Advanced Pathophysiology for Ontario PCPs
Like Duolingo, but for Advanced Pathophysiology for Ontario PCPs. Tomo turns the whole topic into a game you play five minutes a day, until it actually sticks.
For the part of you with thirty open tabs that never became anything.
Free during early access · No credit card · iPhone & Android

Key ideas in Advanced Pathophysiology for Ontario PCPs
- Accessory muscles consume high amounts of oxygen and glucose compared to the diaphragm
- Fixing the arms allows pectoralis minor to act as an inspiratory muscle
- Prolonged recruitment leads to metabolic acidosis and respiratory muscle fatigue
- The position optimizes the diaphragm's length-tension relationship for better contraction
- The metabolic impact of prolonged accessory muscle use
- The mechanical benefit of the tripod position
- Stridor is a high-pitched inspiratory sound from the larynx or trachea
- Wheezing is a whistling expiratory sound caused by narrowed bronchioles
- A silent chest indicates air movement is too low to create turbulent noise
- The disappearance of wheezing without clinical improvement signals imminent arrest
- Differentiating airway sounds to guide treatment
- SpO2 readings lag behind actual arterial oxygen saturation by 30 to 60 seconds
- Recognizing the severity of a 'silent chest'
- A falling SpO2 in a struggling patient means the desaturation happened earlier
- Hypoxemia is a measurable drop in arterial oxygen saturation
- Hypercapnia is the primary stimulus for ventilation in healthy lungs
You've tried the other tabs
Thirty open tabs. Four facts you actually kept.
You watched. You nodded. By Sunday it was gone.
One answer, then back to scrolling.
Eight weeks. You meant to finish. You didn't.
Tomo gives Advanced Pathophysiology for Ontario PCPs the Duolingo treatment: levels, streaks, and quick quizzes that test what you just learned. That game loop is what the tabs above never had, so it's the one you actually finish.
Here's what playing it feels like
A real question from this course. Take your best guess.
Compared to the diaphragm, why is the prolonged use of accessory muscles unsustainable for a patient?
Get it right to open this lesson and 66 more in the app.
Where Advanced Pathophysiology for Ontario PCPs takes you
A mastery-level exploration of the physiological breakdowns in respiratory, cardiac, and neurological systems, tailored for the Ontario Primary Care Paramedic scope.
- 1
Respiratory Mechanics and Failure
- The Work of Breathing
- Oxygenation vs. Ventilation
- Obstructive Airway Pathophysiology
- 2
Cardiac Electrophysiology
- The Myocyte Action Potential
- Conduction Blocks and Delays
- 3
Hemodynamics and Pump Failure
- Left-Sided Heart Failure
- Right-Sided Failure and Preload
- 4
Acute Coronary Syndromes (ACS)
- Plaque Rupture and Ischemia
- Myocardial Oxygen Demand
- 5
Neurological Crises
- The Monro-Kellie Doctrine
- Cerebral Perfusion Pressure (CPP)
- Stroke Pathophysiology
- 6
Metabolic and Toxicological Insults
- Seizure Dynamics
- Acid-Base Balance
- 7
Integrated Clinical Reasoning
- Shock States and Microcirculation
- Endocrine-Cardiac Links
- The Geriatric and Pediatric Pivot
7 sections · 17 units · 67 levels. Built to play, not to enroll.
You pick the voice
Advanced Pathophysiology for Ontario PCPs is taught in the The Professor style: clear, structured, thorough. Want a different feel? In the app you can spin up the same topic in any of Tomo's teaching styles. Same facts, totally different vibe.
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