Final BML 3e M09 by liuqingyan

VIEWS: 2 PAGES: 168

									Elsevier
            LaFleur BML 3e Storyboard Template
Document Information
Reference
Date                     August 2, 2011
Author                   ELSEVIER
Modified By
Instructional Designer   Gary Baum
Module                   Module 9: Eye, Ear, and Plural Endings




MMTO                                      1 of 168
Document History
The following table states the build and revision history of the document:
 Version            Date               Modified by                               Reason




Getting Started
       To use this template, save the .dot file somewhere in your computer. Then, double-click on
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    




MMTO                                        2 of 168
Module Outline
Module Title                       Module 9: Eye, Ear, and Plural Endings
       Introduction ........................................................................................ 6
       Module Objectives ............................................................................. 7
       Section I Objectives ........................................................................... 8
       1.1 Threaded Case Study: Warren Fisk ........................................... 9
       1.2 Sclera, Cornea, and Iris ............................................................. 11
       1.3 Pupil, Lens, and Retina.............................................................. 13
       1.4 [Catch That? icon] Activity: Catch That? ................................ 15
       1.5 The Eyelid ................................................................................... 16
       1.6 [Activity icon] Activity: Labeling: Structures of the Eye ........ 18
       1.7 General Terms Pertaining to the Eye ....................................... 19
       1.8 [Activity icon] Activity: Listen and Spell: Terms Related to the Structures of the Eye                          21
       Section I Quiz ................................................................................... 22
       Section II Objectives ........................................................................ 25
       1.1 Hyperopia, Myopia ..................................................................... 26
       1.2 [Catch That? icon] Activity: Catch That? ................................ 28
       1.3 Retinitis Pigmentosa .................................................................. 30
       1.4 Iridoplegia ................................................................................... 32
       1.5 Astigmatism and Cataract ......................................................... 34
       1.6 Inflammatory Eye Disorders ..................................................... 36
       1.7 [Activity icon] Activity: Word Shop: Vision Abnormalities and Inflammations                                38
       2.1 Threaded Case Study: Warren .................................................. 40
       2.2 Blepharoptosis ........................................................................... 42
       2.3 Detached Retina ......................................................................... 44
       2.4 Glaucoma .................................................................................... 46
       2.5 Macular Degeneration................................................................ 48
       2.6 [Activity icon] Activity: Listen and Spell: Ptosis, Progressive Disorders, and Tissue Changes                        50
       Section II Quiz .................................................................................. 51
       Section III Objectives ....................................................................... 54
       1.1 Keratometer ................................................................................ 55
       1.2 Threaded Case Study: Ophthalmoscope................................. 57
       1.3 [Activity icon] Activity: Word Shop: Diagnostic Tools .......... 59
       1.4 LASIK, Keratoplasty, and Blepharoplasty ............................... 61
       1.5 [Catch That? icon] Activity: Catch That? ................................ 63
       1.6 Surgical Procedures for the Retina, Sclera, and Iris .............. 64
       1.7 [Activity icon] Activity: Listen and Spell: Diagnostic and Therapeutic Procedures for the Eye                        66
       1.8 Threaded Case Study: Treatment Options for Macular Degeneration                                       67
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       1.9 [Activity icon] Activity: Write It, Find It: Diagnostic and Therapeutic Procedures for the Eye                   69
       Section III Quiz ................................................................................. 71
       Word Bank ........................................................................................ 74
       Case Study ........................................................................................ 76
       Medical Report ................................................................................. 77
       Section VI Objectives....................................................................... 80
       1.1 Threaded Case Study: Sara Bender ......................................... 81
       1.2 Structure of the Ear .................................................................... 83
       1.3 [Catch That? icon] Activity: Catch That? ................................ 85
       1.4 External Ear Structures ............................................................. 87
       1.5 Middle Ear Structures ................................................................ 89
       1.6 [Activity icon] Activity: Labeling: Middle Ear Structures....... 91
       1.7 Inner Ear Structures................................................................... 92
       1.8 [Activity icon] Activity: Labeling: Inner Ear Structures ......... 94
       1.9 Process of Hearing (Animation) ............................................... 95
       1.10 [Activity icon] Activity: Animation Review: Process of Hearing 97
       1.11 [Activity icon] Activity: Listen and Spell: Structures of the Ear 98
       Section VI Quiz ................................................................................. 99
       Section VII Objectives.................................................................... 102
       1.1 Threaded Case Study: Sara .................................................... 103
       1.2 Otitis, Otorrhea ......................................................................... 105
       1.3 Otitis Media, Myringitis ............................................................ 107
       1.4 Ménière Disease, Tinnitus ....................................................... 109
       1.5 [Catch That icon] Activity: Catch That? ................................. 111
       1.6 [Activity icon] Activity: Word Shop: Disorders of the Ear ... 112
       1.7 [Activity icon] Activity: Listen and Spell: Disorders of the Ear114
       1.8 [Activity icon] Activity: Write It, Find It: Abbreviations Pertaining to the Ear                     115
       Section VII Quiz .............................................................................. 116
       Section VIII Objectives ................................................................... 118
       1.1 Threaded Case Study: Otoscopy ........................................... 119
       1.2 Audiometry ............................................................................... 121
       1.3 [Activity icon] Activity: Listen and Spell: Diagnostic Terms Related to Hearing Acuity                     123
       2.1 Treatment of Middle Ear Disorders ........................................ 124
       2.2 [Catch That icon] Activity: Catch That? ................................. 126
       2.3 [Activity icon] Activity: Word Shop: Terms Related to Treating Hearing Loss and Chronic Ear
       Infections ........................................................................................ 127
       2.4 Threaded Case Study: Sara .................................................... 129
       2.5 [Activity icon] Activity: Write It, Find It: Therapeutic Interventions for the Ear                   131
       Section VIII Quiz ............................................................................. 132

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       Word Bank (The Ear) ...................................................................... 135
       [Activity icon/wrap] Activity: Crossword ..................................... 137
       [Activity icon/wrap] Activity: Bin Drop ........................................ 139
       [Activity icon/wrap] Activity: Part Puzzler ................................... 140
       Case Study ...................................................................................... 141
       Medical Report ............................................................................... 142
       Section XI Objectives..................................................................... 144
       1.1 Adding “s” and “es” ................................................................ 145
       1.2 Changing “um” to “a”.............................................................. 147
       1.3 Changing “us” to “i” ................................................................ 149
       1.4 Changing “a” to “ae” ............................................................... 151
       1.5 [Catch That? icon] Activity: Catch That? .............................. 153
       1.6 Changing “x” to “ces” ............................................................. 154
       1.7 Change “on” to “a” .................................................................. 156
       1.8 Changing “nx” to “ges”........................................................... 158
       1.9 [Activity icon] Activity: Listen and Spell: Plural Endings .... 160
       1.10 [Activity icon] Activity: Memory Match: Singular and Plural Endings                                161
       Section XI Quiz ............................................................................... 162
       Learning Links ................................................................................ 165
       Conclusion ...................................................................................... 167




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Screen Number           1.

Screen Type         Module Introduction

Module Title        Module 9: Eye, Ear, and Plural Endings

Screen Title        Introduction

On Screen Text      In this module, you will learn about the medical terms associated with the eye and the ear.
                    When you complete this module, you should be familiar with terms that describe the anatomy
                    and physiology of the eye and the ear. In addition, you should have a good understanding of
                    terms that specify related disorders, as well as terms for tests and procedures that are used to
                    diagnose and treat conditions of the eye and the ear. Also, you should be familiar different types
                    of plural endings used in medical terms. Exercises in this module may require you to use
                    prefixes and suffixes that were introduced in earlier modules, so have your text available for
                    ready reference.
                    Exercises in all modules may require you to use word parts either introduced in earlier modules
                    or provided only in your text, so have your text available for ready reference as you work
                    through the exercises in this module. Each section ends with a quiz that covers the objectives of
                    that section. The quizzes will be scored and will be used to help measure what you've learned in
                    that section. Remember that this integrated learning program is intended as a supplement to
                    your text—not as a substitute.
                    REMEMBER: Not all terms presented in your text will appear in this module. Some additional
                    terms may have been added to the module to further apply what you've learned in your text.

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Screen Number             2.

Screen Type         Module Objectives

Module Title        Module 9: Eye, Ear, and Plural Endings

Screen Title        Module Objectives

On Screen Text      Upon completion of this module, you should be able to do the following:
                              Define, build, pronounce, and spell medical terms built from word parts related to the eye
                               and the ear
                              Define, pronounce, and spell medical terms not built from word parts related to the eye
                               and the ear
                              Interpret the meaning of abbreviations related to the eye and the ear
                              Use medical language in clinical statements and documents and review module content

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Objective:



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Screen Number              1.

Screen Type            Section Objectives

Module Title           Module 9: Eye, Ear, and Plural Endings

Section Title          Section I: Anatomy and Physiology of the Eye

Screen Title           Section I Objectives

On Screen Text         Upon completion of this section, you should be able to identify key components of the eye. In
                       particular, you should be able to do the following:
                               Define terms related to the anatomy and function of the eye.
                               Recognize and recall the word parts used to describe anatomy and function of the eye.
                               Analyze, define, and build terms using word parts that describe the anatomy and
                                function of the eye.
                               Pronounce and spell terms related to eye anatomy and function.
                               Label eye anatomy.

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Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section I: Anatomy and Physiology of the Eye

Lesson Title     Lesson 1: Structures and Function of the Eye

Screen Title     1.1 Threaded Case Study: Warren Fisk

On Screen Text   In this module, as we discuss various disorders, tests, and treatments of the eye, we will follow
                 the case of Warren Fisk, a retired florist. Warren grows a variety of his favorite flowers in his
                 garden for cutting and arranging and also dabbles in making silk flower arrangements for charity
                 and church events, as well as for friends. Recently Warren has begun complaining to his
                 ophthalmologist (the word root ophthalm means “eye”), Dr. Rainier, that he is experiencing
                 changes in his vision. (Vision is a sensory function represented by the word root opt.)
                 Warren laughs and recalls, "At first I thought these silk lilies they sold me were defective! The
                 lines on the petals seemed wavy or fuzzy, with a dark patch, as if the dye had run. I took them
                 back to the shop and said, 'You sold me defective lilies. These are supposed to be white.'
                 "The lady there said, 'These are white,' and I said, 'What's that dark patch in the center?' and
                 she said, 'What dark patch?' That's when I turned my head slightly, eyeballing her, and I saw
                 it—"
                 "Saw what?" asks Dr. Rainier.
                 "She had that same dark patch in the center of her face."

Glossary Terms   ophthalmologist

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                      http://coursewareob                           Mr. Fisk
                      jects.elsevier.com/o
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                      1l0301.jpg

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Screen Number        2.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section I: Anatomy and Physiology of the Eye

Lesson Title     Lesson 1: Structures and Function of the Eye

Screen Title     1.2 Sclera, Cornea, and Iris

On Screen Text   Before we take a closer look at Warren's symptoms, let's examine the structures of the eye
                 itself. The eye (represented by the word roots opthalm and ocul) is held in place by the rectus
                 muscles and is covered with a strong protective outer layer called the sclera (scler). The sclera
                 is what is called the “white” of the eye, but if you look closely at it you will notice that the sclera’s
                 anterior, or front, is not white at all but transparent. This fluid-filled part of the sclera, called the
                 cornea (kerat, corne), lies over the colored part of the eye, the iris (irid).

Glossary Terms   eye, sclera, cornea, iris

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                      http://coursewareob                         Cornea, sclera
                      jects.elsevier.com/o
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Screen Number        3.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section I: Anatomy and Physiology of the Eye

Lesson Title     Lesson 1: Structures and Function of the Eye

Screen Title     1.3 Pupil, Lens, and Retina

On Screen Text   The choroid layer of the eye lies beneath the sclera, just between the retina and the sclera. In
                 this layer, the colored iris (which is actually a muscle) widens and narrows its opening, called
                 the pupil, to adjust the amount of light it lets through.
                 Just behind the pupil is the lens of the eye, which focuses and bends the light admitted through
                 the pupil. The lens projects the images it receives onto the retina (retin), which is the innermost
                 layer of the eye. Once an image is received by vision receptors in the retina, the optic nerve
                 carries visual impulses from the retina to the brain. This optic nerve arises from the optic disc,
                 which is the only area of the retina that is not sensitive to light. For this reason, it is called the
                 “blind spot.”

