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Paramedic Medical Emergencies: GI/Uro/Neph/Immune/Hema/Toxicology

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Question/Definition
Term/Answer
A chemical in red blood cells that affects hemoglobin's affinity for oxygen   2,3-biphosphoglycerate (2,3-BPG)  
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A substance that liberates hydrogen ions (H+) when in a solution   Acid  
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Immunity that develops over time and results from exposure to an antigen. (aka Specific Immunity)   Acquired Immunity  
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A powder, usually premixed with water, that will absorb (bind) some poisons and help prevent them from being absorbed by the body   Activated Charcoal  
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Acquired immunity that occurs following exposure to an antigen and results in the production of antibodies specific for the antigen; protection against disease developed after birth as a result of a direct exposure to the disease   Active Immunity  
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Movement of a molecule through a cell membrane from a region of lower concentration to one of higher concentration; movement requires energy consumption within the cell   Active Transport  
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Sudden onset of inflammation of the stomach and intestines   Acute Gastroenteritis  
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The sudden onset of severely decreased urine output production (aka Acute Renal Failure (ARF))   Acute Kidney Injury (AKI)  
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A particular syndrome characterized by the sudden death of tubular cells   Acute Tubular Necrosis  
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Compulsive and overwhelming physiological and/or psychological dependence on a drug   Addiction  
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Union of normally separate tissue surfaces by a fibrous band of new tissue   Adhesion  
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Transmitted through the air by droplets or particles   Airborne  
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A substance that liberates hydroxyl ions (OH-) when in a solution; a strong base   Alkali  
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A substance capable of inducing allergy of specific hypersensitivity   Allergen  
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An exaggerated response by the immune system to a foreign substance   Allergic Reaction  
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A hypersensitive state acquired through exposure to a particular allergen   Allergy  
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An unusual or exaggerated allergic reaction to a foreign protein or other substance   Anaphylaxis  
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An inadequate number of red blood cells or inadequate hemoglobin within the red blood cells   Anemia  
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Marked edema of the skin that usually involves the head, neck, face, and upper airway; a common manifestation of severe allergic reactions and anaphylaxis   Angioneurotic Edema  
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A form of inflammatory arthritis that primarily affects the spine   Ankylosing Spondylitis  
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Protein that is produced in response to and that attack a disease antigen   Antibody  
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Formation and passage of a concentrated urine, preserving blood volume   Antidiuresis  
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A substance that will neutralize a specific toxin or counteract its effect on the body   Antidote  
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Surface protein on most viruses and bacteria that identifies them as self or nonself; any substance that is capable, under appropriate conditions, of inducing a specific immune response   Antigen  
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No elimination of urine   Anuria  
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Inflammation of the vermiform appendix at the junction of the large and small intestines   Appendicitis  
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A waterlike fluid that surrounds the iris, pupil, and lens of the eye   Aqueous Humor  
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The part of the tubule beyond the descending loop of Henle   Ascending Loop of Henle  
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A condition in which the body makes antibodies against its own tissues   Autoimmune Disease  
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The body’s formation of antibodies against itself   Autoimmunity  
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Cells that attack invaders in humoral immune responses   B Lymphocytes  
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Microscopic single-celled organisms that range in length from 1 to 20 micrometers   Bacteria  
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Capable of killing bacteria   Bactericidal  
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Capable of inhibiting bacterial growth or reproduction   Bacteriostatic  
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A type of white blood cell that participates in allergic responses   Basophil  
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A non-cancerous enlargement of the prostate associated with aging   Benign Prostatic Hypertrophy  
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Transmitted by contact with blood or body fluids   Bloodborne  
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Phenomenon in which a decrease in PCO2 acidity causes an increase in the quantity of oxygen that binds with hemoglobin and , Conversely, an increase in PCO2 acidity causes the hemoglobin to give up a greater quantity of oxygen   Bohr Effect  
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Blockage of the hollow space within the intestines; can be catastrophic if not rapidly diagnosed and treated   Bowel Obstruction  
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The hollow, cup-shaped first part of the nephron tubule   Bowman’s Capsule  
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Physical exam finding suggestive of meningitis in which flexion of the neck causes flexion of the hips and knees   Brudzinski’s Sign  
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A condition caused by pressure on the median nerve in the wrist, with repetitive motion being the primary cause   Carpal Tunnel Syndrome (CTS)  
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A clouding of the lens of the eye   Cataract  
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Generalized, temporary defense against any invader   Cell-Mediated Immunity  
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Immunity resulting from a direct attack of a foreign substance by specialized cells of the union system   Cellular Immunity  
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An infection of the skin that often involves the associated soft tissues   Cellulitis  
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Earwax; a protective substance secreted by glands within the ear canal   Cerumen  
