Review
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| tid | three times a day
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| qid | four times a day
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| adlib | as desired
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| Tylenol | APAP
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| hours of sleep | hs
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| as needed | PRN
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| bid | two times a day
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| pain | pn
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| immediately | STAT
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| night | noc/noct
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| blood pressure | BP
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| beats per minute | BPM/bpm
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| temperature | temp
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| pulse | P
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| respiration | R
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| pain scale | PS
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| shortness of breath | SOB
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| ambulatory | amb
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| complains of | C/O
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| right eye | OD
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| left eye | OS
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| both eyes | OU
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| right ear | AD
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| left ear | AS
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| both ears | AU
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| drop | gt
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| grain | gr
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| encephal/o | brain
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| cerebell/o | cerebellum
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| dur/o | dura mater
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| mening/o | meninges
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| radicul/o, rhiz/o | nerve root
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| dermat | skin
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| spin/o | spine
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| spondyl/o,vertebr/o | vertebra
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| ia | condition
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| graph | record
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| osm/o | sense of smell
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| hydr/o | water
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| To advise means to | counsel
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| Litigation is a | lawsuit
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| When something is not movable, we use the term | stationary
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| Care involves all the health needs of the pt | holistic
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| During the interview, the medical assistant questions the patient as follows: “Describe your pain for me. This is an example of a | open-ended question
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| An effective relationship that considers both physical and emotional needs | rapport
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| Being a good communicator means that the medical assistant will effective in | sending and receiving the message
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| Growth and development process involving physical, social, and emotional functions | maturation
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| Are you an only child is an example of a | closed question
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| The use of arm gestures, facial expressions, and turning one’s head are all examples of | nonverbal communication
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| The tone of voice, speed of speech, and sighing on the part of the patient while speaking are all examples of | verbal communication
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| When you are interviewing a patient, the use of closed questions is indicated when you are looking for | one word
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| Words formed from the first letter of several words | acronym
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| delayed pt should be treated based on their level of maturation. | developmentally
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| A method of arranging files using straight numbers | numerical
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| Factors that reduce the effectiveness of communication include | language and culture
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| A type of chart format the divides each pt’s problem into subjective, objective, assessment, and plan data | SOAP
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| In order for the medical office to submit forms for the patient to the insurance company, the patient usually needs to sign a | release form
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| The ability to process new information and to apply it appropriately in a given setting reflects a pt’s | mental function
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| The patient making the statement, “I feel like someone is pounding nails into my head,” would have this statement documented in the SOAP format under | subjective data
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| The second unit in alphabetical filing is the pt’s | first
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| The most common method of filing is | alphabetical
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| In the alphabetical each name is broke down into | units
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| Diagnostic tests, medications, and treatments to be started are documented in the SOAP format under | plan
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| The medical record is owned by | doctor
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| Information in the medical record is owned by | patient
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| The physician’s preliminary diagnosis is documented in the SOAP format under | assessment
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| Assessing ______________________from the receiver allows you to determine if the message was understood the way it was intended. | feedback
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| The process of documenting events and services concerning the pt’s care | charting
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| Words that show action in a sentence | verb
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| Words that describe the contents, name, or subject matter on a label | caption
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| How many feet should you stand back to respect someone’s personal space | 1.5-2.5
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| What percentage of communication is nonverbal | 90%
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| The process of underlining a keyword to indicate how a document should be filed | coding
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