Glossary Terms   choroid layer, iris, pupil, lens, retina, optic, optic disc

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                      http://coursewareob                         Interior structures of
                      jects.elsevier.com/o                        the eye
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Screen Number           4.

Screen Type         Catch That

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section I: Anatomy and Physiology of the Eye

Lesson Title        Lesson 1: Structures and Function of the Eye

Screen Title        1.4 [Catch That? icon] Activity: Catch That?

On Screen Text      Did you catch that? The ________, called the eye's blind spot, is located on the ________.


                    Type your response in the text box below, then click Submit to check your answer.

Feedback Popup      Correct answer: optic disc; retina
Content

                    Feedback: Many people are surprised to learn that the retina would have a blind spot, but the
                    truth is that the optic disc is blind, simply because it is the only area of the retina that is not
                    sensitive to light. Instead, the optic disc is the point from which the optic nerve actually arises.


                    Want a quick review to reinforce this fact? Click on this link to review Screen 1.3—or, if you
                    prefer, you can come back to it later.

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Screen Number        5.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section I: Anatomy and Physiology of the Eye

Lesson Title     Lesson 1: Structures and Function of the Eye

Screen Title     1.5 The Eyelid

On Screen Text   Let's take a look at the visible exterior of the eye. Along the edges of the upper and lower
                 eyelids (blephar) are glands that help lubricate the eye by producing tears.

Glossary Terms

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                      http://coursewareob                         Structures of eye
                      jects.elsevier.com/o
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Screen Number               6.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section I: Anatomy and Physiology of the Eye

Lesson Title            Lesson 1: Structures and Function of the Eye

Screen Title            1.6 [Activity icon] Activity: Labeling: Structures of the Eye

On Screen Text          Let’s review structures covered in this lesson.

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                                                 Labeling

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Engineering Notes       DEVELOPER: In this activity, please delete the Label “Vitreous Humor.” Thanks.




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Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section I: Anatomy and Physiology of the Eye

Lesson Title     Lesson 1: Structures and Function of the Eye

Screen Title     1.7 General Terms Pertaining to the Eye

On Screen Text   As we have seen, the structure of the eye itself is represented by the word roots ophthalm and
                 ocul. Intraocular means “within the eye.” The term ophthalmic refers to anything pertaining to
                 (-ic) the eye, and an ophthalmologist is a physician who specializes in ophthalmology
                 (ophth), the study of diseases and treatments of the eye.
                 The word root meaning vision or relationship to the eye is opt. Optic means “pertaining to
                 vision.” An optometrist is a health professional who prescribes corrective lenses and eye
                 exercises (the field of optometry). An optician is one who is qualified to fill prescriptions for
                 lenses.

Glossary Terms   Intraocular, ophthalmic, ophthalmologist, ophthalmology, Optic, optometrist

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                      http://coursewareob                         Ophthalmologist
                      jects.elsevier.com/o                        giving eye exam
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Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section I: Anatomy and Physiology of the Eye

Lesson Title            Lesson 1: Structures and Function of the Eye

Screen Title            1.8 [Activity icon] Activity: Listen and Spell: Terms Related to the Structures of the Eye

On Screen Text

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                                            Listen and Spell

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Engineering Notes       DEVELOPER: Please delete Question 5 in the link below (“irid/o”). Thanks.




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Screen Number           1.

Screen Type         Section Quiz

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section I: Anatomy and Physiology of the Eye

Screen Title        Section I Quiz

On Screen Text      You have completed Section I: Anatomy and Physiology of the Eye.
                    If you feel comfortable with all the information presented in this section, you may return to the
                    module folder and take the Section I Quiz. If you pass this quiz, you will have fulfilled the
                    objectives of this section.
                    Click Next to begin Section II: Pathologic Conditions of the Eye.


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            Asset Summary:


            Images
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                     ........................................................................................................... 20


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                     Labeling ............................................................................................ 18
                     Listen and Spell ............................................................................... 21




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Screen Number              1.

Screen Type            Section Objectives

Module Title           Module 9: Eye, Ear, and Plural Endings

Section Title          Section II: Pathologic Conditions of the Eye

Screen Title           Section II Objectives

On Screen Text         In this section you will learn to recognize and use terms and abbreviations related to the
                       pathologic conditions of the eye. In particular, you should be able to do the following:
                               Analyze, define, and build terms for pathologic conditions associated with the eye.
                               Recall and define word parts used to describe pathologic conditions of the eye.
                               Define pathologic condition terms that are not built from word parts.
                               Pronounce and spell terms related to pathologic conditions of the eye.
                               Identify and define abbreviations related to pathologic conditions of the eye.

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Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 1: Inflammation and Abnormalities of Vision and Movement

Screen Title     1.1 Hyperopia, Myopia

On Screen Text   Like any patient experiencing vision changes, Warren will first undergo a vision assessment. He
                 is asked to read an eye chart to help assess his visual acuity. If he is farsighted, he is said to
                 have hyperopia; if he is nearsighted, he has myopia. The suffix -opia means “vision.”

Glossary Terms   hyperopia, myopia

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                      http://coursewareob                         Hyperopia and
                      jects.elsevier.com/o                        myopia
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Screen Number        2.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 1: Inflammation and Abnormalities of Vision and Movement

Screen Title     1.2 [Catch That? icon] Activity: Catch That?

On Screen Text   Did you catch that? Another word for nearsightedness is ________.


                 Type your response in the text box below, then click Submit to check your answer.

Glossary Terms   Correct answer: myopia
                 Feedback: Nearsightedness, or myopia, is the most common type of refractive error. Causes of
                 myopia include elongation of the eyeball and excessive deflection of light by the refracting
                 media such that the rays are focused in front of the retina. This condition interferes with visual
                 acuity, producing a blurred or fuzzy image.
                 Want a quick review to reinforce this fact? Click on this link to review Screen 1.1—or, if you
                 prefer, you can come back to it later.

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Screen Number        3.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 1: Inflammation and Abnormalities of Vision and Movement

Screen Title     1.3 Retinitis Pigmentosa

On Screen Text   "How is your night vision?" Dr. Rainier asks.
                 "Not the best—" Warren replies.
                 "Oh?"
                 "—but, then, it never was. I've always had more trouble seeing at night. That's nothing new."
                 Warren is found to be farsighted. If he had tested positive for poor night vision, he would have
                 been evaluated for retinitis pigmentosa, a hereditary, progressive disease marked by night
                 blindness with atrophy and retinal pigment changes.

Glossary Terms   retinitis pigmentosa, retinal

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                      http://coursewareob                         Retinitis pigmentosa
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Screen Number        4.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 1: Inflammation and Abnormalities of Vision and Movement

Screen Title     1.4 Iridoplegia

On Screen Text   In some cases vision is affected when an eye muscle is actually paralyzed. For example,
                 crossed eyes, seen here, involve a weakness or paralysis in which the visual axes do not meet
                 at the same point. Paralysis (-plegia) of the iris is called iridoplegia.

Glossary Terms   iridoplegia

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                      http://coursewareob                         Strabismus
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
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                      2l0205.jpg

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MMTO                                    33 of 168
Screen Number        5.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 1: Inflammation and Abnormalities of Vision and Movement

Screen Title     1.5 Astigmatism and Cataract

On Screen Text   A defective curvature of the refractive surface of the eye is called an astigmatism (ast) (Fig. A).
                 Another vision alteration occurs with a cataract (Fig. B), which is a clouding of the lens of the
                 eye. The presence of a cataract gives the patient's vision a watery appearance.

Glossary Terms   astigmatism, cataract

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                      http://coursewareob                         A, Astigmatism; B,
                      jects.elsevier.com/o                        Cataract
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MMTO                                    35 of 168
Screen Number        6.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 1: Inflammation and Abnormalities of Vision and Movement

Screen Title     1.6 Inflammatory Eye Disorders

On Screen Text   A variety of infections and inflammations can affect the eye. For example, blepharitis (Fig. A) is
                 a localized inflammation of the eyelid, and iritis, or iriditis (Fig. B), is an inflammation of the iris.

Glossary Terms   blepharitis, iritis

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                      http://coursewareob                           A, Blepharitis; B, Iritis
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod12/images/12s0
                      2l0301.jpg


                      http://coursewareob
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod12/images/12s0
                      2l0302.jpg

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Engineering Notes    Developer: Please remove the second image appearing in this link
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s02l0301.jpg
                     and replace it with the one given in the link below.
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s02l0302.jpg




MMTO                                    37 of 168
Screen Number               7.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section II: Pathologic Conditions of the Eye

Lesson Title            Lesson 1: Inflammation and Abnormalities of Vision and Movement

Screen Title            1.7 [Activity icon] Activity: Word Shop: Vision Abnormalities and Inflammations

On Screen Text          Let’s review terms covered in this lesson.

{Insert Activities below this text

                   Word Shop - {fill out the engine template below}

 Instructions       Combine the specified number of word parts to build a term
                    that answers each definition.

 Question 1         Definition       Farsighted (2)

                    Answer           hyperopia

                    Wordpart 1       hyper-              Wordpart 3

                    Wordpart 2       -opia               Wordpart 4

 Question 2         Definition       Inflammation of the retina (2)

                    Answer           retinitis

                    Wordpart 1       retin               Wordpart 3

                    Wordpart 2       -itis               Wordpart 4

 Question 3         Definition       Paralysis of the iris (3)

                    Answer           iridoplegia

                    Wordpart 1       irid                Wordpart 3   -plegia

                    Wordpart 2       o                   Wordpart 4

 Question 4         Definition       Inflammation of the eyelid (3)

                    Answer           blepharitis

                    Wordpart 1       blephar             Wordpart 3   -itis

                    Wordpart 2       o                   Wordpart 4


MMTO                                             38 of 168
Screen Number              7.

    Question 5      Definition   Inflammation of the iris (2)

                    Answer       iriditis

                    Wordpart 1   irid               Wordpart 3

                    Wordpart 2   -itis              Wordpart 4

    Question 6      Definition   Pertaining to the retina (2)

                    Answer       retinal

                    Wordpart 1   retin              Wordpart 3

                    Wordpart 2   -al                Wordpart 4

    Distracters



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}



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MMTO                                        39 of 168
Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 2: Ptosis, Progressive Disorders, and Tissue Changes

Screen Title     2.1 Threaded Case Study: Warren

On Screen Text   Warren is found to have a mild eye infection, which is treated and gets better fairly quickly, but
                 this does not correct his vision changes, and he continues to experience the same problems
                 with blurred lines and fuzzy vision. The final category of eye disorders we'll look at includes
                 obstructions, growths, and tissue changes. Warren's disorder most likely fits into one of these
                 subgroups.

Glossary Terms

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                      http://coursewareob                         Mr. Fisk
                      jects.elsevier.com/o
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MMTO                                    41 of 168
Screen Number       2.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 2: Ptosis, Progressive Disorders, and Tissue Changes

Screen Title     2.2 Blepharoptosis

On Screen Text   Let's determine which disorders Warren does not have. He obviously does not blepharoptosis
                 (commonly called ptosis), a drooping of the eyelid, because it shows up quite noticeably on
                 visual inspection of the eye.

Glossary Terms   blepharoptosis

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                      http://coursewareob                         Blepharoptosis
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MMTO                                    43 of 168
Screen Number        3.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 2: Ptosis, Progressive Disorders, and Tissue Changes

Screen Title     2.3 Detached Retina

On Screen Text   A detached retina is a separation of the retina from the choroid in the back of the eye.

Glossary Terms

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MMTO                                  44 of 168
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                      http://coursewareob                           Detached retina
                      jects.elsevier.com/o
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MMTO                                    45 of 168
Screen Number       4.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 2: Ptosis, Progressive Disorders, and Tissue Changes

Screen Title     2.4 Glaucoma

On Screen Text   Another type of vision loss occurs with glaucoma, in which the outflow of aqueous humor within
                 the eye is blocked, causing an increase in intraocular pressure (IOP). This leads to a
                 narrowing of the field of vision, starting at the periphery of the field of vision. Untreated,
                 glaucoma may progress to complete vision loss.