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An inflammation or infection resulting from blockage of a gland of the eyelid   Chalazion  
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Highly contagious sexually transmitted ulcer   Chancroid  
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The movement of white blood cells in response to chemical signals   Chemotaxis  
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A disease caused by Chikungunya virus and spread by the Aedes species of mosquitoes   Chikungunya Virus Disease  
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A Group of intracellular parasites that cause sexually transmitted diseases   Chlamydia  
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Inflammation of the Gallbladder   Cholecystitis  
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A dialysis procedure that relies on the patient’s peritoneal membrane as the semi permeable membrane. Dialysate is introduced into the abdomen via a closed system that allows the patient to be ambulatory during dialysis. (aka Peritoneal Dialysis)   Chronic Ambulatory Peritoneal Dialysis (CAPD)  
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Non acute inflammation of the gastrointestinal mucosa   Chronic Gastroenteritis  
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Permanently inadequate renal function due to nephron loss (aka Chronic Renal Failure (CRF))   Chronic Kidney Disease (CKD)  
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Pain that persists longer than that typically seen in others who have the same condition   Chronic Pain Syndrome (CPS)  
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The surgical removal of the foreskin of the penis   Circumcision  
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Degenerative disease of the liver   Cirrhosis  
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acute pain associated with cramping or spasms in the abdominal organs   Colic  
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the larger structure beyond the distal tubule into which urine drips   Collecting Duct  
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capable of being transmitted to another host   Communicable  
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time when a host can transmit an infectious agent to someone else   Communicable Period  
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an infection occurring in a non-hospitalized patient who is not undergoing regular medical procedures, including the use of instruments such as catheters   Community-Acquired Infection  
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Presence of an agent only on the surface of the host without penetrating it   Contamination  
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the outer tissue of an organ such as the kidney   Cortex  
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a waste product caused by metabolism within muscle cells   Creatinine  
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idiopathic inflammatory bowel disorder associated with the small intestine   Crohn’s Disease  
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viral illness characterized by inspiratory and expiratory stridor and a seal bark-like cough   Croup  
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Ecchymosis in the periumbilical area   Cullen’s Sign  
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A disorder of unknown causes characterized by repeated, sudden episodes of severe nausea , vomiting comma and physical exhaustion   Cyclical Vomiting Syndrome (CVS)  
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infection of the bladder   Cystitis  
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the process of minimizing toxicity by reducing the amount of toxin absorbed into the body   Decontamination  
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a hypersensitivity that develops after the elapse of some time following reexposure of an antigen; Usually less severe than immediate reactions   Delayed Hypersensitivity  
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A disorder found in habitual and excessive users of alcoholic beverages after cessation of drinking for 48 to 72 hours   Delirium Tremens  
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the part of the tubule beyond the proximal tubule   Descending Loop of Henle  
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the solution used in dialysis that is hypo osmolar to many of the wastes and key electrolytes in blood   Dialysate  
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the duration from the onset of signs and symptoms of disease until the resolution of symptoms or death   Disease Period  
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process that destroys certain forms of microorganisms, but not all   Disinfection  
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a type of hematopoietic disorder in which circulating thrombin cleaves fibrinogen to form fibrin clots through circulation; caused by systemic activation of the coagulation cascade (aka Consumption Coagulopathy)   Disseminated Intravascular Coagulation (DIC)  
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the part of the tubule beyond the ascending loop of henle   Distal Tubule  
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formation and passage of a large amount of dilute urine, decreasing blood volume   Diuresis  
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small outpouching's in the mucosal lining of the intestinal tract   Diverticula  
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inflammation of diverticula   Diverticulitis  
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presence of diverticula, with or without associated bleeding   Diverticulosis  
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poisoning from a pharmacological substance in excess of that usually prescribed or that the body can tolerate   Drug Overdose  
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disease of humans and other primates caused by the virus ebola virus and transmitted between people by direct contact   Ebola Virus Disease (EVD)  
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acute infection of the brain, usually caused by a virus   Encephalitis  
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fluid that fills the membranous labyrinth of the inner ear   Endolymph  
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toxic products released when bacteria die and decompose   Endotoxin  
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an extreme failure of kidney function due to nephron loss; (aka ESRF)   End-Stage Kidney Disease (ESKD)  
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an exotoxin that produces gastrointestinal symptoms and diseases such as food poisoning   Enterotoxin  
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inflammation of an epicondyle (a prominence on the distal part of a long bone to which muscles and ligaments attach)   Epicondylitis  
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a saclike duct adjacent to a testis that stores sperm cells   Epididymis  
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infection an inflammation of the epiglottis   Epiglottitis  
