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Course : Theoretical Applications

Course Number
Section Number
Spring 2019
Bridwell Hall, 305
Days & Times
Final Exam Day/Time


Course Description:

The focus of this lecture class is to provide the student with an assessment of their educational strengths and weaknesses with respect to the practice of respiratory care.  Topics include an assessment of the following examinations: therapist multiple-choice exam, clinical simulations, and if time permits, neonatal/pediatric exam.  Passing an exit mock written registry examination is required. 

Course Objectives:

Upon completion of this course, the student will be able to:

  • To demonstrate mastery of the essential knowledge, skills and abilities required of an entry-level respiratory therapist.
  • Review existing data, collect additional data and evaluate all data to determine and defend the appropriateness of the prescribed respiratory care plan.


Course Requirements:


As a requirement for this course, Midwestern State University will be offering a Kettering Exam Review Seminar on campus. This is a 3-day seminar students are expected to purchase and attend in order to successfully complete the course. The seminar will be held in Dillard, Room 323, on January 15th-17th from 8am to 5pm. This seminar will provide each participant with a comprehensive review of Basic and Advanced Respiratory Care along with a step-by-step method of preparation for successful completion of both the Therapist Multiple Choice Exam as well as the Clinical Simulation Exam.

In the event that the student wishes to not attend the review seminar, an alternate assignment consisting of a 20 page literature review of best practices in respiratory therapy with an additional appendix addressing successful study strategies and testing techniques will be required for submission. Please contact the instructor of this course for additional details associated with this alternate assignment.



In all classroom discussions students are expected to be present as well as:

1.)  Raise thoughtful questions

2.)  Incorporate content from readings

3.)  Build on the ideas of others

4.)  Synthesize across readings and discussions

5.)  Expand the class’ perspective

6.)  Appropriately challenge assumptions and perspectives










The student will read the chapter(s), supplemental materials, and/or power point presentations associated with each module. All reading assignments are mandatory and the student’s comprehension of the content will be in the form of a quiz. Each quiz will consist of multiple-choice, and multiple, multiple-choice questions (similar to board exam questions) and will be accessed via Elsevier Adaptive Quizzing for Respiratory Care – Classic Version, 1st Edition.



The student will have required assignments associated with some modules within the course (i.e. Kettering Workbook Assignments, Practice Exams, Practice Quizzes, Short Essays, etc.). Please note that some of these assignments may be completed as independent study projects. All work submitted to the instructor will be considered complete and final, and will be graded as such. These assignments again are mandatory and should reflect the student’s comprehension of the content.



The student will have two required exams associated with the Module 2 & 3 within the course covering key content areas necessary for success on your self-assessment exam. These exams will allow for evaluation of competency in the required content areas.



As per the student handbook, all students are required to pass the National Board for Respiratory Care (NBRC) Self-Assessment (SAE) Therapist Multiple Choice (TMC) Examination as part of RESP 4432 Theoretical Applications. Please not the SAE is the complete Registered Respiratory Therapist Exam given under true testing conditions and is written by the same group that administers the actual exam required for entry into practice and to obtain the Registered Respiratory Therapist Credential. The student is responsible for all costs associated with the SAE examinations. The NBRC SAE Therapist Multiple Choice Exam is $50. Required SAE are available for purchase via the MSU Marketplace (Therapist Multiple –Choice SAE Form 2015A):

Deadline for payment for the required SAE exam is noted to be January 14, 2019. SAE examinations will be administered on campus on-line in a supervised computer lab setting. The examination will be administered under the same guidelines set forth by the NBRC.