Glossary Terms   glaucoma

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                      http://coursewareob                         Acute glaucoma;
                      jects.elsevier.com/o                        visual field caused by
                      bjects/chabner8e_v                          glaucoma
                      1/mod17/images/17
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MMTO                                    47 of 168
Screen Number        5.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section II: Pathologic Conditions of the Eye

Lesson Title     Lesson 2: Ptosis, Progressive Disorders, and Tissue Changes

Screen Title     2.5 Macular Degeneration

On Screen Text   It turns out that Warren has the opposite problem from glaucoma; he is instead found to have
                 macular degeneration, a progressive deterioration of the portion of the retina called the
                 macula lutea, which has resulted in a loss of central vision. Dr. Rainier will want to act fast to
                 arrest this degeneration as much as possible, because macular degeneration is one of the
                 leading causes of blindness.
                 The macula is part of the light-sensitive retina, located at the back of the eye. Degeneration may
                 result from the aging (age-related macular degeneration is abbreviated as ARMD) and
                 thinning of macular tissues, deposits of pigment in the macula, or the leakage of blood and fluid
                 from new blood vessels that develop beneath the retina. In Warren's case, this leakage has
                 begun to destroy retinal cells, resulting in the dark spots or blind spots in his central vision.

Glossary Terms   macular degeneration, age-related macular degeneration

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                      http://coursewareob                           Vision with macular
                      jects.elsevier.com/o                          degeneration
                      bjects/lafleur7e_v1/
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MMTO                                      49 of 168
Screen Number               6.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section II: Pathologic Conditions of the Eye

Lesson Title            Lesson 2: Ptosis, Progressive Disorders, and Tissue Changes
                        2.6 [Activity icon] Activity: Listen and Spell: Ptosis, Progressive Disorders, and Tissue
Screen Title
                        Changes
On Screen Text          Let’s review the terms covered in this lesson.

{Insert Activities below this text

                      Listen & Spell - {fill out the engine template below}

    Instructions    Click the Play button to hear a word or phrase, then type it in the space.

                                            Word                                Audio File

    Word 1          glaucoma

    Word 2          detached
                    retina

    Word 3          macular
                    degeneration

    Word 4          blepharoptosis

    Engineering
    Notes



}



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MMTO                                         50 of 168
Screen Number           1.

Screen Type         Section Quiz

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section II: Pathologic Conditions of the Eye

Screen Title        Section II Quiz

On Screen Text      You have completed Section II: Pathologic Conditions of the Eye.
                    If you feel comfortable with all the information covered in this section, you may return to the
                    module folder and take the Section II Quiz. If you pass this quiz, you will have fulfilled the
                    objectives of this section.
                    Click Next to begin Section III: Diagnostic Procedures and Therapeutic Interventions for
                    the Eye.

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MMTO                                     51 of 168
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Objective
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Quiz:


            Objective:

            Objective Summary:

            Keywords:




            Asset Summary:


            Images
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                     ........................................................................................................... 31
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s02l0205.jpg
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                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s02l0206.gif
                     ........................................................................................................... 35
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s02l0402.jpg
Objective
                     ........................................................................................................... 43
Overview:
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s02l0405.jpg
                     ........................................................................................................... 45
                     http://coursewareobjects.elsevier.com/objects/chabner8e_v1/mod17/images/17s02l0310.jp
                     g ......................................................................................................... 47
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s02l0406.jpg
                     ........................................................................................................... 49


            Animations
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MMTO                                         52 of 168
       Word Shop ........................................................................................ 38
       Listen & Spell ................................................................................... 50




MMTO                                 53 of 168
Objective:



{Insert Screens Here

Screen Number              1.

Screen Type            Section Objectives

Module Title           Module 9: Eye, Ear, and Plural Endings

Section Title          Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Screen Title           Section III Objectives

On Screen Text         In this section you will learn to recognize and use terms and abbreviations related to diagnostic
                       procedures and therapeutic interventions for the eye. In particular, you should be able to do the
                       following:
                               Analyze, define, and build diagnostic procedure and therapeutic intervention terms of
                                the eye.
                               Recognize and define abbreviations used to describe diagnostic procedures and
                                therapeutic interventions of the eye.
                               Pronounce and spell terms related to diagnostic procedures and therapeutic
                                interventions of the eye.

On Screen Image

                                Source                  Description          Alternate Text




Engineering Notes




MMTO                                        54 of 168
Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Lesson Title     Lesson 1: Diagnostic and Therapeutic Procedures (Eye)

Screen Title     1.1 Keratometer

On Screen Text   Let's look now at some of the most common diagnostic tools for the eye. To begin with, an
                 optician might use a keratometer to measure the cornea before fitting contact lenses.

Glossary Terms   keratometer

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MMTO                                  55 of 168
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                             Source                 Description      Alternate Text

                      http://coursewareob                         Ophthalmologist
                      jects.elsevier.com/o                        giving eye exam
                      bjects/lafleur7e_v1/
                      mod12/images/12s0
                      3l0201.jpg

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MMTO                                    56 of 168
Screen Number       2.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Lesson Title     Lesson 1: Diagnostic and Therapeutic Procedures (Eye)

Screen Title     1.2 Threaded Case Study: Ophthalmoscope

On Screen Text   Our patient, Warren, is undergoing an eye exam in response to an assessment of his reported
                 symptoms. The ophthalmologist uses an ophthalmoscope to examine the interior of his eye
                 and an optometer to measure the power and range of his vision.

Glossary Terms   ophthalmoscope, optometer

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MMTO                                  57 of 168
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                             Source                 Description      Alternate Text

                      http://coursewareob                         Ophthalmoscope
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod12/images/12s0
                      3l0202.jpg

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Engineering Notes




MMTO                                    58 of 168
Screen Number               3.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Lesson Title            Lesson 1: Diagnostic and Therapeutic Procedures (Eye)

Screen Title            1.3 [Activity icon] Activity: Word Shop: Diagnostic Tools

On Screen Text

{Insert Activities below this text

                   Word Shop - {fill out the engine template below}

 Instructions       Combine the specified number of word parts to build a term
                    that answers each definition.

 Question 1         Definition       Instrument used to measure the cornea in
                                     fitting contact lenses (3)

                    Answer           keratometer

                    Wordpart 1       kerat           Wordpart 3   -meter

                    Wordpart 2       o               Wordpart 4

 Question 2         Definition       Instrument used to examine the interior of the
                                     eye (3)

                    Answer           ophthalmoscope

                    Wordpart 1       ophthalm        Wordpart 3   -scope

                    Wordpart 2       o               Wordpart 4

 Question 3         Definition       Instrument used to measure the power and
                                     range of vision (3)

                    Answer           optometer

                    Wordpart 1       opt             Wordpart 3   -meter

                    Wordpart 2       o               Wordpart 4

 Distracters



 Engineering

MMTO                                         59 of 168
Screen Number       3.
    Notes



}



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MMTO                     60 of 168
Screen Number        4.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Lesson Title     Lesson 1: Diagnostic and Therapeutic Procedures (Eye)

Screen Title     1.4 LASIK, Keratoplasty, and Blepharoplasty

On Screen Text   Refractive errors are typically altered through the use of corrective lenses, either in the form of
                 glasses or contact lenses. Surgical methods for refractive correction include laser-assisted in
                 situ keratomileusis, or LASIK, (illustrated here) in which an excimer laser is used to reshape
                 the cornea and thus correct the refractory error.
                 Surgical repair of the cornea, or a corneal transplant, is referred to as keratoplasty, and
                 surgical repair of the eyelid is called blepharoplasty.

Glossary Terms   laser-assisted in situ keratomileusis, keratoplasty, blepharoplasty

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                             Source                 Description     Alternate Text

                      http://coursewareob                         LASIK
                      jects.elsevier.com/o
                      bjects/elr/BerryKoh
                      n11e/IC/jpg/Chapter
                      39/039023AC.jpg

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MMTO                                    62 of 168
Screen Number           5.

Screen Type         Catch That

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Lesson Title        Lesson 1: Diagnostic and Therapeutic Procedures (Eye)

Screen Title        1.5 [Catch That? icon] Activity: Catch That?

On Screen Text      Did you catch that? Surgical repair of the _____ is referred to as kerato_____.


                    Type your response in the text box below, then click Submit to check your answer.

Feedback Popup      Correct answer:
Content
                    cornea; plasty
                    Feedback:
                    The first part of the term keratoplasty (kerat means “cornea”) is a tricky little word part! It’s not
                    often that one word root represents a specific structure in two different body systems! The word
                    root kerat means cornea when used to refer to the eye, but in other cases it stands for the
                    protein keratin, which forms the primary constituents of hair, epidermis, nails, tooth enamel, and
                    horny tissues. Kerat here means “horny, hard,” in reference to the dysfunctional cornea. The
                    second part of this question was probably easy for you to answer by now, because we’ve
                    encountered it in several modules: The suffix -plasty means “surgical repair.”
                    Want a quick review to reinforce this fact? Click on this link to review Screen 1.4—or, if you
                    prefer, you can come back to it later.

On Screen Image

                             Source                  Description            Alternate Text




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MMTO                                     63 of 168
Screen Number        6.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Lesson Title     Lesson 1: Diagnostic and Therapeutic Procedures (Eye)

Screen Title     1.6 Surgical Procedures for the Retina, Sclera, and Iris

On Screen Text   Other surgical procedures for the eye are sclerotomy, which is simply an incision into the
                 sclera, and iridectomy, which is an excision of part of the iris.

Glossary Terms   sclerotomy, iridectomy

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MMTO                                  64 of 168
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                             Source                 Description         Alternate Text

                      http://coursewareob                            Scleral buckling
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod12/images/12s0
                      3l0303.jpg

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Engineering Notes    Developer: Please crop all the images and text other than the image appearing on the bottom
                     right corner.




MMTO                                    65 of 168
Screen Number               7.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Lesson Title            Lesson 1: Diagnostic and Therapeutic Procedures (Eye)
                        1.7 [Activity icon] Activity: Listen and Spell: Diagnostic and Therapeutic Procedures for
Screen Title
                        the Eye
On Screen Text

{Insert Activities below this text

                       Listen & Spell - {fill out the engine template below}

    Instructions    Click the Play button to hear a word or phrase, then type it in the space.

                                             Word                                 Audio File

    Word 1          blepharoplasty

    Word 2          keratoplasty

    Word 3          sclerotomy

    Word 4          optometer

    Word 5          ophthalmoscope

    Word 6          iridectomy

    Word 7          keratometer

    Engineering
    Notes



}



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MMTO                                        66 of 168
Screen Number        8.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Lesson Title     Lesson 1: Diagnostic and Therapeutic Procedures (Eye)

Screen Title     1.8 Threaded Case Study: Treatment Options for Macular Degeneration

On Screen Text   Several approved treatments for macular degeneration are available. The first option Dr. Rainier
                 tries with Warren is photodynamic therapy (abbreviated as PDT). In this therapy, the light-
                 sensitive drug verteporfin (Visudyne) is injected into a vein in the patient's arm. As the drug
                 moves through the body, it is absorbed by tissues that are growing faster than normal, such as
                 the blood vessels growing beneath the macula. A low-intensity laser light is then directed to the
                 area where the abnormal vessels are growing. The light activates the drug to block the
                 abnormal vessels, inhibiting the formation of new ones.
                 The second treatment option that Dr. Rainier tries is laser photocoagulation. In this technique,
                 light from a laser is focused on abnormal blood vessels growing beneath the retina. The goal is
                 to seal or destroy leaking blood vessels in the hope of preventing further vision loss.
                 Photocoagulation cannot restore vision that has already been lost.
                 Dr. Rainier will continue to monitor Warren for vision loss but says, "For now, the laser
                 photocoagulation seems to have slowed the progress of the disease."

