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NHTC Midterm Review

primary care provider (PCP) family practitioner, internist, pediatrician
diagnostic reports include imaging, laboratory & pathology reports
imformed consent is required by law, must be verbalized and/or signed before a procedure/surgery, informs the patient of risks, benefits, complications of procedure/surgery
most commonly used progress note SOAP
postoperative notes doctor's orders for care after surgery
laboratory reports include chemistry profile; UA findings, CBC
surgical reports include complications encountered, if any; anesthesia used; estimated blood loss (EBL)
consultation request for medical services from a specialist
physician specializing in treating the heart & blood vessels cardiologist
progress notes can be written by a nurse; are chart notes; contain physical findings on the patient
findings on mammography are included on a radiology report
H&P contains subjective data, objective data, treatment plan
MRI, CT, x-ray reports are examples of radiology reports
summarizes the patient's care during hospitalization discharge summary
TRUE or FALSE: A PCP sees patients on a regular basis for regular exams, preventive treatments TRUE
TRUE or FALSE: SOAP stands for subjective, objective & plan FALSE
TRUE or FALSE: A pathology report summarizes findings of tests performed on blood & urine FALSE
TRUE or FALSE: Informed consent is not required before undergoing a procedure/surgery FALSE
TRUE or FALSE: The medical report is initiated at the patient's firs visit with a healthcare provider TRUE
TRUE or FALSE: An ARNP or a PA-C cannot be a PCP FALSE
TRUE or FALSE: EHR stands for electronic health record TRUE
TRUE or FALSE: An orthopedist specializes in skin disease FALSE, an orthopedist specializes in the treatment of the musculoskeletal system (bones, muscles & joints).
TRUE or FALSE: A chemistry profile analyzes chemical components of blood TRUE
TRUE or FALSE: CC stands for chief complaint TRUE
h.s. hour of sleep
p.o. by mouth
mL milliliter
t.i.d. three times a day
stat immediately
twice a day b.i.d.
as needed p.r.n.
centimeter cm
milligram mg
millimeters of mercury mmHg
hour hr
four times a day q.i.d.
millimeter mm
-ectomy excision, removal
-pexy suspension, fixation
-rrhaphy suture
-centesis surgical puncture
-plasty surgical repair
-graphy process of recording
-metry act of measuring
-rrhea discharge, flow
-tripsy crushing
-ia, -ism condition
-ician, -ist specialist
-emesis vomiting
-cele hernia, swelling
-iatry medicine, treatment
-malacia softening
-rrhexis rupture
-tomy incision
-toxic poison
-stomy forming an opening
-emia blood condition
brady- slow
dys- bad, painful, difficult
pseudo- false
micro- small
a-, an- without, not
dipl- double
hypo- under, below
hyper- excessive, above normal
dia- through, across
neo- new
prefix located at the beginning of a word
most medical words are comprised of word root, suffix, prefix, combining form
combining form is a word root plus a vowel; usually indicates the body part
suffix located at the end of the word
word roots are most often derived from the language of Greek & Latin
Sx symptoms
Bx biopsy
I&O intake & output
I&D incision & drainage
Fx fracture
diagnosis Dx
treatment Tx
dilatation and curettage D&C
history and physical H&P
prescription Rx
hist/o tissue
viscer/o internal organs
adip/o, lip/o fat
cyt/o cell
proxim/o near
poster/o back
caud/o tail
epi- above, upon
medi/o middle
dist/o far, farthest
later/o side
sarc/o flesh, connective tissue
chondr/o cartilage
four planes of reference midsagittal, sagittal, frontal, transverse
four divisions of the abdominopelvic cavity RUQ, LUQ, RLQ, LLQ
ventral, anterior front
lateral side
farther from the point of attachment to the trunk distal
toward the surface superficial
outside, exterior external
pertaining to the covering of an organ visceral
below; toward the tail caudal
vertical plane passing through the midline of the body, dividing the body or organ into equal righ and left sides midsagittal
a plane from side to side that separates the body into anterior and posterior portions frontal
plane that separates the body into superior and inferior portions transverse
plane that divides the body or organ into unequal right and left sides sagittal
# of cervical vertebrae 7
# of thoracic vertebrae 12
# of lumbar vertebrae 5
two ventral cavities thoracic, abdominopelvic
RUQ right upper quadrant
RLQ right lower quadrant
LUQ left upper quadrant
LLQ left lower quadrant
ROS review of systems
history of present illness HPI
ears, nose, throat ENT
