essentialelementsofthecurriculum.Whilestudentswithspecialneedsareexpectedtomeetourinstitution'sacademic
standards,theyaregiventheopportunitytofulfilllearneroutcomesinalternativeways.Examplesofaccommodations
mayinclude,butarenotlimitedto,testingaccommodations(oraltesting,extendedtimeforexams),interpreters,
relocationofinaccessibleclassrooms,permissiontoaudiotapelectures,note-takingassistance,andcoursesubstitutions.
TitleIXoftheEducationAmendmentsof1972prohibitssexdiscriminationagainstanyparticipantinaneducational
programoractivitythatreceivesfederalfunds,includingfederalloansandgrants.Furthermore,TitleIXprohibitssex
discriminationasconstruedtoincludesexualmisconduct,sexualviolence,sexualharassmentandretaliation.Ifyou
encounterunlawfulsexualharassmentorgender-baseddiscrimination,pleasecontactStudentServicesat
318-342-5230,ortofileacomplaint,visitwww.ulm.edu/titleix.
EmergencyProcedures:
PleasereviewtheemergencyescapeplanintheclassroomsandhallwaysoftheBienvillebuilding.Movequicklyand
orderlytotheappropriatestairwellandexitthebuilding.Themeetingplaceforthisclasswillbethefarendofthenorth
parkinglotbetweenBienvilleandBroadmoorBlvd.Undernocircumstancesistheelevatortobeusedforemergency
evacuation.Anystudentneedingassistanceshouldnotifytheprofessorimmediately.Foremergencies,tocontact
UniversityPolice,call1-911fromlandlinesand342-5350fromcellphones.
Discipline/CourseSpecificPolicies:
StudentsareresponsibleforallinformationonMoodle®and/orinstructorwebsites.Studentsareexpectedtocheck
thesesourcesregularlytoaccessclassmaterials,requiredreadings,assignments,andotherinformationnecessaryfor
thiscourse
TentativeCourseSchedule(Note:Thissectionshouldappearonaseparatepage.)
Theinstructorreservestherighttoadjustthescheduleasneeded.
Lecture Day
Date
PHRD4079
Room202
M,R1-2:50pm
Topic
Reading Ptson
Exam/Due
Date
Instructor
1
R
01/21
IntrotoSelf-Careand
NonprescriptionPharmacotherapy/
PatientAssessmentandConsultation
Sampognaro/
Caldwell
12pts/Feb
15
2
M
01/25
TBA(SOAPNotes???)
Caldwell
3
R
01/28
MulticulturalAspectsofSelf-Care
JSmith
Ch3
4
M
02/01
VitalSigns:Respiration,Pulse,Blood
Pressure,Temperature
FeverDisorders
Headache/PainDisorders
Caldwell
12pts/Feb
15
12pts/Feb
15
6pts/Feb15
Brady
Brady
Manor
Manor
Manor
Caldwell
Sirmans
5
R
02/04
6
M
R
02/08
02/11
7
M
02/15
8
R
02/18
9
10
M
R
02/22
02/25
MARDIGRASBREAK
Heartburn&Dyspepsia/Intestinal
Gas/Constipation
Diarrhea/N&V/Anorectal
Disorders/PinwormInfection
OralPain/Hygiene
HairLoss/SmokingCessation
EXAM1(96points)
Allergy/Cold/Cough/Asthma
11
M
02/29
Ophthalmic/LensCare/Otic
Lewis
12
R
03/03
AssessmentofHEENT
Jacobs
13
M
03/07
TentTriageActivity
Sampognaro/
Caldwell
14
R
03/10
Jacobs
15
M
03/14
Jacobs
16
R
03/17
17
M
03/21
18
R
03/24
M
03/28
DermatologicalAssessment:Skin,
Hair,Nails
Sun-inducedSkin
Disorders/Hyperpigmentation&
Photoaging/MinorBurns&Sunburn
InsectBites&
Stings/Pediculosis/Acne
AtopicDermatitis&DrySkin/Scaly
Dermatoses/Contact
Dermatitis/DiaperDermatitis
MinorWounds/Dermatological
Infections–Fungi/Warts
SPRINGBREAK
Sampognaro Jacobs
Lewis
6pts/Feb15
12pts/Feb
15
12pts/Feb
15
12pts/Feb
15
6pts/Feb15
6pts/Feb15
12pts/Mar
31
12pts/Mar
31
12pts/Mar
31
12pts/Mar
31
12pts/Mar
31
12pts/Mar
31
12pts/Mar
31
12pts/Apr
28
19
R
M
03/31
04/04
Brady
Horace
Horace
Horace
04/18
SPRINGBREAK
OstomyCareandSupplies
OverweightandObesity
EXAM2(84points)
Insomnia/DrowsinessFatigue
EssentialNutrients/Meal
ReplacementFoods/SportsNutrition
InfantNutrition/Preventionof
NutritionalDeficiencies
FootDisorders
Jacobs
R
04/21
NeurologicalAssessment
Nickelson
25
M
04/25
TentTriageActivity
Sampognaro/
Caldwell
6pts/Apr28
6pts/Apr28
12pts/Apr
28
12pts/Apr
28
12pts/Apr
28
12pts/Apr
28
20
21
R
M
04/07
04/11
22
R
04/14
23
M
24
26
27
28
R
M
R
04/28
05/02
05/05
PCOA
EXAM3(FINALEXAM)(60points)