Glossary Terms

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MMTO                                  67 of 168
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On Screen Image

                             Source                   Description      Alternate Text

                      http://coursewareob                           Mr. Fisk
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod12/images/12s0
                      1l0301.jpg

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MMTO                                      68 of 168
Screen Number                9.

Screen Type              Activity

Module Title             Module 9: Eye, Ear, and Plural Endings

Section Title            Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Lesson Title             Lesson 1: Diagnostic and Therapeutic Procedures (Eye)
                         1.9 [Activity icon] Activity: Write It, Find It: Diagnostic and Therapeutic Procedures for
Screen Title
                         the Eye
On Screen Text           Let’s review the terms covered in this lesson.

{Insert Activities below this text

                   Write It, Find It (Text) - {fill out the engine template below}

    Instructions     Type the correct answers in the boxes provided. Click in any box to
                     begin typing.

                                     Bold the correct answer(s) in each question

    Question 1       Mrs. Lange’s cornea is measured for contact lenses with the use of a(n)
                     keratometer.

    Question 2       Mr. Billings has his range of vision measured with the use of a(n)
                     optometer.

    Question 3       Dr. Henson uses a(n) ophthalmoscope to view the interior of the eye.

    Question 4       Ms. Jackson will undergo a corneal transplant, or keratoplasty.

    Question 5       After an accident, William’s torn eyelid is repaired in a procedure called
                     blepharoplasty.

    Question 6       During an iridectomy, Ms. Tsai’s iris is excised.

    Question 7       At the beginning of surgery, an incision is made in Mr. Schmidt’s sclera,
                     a technique known as sclerotomy.

    Question 8       Mr. Donaldson undergoes a procedure called laser-assisted in situ
                     keratomileusis, abbreviated as LASIK, in which an excimer laser is
                     used to reshape the cornea and correct his refractory error.

    Engineering
    Notes




}




MMTO                                           69 of 168
Screen Number       9.

Engineering Notes




MMTO                     70 of 168
Screen Number           1.

Screen Type         Section Quiz

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section III: Diagnostic Procedures and Therapeutic Interventions for the Eye

Screen Title        Section III Quiz

On Screen Text      You have completed Section III: Diagnostic Procedures and Therapeutic Interventions for
                    the Eye.
                    If you feel comfortable with all the information that has been covered, you may return to the
                    module folder and take the Section III Quiz. If you pass this quiz, you will have fulfilled the
                    objectives of this section.
                    Click Next to begin Section IV: Building Your Word Bank (The Eye).

Engineering Notes




MMTO                                     71 of 168
}




Objective
            {Insert Objective Quiz questions here}
Quiz:


            Objective:

            Objective Summary:

            Keywords:




            Asset Summary:


            Images
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s03l0201.jpg
                     ........................................................................................................... 56
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s03l0202.jpg
                     ........................................................................................................... 58
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s03l0301.gif
                     ............................................................. Error! Bookmark not defined.62
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s03l0303.jpg
Objective            ........................................................................................................... 65
Overview:
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/images/12s01l0301.jpg
                     ........................................................................................................... 68


            Animations
                      Error! No table of contents entries found.
            Audio
                      Error! No table of contents entries found.
            Videos
                      Error! No table of contents entries found.
            Slideshows
                      Error! No table of contents entries found.
            Engines
                     Word Shop ........................................................................................ 59
                     Listen & Spell ................................................................................... 66
                     Write It, Find It (Text) ....................................................................... 69



MMTO                                               72 of 168
MMTO   73 of 168
Screen Number                1.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section IV: Building Your Word Bank (The Eye)

Screen Title            Word Bank

On Screen Text          If you've completed this lesson in your text, you're now ready for the additional practice you'll
                        receive with word parts in this module. For definitions of all the word parts used in the following
                        exercises, click the appropriate button on your toolbar. To review the construction of medical
                        terms using prefixes, combining forms, and suffixes, return to earlier modules in this series.
                        Click Next to begin.

{Insert Activities below this text

                        Crossword - {fill out the engine template below}

 Instructions       Read each clue, then fill in each letter block in the corresponding
                    numbered grid to complete the answer.

 Activity Data                       Terms                                 Clues

                    blepharoplasty                         Surgical repair of the eyelid

                    AST                                    Abbreviation for astigmatism

                    myopia                                 Nearsightedness

                    optometer                              Instrument used to measure range
                                                           of vision

                    glaucoma                               Disorder that causes a narrowing
                                                           of the field of vision, starting at the
                                                           periphery

                    LASIK                                  Abbreviation for a procedure used
                                                           to correct a refractive error in
                                                           vision

                    ophth                                  Abbreviation for the field of study
                                                           of diseases and treatments of the
                                                           eye

                    ARMD                                   Abbreviation for progressive
                                                           deterioration of the macula lutea
                                                           that results in a loss of central
                                                           vision



MMTO                                           74 of 168
Screen Number                1.

                   sclerotomy                             Incision into the sclera

    Engineering
    Notes




                       Part Puzzler - {fill out the engine template below}

    Instructions    Drag and drop the slashes to divide each word into its component parts:
                    prefix, word root, combining vowel, and suffix.

    Questions                        Terms                               Clues

                    hyper/opia

                    intra/ocul/ar

                    ophthalm/o/logy

                    opt/o/meter

                    kerat/o/plasty

                    retin/itis

                    blephar/o/ptosis

                    irid/o/plegia

                    irid/ectomy

                    ophthalm/o/scope

    Engineering
    Notes




}



Engineering Notes       Developer: Activity Tab 1, Tab 2 follows.




MMTO                                         75 of 168
Screen Number               1.

Screen Type             Case Study

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section V: Applications (The Eye)

Screen Title            Case Study

On Screen Text          Sam has been experiencing some vision problems and eye discomfort. At first he went back to
                        the optometrist who had prescribed his corrective lenses. However, because Sam is also
                        experiencing eye pain, he needs a doctor who specializes in eye diseases. He is referred to an
                        ophthalmology clinic. After a nurse puts drops in Sam's eyes, the specialist uses an instrument
                        to measure pressure within them. He also measures the width and diameter of Sam's pupils.

On Screen Image

                                 Source                   Description        Alternate Text

                         http://coursewareob                             Patient photo of Sam
                         jects.elsevier.com/o
                         bjects/lafleur7e_v1/
                         mod12/images/12s0
                         5l0101.jpg

{Insert Activities below this text

                                          Write It, Find It

    Pickup Source   http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/12s0
                    5l0101.html



}



Engineering Notes       DEVELOPER: Please make the following changes to TAB 1 questions:
                        Delete Questions 3 and 4.
                        NEW Question 3: When the doctor measures the pressure within Sam’s eyes, he
                        is measuring the intraocular pressure.
                        DEVELOPER: Please delete all TAB 2 questions.




MMTO                                          76 of 168
Screen Number               2.

Screen Type             Medical Report

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section V: Applications (The Eye)

Screen Title            Medical Report

On Screen Text          Review Surgical Report
                        Click on the Surgical Report link to read this surgical report. There are two sets of exercises for
                        this activity (see tabs 1 and 2). Be sure to complete all of the questions in each set. When you
                        have completed all of the questions under a tab, select the next tab.

Medical Report
Popup
                         Pop-Up Title            Medical Report
                                                 SURGICAL REPORT
                         Pop-Up Content
                                                 Warren Fisk

                                                 CHIEF COMPLAINT: Patient came to clinic
                                                 complaining of wavy lines and dark patch in
                                                 central field of vision.

                                                 HISTORY OF PRESENT ILLNESS: 63-year-
                                                 old male who has been experiencing
                                                 decreased vision due to shadows and other
                                                 disturbances in central field of vision. Past
                                                 history of borderline increased intraocular
                                                 pressure.

                                                 PAST MEDICAL HISTORY: Long-standing
                                                 borderline elevated intraocular pressure, but
                                                 with no definitive presence of glaucoma.
                                                 Moderate nyctalopia and recent transient
                                                 conjunctivitis.

                                                 DIAGNOSIS/VALUES: Tonometry to rule out
                                                 glaucoma. Diagnosis of macular degeneration.

                                                 TREATMENT & DISPOSITION: Visudyne
                                                 injection proved ineffective on follow-up.
                                                 Retinal photocoagulation scheduled.




{Insert Activities below this text

                                              Write It, Find It

MMTO                                         77 of 168
Screen Number              2.

    Pickup Source   http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/12s05l0102.html




                                           Write It, Find It

    Pickup Source   http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod12/12s05l0102-
                    t2.html



}



Engineering Notes      DEVELOPER: Please make the following (marked) changes to the Medical Report
                       document:


                       PAST MEDICAL HISTORY: Long-standing borderline increased intraocular pressure but no
                       definitive presence of glaucoma. Recent transient conjunctivitis and iriditis.


                       DIAGNOSIS/VALUES: Tonometry negative for glaucoma. Optometer measures recorded.
                       Diagnosis of ARMD.


                       DEVELOPER: Please make the following changes to TAB 1 questions:


                                Delete Questions 1 and 2.


                                NEW Question 1: The term glaucoma in this report refers to a disorder in which loss of
                                vision occurs because of damage to the optic nerve, usually the result of pressure.


                                NEW Question 2: The term iriditis in this report refers to an inflammation of the
                                muscle in the eye that adjusts its shape to change the size of the pupil.


                       DEVELOPER: Please make the following changes to TAB 2
                                Delete Questions 1 through 3.


                                NEW Question 1: The abbreviation for intraocular pressure is IOP.


                                NEW Question 2: An optometer is used to measure the refractory power and range of
                                Warren’s vision.


MMTO                                        78 of 168
Screen Number   2.


                     NEW Question 3: The abbreviation ARMD in this report stands for age-related
                     macular degeneration.




MMTO                            79 of 168
Objective:



{Insert Screens Here

Screen Number              1.

Screen Type            Section Objectives

Module Title           Module 9: Eye, Ear, and Plural Endings

Section Title          Section VI: Anatomy and Physiology of the Ear

Screen Title           Section VI Objectives

On Screen Text         Upon completion of this section, you should be able to identify key components of the ear. In
                       particular, you should be able to do the following:
                               Define anatomy and physiology terms related to the ear.
                               Recognize and recall the word parts used to describe anatomy and physiology of the
                                ear.
                               Pronounce and spell terms related to the ear.
                               Label structures of the ear.

On Screen Image

                                Source                  Description             Alternate Text




Engineering Notes




MMTO                                        80 of 168
Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VI: Anatomy and Physiology of the Ear

Lesson Title     Lesson 1: Anatomy and Function of the Ear

Screen Title     1.1 Threaded Case Study: Sara Bender

On Screen Text   Before we begin to study the ear and the sense of hearing (audi), let's get to know Alice and
                 her mother, Sara. Alice is attending a doctor's appointment with her mother today to make the
                 physician aware of several recent developments concerning Sara's hearing.
                 When giving her history, Sara says that she has spent the greater part of her working life
                 making and repairing guitars. "I used to have a good ear for tuning," she says.
                 Her daughter Alice, however, is concerned that Sara doesn't seem to have much hearing left at
                 all. Privately, Alice has shared that she is concerned because her mother lives alone and she
                 wonders about Sara's ability to continue to function independently.

Glossary Terms   hearing

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                  Pop-Up Content




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                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  81 of 168
On Screen Image

                             Source                 Description      Alternate Text

                      http://coursewareob                         Sara and Alice
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      1l0301.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    82 of 168
Screen Number          2.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VI: Anatomy and Physiology of the Ear

Lesson Title     Lesson 1: Anatomy and Function of the Ear

Screen Title     1.2 Structure of the Ear

On Screen Text   Alice has noticed that when she talks with her mother she must often repeat what she is saying.
                 The ear (ot, aur, auricul) is the organ of hearing and balance, or equilibrium. The ear is divided
                 into three regions: the external ear, the middle ear, and the inner ear, also called the labyrinth.

Glossary Terms   ear

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                  Pop-Up Content




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                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  83 of 168
On Screen Image

                             Source                 Description      Alternate Text

                      http://coursewareob                         Anatomy of the ear
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      1l0302.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    84 of 168
Screen Number        3.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VI: Anatomy and Physiology of the Ear

Lesson Title     Lesson 1: Anatomy and Function of the Ear

Screen Title     1.3 [Catch That? icon] Activity: Catch That?

