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Course, academic year 2019/2020
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Physiology II - FD10020
Title: Physiology II
Guaranteed by: Department of Physiology (15-130)
Faculty: Faculty of Medicine in Hradec Králové
Actual: from 2018 to 2019
Semester: summer
Points: 0
E-Credits: 7
Examination process: summer s.:
Hours per week, examination: summer s.:45/45, C+Ex [HS]
Capacity: unlimited
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: English
Teaching methods: full-time
Teaching methods: full-time
Level:  
Note: deregister from the exam date if a requisite was not fulfilled
Guarantor: prof. MUDr. Michaela Adamcová, Ph.D.
Co-requisite : FD10019
Incompatibility : FZ10018
Interchangeability : FA0204037, FZ10018
Is incompatible with: FZ10018
Is pre-requisite for: FD10031, FD10035, FD10034
Is interchangeable with: FZ10018
In complex pre-requisite: FD10048, FD10049, FD10050, FD10051, FD10053, FD10054, FD10055, FD10056, FD10057, FD10058, FD10060, FD10061, FD10062, FD10063, FD10064, FD10065, FD10066, FD10067, FG50024
Examination dates   Schedule   
Annotation
Last update: Ivana Altmannová (07.02.2020)
To gain a good theoretical knowledge in following fields of medical physiology: respiratory system (ventilation, pulmonary respiration, transport of O2 and CO2, cellular respiration), endocrine and reproductive physiology, physiology of gastrointestinal system (digestion and absorption of basic nutrients, regulation of secretion and motility), metabolism (energetic metabolism, intermediary metabolism), physiology of the kidneys (glomerular and tubular processes, acid-base balance), thermoregulation and biorhythms. To gain basal practical skill in physiology of cardiovascular system (ECG), respiratory system (spirometry), endocrine system (oral glucose tolerance test), metabolism (basal metabolic rate, nutritional status), kidneys (computer simulation of basic renal functions).
Requirements to the exam
Last update: Ivana Altmannová (07.02.2020)

Obtaining a credit grade

Credit is given to the students, who fulfill the attendance requirements and pass the tests in each of the individual physiology system in that semester. Each semester that contains physiology has a single credit, i.e. there are two credits.

Attendance:

Students are required to attend all practical (laboratory) classes. The number of absences must not exceed 15 % of all practical classes. If more than 15 % of practical classes per term are missed the reexemination from all practical classes in semester is required. If more than 40 % of practical classes per term are missed the situation will be supervised by the Head of the Department of Physiology. 

Late coming is not accepted and then absence is recorded. Students are not allowed to leave practical class before it is officially finished by the teacher. Leaving earlier is considered as absence (unless permitted by the teacher).

Tests:

At the end of laboratory classes in each system, a seminar will be held and the students will be tested on that system. The test will be in the form of a multiple choice questionnaire. Those students who fail the test will take 1st correction test (the date will be announced in advance). There will be dates for 2nd correction at the end of summer semester. Students who give sufficient explanation why they could not take the test on regular date will take the test on date of 1st correction test. Third correction will be on day of alternative practical exam (see Practical Exam) in the form of oral exam by a commission. In order to receive a credit, student must score at least "good" in all tests.

Basic knowledge of recording and evaluation of ECG will be tested too (general medicine students). In order to receive a credit, student must score at least „good“ in this test. The same rules mentioned above are applied for this test.

 

 

Notice for practical and final orgal examination

 

A. Practical exam – only General Medicine:

In the final laboratory class of the summer term students will undertake a practical laboratory exam.

 

Friday 29. 5. 2020          8.00          General Medicine - 7th group

                                        9.30           General Medicine - 8th group

Monday 1. 6. 2020       11.20           Alternative practical examination

 

 

For admission to the practical exam student must have a credit in both winter and summer term.

Absence on the practical exam is possible only due to illness or very exceptional circumstances. Then alternative date of the practical exam will be allowed (not more than two). The alternative date is also for students who cannot receive a credit in time. Third correction oral examination will be on day of alternative practical exam.    

When undertaking the laboratory exam the student must present the records and data from all the practical classes attended.

At the beginning of practical exam, students draw a question that will be one of the practical classes that the student has undertaken during the entire physiology course. In addition to demonstrating this practical technique(s) student will be expected to understand the background information which formed part of the original laboratory practical exercise. If the student fails this practical laboratory exercise no retake is available and the "fail" result will be recorded. In the overall grade awarded in the final examinations, a fail recorded in the practical exam will be taken into account and could result in failing the course as a whole.

 

 

B. Final exam

For admission to final exam students must receive credits in both winter and summer terms, complete practical exam (General Medicine) and sign up for final exam (SIS system). Students are allowed to sign up only for a single date. Registration and re-registration can be done only through SIS. Another form (e-mail, phone) will not be considered. If a student fails to appear for an exam on the enrolled date without duly excusing in advance (e-mail to fyziols@lfhk.cuni.cz), s/he will not be graded and the exam date will expire.

Exam registration will open 12. 5. 2020 at 7 p.m. The total number of students is considered when announcing the dates of exam. Dates for the 1st or 2nd retake will be announced with regard to the current requirements.

The final exam begins at 7 a.m. (or at time specified in SIS). The exam comprises an introductory written test, and then oral exam follows.  Re-examinations comprise only the oral part.

Use of electronic devices, unauthorized materials or communication with other students are strictly prohibited. After drawing final exam questions it is not allowed to leave the room and when necessary an escort will be provided. In case of failure to comply with these rules, students will be classified “failed“. Moreover, a complaint will be submitted to the Disciplinary Committee of the Faculty for fraudulent behaviour.