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red blood cell   Erythrocyte  
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The process of producing red blood cells   Erythropoiesis  
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a hormone produced by kidney cells that stimulates maturation of red blood cells   Erythropoietin  
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swollen vein of the esophagus   Esophageal Varix  
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a soluble poisonous substance accreted during the growth of a bacterium   Exotoxin  
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a form of molecular diffusion in which a molecule specific carrier in a cell membrane speeds the molecules movement from a region of higher concentration to one of lower concentration   Facilitated Diffusion  
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infection of the fascia (a layer of fibrous connective tissue that surrounds muscles, blood vessels, nerves, and similar structures throughout the body)   Fasciitis  
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transmission of organisms picked up from the gastrointestinal tract into the mouth   Fecal-Oral Route  
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the process through which plasmin dismantles a blood clot   Fibrinolysis  
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a condition characterized by widespread pain in the muscles and soft tissues throughout the body (aka Central Sensitivity Syndrome (CSS))   Fibromyalgia  
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The fluid produced in bowman’s capsule by filtration of blood   Filtrate  
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the part of the back below the ribs and above the hip bones   Flanks  
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nonspecific term often applied to gastroenteritis that occurs suddenly and that is caused by the ingestion of food containing preformed toxins   Food Poisoning  
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plantlike microorganism   Fungus  
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death of body tissue   Gangrene  
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removing an ingested poison by repeatedly filling and emptying the stomach with water or Saline via a gastric tube   Gastric Lavage  
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generalized disorder involving nausea, vomiting, gastrointestinal cramping or discomfort, and diarrhea   Gastroenteritis  
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words occurring in the general area caused by the human papillomavirus (HPV)   Genital Warts  
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the male organ system that includes reproductive and urinary structures   Genitourinary System  
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A systemic viral disease characterized by a fine pink rash that appears on the face, trunk, and extremities and fades quickly (aka Rubella)   German Measles  
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The removal of water and other elements from blood in the nephron tubule   Glomerular Filtration  
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the volume per day at which blood is filtered through capillaries of the glomerulus   Glomerular Filtration Rate (GFR)  
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a tuft of capillaries from which blood is filtered into a nephron   Glomerulus  
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the body cells inability to take up glucose from the bloodstream   Glucose Intolerance  
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sexually transmitted disease caused by a Gram-negative bacterium   Gonorrhea  
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a form of inflammatory arthritis that occurs when uric acid accumulates in the joints   Gout  
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method of differentiating types of bacteria according to their reaction to a chemical stain process   Gram Stain  
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Eccymosis in the flank   Grey Turner’s Sign  
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family of viruses that are carried by the deer mouse and transmitted by ticks and other arthropods   Hantavirus  
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bloody vomitus   Hematemesis  
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bright red blood in the stool   Hematochezia  
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the packed cell volume of red blood cells per unit of blood   Hematocrit  
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the study of blood and the blood-forming organs   Hematology  
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the process through which pluripotent stem cells differentiate into various types of blood cells   Hematopoiesis  
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a dialysis procedure relying on vascular access to the blood and on an artificial membrane   Hemodialysis  
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oxygen bearing molecule in the red blood cells   Hemoglobin  
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destruction of red blood cells   Hemolysis  
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a blood disorder in which one of the proteins necessary for blood clotting is missing or defective   Hemophilia  
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small mass of swollen veins in the anus or rectum   Hemorrhoid  
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the combined three mechanisms that work to prevent or control blood loss   Hemostasis  
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injury with inflammation or infection of the liver cells   Hepatitis  
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protrusion of an organ through its protective sheath   Hernia  
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Organism that causes infections characterized by fluid filled vesicles, usually in the oral cavity or on the genitals   Herpes Simplex Virus  
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the notched part of the kidney where the ureter and other structures join kidney tissue   Hilum  
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A product of basophils & mast cells that is the principal chemical mediator of allergic reactions; causes vasodilation, capillary permeability, bronchoconstriction, & contraction of the gut   Histamine  
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A parasite that attaches to the host's intestinal lining   Hookworm  
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Organism responsible for acquired immunodeficiency syndrome   Human Immunodeficiency Virus (HIV)  
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Specialized, permanent defense against a particular foreign antigen resulting from an attack of an invading substance by antibodies   Humoral Immunity  
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any of an order of highly specialized insects such as bees and wasps   Hymenoptera  
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having a concentration in one substance greater than that of a second solution   Hyperosmolar  
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an unexpected an exaggerated reaction to particular antigen   Hypersensitivity  