On Screen Text   Did you catch that? The ear has the dual function of sensing sound and serving as the organ
                 of ________, or equilibrium.


                 Type your response in the text box below, then click Submit to check your answer.

Glossary Terms   Correct answer:
                 balance
                 Feedback:
                 You know that the ear is the organ of hearing, but you may not think of the ear as the organ of
                 balance as well. Fluid-filled structures in your ear help you sense your physical position in the
                 environment, and that gives you your sense of balance, or equilibrium.
                 Want a quick review to reinforce this fact? Click on this link to review Screen 1.2—or, if you
                 prefer, you can come back to it later.

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                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  85 of 168
External Site
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                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      86 of 168
Screen Number        4.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VI: Anatomy and Physiology of the Ear

Lesson Title     Lesson 1: Anatomy and Function of the Ear

Screen Title     1.4 External Ear Structures

On Screen Text   The external or outer ear consists of the auricle, or pinna, and the external auditory meatus,
                 or auditory canal. The auricle is a skin-covered cartilaginous flap that projects from the side of
                 the head. The auditory meatus is a slender canal lined with glands that secrete a sticky
                 substance called cerumen (earwax). Cerumen lubricates the ear and prevents the entry of
                 foreign particles into the internal portions of the ear.

Glossary Terms   cerumen

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                  Pop-Up Title

                  Pop-Up Content




External Site
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                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  87 of 168
On Screen Image

                             Source                 Description      Alternate Text

                      http://coursewareob                         External ear
                      jects.elsevier.com/o                        structures
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      1l0304.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    88 of 168
Screen Number        5.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VI: Anatomy and Physiology of the Ear

Lesson Title     Lesson 1: Anatomy and Function of the Ear

Screen Title     1.5 Middle Ear Structures

On Screen Text   In the middle ear (tympan), the tympanic membrane (myring), or eardrum, is a shiny, oval,
                 semitransparent membrane that lies at the end of the inner auditory canal, at the entrance to the
                 middle ear.
                 Within the middle ear cavity are three small bones, each called an ossicle. These ossicles are
                 the malleus, the incus, and the stapes. (The three bones take their names from the Latin
                 terms for hammer, anvil, and stirrup, respectively, the objects they are said to resemble.) These
                 tiny bones vibrate in response to sound, carrying those vibrations through the oval window,
                 which leads to the inner ear.
                 The auditory tube, or eustachian tube, joins the nasopharynx with the middle ear cavity. The
                 eustachian tube permits equalization of air pressure between the middle ear and the external
                 atmosphere.

Glossary Terms   tympanic membrane, ossicle, malleus, stapes, auditory tube, eustachian tube

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 89 of 168
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://coursewareob                           Middle ear structures
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      1l0305.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      90 of 168
Screen Number               6.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section VI: Anatomy and Physiology of the Ear

Lesson Title            Lesson 1: Anatomy and Function of the Ear

Screen Title            1.6 [Activity icon] Activity: Labeling: Middle Ear Structures

On Screen Text

{Insert Activities below this text

                                                Labeling

    Pickup Source   http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/13s01l0306.html



}



Engineering Notes




MMTO                                       91 of 168
Screen Number        7.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VI: Anatomy and Physiology of the Ear

Lesson Title     Lesson 1: Anatomy and Function of the Ear

Screen Title     1.7 Inner Ear Structures

On Screen Text   The inner ear is composed of a bony labyrinth, inside of which is a membranous labyrinth. The
                 bony labyrinth consists of three parts: the vestibule, the cochlea (cochle), and the semicircular
                 canals. The cochlea, which resembles a snail shell, holds fibers that convey impulses to the
                 auditory region of the cerebral cortex.
                 Sara's hearing difficulty may very well be a result of age-related changes in these inner ear
                 structures.

Glossary Terms   cochlea

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External Site
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                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  92 of 168
On Screen Image

                             Source                 Description      Alternate Text

                      http://coursewareob                         Inner ear structures
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      1l0308.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    93 of 168
Screen Number               8.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section VI: Anatomy and Physiology of the Ear

Lesson Title            Lesson 1: Anatomy and Function of the Ear

Screen Title            1.8 [Activity icon] Activity: Labeling: Inner Ear Structures

On Screen Text

{Insert Activities below this text

                                                Labeling

    Pickup Source   http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/13s01l0309.html



}



Engineering Notes




MMTO                                        94 of 168
Screen Number        9.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VI: Anatomy and Physiology of the Ear

Lesson Title     Lesson 1: Anatomy and Function of the Ear

Screen Title     1.9 Process of Hearing (Animation)

On Screen Text   Sound waves, conducted by air, enter the ear with the aid of the auricle. They are conducted
                 along the auditory meatus to the eardrum, or tympanic membrane. When the taut eardrum is
                 struck by the sound waves, it begins to vibrate, moving the three small bones, or ossicles, in the
                 middle ear. Each ossicle helps amplify the sound waves and conduct them through the middle
                 ear, to the oval window, and into the inner ear. Sound is then picked up by the sensory hair cells
                 of the cochlea, which produce impulses that are transmitted by the auditory nerve fibers to the
                 auditory cortex.




                 <<Animation Icon>> Process of Hearing

Glossary Terms   tympanic membrane, ossicle, cochlea

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                  Pop-Up Title

                  Pop-Up Content




MMTO                                  95 of 168
External Site
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                         Text

                         External Site URL



                         Link in Onscreen
                         Text

                         External Site URL




On Screen Image

                                Source                   Description         Alternate Text

                         http://coursewareob                              The hearing process
                         jects.elsevier.com/o
                         bjects/lafleur7e_v1/
                         mod13/images/13s0
                         1l0401.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here

                         Link in Onscreen       Process of Hearing
                         Text

                         Media Type             Animation

                         Media Title

                         Pop-Up                 http://coursewareobjects.elsevier.com/objects/l
                         Content/Source         afleur7e_v1/mod13/media/13s01l0401/13s01l0
                                                401_p1.html



                     }



Engineering Notes




MMTO                                         96 of 168
Screen Number               10.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section VI: Anatomy and Physiology of the Ear

Lesson Title            Lesson 1: Anatomy and Function of the Ear

Screen Title            1.10 [Activity icon] Activity: Animation Review: Process of Hearing

On Screen Text          Let's review the process of hearing, covered in this lesson.

{Insert Activities below this text

                                            Animation Review

    Pickup Source   http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/13s01l0403.html



}



Engineering Notes       Developer: In the last step of the exercise, “Hairy cells” should be “Hair cells.”




MMTO                                         97 of 168
Screen Number                11.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section VI: Anatomy and Physiology of the Ear

Lesson Title            Lesson 1: Anatomy and Function of the Ear

Screen Title            1.11 [Activity icon] Activity: Listen and Spell: Structures of the Ear

On Screen Text          Let’s review the structures covered in this lesson.

{Insert Activities below this text

                      Listen & Spell - {fill out the engine template below}

    Instructions    Click the Play button to hear a word or phrase, then type it in the space.

                                            Word                               Audio File

    Word 1          tympanic
                    membrane

    Word 2          ossicle

    Word 3          malleus

    Word 4          stapes

    Word 5          cochlea

    Word 6          auditory
                    tube

    Word 7          eustachian
                    tube

    Engineering
    Notes



}



Engineering Notes




MMTO                                         98 of 168
Screen Number           1.

Screen Type         Section Quiz

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section VI: Anatomy and Physiology of the Ear

Lesson Title        Lesson 1: Anatomy and Function of the Ear

Screen Title        Section VI Quiz

On Screen Text      You have completed Section VI: Anatomy and Physiology of the Ear.
                    If you feel confident that you understand the material covered in this section, you may return to
                    the module folder and take the Section VI Quiz. If you pass this quiz, you will have fulfilled the
                    objectives of this section.
                    Click Next to begin Section VII: Pathologic Conditions of the Ear.


Engineering Notes




MMTO                                     99 of 168
}




Objective
            {Insert Objective Quiz questions here}
Quiz:


            Objective:

            Objective Summary:

            Keywords:




            Asset Summary:


            Images
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s01l0301.jpg
                     ........................................................................................................... 82
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s01l0302.jpg
                     ........................................................................................................... 84
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s01l0304.jpg
                     ........................................................................................................... 88
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s01l0305.jpg
Objective            ........................................................................................................... 90
Overview:
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s01l0308.jpg
                     ........................................................................................................... 93
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s01l0401.jpg
                     ........................................................................................................... 96


            Animations
                     Process of Hearing .......................................................................... 96


            Audio
                      Error! No table of contents entries found.
            Videos
                      Error! No table of contents entries found.
            Slideshows
                      Error! No table of contents entries found.
            Engines
                     Labeling ............................................................................................ 91


MMTO                                               100 of 168
       Labeling ............................................................................................ 94
       Animation Review ............................................................................ 97
       Listen & Spell ................................................................................... 98




MMTO                                 101 of 168
Objective:



{Insert Screens Here

Screen Number              1.

Screen Type            Section Objectives

Module Title           Module 9: Eye, Ear, and Plural Endings

Section Title          Section VII: Pathologic Conditions of the Ear

Screen Title           Section VII Objectives

On Screen Text         In this section you will learn to recognize and use terms and abbreviations related to the
                       pathologic conditions of the ear. In particular, you should be able to do the following:
                               Analyze, define, and build terms for pathologic conditions associated with the ear.
                               Define pathologic condition terms that are not built from word parts.
                               Recognize and define abbreviations used to describe pathologic conditions associated
                                with the ear.
                               Pronounce and spell terms related to pathologic conditions of the ear.

On Screen Image

                                Source                   Description          Alternate Text




Engineering Notes




MMTO                                        102 of 168
Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VII: Pathologic Conditions of the Ear

Lesson Title     Lesson 1: Disorders of the Ear

Screen Title     1.1 Threaded Case Study: Sara

On Screen Text   After a few simple hearing tests, Sara's physician refers her to Dr. Harris, an otologist. An
                 otologist is a physician who studies and treats diseases of the ear (otology). Had nose and
                 throat involvement also been suspected, Sara might have been referred to an
                 otorhinolaryngologist, a physician who studies and treats disorders of the ear, nose, and
                 throat (abbreviated as ENT), or otorhinolaryngology.
                 Determining which part of the ear is affected is another part of the puzzle. Dr. Harris will have to
                 keep in mind several disorders that can affect the external, middle, and inner ear.

Glossary Terms   otologist, otology, otorhinolaryngologist, otorhinolaryngology

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MMTO                                  103 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://coursewareob                          Sara
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      2l0201.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    104 of 168
Screen Number        2.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VII: Pathologic Conditions of the Ear

Lesson Title     Lesson 1: Disorders of the Ear

Screen Title     1.2 Otitis, Otorrhea

On Screen Text   Dr. Harris begins by examining Sara's outer ear. The first thing he discovers is that she has had
                 recurrent ear infections. The term otitis on its own means ear inflammation. A common
                 condition of the external ear is otitis externa, shown here, which is an inflammation of the outer
                 ear (usually the canal). With an external ear condition, discharge (-rrhea) of any sort from the
                 ear is called otorrhea.

Glossary Terms   otitis, otitis externa, otorrhea

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MMTO                                  105 of 168
On Screen Image

                             Source                  Description       Alternate Text

                      http://coursewareob                          Otitis externa
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      2l0202.jpg

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Engineering Notes




MMTO                                    106 of 168
Screen Number        3.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VII: Pathologic Conditions of the Ear

Lesson Title     Lesson 1: Disorders of the Ear

Screen Title     1.3 Otitis Media, Myringitis

On Screen Text   Moving on to the middle ear disorders, Dr. Harris explains why the structure of the eustachian
                 tube and its connection to the nasopharynx causes the middle ear to be prone to infection, or
                 otitis media (abbreviated as OM). A picture of serous otitis media is shown here. Otitis media is
                 sometimes called tympanitis. Caused by a variety of bacteria, acute otitis media (AOM) is
                 characterized by a sense of fullness in the ear, diminished hearing, pain, and fever. Finally, an
                 inflammation of the tympanic membrane, or eardrum, is called myringitis.