 

 

 

 

 

 

                                                                      

 

Syllabus
Last update: Ivana Altmannová (07.02.2020)

Lectures

  • Doc. MUDr. Michaela Adamcová, Ph.D.
  • Prof. MUDr. Zuzana Červinková, CSc.
  • Prof. MUDr. Milan Holeček, DrSc.
  • Doc. MUDr. Halka Lotková, Ph.D.

 

17. 2. 2020     Pulmonary ventilation (inspiration and expiration, intrapleural pressure, intra-alveolar pressure, dead space, surface tension in alveoli, resistance to airflow, effects of gravity, work of breathing)  (Holeček 2)

17. 2. 2020     Diffusion of oxygen and carbon dioxide through the respiratory membrane. Pulmonary circulation. (Holeček 1) 

19. 2. 2020     Transport of oxygen and carbon dioxide. (Holeček 1) 

19. 2. 2020     Control of pulmonary ventilation. (Holeček 2) 

20. 2. 2020     Mechanisms of hormonal action. (Červinková 1) 

20. 2. 2020     Pituitary gland and its relation to the hyptohalamus. (Červinková 1) 

20. 2. 2020     Thyroid gland. (Červinková 1) 

26. 2. 2020     Parathyroid glands, homonal control of calcium metabolism. (Červinková 1)

26. 2. 2020     Physiology of the mineralised tissues. (Červinková 1)

26. 2. 2020     Endocrine pancreas (insulin, glucagon). (Červinková 1)

  4. 3. 2020     Adrenal cortex (glucocorticoids, mineralocorticoids). Adrenal medulla (epinephrine, norepinephrine). (Adamcová 2) 

  4. 3. 2020     Stress. (Adamcová 1)

11. 3. 2020     Sex hormones (testosterone, estrogens, progesterone). Sex differenciation and development. (Lotková 2) 

11. 3. 2020     Other endocrine organs. (Adamcová 1)

18. 3. 2020     Mouth, mastication, saliva, deglutition, esophagus. (Adamcová 1) 

18. 3. 2020     Stomach - gastric filing, motility and emptying. (Lotková 1)

18. 3. 2020     Stomach - composition of gastric secretion, regulation of secretion. Emesis. (Lotková 1)

25. 3. 2020     Exocrine portion of pancreas, composition of pancreatic juice, regulation of secretion. (Červinková 1) 

25. 3. 2020     Liver and biliary system, composition of bile, regulation of biliary secretion. Function of gallbladder. (Červinková 2) 

  1. 4. 2020    Small intestine - intestinal secretion and motility. (Červinková 1) 

  1. 4. 2020    Digestion and absorption in the gastrointestinal tract. (Červinková 1)

  1. 4. 2020    Colon - motility and secretion. Absorption in the colon. Intestinal bacteria. Dietary fiber. Defecation. (Červinková 1)

  8. 4. 2020    Energy metabolisms (free energy of the food, respiratory quotient, basal metabolic rate, measurement of the metabolic rate). (Holeček 2) 

8.4., 15.4., 22. 4. 2020    Intermediary metabolism (carbohydrates, lipids and proteins). (Holeček 6)

22. 4. 2020    Nutrition. (Holeček 1)

29. 4. 2020    Vitamins and minerals in the food. (Holeček 1) 

29. 4. 2020    Body temperature regulation. (Červinková 1)

29. 4. 2020    Biorthythms. (Adamcová 1)

13. 5. 2020    Kidney - renal circulation, glomerular filtration. (Holeček 1) 

13. 5. 2020    Tubular functions. (Holeček 1) 

13. 5. 2020    Mechanisms for excreting diluted or concentrated urine. (Holeček 1)

20. 5. 2020    The regulation of renal activity. Micturition. The role of the kidney in acid-base balance. (Holeček 2)

20. 5. 2020    Tests of renal function, clearance. (Holeček 1)

 

 

Practical courses & seminars

Lecturers

  •  Doc. MUDr. Michaela Adamcová, Ph.D.
  •  Prof. MUDr. Zuzana Červinková, Ph.D.
  •  Moustafa Elkalaf, MBBch, Ph.D.
  •  Prof. MUDr. Milan Holeček, DrSc.
  •  Doc. MUDr. Otto Kučera, Ph.D.
  •  Doc. MUDr. Halka Lotková, Ph.D.
  •  MUDr. Tumisang Maseko
  •  MUDr. David Rychtrmoc, Ph.D.
  •  Mgr. Pavla Staňková, Ph.D.

 

Practical courses

  1. Recording and analysis of the human ECG I.
  2. Recording and analysis of the human ECG II.
  3. Physical examination of the lungs.
  4. Spirometry.
  5. Control of pulmonary ventilation.
  6. Oral glucose tolerance test (oGTT).
  7. The measurement of the basal metabolic rate.
  8. Evaluation of the nutritional status.
  9. Computer simulation of kidney functions.
  10. Credit.

 

Seminars

  1. Test (MCQ) and seminar - cardiovascular system.
  2. Test (MCQ) and seminar - respiratory system.
  3. Test (MCQ) and seminar - endocrinology.
  4. Test (MCQ) and seminar - gastroenterology and metabolism.
  5. Test (MCQ) and seminar - kidney.

 

Literature
Last update: Ivana Altmannová (07.02.2020)

Compulsory literature

  1. Hall: Guyton and Hall Textbook of Medical Physiology, Elsevier 2016 (e-book)
  2. Cervinkova et al.: A Manual in Laboratory Studies in Physiology (obtained at the 1st practical class)

 

Recommended literature

  1. Silbernagl, Despopoulos: Color Atlas of Physiology, Georg Thieme Verlag, 2015 (e- book)
  2. Barrett: Ganong´s Review of Medical Physiology, Lange Medical Books, 2010

     

 

 

 

 

 

 
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