Parts  1 and 2 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.

Parts  3 and 4 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.

APA format

1) Minimum 10 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

You must strictly comply with the number of paragraphs requested per page

.

           Part 1: minimum  2 pages

           Part 2: minimum  2 pages

           Part 3: minimum  3 pages (48 hours)

           Part 4: minimum  3 pages (48 hours)

Submit 1 document per part

2)¨******APA norms

         All paragraphs must be narrative and cited in the text- each paragraph

         The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information. 

         Bulleted responses are not accepted

         Don’t write in the first person 

         Don’t copy and paste the questions.

         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

Part 3:  Minimum 5 references (APA format) per part not older than 5 years  (Journals, books) (No websites) 

Part 4:  Minimum 5 references (APA format) per part not older than 5 years  (Journals, books) (No websites)  

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Part 1: Advanced Pathophysiology

Answer in paragraph format each of the questions that are indicated. That is, you must objectively answer each of the questions in the order indicated.

Cardiovascular diseases are…….Coronary artery disease (CAD) is…….. Cardiac arrhythmia is …… 

Hematemesis: Bloody vomit and Melena: black tarry stools—duodenum and gastric bleeding origin

Hematochezia: Bloody stools–from rectosygmoids bleeding origin

Occult bleeding: Not visible—may be from bowels small to large bowel areas

One paragraph

1. Gastric Secretion Cells and secretion type

2. Kupffer cells, describe

3. Liver enzymes elevated during Liver damage, describe

4. GI Bleeding types

One paragraph

5. Vomiting etiology and

a. Central Vomitus features vs Peripheral vomitus

6. GERD: gastroesophageal sphincter loosing tone disease: explain pathophysiology

7. Diarrhea: from pathophysiologic point of view: 

a. types and etiology

One paragraph

8. Bowel Obstruction: 

a. Signs (which are found of physical 3xam: distention, decreased to absent bowel sounds, tenderness) 

b. Symptoms (which are reported by patient: abdominal pain, vomiting, thirsty, etc)

9. Dysphagia: functional vs organic

10. Vomitus: GI Tract etiologies avs Central Vomiting (Brain Disorders)

One paragraph

11. What is Peptic Ulcer? 

a. Pathophysiology

12. Compare Ulcerative Colitis vs Chron’s Disease (Inflammatory Bowel Diseases)

13. What is a diverticula?

One paragraph

14. Portal Hypertension: 

a. Pathophysiology 

b. Clinical manifestations

15. Sequence or stages for Cirrhosis

16. Cholecystitis symptoms (TRIAD)

One paragraph

17. Acute Pancreatitis: what happens on this condition? 

a. Pathophysiology.

18. Serum test for Acute Pancreatitis

19. Left Colon Cancer features

20. Cystic Fibrosis: pathophysiology and symptoms (triad)

Part 2: Advanced Pathophysiology

Answer in paragraph format each of the questions that are indicated. That is, you must objectively answer each of the questions in the order indicated.

Cardiovascular diseases are…….Coronary artery disease (CAD) is…….. Cardiac arrhythmia is …… 

Hematemesis: Bloody vomit and Melena: black tarry stools—duodenum and gastric bleeding origin

Hematochezia: Bloody stools–from rectosygmoids bleeding origin

Occult bleeding: Not visible—may be from bowels small to large bowel areas

One paragraph

1. Gastric Secretion Cells and secretion type

2. Kupffer cells, describe

3. Liver enzymes elevated during Liver damage, describe

4. GI Bleeding types

One paragraph

5. Vomiting etiology and

a. Central Vomitus features vs Peripheral vomitus

6. GERD: gastroesophageal sphincter loosing tone disease: explain pathophysiology

7. Diarrhea: from pathophysiologic point of view: 

a. types and etiology

One paragraph

8. Bowel Obstruction: 

a. Signs (which are found of physical 3xam: distention, decreased to absent bowel sounds, tenderness) 

b. Symptoms (which are reported by patient: abdominal pain, vomiting, thirsty, etc)

9. Dysphagia: functional vs organic

10. Vomitus: GI Tract etiologies avs Central Vomiting (Brain Disorders)

One paragraph

11. What is Peptic Ulcer? 

a. Pathophysiology

12. Compare Ulcerative Colitis vs Chron’s Disease (Inflammatory Bowel Diseases)

13. What is a diverticula?

One paragraph

14. Portal Hypertension: 

a. Pathophysiology 

b. Clinical manifestations

15. Sequence or stages for Cirrhosis

16. Cholecystitis symptoms (TRIAD)

One paragraph

17. Acute Pancreatitis: what happens on this condition? 

a. Pathophysiology.

18. Serum test for Acute Pancreatitis

19. Left Colon Cancer features

20. Cystic Fibrosis: pathophysiology and symptoms (triad)

Parts  3 and 4 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.

Part 3: Advanced Pharmacology

Topic:  Osteoporosis

J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

Diagnosis: Osteoporosis 

1. Introduction including (One paragraph)

a. Case

b. Diagnosis

2. Describe two primary goals of therapy for J.S. (One paragraph)

3. What drug therapy would you prescribe? Why? Explain (One paragraph)

4. What are the parameters for monitoring the success of the therapy? be specific (One paragraph)

5. Discuss specific patient education based on the prescribed therapy. (One paragraph)

6. Describe two adverse reactions to the selected agent that would cause you to change therapy 

7. What OTC or alternative medicines might be appropriate for this patient? Why, explain  (One paragraph) 

8. What dietary and lifestyle changes might you recommend? Explain  (One paragraph) 

9. Describe two drug–drug interactions for the selected agent.  (One paragraph) 

Part 4: Advanced Pharmacology

Topic:  Osteoporosis

J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

Diagnosis: Osteoporosis 

1. Introduction including (One paragraph)

a. Case

b. Diagnosis

2. Describe two primary goals of therapy for J.S. (One paragraph)

3. What drug therapy would you prescribe? Why? Explain (One paragraph)

4. What are the parameters for monitoring the success of the therapy? be specific (One paragraph)

5. Discuss specific patient education based on the prescribed therapy. (One paragraph)

6. Describe two adverse reactions to the selected agent that would cause you to change therapy 

7. What OTC or alternative medicines might be appropriate for this patient? Why, explain  (One paragraph) 

8. What dietary and lifestyle changes might you recommend? Explain  (One paragraph) 

9. Describe two drug–food interactions for the selected agent.  (One paragraph)