Glossary Terms   otitis media, tympanitis, myringitis

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MMTO                                  107 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://coursewareob                          Otitis media
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      2l0301.jpg

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MMTO                                    108 of 168
Screen Number        4.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VII: Pathologic Conditions of the Ear

Lesson Title     Lesson 1: Disorders of the Ear

Screen Title     1.4 Ménière Disease, Tinnitus

On Screen Text   While reviewing her history, Dr. Harris learned that Sara used to suffer from Ménière disease,
                 which affects the vestibular labyrinth, where the structures responsible for equilibrium and
                 balance are housed. Tinnitus, a subjective noise such as ringing, buzzing, whistling, or clicking
                 heard in the absence of sound, is a common symptom of Ménière disease, and for Sara it was
                 the most frustrating one. It interferes with the normal hearing and with her job repairing guitars,
                 acute hearing is essential.


Glossary Terms   Ménière disease, Tinnitus

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MMTO                                  109 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://coursewareob                          Vestibular labyrinth
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      2l0403.jpg

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MMTO                                    110 of 168
Screen Number           5.

Screen Type         Catch That

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section VII: Pathologic Conditions of the Ear

Lesson Title        Lesson 1: Disorders of the Ear

Screen Title        1.5 [Catch That icon] Activity: Catch That?

On Screen Text      Did you catch that? The term for a subjective noise such as ringing, buzzing, whistling, or
                    clicking heard in the absence of sound is called _____.


                    Type your response in the text box below, then click Submit to check your answer.

Feedback Popup      Correct answer: tinnitus
Content

                    Feedback: Here’s the challenge: Did you spell this term so that it ended in -itis? It’s easy to do,
                    because we’ve studied so many terms by now that end in “-itis.” So how do you avoid that
                    spelling error? Think of it like this: The suffix “-itis” means “inflammation,” but tinnitus is not an
                    inflammation—it’s an auditory effect.


                    Want a quick review to reinforce this fact? Click on the following link to review Screen 1.4—or if
                    you prefer, you can come back to it later.

On Screen Image

                             Source                   Description            Alternate Text




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MMTO                                     111 of 168
Screen Number               6.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section VII: Pathologic Conditions of the Ear

Lesson Title            Lesson 1: Disorders of the Ear

Screen Title            1.6 [Activity icon] Activity: Word Shop: Disorders of the Ear

On Screen Text          Let's review terms covered in this lesson.

{Insert Activities below this text

                   Word Shop - {fill out the engine template below}

 Instructions       Combine the specified number of word parts to build a term
                    that answers each definition.

 Question 1         Definition       Ear inflammation (2)

                    Answer           otitis

                    Wordpart 1       ot               Wordpart 3

                    Wordpart 2       -itis            Wordpart 4

 Question 2         Definition       Another name for otitis media (2)

                    Answer           tympanitis

                    Wordpart 1       tympan           Wordpart 3

                    Wordpart 2       -itis            Wordpart 4

 Question 3         Definition       Discharge from the ear (3)

                    Answer           otorrhea

                    Wordpart 1       ot               Wordpart 3     -rrhea

                    Wordpart 2       o                Wordpart 4

 Question 4         Definition       Inflammation of the eardrum (2)

                    Answer           myringitis

                    Wordpart 1       myring           Wordpart 3

                    Wordpart 2       -itis            Wordpart 4


MMTO                                          112 of 168
Screen Number       6.

    Distracters



    Engineering
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}



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MMTO                     113 of 168
Screen Number               7.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section VII: Pathologic Conditions of the Ear

Lesson Title            Lesson 1: Disorders of the Ear

Screen Title            1.7 [Activity icon] Activity: Listen and Spell: Disorders of the Ear

On Screen Text

{Insert Activities below this text

                           Listen & Spell - {fill out the engine template below}

    Instructions    Click the Play button to hear a word or phrase, then type it in the space.

                                                 Word                                     Audio File

    Word 1          myringitis

    Word 2          otorrhea

    Word 3          tinnitus

    Word 4          otorhinolaryngologist

    Word 5          otitis media

    Word 6          tympanitis

    Engineering
    Notes



}



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MMTO                                        114 of 168
Screen Number                8.

Screen Type              Activity

Module Title             Module 9: Eye, Ear, and Plural Endings

Section Title            Section VII: Pathologic Conditions of the Ear

Lesson Title             Lesson 1: Disorders of the Ear

Screen Title             1.8 [Activity icon] Activity: Write It, Find It: Abbreviations Pertaining to the Ear

On Screen Text

{Insert Activities below this text

                   Write It, Find It (Text) - {fill out the engine template below}

    Instructions     Type the correct answers in the boxes provided. Click in any box to
                     begin typing.

                                     Bold the correct answer(s) in each question

    Question 1       The abbreviation ENT stands for ear, nose, and throat.

    Question 2       Don’s medical report included a diagnosis of a condition abbreviated as
                     OM, indicating that he has (or has had) otitis media.

    Question 3       The abbreviation for an acute infection of the middle ear is AOM.

    Engineering
    Notes




}



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MMTO                                          115 of 168
Screen Number           1.

Screen Type         Section Quiz

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section VII: Pathologic Conditions of the Ear

Screen Title        Section VII Quiz

On Screen Text      You have completed Section VII: Pathologic Conditions of the Ear.
                    If you feel confident that you understand the material covered in this section, you may return to
                    the module folder and take the Section VII Quiz. If you pass this quiz, you will have fulfilled the
                    objectives of this section.
                    Click Next to begin Section VIII: Diagnostic Procedures and Therapeutic Interventions
                    (The Ear).

Engineering Notes




MMTO                                     116 of 168
}




Objective
            {Insert Objective Quiz questions here}
Quiz:


            Objective:

            Objective Summary:

            Keywords:




            Asset Summary:


            Images
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s02l0201.jpg
                     ......................................................................................................... 104
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s02l0202.jpg
                     ......................................................................................................... 106
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s02l0301.jpg
                     ......................................................................................................... 108
Objective            http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s02l0403.jpg
Overview:            ......................................................................................................... 110


            Animations
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            Engines
                     Word Shop ...................................................................................... 112
                     Listen & Spell ................................................................................. 114
                     Write It, Find It (Text) ..................................................................... 115




MMTO                                              117 of 168
Objective:



{Insert Screens Here

Screen Number              1.

Screen Type            Section Objectives

Module Title           Module 9: Eye, Ear, and Plural Endings

Section Title          Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Screen Title           Section VIII Objectives

On Screen Text         In this section you will learn to recognize and use terms and abbreviations related to diagnostic
                       procedures and therapeutic interventions for the ear. In particular, you should be able to do the
                       following:
                               Analyze, define, and build diagnostic procedure and therapeutic intervention terms of
                                the ear.
                               Pronounce and spell terms related to diagnostic procedures and therapeutic
                                interventions of the ear.

On Screen Image

                                Source                   Description         Alternate Text




Engineering Notes




MMTO                                        118 of 168
Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Lesson Title     Lesson 1: Measurement of Hearing Acuity

Screen Title     1.1 Threaded Case Study: Otoscopy

On Screen Text   Alice is worried.
                 One of the individuals Sara encounters at the otology clinic is an audiologist. An audiologist is
                 a specialist in audiology, which is the study of hearing, including assessment and rehabilitation.
                 Screening of auditory function begins with a physical examination of the ear. Dr. Harris has
                 already performed a procedure called otoscopy. Otoscopy is the visual inspection of the
                 structures of the outer and middle ear with the use of a handheld, lighted magnifying device
                 called an otoscope (shown here). A pneumatic attachment to the otoscope allows evaluation of
                 the eardrum's mobility.

Glossary Terms   audiologist, audiology, otoscopy, otoscope

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MMTO                                  119 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://coursewareob                          Otoscope
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      3l0201.jpg

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Engineering Notes




MMTO                                    120 of 168
Screen Number        2.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Lesson Title     Lesson 1: Measurement of Hearing Acuity

Screen Title     1.2 Audiometry

On Screen Text   In audiometry, hearing acuity is evaluated, helping establish the degree and severity of hearing
                 loss. An audiometer is an electrical device, used to measure the sensitivity of hearing, which
                 delivers a series of acoustic tones ranging from very low to very high frequencies. The listener
                 signals when a tone is perceived, and the results are plotted on a graph called an audiogram.

Glossary Terms   audiometry, audiometer, audiogram

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MMTO                                  121 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://coursewareob                          Audiometer and
                      jects.elsevier.com/o                         audiogram
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      3l0205.jpg

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Engineering Notes




MMTO                                    122 of 168
Screen Number               3.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Lesson Title            Lesson 1: Measurement of Hearing Acuity

Screen Title            1.3 [Activity icon] Activity: Listen and Spell: Diagnostic Terms Related to Hearing Acuity

On Screen Text          Let’s review terms covered in this lesson.

{Insert Activities below this text

                      Listen & Spell - {fill out the engine template below}

    Instructions    Click the Play button to hear a word or phrase, then type it in the space.

                                            Word                               Audio File

    Word 1          audiometer

    Word 2          audiology

    Word 3          audiologist

    Word 4          otoscope

    Engineering
    Notes



}



Engineering Notes




MMTO                                        123 of 168
Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Lesson Title     Lesson 2: Treating Ear Disorders

Screen Title     2.1 Treatment of Middle Ear Disorders

On Screen Text   Dr. Harris confirms that Alice’s recurrent bouts of infection and chronic inflammation have left
                 her with a hole in her eardrum, or tympanic membrane. Antibiotic therapy is used to treat acute
                 and chronic otitis media. Myringotomy (shown here) is a surgical incision of the tympanum to
                 relieve the pressure and buildup of fluid resulting from recurrent infections. This procedure may
                 be required for patients who don't respond to antibiotic treatment. Before Alice can be fitted with
                 a hearing aid, Dr. Harris says she will require surgical repair of the tympanic membrane. This
                 surgery, which will repair the hole in her eardrum, is known as myringoplasty; repair of the
                 tympanic membrane and bones of the middle ear is tympanoplasty. Finally, the term otoplasty
                 is repair of the ear, often, but not always, for cosmetic purposes.

Glossary Terms   Myringotomy, myringoplasty, tympanoplasty, otoplasty

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MMTO                                  124 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://coursewareob                          Myringotomy
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      3l0302.jpg

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Engineering Notes




MMTO                                    125 of 168
Screen Number           2.

Screen Type         Catch That

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Lesson Title        Lesson 2: Treating Ear Disorders

Screen Title        2.2 [Catch That icon] Activity: Catch That?

On Screen Text      Did you catch that? You are working in the hospital admissions department when three
                    patients enter. Patient A is having a hole in his eardrum repaired. Patient B needs surgery on
                    the tympanic membrane and bones of the middle ear. Patient C is scheduled for otoplasty. You
                    know from this that patient ___ is undergoing myringoplasty and patient ___ is the only one who
                    could be here for elective surgery because she feels that her ears are too big.


                    Type your response in the text box below, then click Submit to check your answer.

Feedback Popup      Correct answer: A; C
Content
                    Feedback: It would be easy to assume that patient A is having a tympanoplasty; after all, the
                    eardrum is called the tympanic membrane. However, the word root for eardrum is actually
                    myring, and therefore the procedure to repair a hole in it is termed myringoplasty. Finally, the
                    term otoplasty, repair of the ear (ot), is the only one that is sometimes performed for cosmetic
                    purposes.
                    Want a quick review to reinforce this fact? Click on the following link to review Screen 2.1—or, if
                    you prefer, you can come back to it later.

On Screen Image

                             Source                  Description           Alternate Text




Engineering Notes




MMTO                                    126 of 168
Screen Number               3.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Lesson Title            Lesson 2: Treating Ear Disorders
                        2.3 [Activity icon] Activity: Word Shop: Terms Related to Treating Hearing Loss and
Screen Title
                        Chronic Ear Infections
On Screen Text

{Insert Activities below this text

                   Word Shop - {fill out the engine template below}

 Instructions       Combine the specified number of word parts to build a term
                    that answers each definition.