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a collection of blood in the anterior Chamber of the eye   Hyphema  
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having a concentration in one substance lower than that of a second solution   Hypo-osmolar  
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a hypersensitivity that develops swiftly following re exposure to an antigen ; Usually more severe than delayed reactions; swiftest an most severe form is anaphylaxis   Immediate Hypersensitivity  
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complex of events within the body that works toward the destruction or inactivation of pathogens, abnormal cells, or foreign molecules   Immune Response  
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the body's mechanism for defending against foreign invaders   Immune System  
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alternative term for antibody   Immunoglobulin (Ig)  
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infection of the skin caused by staphylococci or streptococci   Impetigo  
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Time Between a host’s exposure to an infectious agent and the appearance of symptoms   Incubation Period  
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the individual who first introduces an infectious agent to a population   Index Case  
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immunity achieved through vaccination given to generate an immune response that results in the development of antibodies specific for the injected antigen   Induced Active Immunity  
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area of dead tissue caused by lack of blood   Infarction  
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presence of an agent within the host, without necessarily causing disease   Infection  
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illness caused by infestation of the body by biological organisms   Infectious Disease  
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presence of parasites that do not break the host’s skin   Infestation  
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a nonspecific defense mechanism that wards off damage from microorganisms or trauma   Inflammatory Process  
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disease caused by a group of viruses   Influenza  
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entry of a substance into the body through the gastrointestinal tract   Ingestion  
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entry of a substance into the body through the respiratory tract   Inhalation  
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entry of a substance into the body through a break in the skin   Injection  
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an inflammation within the tissue surrounding the nephrons   Interstitial Nephritis  
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Abscess that forms within the renal parenchyma   Intrarenal Abscess  
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condition that occurs when part of an intestine slips into the part just distal to itself   Intussusception  
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a gastrointestinal system disorder characterized by symptoms that include abdominal pain, cramping, increased gas, altered bowel habits, food intolerance, and bloating   Irritable Bowel Syndrome (IBS)  
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the inability to concentrate or dilute urine relative to the osmolarity of blood   Isosthenuria  
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inability to fully extend the knees with hips flexed   Kernig’s Sign  
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an organ that produces urine and forms other functions related to the urinary system   Kidney  
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a region in the anteroinferior part of the nasal septum where four arteries form a network, or vascular plexus, that is a site of most nosebleeds   Kiesselbach’s Plexus  
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time when a host cannot transmit an infectious agent to someone else   Latent Period  
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a cancer of the hematopoietic cells   Leukemia  
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White blood cell   Leukocyte  
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too many white blood cells   Leukocytosis  
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too few white blood cells   Leukopenia  
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the process through which stem cells differentiate into the white blood cells’ immature forms   Leukopoiesis  
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parasitic infestation of the skin of the scalp , trunk, or pubic area   Lice  
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ligament that supports the duodenojejunal junction   Ligament of Treitz  
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Bleeding in the gastrointestinal tract distal to the ligament of Treitz   Lower Gastrointestinal Bleeding  
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a type of oral bacterial Cellulitis, or inflammation, that involves the floor of the mouth under the tongue   Ludwig’s Angina  
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recurrent inflammatory disorder caused by a tick-borne spirochete   Lyme Disease  
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Overflow circulatory fluid in spaces between tissues   Lymph  
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secondary circulatory system that collects overflow fluid from the tissue spaces and filters it before returning it to their circulatory system   Lymphatic System  
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cell that attacks invader in immune response   Lymphocyte  
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a cancer of the lymphatic system   Lymphoma  
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after neutrophils comma the most common phagocytic white blood cell   Macrophage  
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a larvicidal peptide   Major Basic Protein (MBP)  
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esophageal laceration, usually secondary to vomiting, with resulted bleeding   Mallory-Weiss Syndrome  
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a device for protecting the face   Mask  
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specialized cell of the immune system that contains chemicals that assist in the immune response   Mast Cell  
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common sight of pain from appendicitis , one to two inches above the anterior iliac Crest in a Direct Line with the umbilicus   McBurney’s Point  
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highly contagious, acute viral disease characterized by a reddish rash that appears on the 4th or 5th day of illness   Measles  
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the inner tissue of an organ such as the kidney   Medulla  
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dark, tarry, foul smelling stool indicating the presence of partially digested blood   Melena  
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inflammation of the meninges, usually caused by an infection   Meningitis  
