SMOA09011U Theoretical Pathophysiology

Volume 2014/2015
Education
MSc Programme in Molecular Biomedicine - compulsory
Content

This candidate course focuses on a theoretical approach to the study of the genetic, molecular and physiological mechanisms underlying a variety of common diseases.  The course is the introduction to the subsequent 6th term course in experimental pathophysiology.The students are expected to study the relevant text book pensum before each lecture.
The purpose of the lectures is to provide research-based teaching with the most current updates on the topics presented.  
A major emphasis for the course is for students to approach the study of pathologies on the basis of ‘function’ (pathophysiology), including altered structure-function relationships and the associated regulatory processes. Students are expected to engage in independent critical reading of the assigned text.  
Students are encouraged to attend all lectures and participate actively in discussion with faculty on the topics listed in the course schema.

Focused study on all course topics will prepare students for a formal written exam which will comprise the evaluation of the extent and depth of learning and thus the basis for their grade in the course.

Learning Outcome

To enable students to

  • acquire fingertip knowledge based on textbook study and updated lectures as a basis for
  • synthesizing succint, detailed, cohesive essays on pathophysiology,
  • utilizing the precise, subject related terminology,
  • and displaying a comprehensive level of analytical accuracy and integration of mechanisms and responses,
  • from the molecular and system levels of organization to clinical perspective.

Robbins and Cotran: Pathologic Basis of Disease,8th Ed (2010) (pages in bold)

Chapter 2 (Inflammation) 45-55 + 56-63 + 70-75.

Chapter 6 (Autoimmunity and immunodeficiency 184-188 + 208-213 + 235-242.

Chapter 7 (Neoplasia and metastasis) 260-270.

Chapter 11 (Atherosclerosis and hypertension):  488-506.

Chapter 12 (Heart failure and ischemic heart disease): 530-535 + 545-559.

Chapter 13 (Anemias): 639-664.

Chapter 15 (Acute respiratory distress syndrome, asthma and emphysema): 678-692.

Chapter 17 (Gastric ulcers and intestinal neoplasms): 774-783 + 814-826.

Chapter 18 (Cirrhosis and alcoholic liver disease): 834-838 + 857-861.

Chapter 20 (Kidney diseases): 906-916 + 935-938.

Chapter 24 (Type I and Type 2 diabetes): 1130-1146.

Chapter 26 (Osteoporosis and arthritis):1206-1210 + 1214-1216 + 1235-1240.

Chapter 28 (Prion and Alzheimer’s disease): 1308-1309 + 1313-1317.

Total number of pages: 233

Supplementary Text (optional):

 Guyton and Hall: Textbook of Medical Physiology, Ed. 11

 

Basic-to-cutting edge concepts on the pathophysiology of the major diseases of the pensum will be covered by experts in the field.

The lecture content will take its basis in basic knowledge covered in the course text and unfold new and prospective avenues of basic science and clinical research that elucidate the pathophysiology of common disease.

All lectures will be placed on Absalon for self-study.

Course Structure:

• Two introductory lectures, preparing students on expectations, format of course and exam
• 23 lectures
• Concluding evaluation and questions and answers (Q&A) session on the exam
• A Q&A period, where written questions can be submitted to and will be answered by the course leaders on Absalon
• A four-hour written exam, consisting of 2 major and 2 minor essays.
Detailed course goals:

Inflammation:
To describe the general stimuli, vascular responses and cellular and humoral mediators of acute and chronic inflammation, and the tissue responses to inflammation

To review leukocyte recognition receptors and cellular response pathways and outcomes

Autoimmunity and immunodeficiency:
To describe genetic and environmental causes of breakdown of immune tolerance leading to autoimmunity

To describe the HIV structure, genome and life cycle, as well as the molecular and cellular pathogenesis of HIV induced immunodeficiency

Neoplasia and metastasis
To know tumor nomenclature and list the characteristics of benign and malignant neoplasms

To summarize causes of malignant transformation and the role of cancer stem cells

To describe the mechanisms and routes of metastasis


Atherosclerosis and hypertension

To describe the vascular response to injury

To describe the causes and mechanisms of hypertension and the vascular and hemodynamic consequences and complications of hypertension

To describe the epidemiology, etiology and pathogenesis of atherosclerosis, and the vascular consequences of atherosclerosis

To describe regulatory and adaptive local and systemic dysfunctions that lead to heart failure, with a focus on the role of pressure and volume overload

Heart failure and ischemic heart disease

To describe the epidemiology, etiology and pathogenesis of ischemic heart disease

To review the symptomatology and consequences of coronary artery disease

To describe the myocardial and hemodynamic consequences as well as patient outcomes of acute myocardial infarction

Anemias

To describe the pathophysiology of anemias caused by bleeding, haemolysis and deficient erythropoiesis, with a focus on the molecular mechanisms where relevant

Acute respiratory distress syndrome, asthma and emphysema

To summarise congenital defects, and explain causes and mechanisms of atelectasis, pulmonary oedema and acute respiratory distress syndrome

To describe the etiology, genetics, cellular and molecular pathogenesis of chronic obstructive lung diseases (asthma, emphysema and chronic bronchitis)

Gastric ulcers and intestinal neoplasms

To describe the etiology, pathogenesis and complications of acute and chronic gastritis and ulcers

To group intestinal polyps and their main causes as well as explain genetic and molecular causes of colonic adenocarcinomas

Cirrhosis and alcoholic liver disease

To describe causes and clinical features of hepatic failure

To describe the etiology and molecular pathogenesis and clinical features of hepatic cirrhosis, with a focus on alcoholic and metabolic liver diseases



Kidney diseases

To describe the structural, molecular, cellular and clinical characteristics of glomerular and tubular kidney diseases

Type I and type 2 diabetes

To describe the etiology, pathogenesis and clinical features of type 1 and type 2 diabetes, and of the acute and late diabetic complications

Osteoporosis and arthritis

To describe the causes and cellular and molecular pathogenetic pathways in osteoporosis

To describe the etiologies, morphology, pathogenetic pathways and clinical courses of rheumatoid arthritis and osteoarthritis

Prion and Alzheimer’s disease

To describe the genetic and molecular basis for the different types of prion diseases

To describe the etiology, genetics and molecular and cellular pathogenesis of Alzheimer’s disease, and the morphological and clinical features of the disease.
  • Category
  • Hours
  • Exam
  • 4
  • Lectures
  • 26
  • Preparation
  • 176
  • Total
  • 206
Credit
7,5 ECTS
Type of assessment
Written examination, 4 hours under invigilation
Four-hour written exam under invigilation; counts 100% for the grade.

The exam consists of two main essays (A and B) and two short essays (C and D). All four topics must be covered to the extent possible to pass the exam.

The main essays should each encompass a maximum of 2.5 pages with double spacing and font 12 (~5000 characters with spaces).

The short essays should each encompass a maximum of 1 page with double spacing and font 12 (~2000 characters with spaces).

In the assessment it is emphasized that the essays are clearly structured and phrased in English in a concise fashion in accordance with the pathophysiological terminology.

No aids are allowed.
Marking scale
7-point grading scale
Censorship form
External censorship
Criteria for exam assesment

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