 Question 1         Definition       Surgical repair of the ear, often but not always
                                     for cosmetic purposes (3)

                    Answer           otoplasty

                    Wordpart 1       ot               Wordpart 3   -plasty

                    Wordpart 2       o                Wordpart 4

 Question 2         Definition       Surgical incision of the tympanum to relieve
                                     pressure and the buildup of fluid (3)

                    Answer           myringotomy

                    Wordpart 1       myring           Wordpart 3   -tomy

                    Wordpart 2       o                Wordpart 4

 Question 3         Definition       Surgical repair of the tympanic membrane (3)

                    Answer           myringoplasty

                    Wordpart 1       myring           Wordpart 3   -plasty

                    Wordpart 2       o                Wordpart 4

 Question 4         Definition       Surgical repair of the tympanic membrane and
                                     bones of the middle ear (3)

                    Answer           tympanoplasty

                    Wordpart 1       tympan           Wordpart 3   -plasty

MMTO                                          127 of 168
Screen Number             3.

                    Wordpart 2   o           Wordpart 4

    Distracters



    Engineering
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Engineering Notes




MMTO                                 128 of 168
Screen Number        4.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Lesson Title     Lesson 2: Treating Ear Disorders

Screen Title     2.4 Threaded Case Study: Sara

On Screen Text   Sara is going to be fitted with an external hearing aid. She seems undaunted by the whole
                 experience. "Now I'll hear you when you call," she says to Alice, who smiles and replies,
                 "Good."
                 As they leave the clinic together, Sara says softly, "Now I can hear the horse races on the radio.
                 You're old enough to know something about me. I bet on the horses, you know."
                 "Mom—oh, wow…" says Alice.
                 "In my head," Sara says with a smile. "I'm pretty good at it, too."

Glossary Terms

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MMTO                                  129 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://coursewareob                          Sara and Alice
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod13/images/13s0
                      1l0301.jpg

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Engineering Notes




MMTO                                    130 of 168
Screen Number                5.

Screen Type              Activity

Module Title             Module 9: Eye, Ear, and Plural Endings

Section Title            Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Lesson Title             Lesson 2: Treating Ear Disorders

Screen Title             2.5 [Activity icon] Activity: Write It, Find It: Therapeutic Interventions for the Ear

On Screen Text           Let's review the terms covered in this lesson.

{Insert Activities below this text

                   Write It, Find It (Text) - {fill out the engine template below}

    Instructions     Type the correct answers in the boxes provided. Click in any box to
                     begin typing.

                                     Bold the correct answer(s) in each question

    Question 1       Dr. Owens has scheduled a(n) otoplasty, a surgical repair of the ear.

    Question 2       Brandon’s surgical prep report indicates that he is undergoing
                     myringoplasty to repair a hole in his eardrum.

    Question 3       Dr. Vernon’s report indicates that he travelled to Guinea to perform
                     tympanoplasty, a surgical repair of the tympanic membrane and bones
                     of the middle ear, in seven children in a mission hospital.

    Question 4       Adele’s surgical report describes her myringotomy, a surgical incision
                     of the tympanum to relieve pressure and the buildup of fluid.

    Question 5       Chris’ referral form indicates that he has been referred to a(n)
                     audiologist, who specializes in the study of hearing, including
                     assessments and rehabilitation.

    Engineering
    Notes




}



Engineering Notes




MMTO                                          131 of 168
Screen Number           1.

Screen Type         Section Quiz

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section VIII: Diagnostic Procedures and Therapeutic Interventions (The Ear)

Screen Title        Section VIII Quiz

On Screen Text      You have completed Section VIII: Diagnostic Procedures and Therapeutic Interventions of
                    the Ear.
                    If you feel confident that you understand the material covered in this section, you may return to
                    the module folder and take the Section VIII Quiz. If you pass this quiz, you will have fulfilled the
                    objectives of this section.
                    Click Next to begin Section IX: Building Your Word Bank (The Ear).

Engineering Notes




MMTO                                     132 of 168
}




Objective
            {Insert Objective Quiz questions here}
Quiz:


            Objective:

            Objective Summary:

            Keywords:




            Asset Summary:


            Images
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s03l0201.jpg
                     ......................................................................................................... 120
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s03l0205.jpg
                     ......................................................................................................... 122
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s03l0302.jpg
                     ......................................................................................................... 125
                     http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/images/13s01l0301.jpg
Objective
                     ......................................................................................................... 130
Overview:

            Animations
                      Error! No table of contents entries found.
            Audio
                      Error! No table of contents entries found.
            Videos
                      Error! No table of contents entries found.
            Slideshows
                      Error! No table of contents entries found.
            Engines
                     Listen & Spell ................................................................................. 123
                     Word Shop ...................................................................................... 127
                     Write It, Find It (Text) ..................................................................... 131




MMTO                                              133 of 168
MMTO   134 of 168
Screen Number         1.

Screen Type       Content

Module Title      Module 9: Eye, Ear, and Plural Endings

Section Title     Section IX: Building Your Word Bank (The Ear)

Screen Title      Word Bank (The Ear)

On Screen Text    If you've completed this lesson in your text, you're now ready for the additional practice you'll
                  receive with Building Your Word Bank in this module. For definitions of all the word parts used
                  in the following exercises, click the appropriate button on your toolbar.

Glossary Terms

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                            Source                  Description          Alternate Text




MMTO                                   135 of 168
Screen Number            1.

Animation/Slidesho
w/Audio/Video
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Engineering Notes    Developer: Activity Tab 1 follows.




MMTO                                     136 of 168
Screen Number                  2.

Screen Type              Activity

Module Title             Module 9: Eye, Ear, and Plural Endings

Section Title            Section IX: Building Your Word Bank (The Ear)

Screen Title             [Activity icon/wrap] Activity: Crossword

On Screen Text

{Insert Activities below this text

                        Crossword - {fill out the engine template below}

    Instructions    Read each clue, then fill in each letter block in the corresponding
                    numbered grid to complete the answer.

    Activity Data                    Terms                                 Clues

                    ENT                                   Abbreviation for
                                                          otorhinolaryngology

                    OM                                    Abbreviation for middle ear
                                                          infection

                    tinnitus                              Subjective noise such as ringing,
                                                          buzzing, whistling, or clicking
                                                          heard in the absence of sound

                    otorhinolaryngology                   Study of the treatment of disorders
                                                          of the ears, nose and throat

                    otoscope                              A handheld, lighted magnifying
                                                          device used for the visual
                                                          inspection of the structures of the
                                                          outer and middle ear

                    myringoplasty                         Surgical repair of the eardrum

                    audiology                             Study of hearing, including
                                                          assessment and rehabilitation

    Engineering
    Notes




}




MMTO                                         137 of 168
Screen Number       2.

Engineering Notes




MMTO                     138 of 168
Screen Number               3.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section IX: Building Your Word Bank (The Ear)

Screen Title            [Activity icon/wrap] Activity: Bin Drop

On Screen Text

{Insert Activities below this text

                         Bin Drop - {fill out the engine template below}
          Bold any answers that should be prefilled
          Indicate if the field is an image
          Supply file name for images
    Diagnostic            Therapeutic            Diagnostic                Therapeutic
    Equipment (Eye)       Interventions          Equipment (Ear)           Interventions (Ear)
                          (Eye)

    keratometer           blepharoplasty         audiometer                myringotomy

    ophthalmoscope        iridectomy             otoscope                  otoplasty

    optometer             LASIK                  audiogram                 tympanoplasty



    Engineering Notes



}



Engineering Notes




MMTO                                        139 of 168
Screen Number                 4.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section IX: Building Your Word Bank (The Ear)

Screen Title            [Activity icon/wrap] Activity: Part Puzzler

On Screen Text

{Insert Activities below this text

                       Part Puzzler - {fill out the engine template below}

    Instructions    Drag and drop the slashes to divide each word into its component parts:
                    prefix, word root, combining vowel, and suffix.

    Questions                        Terms                               Clues

                    blephar/o/ptosis

                    irid/o/plegia

                    myring/itis

                    ot/itis

                    retin/itis

                    audi/o/meter

                    ophthalm/o/scope

                    tympan/o/plasty

                    ophthalm/ic

                    ot/o/rhin/o/laryng/o/logy

    Engineering
    Notes




}



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MMTO                                            140 of 168
Screen Number               1.

Screen Type             Case Study

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section X: Applications (The Ear)

Screen Title            Case Study

On Screen Text          This 4-year-old boy was brought into the urgent care facility by his father, who reported that the
                        child was restless during the night, crying, and complaining of ear pain. The boy was recently
                        treated for acute bronchitis, which he appeared to have contracted from classmates in day care.
                        He was assessed for possible acute otitis media. Objective findings included an elevated
                        temperature, and visual examination with an otoscope revealed a tender eustachian tube; an
                        inflammation of the middle ear, particularly around the tympanic membrane; and probable
                        obstruction that interfered with movement of the auditory ossicles.
                        There are two sets of exercises for this activity (see tabs 1 and 2). Be sure to complete all of the
                        questions in each set. When you have completed all of the questions under a tab, select the
                        next tab.

On Screen Image

                                 Source                   Description          Alternate Text

                         http://coursewareob                               4-year-old Jeffrey
                         jects.elsevier.com/o
                         bjects/lafleur7e_v1/
                         mod13/images/13s0
                         5l0101.jpg

{Insert Activities below this text

                                          Listen & Spell

    Pickup Source   http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/13s0
                    5l0101.html



}



Engineering Notes




MMTO                                         141 of 168
Screen Number               2.

Screen Type             Medical Report

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section X: Applications (The Ear)

Screen Title            Medical Report

On Screen Text          Click on the Medical Report link to read this diagnostic report. There are two sets of exercises
                        for this activity (see tabs 1 and 2). Be sure to complete all of the questions in each set. When
                        you have completed all of the questions under a tab, select the next tab.

Medical Report
Popup
                         Pop-Up Title           Medical Report
                                                TREATMENT REPORT
                         Pop-Up Content
                                                Sara Bender

                                                CHIEF COMPLAINT: Patient complains of
                                                difficulty hearing phone and distinguishing
                                                speech sounds.

                                                HISTORY: The patient is a 73-year-old female
                                                with a history of Ménière disease in her 30s.
                                                Her recent complaints of hearing loss remained
                                                after successful treatment for acute otitis
                                                media.

                                                DIAGNOSTIC ASSESSMENTS: Otoscopy and
                                                audiometry performed. Cholesteatoma,
                                                otosclerosis, and acoustic neuroma ruled out.
                                                Exam revealed degenerative changes
                                                associated with presbycusis.

                                                DIAGNOSIS AND TREATMENT: Patient
                                                diagnosed with presbycusis and fitted for
                                                external hearing aid.




{Insert Activities below this text

                                              Write It, Find It

 Pickup Source      http://coursewareobjects.elsevier.com/objects/lafleur7e_v1/mod13/13s05l0103.html




MMTO                                        142 of 168
Screen Number           2.

}



Engineering Notes   DEVELOPER: Please make the following changes to the Medical Report document found
                    in the link above:


                    HISTORY: The patient is a 73-year-old woman with a history of Ménière disease and tinnitus in
                    her thirties. Her recent complaints of hearing loss have continued even after successful
                    treatment for recurrent OM.



                    DIAGNOSTIC ASSESSMENTS: Otoscopy and audiometry performed. Exam reveals a
                    perforation of the eardrum associated with continual ear infections.

                    DIAGNOSIS AND TREATMENT: Patient diagnosed with perforated eardrum and moderate
                    hearing loss due to recurrent ear infections. Myringoplasty performed. On follow-up, patient was
                    fitted for external hearing aid secondary to minimal improvement following myringoplasty.



                    DEVELOPER: In TAB 1—Please replace old numbered questions with these substitutes:


                         1. Dr. Harris uses a lighted instrument called a(n) otoscope to examine Sara’s outer and
                            middle ear.


                         2. A machine that measures and graphs the degree of sensorineural hearing loss is called
                             a(n) audiometer.