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occlusion or narrowing of one of the mesenteric arteries, causing a reduction in oxygen and nutrients to the portion of the intestine that is normally supplied by the artery, leading , if not treated, to tissue death and infection   Mesenteric Ischemia  
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a disease affecting the smallest blood vessels   Microangiopathy  
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viral respiratory infection caused by the Middle East respiratory syndrome coronavirus   Middle East Respiratory Syndrome (MERS)  
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acute disease caused by the Epstein Barr virus   Mononucleosis  
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a cancerous disorder of plasma cells   Multiple Myeloma  
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acute viral disease characterized by painful enlargement of the salivary glands   Mumps  
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pain caused when an inflamed Gallbladder is palpated by pressing under the right costal margin   Murphy’s Sign  
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genetically predetermined immunity that is present at birth and has no relation to previous exposure to a particular pathogen. (aka Innate Immunity)   Natural Immunity  
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immunity that begins to develop after birth and is continually enhanced by exposure to new pathogens and antigens throughout life   Naturally Acquired Immunity  
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a life threatening bacterial infection that can rapidly destroy skin, muscles, and surrounding tissues   Necrotizing Fasciitis (NF)  
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the medical specialty dealing with the kidneys   Nephrology  
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a microscopic structure within the kidney that produces urine   Nephron  
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a reduced number of neutrophils   Neutropenia  
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the most common phagocytic white cell   Neutrophil  
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organisms that live inside our bodies without ordinarily causing disease   Normal Flora  
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acquired while in the hospital   Nosocomial  
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an infection acquired in a medical setting   Nosocomial Infection  
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Organism that can grow and reproduce only within a host cell   Obligate Intracellular Parasite  
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decrease urine elimination to 400 to 500 mLs or less per day   Oliguria  
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ordinarily non harmful bacterium that causes disease only under unusual circumstances   Opportunistic Pathogen  
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a membranous structure that separates the anterior aspect of the eye from the posterior aspect of the eye   Orbital Septum  
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Phosphorus-containing organic chemicals   Organophosphates  
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a painful swelling of the anterior tibial tubercle (bump on the upper tibia just below the knee), often involving both legs   Osgood-Schlatter Disease  
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the measure of a substances is concentration in water   Osmolarity  
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the diffusion pattern of water in which molecules move to equalize concentrations on both sides of a membrane   Osmosis  
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greatly increase urination and dehydration that results when high levels of glucose cannot be absorbed into the blood from the kidney tubules and the osmotic pressure of the glucose in the tubules also prevents water reabsorption   Osmotic Diuresis  
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degradation of the joints   Osteoarthritis (OA)  
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an infection of the bone   Osteomyelitis  
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thinning of bone tissue in loss of bone density from mineral loss that occurs overtime   Osteoporosis  
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ulcerative colitis that affects the entire colon   Pancolitis  
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inflammation of the pancreas   Pancreatitis  
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the tip of a pyramid; It juts into the hollow space of the kidney   Papilla  
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Organism that lives in or on another Organism from which it derives nutriment   Parasite  
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acquired immunity that results from administration of antibodies either from the mother to the infant across the placental barrier or through vaccination   Passive Immunity  
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a disease producing agent or invading substance   Pathogen  
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the male organ of copulation   Penis  
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erosion caused by gastric acid   Peptic Ulcer  
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a pocket of infection in the layer of fat surrounding the kidney   Perinephric Abscess  
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Inflammation of the peritoneum, which lines the abdominal cavity   Peritonitis  
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disease characterized by severe, violent coughing   Pertussis  
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process in which white blood cells engulf and destroy an invader   Phagocytosis  
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infection of the pharynx and tonsils   Pharyngitis  
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Material located in the cones of the retina of the eye that undergoes a chemical change when contacted by light, sending impulses to the optic nerve and brain   Photopigments  
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parasite that is 3 to 10 millimeters long and lives in the distal colon   Pinworm  
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thick, pale yellow fluid that makes up the liquid part of the blood   Plasma  
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a cell from which the various types of blood cells can form   Pluripotent Stem Cell  
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acute infection of the lung, including alveolar spaces an interstitial tissue   Pneumonia  
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an excess of red blood cells   Polycythemia  
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pertaining to the flow of blood into the liver   Portal  
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acute renal failure caused by obstruction distal to the kidney (aka Postrenal ARF)   Postrenal AKI  
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purified protein derivative, the substance used in a test for tuberculosis   PPD  