Students will be required to score at the level of low cut (equivalent to the Certified Respiratory Therapist credential) in order to successfully complete the course. Low cut score on the TMC Exam is noted to be a score of 88 correct answers out of 140 scored-items or 63%. (Please note, TMC high cut score is 94 correct answers or 67%. Students reaching a high cut score of 94 or greater correct answers will be excused from classroom participation.) Students will be required to repeat the examination in the event of failure to obtain a minimum of the low cut score. Please note retaking the exam will be at an additional cost to the student. If the exam is not successfully passed by the end of semester, the student will receive an Incomplete for the course.  As per MSU policy, the student will be granted an additional period of time for completion of coursework (i.e. SAE examination). All coursework associated with RESP 4432 Theoretical Applications must be completed within 30 days of the next long semester. Failure to complete coursework will result in an “F” for the course. Please note students that have not completed RESP 4432 Theoretical Applications are not eligible to receive their diploma until they successfully complete the NBRC SAE Therapist Multiple Choice Exam.

****Please note additional NBRC Self-Assessment Examinations are required as part of RESP 4102 Clinical Patient Management and will be addressed as part of that course.


Students will be assigned content mastery areas through Elsevier Adaptive Quizzing for completion prior to the end of the semester. These content areas will allow the student the opportunity to demonstrate mastery of key content essential to entry into the practice of Respiratory Care. A minimum of 7 Content Mastery Areas are required out of a total of 10 content areas for successful completion of this assignment.



Students are required to compose a reflective report from the feedback they received after completion of their SAE TMC. This reflective report should highlight strengths as well as identify areas of weakness. Areas of weakness identified by the student should also include a plan for remediation in that area (please note, simply stating study more will not suffice). Study plans should be specific in detail to include resources to be used as well as a tentative timeline for completion. Reflective reports will vary in length, but should meet the objectives as outlined above. Please note that this assignment should be written at the baccalaureate level and will be graded for accuracy, completeness, quality, spelling, grammar and integrity. Reflective reports will be submitted via D2L Dropbox. Also, a copy of the student’s exam scores should also be included with the submission.




Module One:

Monday, January 14th                                      Review Syllabus/Prepare for Kettering Review

Tuesday, January 15th                                     Kettering Exam Review Seminar Day One

Wednesday, January 16th                                Kettering Exam Review Seminar Day Two

Thursday, January 17th                                    Kettering Exam Review Seminar Day Three


Module Two:

Monday, February 4th                                      Patient Assessment

Tuesday, February 5th                                     Airway Management

Thursday, February 7th                                    Exam #1

Monday, February 11th                                    Pulmonary Diagnostics


Module Three

Tuesday, February 12th                                    Pulmonary Diagnostics


Thursday, February 14th, 12:00PM to 4:00PM – NBRC SELF ASSESSMENT CLINICAL SIMULATION EXAM, Dillard Building Room 306


Monday, March 3rd                                          Basic Therapeutics

Tuesday, March 4th                                         Exam #2




Module Four:

Thursday, March 7th                                        Mechanical Ventilation

Monday, March 11th                                        Mechanical Ventilation

Tuesday, March 12th                                        Special Procedures


Thursday, March 14th, 1:00PM to 4:00PM – NBRC SELF ASSESSMENT THERAPIST MULTIPLE CHOICE EXAM, Dillard Building Room 306


Module Five:

Monday, April 8th                                             Targeted Review

Tuesday, April 9th                                             Targeted Review

Thursday, April 11th                                         Mock Interview Day


Monday, April 15th                                           TMC Exam Review/Study Planning

Tuesday, April 16th                                          TMC Exam Review/Study Planning


Module Six: 

Monday, April 22nd                                           Content Mastery Quizzes

Tuesday, April 23rd                                          Content Mastery Quizzes

Thursday, April 25th                                         Content Mastery Quizzes


Monday, April 29th                                            Content Mastery Quizzes

Tuesday, April 30th                                                                Content Mastery Quizzes

Thursday, May 2nd                                           Individualized Review/TMC Reflective Report 


Monday, May 7th through May 11th – Finals Week






Below, you will find each day’s assignments broken up into modules. I suggest printing a copy of the course schedule as well as each module below to help you stay organized.

Course Modules


Students are encouraged to review the module contents prior to class. See the Course Schedule for specific information about activities and module dates.