                         3. The abbreviation OM in this report stands for otitis media.


                         4. The procedure for repairing a hole in the eardrum is called myringoplasty.


                         5. Earlier, in her thirties, Sara was treated for Ménière disease, characterized by a ringing
                             in her ears, referred to as tinnitus.




                    DEVELOPER: Delete TAB 2 Question Set.




MMTO                                    143 of 168
Objective:



{Insert Screens Here

Screen Number              1.

Screen Type            Section Objectives

Module Title           Module 9: Eye, Ear, and Plural Endings

Section Title          Section XI: Plural Endings

Screen Title           Section XI Objectives

On Screen Text         Upon completion of this section, you should be able to work with unusual plural spellings. In
                       particular, you should be able to do the following:
                               Distinguish plural endings from singular endings.
                               Form singular and plural forms of medical terms.

On Screen Image

                                Source                   Description         Alternate Text




Engineering Notes




MMTO                                        144 of 168
Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section XI: Plural Endings

Lesson Title     Lesson 1: Unique Plural Endings

Screen Title     1.1 Adding “s” and “es”

On Screen Text   Before we complete this module, let's pause to discuss ways in which medical terms are made
                 plural. By now you’re familiar with some of the more common plurals, such as those to which we
                 need only add an "s" to create a plural. Abrasion thus becomes abrasions; laceration
                 becomes lacerations. Notice that in these two words, adding an "s" to make it plural does not
                 create an additional syllable.


                 At other times, adding an "s" is awkward because of the sound made at the end of the word.
                 When a word ends with "ch," "sh," or "s," we will usually need to add "es," which forms, as you
                 can see, an extra syllable. Thus the term sinus becomes sinuses, shown here.


                 But what about some of the slightly more unusual plural endings? Let’s review some of those
                 spellings now.

Glossary Terms   Abrasion, laceration, sinus

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 145 of 168
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Sinus, sinuses
                      areobjects.com/obj
                      ects/leonard5e_v1/
                      mod01/images/0129
                      .jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      146 of 168
Screen Number        2.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section XI: Plural Endings

Lesson Title     Lesson 1: Unique Plural Endings

Screen Title     1.2 Changing “um” to “a”

On Screen Text   Other plurals of medical terms are a little more complicated. For instance, words ending in "um"
                 end in "a" instead when they are made plural. For instance, on the left you see a single
                 bacterium. On the right, there is more than one, so the term becomes bacteria, with the "um"
                 changed to an "a." Similarly, septum and atrium become septa and atria.

Glossary Terms   bacteria, septum, atrium

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  147 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Bacterium, bacteria
                      areobjects.com/obj
                      ects/leonard5e_v1/
                      mod01/images/0131
                      .jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    148 of 168
Screen Number        3.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section XI: Plural Endings

Lesson Title     Lesson 1: Unique Plural Endings

Screen Title     1.3 Changing “us” to “i”

On Screen Text   Words ending in "us" end in "i" instead when they are made plural. For instance, notice that the
                 word bronchus, shown on the left, becomes bronchi when made plural. Similarly, the term
                 alveolus becomes alveoli.

Glossary Terms   bronchus, bronchi, alveolus

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  149 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Bronchus, bronchi
                      areobjects.com/obj
                      ects/leonard5e_v1/
                      mod01/images/0132
                      .jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    150 of 168
Screen Number        4.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section XI: Plural Endings

Lesson Title     Lesson 1: Unique Plural Endings

Screen Title     1.4 Changing “a” to “ae”

On Screen Text   Some words ending in "a" will have an "e" added to make them plural. For instance, you can
                 see here that one vertebra becomes two or more vertebrae. It will probably not be a surprise to
                 you to learn that the term for one kneecap, or patella, becomes patellae when both kneecaps
                 are being discussed.

Glossary Terms   vertebra, patella

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  151 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Vertebra, vertebrae
                      areobjects.com/obj
                      ects/leonard5e_v1/
                      mod01/images/0133
                      .jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    152 of 168
Screen Number           5.

Screen Type         Catch That

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section XI: Plural Endings

Lesson Title        Lesson 1: Unique Plural Endings

Screen Title        1.5 [Catch That? icon] Activity: Catch That?

On Screen Text      Did you catch that? The plural form of a word whose singular form ends in “a” often ends in
                    ___, whereas the singular version of a word whose plural is an “a” often ends with these two
                    letters: ___.
                    Type your response in the text box below, then click Submit to check your answer.

Feedback Popup      Correct answer: ae; um
Content
                    Feedback: Strange though it might seem, singular and plural terms can share the simple
                    ending of “a.” Words whose singular forms end in “a,” such as “vertebra,” are often made plural
                    with the addition of an “e,” as in vertebrae. Paradoxically, if the word ending in “a” is already
                    plural, its singular form usually ends in “um.” We’ll see this happen again with many words that
                    end in “on”—some of these, too, end in “a” as plurals.


                    Want a quick review to reinforce this fact? Click on the following link to review Screens 1.2 and
                    1.4—or, if you prefer, you can come back to this topic later.

On Screen Image

                             Source                  Description          Alternate Text




Engineering Notes




MMTO                                    153 of 168
Screen Number       6.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section XI: Plural Endings

Lesson Title     Lesson 1: Unique Plural Endings

Screen Title     1.6 Changing “x” to “ces”

On Screen Text   In medical terms, many words ending in "ix" or "ex" are changed to end in "ices" when made
                 plural. Here you can see that the term appendix becomes appendices. Similarly, cortex
                 becomes cortices. Finally, words ending in "ax," such as thorax, end in "aces" when made
                 plural; hence thorax becomes thoraces.

Glossary Terms   appendix, cortex, thorax, thorax

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  154 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Appendix,
                      areobjects.com/obj                           appendices
                      ects/leonard5e_v1/
                      mod01/images/0134
                      .jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    155 of 168
Screen Number       7.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section XI: Plural Endings

Lesson Title     Lesson 1: Unique Plural Endings

Screen Title     1.7 Change “on” to “a”

On Screen Text   Some medical terms ending in "on" end with an "a" instead when made plural. For instance, you
                 see a spermatozoon on the left, but the term becomes spermatozoa when it describes more
                 than one; similarly, protozoon is changed to protozoa.

Glossary Terms   spermatozoon, spermatozoa, protozoon

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  156 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Spermatozoon,
                      areobjects.com/obj                           spermatozoa
                      ects/leonard5e_v1/
                      mod01/images/0135
                      .jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    157 of 168
Screen Number        8.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title    Section XI: Plural Endings

Lesson Title     Lesson 1: Unique Plural Endings

Screen Title     1.8 Changing “nx” to “ges”

On Screen Text   Finally, let's look at one more type of plural: medical terms ending in "nx." When these words
                 are made plural, the "nx" is usually changed to "nges." For instance, here we see phalanx
                 changed into its plural form, phalanges.

Glossary Terms   phalanges

Popup

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                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  158 of 168
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Phalanx, phalanges
                      areobjects.com/obj
                      ects/leonard5e_v1/
                      mod01/images/0136
                      .jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    159 of 168
Screen Number               9.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section XI: Plural Endings

Lesson Title            Lesson 1: Unique Plural Endings

Screen Title            1.9 [Activity icon] Activity: Listen and Spell: Plural Endings

On Screen Text          Let’s review terms covered in this lesson.

{Insert Activities below this text

                       Listen & Spell - {fill out the engine template below}

    Instructions    Click the Play button to hear a word or phrase, then type it in the space.

                                             Word                                Audio File

    Word 1          bacteria

    Word 2          phalanges

    Word 3          spermatozoon

    Word 4          spermatozoa

    Word 5          bronchus

    Word 6          bronchi

    Word 7          vertebra

    Engineering
    Notes



}



Engineering Notes




MMTO                                        160 of 168
Screen Number                  10.

Screen Type             Activity

Module Title            Module 9: Eye, Ear, and Plural Endings

Section Title           Section XI: Plural Endings

Lesson Title            Lesson 1: Unique Plural Endings

Screen Title            1.10 [Activity icon] Activity: Memory Match: Singular and Plural Endings

On Screen Text

{Insert Activities below this text

                      Memory Match - {fill out the engine template below}

    Instructions    Click to match each hidden singular term to its hidden plural form.

    Activity Data                    Terms                             Clues

                    vertebrae                             vertebra

                    cortices                              cortex

                    alveoli                               alveolus

                    bronchi                               bronchus

                    patellae                              patella

                    phalanges                             phalanx

    Engineering
    Notes




}



Engineering Notes       DEVELOPER: Please note alternative instructions (highlighted in blue) in this particular
                        engine. Thanks!




MMTO                                         161 of 168
Screen Number           1.

Screen Type         Section Quiz

Module Title        Module 9: Eye, Ear, and Plural Endings

Section Title       Section XI: Plural Endings

Screen Title        Section XI Quiz

On Screen Text      You have completed Section XI: Plural Endings.
                    If you feel comfortable with all the information presented in this section, you may return to the
                    module folder and take the Section XI Quiz. If you pass this quiz, you will have fulfilled the
                    objectives of this section.

Engineering Notes




MMTO                                    162 of 168
}




Objective
            {Insert Objective Quiz questions here}
Quiz:


            Objective:

            Objective Summary:

            Keywords:




            Asset Summary:


            Images
                     http://www.coursewareobjects.com/objects/leonard5e_v1/mod01/images/0129.jpg 146
                     http://www.coursewareobjects.com/objects/leonard5e_v1/mod01/images/0131.jpg 148
                     http://www.coursewareobjects.com/objects/leonard5e_v1/mod01/images/0132.jpg 150
                     http://www.coursewareobjects.com/objects/leonard5e_v1/mod01/images/0133.jpg 152
                     http://www.coursewareobjects.com/objects/leonard5e_v1/mod01/images/0134.jpg 155
                     http://www.coursewareobjects.com/objects/leonard5e_v1/mod01/images/0135.jpg 157
Objective
Overview:            http://www.coursewareobjects.com/objects/leonard5e_v1/mod01/images/0136.jpg 159


            Animations
                      Error! No table of contents entries found.
            Audio
                      Error! No table of contents entries found.
            Videos
                      Error! No table of contents entries found.
            Slideshows
                      Error! No table of contents entries found.
            Engines
                     Listen & Spell ................................................................................. 160
                     Memory Match................................................................................ 161




MMTO                                              163 of 168
MMTO   164 of 168
Screen Number        1.

Screen Type      Learning Links

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title

Lesson Title

Screen Title     Learning Links

On Screen Text
                 Learning Links Pertaining to the Eye
                 National Eye Institute
                 Glaucoma Research Foundation



                 Learning Links Pertaining to the Ear
                 For more information about deafness and hearing loss, visit the following sites:
                 American Society for Deaf Children
                 National Association of the Deaf
                 American Speech-Language-Hearing Association




MMTO                                 165 of 168
External Site
Popup
                    Link in Onscreen       National Eye Institute
                    Text

                    External Site URL      http://www.nei.nih.gov/health/



                    Link in Onscreen       Glaucoma Research Foundation
                    Text

                    External Site URL      http://www.glaucoma.org/index.php



                    Link in Onscreen       American Society for Deaf Children
                    Text

                    External Site URL      http://www.deafchildren.org/



                    Link in Onscreen       National Association of the Deaf
                    Text

                    External Site URL      http://www.nad.org/site/pp.asp?c=foINKQMBF
                                           &b=91587



                    Link in Onscreen       American Speech-Language-Hearing
                    Text                   Association

                    External Site URL      http://www.asha.org/default.htm




Engineering Notes




MMTO                                    166 of 168
Screen Number        1.

Screen Type      Content

Module Title     Module 9: Eye, Ear, and Plural Endings

Section Title

Lesson Title

Screen Title     Conclusion

On Screen Text   You have completed all of the lessons and activities in Module 9: Eye, Ear, and Plural
                 Endings. If you are still uncertain about any of the information presented in this module, you
                 should go back and review the content of the module again.
                 When you feel ready, return to the module folder to take the final exam.

Glossary Terms

Popup

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                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  167 of 168
On Screen Image

                             Source                  Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    168 of 168

								
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