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acute renal failure caused by decreased blood perfusion to the kidney (aka Prerenal ARF)   Prerenal AKI  
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A management plan to minimize further damage to vital tissues   Preventive Strategy  
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a painful, prolonged erection of the penis   Priapism  
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initial, generalized response to an antigen   Primary Response  
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particles of protein, folded in such a way that protease enzymes cannot act on them   Prions  
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ulcerative colitis limited to the rectum   Proctitis  
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a gland that surrounds the male bladder neck and the first portion of the urethra; It produces fluid that mixes with sperm to make semen   Prostate Gland  
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infection and inflammation of the prostate gland   Prostatitis  
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Single-celled parasitic organisms with flexible membranes and the ability to move   Protozoan  
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the part of the tubule beyond Bowman’s Capsule   Proximal Tubule  
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a raised, wedge-shaped growth of the conjunctiva of the eye   Pterygium  
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an infection an inflammation of the kidney   Pyelonephritis  
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the visible tissue structures within the medulla of the kidney   Pyramids  
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viral disorder that affects the nervous system   Rabies  
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the movement of a substance from a nephron tubule back into the blood   Reabsorption  
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the decrease in number of functional nephrons that causes renal failure   Reduced Nephron Mass  
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pain felt in location other than that of its origin   Referred Pain  
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a chronic pain condition characterized by diffuse pain, swelling, and limitation of movement that follows an arm or leg injury   Reflex Sympathetic Dystrophy (RSD)  
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pertaining to the kidneys   Renal  
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  Renal AKI  
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kidney stones   Renal Calculi  
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artificial replacement of some critical kidney functions   Renal Dialysis  
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the hollow space of the kidney that junctions with a ureter   Renal Pelvis  
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an enzyme produced by kidney cells that plays a key role in controlling arterial blood pressure   Renin  
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injury or inflammation of tissues caused by repeated motions   Repetitive-Motion Disorders  
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any living creature or environment (water, soil, etc) that can harbor an infectious agent   Reservoir  
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a host's ability to fight off infection   Resistance  
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an apparatus worn that cleanses or qualifies the air   Respirator  
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common cause of pneumonia an bronchiolitis in children   Respiratory Syncytial Virus (RSV)  
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a collective term for the network of various cells involved in the immune response   Reticuloendothelial System (RES)  
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a chronic disease that leads to inflammation and injury to the joints and the surrounding tissues   Rheumatoid Arthritis (RA)  
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federal law that outlines the rights and responsibilities of agencies and health care workers when an infectious disease exposure occurs   Ryan White Act  
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skin disease caused by mite infestation and characterized by intense itching   Scabies  
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a muscular SAC outside the abdominal cavity that contains the testes, epididymis, and vas deferens   Scrotum  
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an oily substance accreted onto the eyelids that keeps the lids soft and pliable   Sebum  
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response by the immune system that takes place if the body is exposed to the same antigen again; antibodies specific for the offending antigen are released   Secondary Response  
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The movement of a substance from the blood into a nephron tubule   Secretion  
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male reproductive fluid   Semen  
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initial exposure of a person to an antigen that results in an immune response   Sensitization  
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a life-threatening medical condition caused by a whole-body inflammatory state called systemic inflammatory response syndrome (SIRS); (aka Septicemia)   Sepsis  
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infection of a joint, usually by bacteria but sometimes by viruses or fungi   Septic Arthritis  
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The trapping of red blood cells by an organ such as the spleen   Sequestration  
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creation of antibodies after exposure to a disease   Seroconversion  
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a highly infectious viral respiratory illness that first appeared in southern China in 2002   Severe Acute Respiratory Syndrome (SARS)  
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illness most commonly transmitted through sexual contact   Sexually Transmitted Disease (STD)  
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an inherited disorder of red blood cell production, so named because the red blood cells become sickle shaped when oxygen levels are low   Sickle Cell Disease  
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the random motion of molecules from an area of high concentration to an area of lower concentration   Simple Diffusion  
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inflammation of the paranasal sinuses   Sinusitis  
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substance released from basophils and mast cells that causes spasm of the bronchiole smooth muscle, resulting in an asthma-like attack and occasionally asphyxia   Slow-Reacting Substance of Anaphylaxis (SRS-A)  
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Sharp, localized pain that originates in walls of the body such as skeletal muscles   Somatic Pain  
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male reproductive cell   Sperm Cell  
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process that destroys all microorganisms   Sterilization  