Monday, January 14th through Thursday, January 17th: 

Module 1 – Course Introduction and Kettering Review Seminar


  • Review and understand the requirements as set forth in the of RESP 4432 Theoretical Applications.
  • Recognize the standards for successful completion of the exit examination, the NBRC Self-Assessment Therapist Multiple Choice Exam, for the course.
  • Complete thorough review of skills and knowledge necessary for entry into the practice of Respiratory Therapy as part of the Kettering Exam Review Seminar.

Student should begin by reviewing the course syllabus prior to first day of class. Students will receive the Kettering National Seminars Comprehensive Review for the Respiratory Therapist Multiple Choice Examination Study Guide, TMC Workbook and Clinical Simulation Workbook on day two of the course. Content covered the remainder of the week as part of the review seminar will be from these three sources. No other assignments are associated with this module.


Monday, February 4th through Monday, February 11th:

Module 2 – Patient Assessment and Airway Care


  • Review and mastery of the following content areas:
    • Assessment of the Patient
    • Reviewing of the Patient’s Records
    • Bedside Interview and Medical History
    • Physical Examination of the Patient
    • Radiographic Imaging
    • Other Imaging Procedures
    • Lab Testing
    • Electrocardiograms
    • Assessment of the Infant
    • Monitoring Data
    • Pharyngeal Airways
    • Establishing a Patent Airway
    • Managing Acute Airway Obstruction
    • Resuscitation Devices
    • Oral and Nasal Intubation
    • Tracheostomy and Tracheostomy Tubes
    • Laryngectomy and Laryngectomy Tubes

Students should begin by reading Section A- Patient Assessment and B-Airway Care in Kettering as well as Respiratory Care Examination by Persing, Chapter 3-Assessment of the Cardiopulmonary Patient and Chapter 4-Management of the Airway. The student will develop and outline a study plan for completion of review prior to the SAE TMC as well as review study strategies for the Self-Assessment Exam. There will be required homework assignments (Kettering Workbook Activities, EKG Interpretations), quizzes and an exam (Kettering Section A&B) associated with this module.

Tuesday, February 12th and March 5th:

Module 3 – Pulmonary Diagnostics and Therapeutic Procedures


  • Review and mastery of the following content areas:
    • Arterial Blood Gases (ABG)
    • Hemodynamic Monitoring
    • Pulmonary Function Testing
    • Bronchoscopy
    • Breathing Techniques
    • Hyperinflation/Lung Expansion Therapy
    • Continuous Positive Airway Pressure
    • Bronchial Hygiene Therapy
    • Humidity and Aerosol Devices
    • Oxygen Administration Devices
    • Sputum Induction

Students should begin by reading Kettering Section D-Pulmonary Diagnostic Testing and Section C- Therapeutic Procedures (in that order) as well as Persing, Chapters 1-Oxygen and Medical Gas Therapy, 2- Humidity and Aerosol, 7- Hyperinflation Therapy, 8- Bronchopulmonary Hygiene Techniques, 14- Respiratory Medications, 13-Neonatal and Pediatric Respiratory Care & 5- Special Respiratory Care Procedures (in that order). There will be required homework assignments (Kettering Workbook Activities, Pharmacology Flashcards, ABG Interpretation Exercises, Hemodynamic Calculations, PFT Interpretations), quizzes and an exam (Kettering Section D&C) associated with this module. Full-length practice TMC exams will be offered as supplemental content as part of that module.

**Please note as part of Module 3, you will complete the NBRC SAE Clinical Simulation as part of RESP 4102 Clinical Patient Management


Tuesday, March 7th through Tuesday, March 12th:

Module 4 – Mechanical Ventilation and Special Procedures


  • Review and mastery of the following content areas:
    • Mechanical Ventilation Terminology
    • Equipment
    • Clinical Application of Mechanical Ventilation
    • Initiating Mechanical Ventilation
    • Caring for the Patient Receiving Mechanical Ventilation
    • Weaning or Liberation from the Ventilator
    • Non-Invasive Positive Pressure Ventilation
    • Specialty Medical Gases
    • Thoracentesis
    • Sleep Apnea Studies
    • Chest Tubes and Chest Drainage Systems
    • Cardiopulmonary Stress Testing
    • Broncho alveolar Lavage
    • Infant Apnea Monitoring
    • Cardiac Emergencies
    • Patient Transport
    • Metabolic Studies
    • Indirect Calorimetry
    • End-of-Life Care


