Learning Objectives, Chapter 1, Concepts of Health and Disease After completing this section of the chapter, the learner will be able to meet the following objectives: 1. Compare the World Health Organization definition of health to the Healthy People 2020 definition. 2. Define pathophysiology. 3. Describe the process of disease to include etiology, pathogenesis, diagnosis, and clinical course. 4. Define the term epidemiology. 5. Compare the meaning of the terms incidence and prevalence as they relate to measures of disease requency. 6. Differentiate primary, secondary, and tertiary levels of prevention. 7. Compare morbidity and mortality. Learning Objectives, Chapter 2, Cell and Tissue Characteristics After completing this section of the chapter, you should be able to meet the following objectives: 1. Predict the effects of dysfunction in each cellular organelle. 2. Differentiate the four functions of the cell membrane. 3. Order the pathway for cell communication, from the receptor to the response, and explain why the process is often referred to as signal transduction. 4. Link the phases of the cell cycle to cell replication. 5. Predict how changes in oxygen delivery to cells changes cellular respiration and levels of adenosine triphosphate and carbon dioxide. 6. Compare and contrast membrane transport mechanisms: diffusion, osmosis, active transport, endocytosis, and exocytosis. 7. Predict changes in membrane potentials based on diffusion of ions. 8. Link the process of cell differentiation to the development of organ systems in the embryo and the regeneration of tissues in postnatal life. 9. Compare and contrast the characteristics of the four different tissue types. Learning Objectives, Chapter 3, Cellular Adaptation, Injury, and Death After completing this section of the chapter, the learner will be able to meet the following objectives: 1. Describe cell changes that occur with atrophy, hypertrophy, hyperplasia, metaplasia, and dysplasia, and state general conditions under which the changes occur. 2. Compare the pathogenesis and effects of intracellular accumulations and pathologic calcifications. 3. Describe the mechanisms whereby physical agents such as blunt trauma, electrical forces, and extremes of temperature produce cell injury. 4. Differentiate between the effects of ionizing and nonionizing radiation in terms of their ability to cause cell injury. 5. State the mechanisms and manifestations of cell injury associated with lead poisoning. 6. Relate free radical formation and oxidative stress to cell injury and death. Learning Objectives, Chapter 4, Genetic Control of Cell Function and Inheritance After completing this section of the chapter, the learner will be able to meet the following objectives: 1. Compare and contrast the structure and function of DNA and RNA. 2. Explain how the DNA code is transcribed into RNA and translated into protein. 3. Describe ways in which gene expression is regulated. 4. Describe the processes of mitosis and meiosis. 5. Describe when a karyotype might be used for. 6. Discuss how a pedigree is used. 7. Compare the two types of cell division in humans. 8. Discuss the different patterns of inheritance. 9. Describe how haplotype mapping can be used to improve patient outcomes. Learning Objectives, Chapter 5, Genetic and Congenital Disorders After completing this section of the chapter, the learner will be able to meet the following objectives: 1. Contrast disorders due to multifactorial inheritance with those caused by single-gene inheritance. 2. Cite the most susceptible period of intrauterine life for development of defects because of teratogenic agents. 3. State the cautions that should be observed when considering use of drugs during pregnancy, including the possible effects of alcohol abuse, vitamin A derivatives, and folic acid deficiency on fetal development. 4. Describe the process of genetic assessment. 5. Describe methods used in arriving at a prenatal diagnosis including specificity and risks. Learning Objectives, Chapter 7, Stress and Adaptation After completing this section of the chapter, the learner will be able to meet the following objectives: 1. Describe the concept of homeostasis. 2. Describe the components of a control system, including the function of a negative feedback system. 3. Explain the interactions among components of the nervous system in mediating the stress response. 4. Describe the stress responses of the autonomic nervous system, the endocrine system, the immune system, and the musculoskeletal system. 5. Explain adaption and its physiological purpose. 6. Discuss Selye’s general adaptation syndrome (GAS). 7. Describe the physiologic and psychological effects of a chronic stress response. 8. Describe the characteristic of posttraumatic tress disorder. 9. List five nonpharmacologic methods of treating stress. Learning Objectives, Chapter 8, Disorders of Fluid, Electrolyte, and Acid–Base Balance After completing this section of the chapter, the learner will be able to meet the following objectives: 1. Differentiate the intracellular from the extracellular fluid compartments in terms of distribution and composition of water, electrolytes, and other osmotically active solutes. 2. Relate the concept of a concentration gradient to the processes of diffusion and osmosis. 3. Describe the control of cell volume and the effect of isotonic, hypotonic, and hypertonic solutions on cell size. 4. State the functions and physiologic mechanisms controlling body water levels and sodium concentration, including the effective circulating volume, sympathetic nervous system, renin–angiotensin–aldosterone system, and antidiuretic hormone. 5. Describe the relationship between antidiuretic hormone and aquaporin-2 channels in reabsorption of water by the kidney. 6. Compare the pathology, manifestations, and treatment of diabetes insipidus and the syndrome of inappropriate antidiuretic hormone. 7. Characterize the distribution of potassium in the body and explain how extracellular potassium levels are regulated in relation to body gains and losses. 8. Relate the functions of potassium to the manifestations of hypokalemia and hyperkalemia. 9. Describe the associations among intestinal absorption, renal elimination, bone stores, and the functions of vitamin D and parathyroid hormone in regulating calcium, phosphorus, and magnesium levels. 10.Describe the intracellular and extracellular mechanisms for buffering changes in body pH. 11.Compare the roles of the kidneys and respiratory system in regulation of acid–base balance. 12.Describe the common causes of metabolic and respiratory acidosis and metabolic and respiratory alkalosis. 13.Contrast and compare the clinical manifestations and treatments of metabolic and respiratory acidosis and of metabolic and respiratory alkalosis. Learning Objectives, Chapter 9, Inflammation, Tissue Repair, and Wound Healing After completing this section of the chapter, the learner will be able to meet the following objectives: 1. Identify and state the physiologic reasons behind five cardinal signs of acute inflammation. 2. Describe the vascular changes in an acute inflammatory response. 3. Characterize the interaction of adhesion molecules, chemokines, and cytokines in leukocyte adhesion, migration, and phagocytosis in the cellular phase of inflammation. 4. List four types of inflammatory mediators and state their function. 5. Contrast acute and chronic inflammation. 6. Discuss the systemic manifestation of inflammation. 7. Compare labile, stable, and permanent cell types in terms of their capacity for regeneration. 8. Trace the wound-healing process through the inflammatory, proliferative, and remodeling phases. 9. Explain the effects of age; malnutrition; ischemia and oxygen deprivation; impaired immune and inflammatory responses; and infection, wound separation, and foreign bodies on wound healing.