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an infection of the eyelid caused by blockage of the oil glands associated with an eyelash (aka External Hordeolum)   Sty  
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Use of a pharmacological substance for purposes other than medically defined reasons   Substance Abuse  
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entry of a substance into the body directly through the skin or mucous membrane   Surface Absorption  
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bloodborne sexually transmitted disease caused by the spirochete Treponema Pallidum   Syphilis  
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A whole-body inflammatory state   Systemic Inflammatory Response Syndrome (SIRS)  
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a chronic autoimmune disease that can affect the skin, joints, kidneys, and other organs   Systemic Lupus Erythematosus (SLE)  
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cells that attack invaders in cell-mediated immune responses   T Lymphocytes  
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an inflammation of a tendon   Tendonitis  
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an inflammation of the lining of the sheath (synovium) that surrounds a tendon   Tenosynovitis  
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male sex organs   Testes  
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twisting of a spermatic cord, resulting in blockage of the blood supply to the testicle and surrounding structures within the scrotum   Testicular Torsion  
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acute bacterial infection of the central nervous system   Tetanus  
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the maximum tolerated dose divided by the minimum curatives dose of a drug; the range between curatives and toxic dosages (aka Therapeutic Window)   Therapeutic Index  
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blood platelets   Thrombocyte  
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an abnormal decrease in the number of platelets   Thrombocytopenia  
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an abnormal increase in the number of platelets   Thrombocytosis  
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the need to progressively increase the dose of a drug to reproduce the effect originally achieved by smaller doses   Tolerance  
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study of the detection, chemistry, pharmacological actions, and antidotes of toxic substances   Toxicology  
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a toxic syndrome; a group of typical signs and symptoms consistently associated with exposure to a particular type of toxin   Toxidrome  
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any poisonous chemicals accreted by bacteria or released following destruction of the bacteria; any chemical (drug, poison, or other) that causes adverse effects on an Organism that is exposed to it   Toxin  
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disease resulting from an infestation of Trichinella Spiralis   Trichinosis  
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sexually transmitted disease caused by the protozoan Trichomonas Vaginalis   Trichomoniasis  
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disease caused by a bacterium known as Mycobacterium Tuberculosis that primarily effects the respiratory system   Tuberculosis (TB)  
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An inflammatory bowel disorder of unknown origin. If spread through the colon, it is called pancolitis; If confined to the rectum, it is called proctitis   Ulcerative Colitis  
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bleeding within the gastrointestinal tract proximal to the ligament of Trietz   Upper Gastrointestinal Bleeding  
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waste derived from ammonia produced through protein metabolism   Urea  
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the syndrome of signs and symptoms associated with chronic renal failure   Uremia  
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a duct that carries urine from the kidney to the urinary bladder   Ureter  
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the duct that carries urine from the bladder out of the body; in men, it also carries reproductive fluid (semen) to the outside of the body   Urethra  
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Infection and inflammation of the urethra   Urethritis  
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the muscular organ that stores urine before its elimination from body   Urinary Bladder  
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a condition in which the bladder empties incompletely during urination   Urinary Stasis  
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the group of organs that produce urine, maintaining fluid and electrolyte balance for the body   Urinary System  
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an infection, usually bacterial, at any site in the urinary tract   Urinary Tract Infection (UTI)  
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the fluid made by the kidney and eliminated from the body   Urine  
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the surgical specialty dealing with the urinary/genitourinary system   Urology  
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the raised areas, or wheals, that occur on the skin, associated with vasodilation due to histamine release (aka Hives)   Urticaria  
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viral disease characterized by a rash of fluid filled vesicles that rupture, forming small ulcers that eventually scab (aka Chickenpox)   Varicella  
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the duct that carries sperm cells from the epididymis to the urethra   Vas Deferens  
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an Organism’s strength or ability to infect or overcome the body's defenses   Virulence  
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disease causing Organism that can be seen only with an electron microscope   Virus  
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doll, poorly localized pain that originates in the walls of hollow organs such as the ureter or bladder   Visceral Pain  
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clear, Jelly like fluid that fills the vitreous cavity of the eye   Vitreous Humor  
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twisting of the intestine on itself   Volvulus  
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condition in which the vWF component of factor VIII is deficient   Von Willebrand’s Disease  
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administration of polyethylene glycol continuously at 1-2L/hr through a nasogastric tube until the effluent is clear or objects are recovered   Whole Bowel Irrigation  
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Time between exposure to a disease and seroconversion   Window Phase  
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the patient's body reacts severely when deprived of the abused substance   Withdrawal  
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a disease caused by the zika virus and spread by the Aedes species of mosquitoes   Zika Virus Disease (ZVD)  