no known drug allergies NKDA
no known allergies NKA
head, eyes, ears, nose, throat HEENT
pupils equal, round, reactive to light & accommodation PERRLA
-asthenia weakness, debility
dys- bad, painful, difficult
post- after, behind
sub- under, below
dia- through, across
-blast embryonic cell
-phylaxis protection
peri- around
-pathy disease
-cyte cell
thym/o thymus gland
gloss/o, lingu/o tongue
sial/o saliva, salivary gland
gastr/o stomach
splen/o spleen
esophag/o esophagus
pharyng/o pharynx
hepat/o liver
lymph/o lymph
aden/o gland
myel/o bone marrow, spinal cord
dent/o, odont/o teeth
col/o, colon/o colon
rect/o rectum
tonsil/o tonsils
enter/o intestine (small)
immun/o immune, immunity
or/o, stomat/o mouth
pancreat/o pancreas
cholecyst/o gallbladder
accessory organs of digenstion pancreas, gallbladder, liver
Irritable bowel syndrome (IBS) symptoms diarrhea alternating w/constipation
asplenia absence of spleen
Western blot test confirming presence of HIV antibodies in blood
Barium enema examines rectum & colon
Barium swallow examines esophagus, stomach, small intestine
visualization of organs and cavities of the body with an endoscope endoscopy
drugs used to treat fungal infections antifungals
test used to determine liver functions LFT
gallstones cholelithiasis
GERD gastroesophageal reflux disease
PE physical exam
HBV hepatitis B virus
HCV hepatitis C virus
LFT liver function test
AIDS acquired immunodeficiency syndrome
HIV human immunodeficiency syndrome
GI gastrointestinal
IBS irritable bowel syndrome
DRE digital rectal exam
BM bowel movement
derm/o skin
hist/o tissue
squam/o scale
cirrh/o yellow
melan/o black
leuk/o white
erythem/o red
ungu/o nail
myc/o fungus
scler/o hardening
trich/o hair
hidr/o sweat
cyan/o blue
-derma skin
hypo-, sub- under, below
-logist specialist in the study of
an- without, not
epi- above, upon
hyper- excessive, above normal
dia- through, across
-pathy disease
-plasty surgical repair
-tome instrument to cut
-logy study of
-oid resembling
malignant black tumor of the skin melanoma
dermatitis inflammation of the skin
physician specializing in skin disease dermatologist
pruritus itching
hyperhidrosis condition of excessive sweating
a wound or irregular tear of flesh laceration
another word for bruise contusion & ecchymosis
redness or inflammation of the skin or mucous membranes erythema
shingles is a another word for herpes zoster
contagious skin disease transmitted by the itch mite scabies
True or False: The three skin parts are the epidermis, dermis and subcutaneous tissue TRUE
True or False: The accessory structures of the skin are the sweat and oil glands, hair, and nails TRUE
Subcutaneous tissue is the outer layer of skin FALSE - the outer layer of skin is the epidermis
True or False: Melanocytes provide a protective barrier to ultraviolet radiation in sunlight TRUE
True or False: The integumentary system is formed by the skin and accessory structures TRUE
True or False: Dermatopathy means the inflammation of the skin FALSE, dermatopathy means disease of the skin
True or False: The skin does not protect the body from entry of harmful substances and pathogens FALSE, the skin protects the body from entry of harmful substances and pathogens
True or False: The three types of burns are chemical, electrical and thermal TRUE
True or False: Full-thickness burns affect all skin layers TRUE
True or False: The rule of the nines is used to calculate the percentage of total body surface area burned TRUE
ABCDs of melanoma asymmetrical, border, color, diameter
-asthenia wakness, debility
dys- through, across
ur/o, urin/o urine, urinary tract
nephr/o kidney
pyel/o renal pelvis
ureter/o ureters
prostat/o prostate gland
hyster/o uterus
urethr/o urethra
cyst/o bladder
men/o menses, menstruation
salping/o tube
andr/o male
meat/o opening, meatus
vas/o vessel, vas deferens, duct
balan/o glans penis
orch/o testes
sperm/o, spermat/o sperm
colp/o, vagin/o vagina
cervic/o neck of uterus, cervix
mamm/o, mast/o breast
oophor/o ovary
blood test used to detect prostate cancer PSA
produces sperm testicles
urine expelled from the body through urethra
contains testicles scrotum
laboratory analysis of urine UA
female gonads ovaries
physician specializing in urology urologist
absence of menstruation amenorrhea
blood in the urine hematuria
drugs used to stimulate uterine contractions oxytocins
PID pelvic inflammatory disease
KUB kidneys, uterers, bladder
ESRD end-stage renal disease
GU genitourinary
STD sexually transmitted disease
in vitro fertilization IVF
obstetrics OB
gynecology GYN
Pap smear Pap
Created by: rmlgray