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Pathophysiology INTRODUCTORY PATHOPHYSIOLOGY AND PHARMACOLOGY - 09 (FALL 2017)

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Pathophysiology INTRODUCTORY PATHOPHYSIOLOGY AND PHARMACOLOGY - 09 (FALL 2017) Shakiba Vafai • Disease: Chronic Obstructive Pulmonary Disease (COPD) • Etiology: Long-term exposure to lung irritants that damage the lungs and the airways usually is the cause of COPD. In the United States, the most common irritant that causes COPD is cigarette smoke. Pipe, cigar, and other types of tobacco smoke also can cause COPD, especially if the smoke is inhaled. • Pathophysiological Mechanism: obstruct the pathway of normal alveolar ventilation either by spasm of the airways, mucus secretions, or changes in airway and/or alveoli. • Clinical Manifestations: Cough, sputum production, SOB, barrel chest • Lab tests: ABG, CT scan, chest X-ray, Lung function lest • Diagnostic tests: Spirometry, FEV lower than 70% is positive for COPD • Medical Treatment: Bronchodilators, Inhaled corticosteroid medications to reduce inflammation, Phosphodiesterase-4 inhibitors • Disease: Pulmonary TB • Etiology: caused by Mycobacterium t. • Pathophysiological Mechanism: Tubercle Bacilli enters lung and body fights with phagocytosis. Gray masses form when phagocytosis fail. Cavitation occurs and then erodes= filled cavity • Clinical Manifestations: Cough, night sweats, fatigue, low grade fever, tachycardia, sputum production, pleuritic pain, unexplained weight loss, anorexia • Lab tests: skin test and blood test ......................................................continued....................................................

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Kaplan Focus Review Tests and Integrated Exam Spring 2020
Purpose of Kaplan Integrated Exams
Kaplan Integrated Exams teach students how to read and answer NCLEX-style questions. Kaplan
Integrated Exams require students to apply cumulative knowledge from both classroom and clinical
experiences – not everything on the integrated exams will have been covered in the current course.

Preparing for Kaplan Integrated Exams
• Complete all expected course activities as instructed (this will provide the knowledge base!)
• Complete focused reviews (if available), whether required or not, AND REMEDIATE
• Evaluate what you know & identify deficient areas in need of further study
• If no associated focused reviews, challenge yourself with related focused reviews
Grading
Percentile rank, not percent correct, is used for grading. The percentile rank will show you where
students are performing compared to all students across the country. This information will help
determine how well-prepared students are at the end of a course. Kaplan likes all students to be at or
above the 50th percentile rank - “Half the students performed better than you and half did not”.
Students at the 50th percentile are on the right path to NCLEX success.

Student exam grades are based on the percentile rank received (not percent correct) and a
conversion chart is used to determine the final exam grade. If students do not remediate by
the deadline assigned in the course, the student will receive the percentile rank grade only.
Example: Student places in the 50th percentile rank for Kaplan Integrated Exam. This converts to an
82% exam grade. Remediation handed in late or not done: student receives a 50 for the exam grade.

Kaplan Integrated Med/Surg II Exam Grade Conversion Table

Percentile Rank Converted Grade

90-99 98
80-89 95
70-79 90
60-69 86
50-59 82
40-49 74
30-39 66
20-29 58
10-19 50
Below 10 40

,Remediation
Remediation is a crucial learning resource in preparing for the NCLEX exam and a required
assignment for this course. All remediation submissions will be processed through Safe Assign for
plagiarism. Effective remediation includes self-reflection and content review which enhances
learning, promotes critical thinking, and supports student success. Remediation should include
detailed notes about each incorrect remediation topic. The detailed notes must demonstrate
understanding of the topic and concepts for questions that were incorrectly answered on the exam.


Remediation Kaplan Integrated Med/Surg Exam
To successfully complete the remediation the following elements must be present:

1. Top: Student name, percentile rank received, and total remediation time. (10 points)
2. Column One: (20 points)
a. Identify the topic for remediation
b. Identify the reason for answering incorrectly.
3. Column Two: (20 points)
a. Provide two references in APA format. A Kaplan reference can be used as one
reference but not both. The second reference must be scholarly and evidence-
based.
4. Column Three: (50 points)
a. Provide detailed notes about each remediation topic answered incorrectly.
b. The detailed notes must demonstrate understanding of the topic and concepts for
questions that were incorrectly answered on the exam. In your own words!
c. Cite references

Submission of Kaplan Integrated Med/Surg Exam II
Students will remediate all questions that they answered incorrectly following the guidelines listed
above. Students are permitted to complete the remediation in typed format and upload to BlackBoard
for grading on or before the assigned due date /time.

, Kaplan Integrated med/surg ii Remediation
Student Name: Jeremy Small
Percentile Rank 89%
Logged Remediation Time: 3 hrs 8mins 12 secs


Provide detailed notes about each
• Identify the remediation topic. Two References remediation topic answered incorrectly.
• Identify the reason for Evidence-based, APA format The detailed notes must demonstrate
answering incorrectly. List References at the end of the understanding of the topic and concepts
document. for questions that were incorrectly
Use in-text citation in this column. answered on the exam.
In your own words!
(cite references)
1.) Myasthenia Myasthenia Gravis is an auto-
immune disorder and results in
Gravis Content deficit weakness in the muscle skeletal
system of the patient due to neuro
muscular transmission disfunctions.
It occurs when antibodies attack the
patient’s neuro muscular junctions
and causes a reduction in the
acetylcholine receptors. It can be
seen involving muscle weakness
and can be identified in patients
with eyelids that are drooping,
double vision, weakness of
throat/facial muscles resulting in
difficulty or inability to swallow or
chew. And may result in the patient
having a shortness of breath which
could affect the oxygen
consumption and oxygenation to the
tissues of the body. It is important
to assess for these signs and
symptoms when evaluating a
patient as it may help to conclude
that the patient has this disease.
These patients need to be evaluated
for coping strategies as well as the
patient being able to understand the
disease process and understand the
complications that could occur and
which signs to look
for that may indicate that a

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