Students should begin by reading Kettering Section E-Mechanical Ventilation and Section F-Special Procedures as well as Persing Chapter 11-Ventilator Management, 6-Manual Resuscitation Techniques/Emergency Respiratory Care, 17-Equipment Decontamination and Infection Control, and 15-Respiratory Home Care (in that order). There will be required homework assignments (Kettering Workbook Activities), quizzes and full-length practice TMC exam (not a graded item) associated with this module. There will be no content exam for this module.

Thursday, March 14th, 1:00 PM to 4:00 PM – NBRC SELF ASSESSMENT THERAPIST MULTIPLE CHOICE EXAM, Dillard Building, Room 306


Monday, April 8th through Tuesday, April 16th:

Module 5 – Targeted Review of Content Areas


  • Identify subject areas demonstrating low content mastery through evaluation of Self-Assessment TMC Exam.
  • Develop individualized study strategies for strengthening of identified areas of improvement.


Students will be given individual reading assignments, review strategies, and study goals based on performance on the Self-Assessment Therapist Multiple Choice Exam. Content areas covered in class will tailored to address any high-impact deficiencies. Homework assignments will be made based on exam content outcomes and may be independent in nature. There will be no content exam for this module.




Monday, April 22nd through Thursday, May 2nd:

Module 6 – Content Mastery Demonstration


  • Demonstrate competency in the following areas associated with the practice of Respiratory Therapy:
    • Assemble and Troubleshooting Equipment
    • Ensure Infection Control
    • Perform Quality Control Procedures
    • Maintain a Patent Airway Including the Care of Artificial Airways
    • Perform Airway Clearance and Lung Expansion Techniques
    • Support Oxygenation and Ventilation
    • Administer Medications and Specialty Gases
    • Utilize Evidence-Based Medicine Principles
    • Provide Respiratory Care Techniques in High-Risk Situations
    • Assist a Physician/Provider in Performing Procedures

Students will access Content Mastery Quizzes through Elsevier Adaptive Quizzing. In addition to the Content Mastery Demonstration assignment, students are required to complete their Reflective Reports/Study Plan as part of this module. Practice TMC Exams will be available for independent completion throughout this module as well.


Teaching Strategies:

Independent reading assignments, class discussions, online quizzes, classroom assignments, module exams and mock therapist multiple choice examinations.

Missed Quizzes or Other Graded Item Policy:

Anything not completed and handed in on time will be subjected to a “0” for that specific grade. Please talk with your professor, prior to the due date, regarding circumstances that may prevent you from completing an assignment. All assignments must be completed by end of class on the date due (with the exception of online quizzes due by 11:59 pm on the date due).     

Approximate Grading Scale:

A:  90-100

B:  80-89

C:  75-79

D:  60-74

F:   59 and below

Grade Items and Grade Determination:



Grade Percentage



Module Exams


Content Mastery Areas


Reflective Report/Study Plan




Attendance and Punctuality:

Regular class attendance is required.  No distinction is made between excused and unexcused absences unless the absence has been cleared through the office of the Dean of Students, Athletic Department, Academic Affairs, Faculty, or Program Chair. If a student misses a lecture, it is the student’s responsibility to work with other class members to determine what material was missed.  Please refer to the MSU Student Handbook for more information.


1 day missed = no point deduction off of final grade

2 – 4 days missed = 5 point deduction off of final grade

5 + days missed = 10 point deduction off of final grade

**Please note that two days tardy= one absence. Excessive tardiness will not be tolerated.


Please note upon successful completion of the Mock Therapist Multiple Choice Exam at the High Cut Score, classroom attendance will no longer be required. Course content will be completed online for the remainder of the semester.


Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

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