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condition that causes the stomach to secrete excessive amounts of hydrochloric acid and pepsin   Zollinger-Ellison Syndrome  
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What is the hallmark finding for a patient with an acute abdominal emergency? A. Pain B. Fever C. Nausea D. Vomiting   A. Pain  
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What type of pain is characterized as sharp and travels along definite routes to the spinal column? A. Tearing B. Somatic C. Referred D. Visceral   B. Somatic  
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How many liters of fluid can the abdomen hold before any noticeable change in abdominal girth occurs? A. 4-6 pints B. 6-10 pints C. 4-6 liters D. 6-10 liters   C. 4-6 liters  
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Persistent abdominal pain lasting longer than ___ hours is classified as a surgical emergency and always requires transport. A. 2 B. 4 C. 5 D. 6   D. 6  
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What is the bolus amount of an isotonic crystalloid used when treating hemorrhagic hypovolemia from a GI bleed? A. 10mL/kg B. 20mL/kg C. 600-1000mL D. 800-1000mL   B. 20mL/kg  
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What is the most common cause of lower GI hemorrhages? A. Benign polyps B. Crohn's disease C. Diverticulosis D. Ulcerative colitis   C. Diverticulosis  
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What is the most common surgical emergency the paramedic will encounter in the field, mostly in older children and young adults? A. Gastritis B. Appendicitis C. Cholecystitis D. Diverticulitis   B. Appendicitis  
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An inflamed gallbladder usually causes an acute attack of pain in which abdominal quadrant? A. Upper left B. Lower left C. Upper right D. Lower right   C. Upper right  
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You are treating a patient with a positive Murphy's sign, nausea, and point tenderness. If you desire to administer an analgesic, you would use ___. A. Diazepam B. Fentanyl C. Nitroglycerin D. Uses none of these as analgesics are not warranted   B. Fentanyl  
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Which type of hepatitis is a waterborne infection that has caused epidemics in Africa, Mexico, and other third-world nations? A. Hepatitis A B. Hepatitis C C. Hepatitis D D. Hepatitis E   D. Hepatitis E  
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Backup of food from the small intestine to the stomach is prevented by the ___. A. Pyloric sphincter B. Internal anal sphincter C. Ileocecal valve D. Lower esophageal sphincter   A. Pyloric Sphincter  
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All of the following are accessory organs of digestion except the __. A. Liver B. Salivary Glands C. Pancreas D. Stomach   D. Stomach  
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Mechanical digestion includes all of the following except: A. Chewing B. Emulsification of fat by bile salts C. Conversion of starch to maltose D. Contractions of the stomach   C. Conversion of starch to maltose  
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The hard chewing surface of a tooth is formed by ___ A. Enamel B. Gingiva C. Dentin D. Bone   A. Enamel  
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The only voluntary aspect of swallowing is ___ A. Peristalsis of the esophagus B. Elevation of the tongue C. Elevation of the soft palate D. Contraction of the Pharynx   B. Elevation of the tongue  
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In the gastric mucosa, the parietal cells secrete ____ A. Complete gastric juice B. Pepsinogen C. Hydrochloric acid D. Pepsin   C. Hydrochloric Acid  
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The liver synthesizes all of these except: A. Fibrinogen B. Albumin C. Hemoglobin D. Lipoproteins   C. Hemoglobin  
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Bile is stored by the ___ A, Hepatic duct B. Liver cells C. Common bile duct D. Gallbladder   D. Gallbladder  
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Bile and pancreatic juices are carried to the duodenum by the _ A. Cystic duct B. Pancreatic duct C. Hepatic duct D. Common bile duct   D. Common bile duct  
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Bicarbonate pancreatic juice is important to neutralize hydrochloric acid that enters the ___ A. Pancreas B. Duodenum C. Esophagus D. Stomach   B. Duodenum  
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The capillary networks and lacteals in the villi of the small intestine are important for ___ A. Absorption of nutrients B. Mechanical digestion C. Increasing surface area D. Chemical digestion   A. Absorption of nutrients  
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The functions of the large intestines includes all of these except _ A. Elimination of undigested material B. Absorption of vitamins and minerals C. Absorption of water D. Digestion of starch   D. Digestion of starch  
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The liver is able to detoxify potentially harmful substances by means of the synthesis of specific __ A. Lipoproteins B. Plasma proteins C. Enzymes D. Steroids   C. Enzymes  
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Contraction of the gallbladder is stimulated by __ A. Cholecystokinin B. Epinephrine C. Secretin D. Gastrin   A. Cholecystokinin  
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The cells of the liver that phagocytize pathogens are ___ A. Kupffer cells B. Neither A nor B is correct C. Macrophages D. Both A and B are correct   D. Both A and B are correct  
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At the junction of the esophagus and the stomach is a circular smooth muscle called the ___. Contraction of this sphincter prevents the backup of ___ into the ___.   Lower esophageal sphincter; stomach contents; esophagus  
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Mrs. L is 50 years old and has been feeling pain in the upper right abdominal quadrant after eating. You suspect that Mrs. L has stones in which accessory organ of digestion?   Gallbladder  
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If gallstones are producing frequent and severe pain, the most effective procedure is ___.   Cholecystectomy  
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Mary is a 67 year old female and has been diagnosed with diverticulitis. Diverticula are small outpouchings of the weakened wall of the colon that may become inflamed if ___ become trapped within them.   Bacteria  
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A 44YOM has been diagnosed with hepatitis A. He feels very fatigued, has no appetite, and the white of his eyes appear yellow. This color is caused by excess___ in the blood, which the patient's damaged ___ cannot excrete rapidly.   Bilirubin; liver  
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All of the following are considered part of the lower gastrointestinal tract EXCEPT the: A. Jejunum B. Ileum C. Duodenum D. Large Intestine   C. Duodenum  
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Your patient, who has a history of cholecystitis, is experiencing pain in her right shoulder. She is most likely experiencing ___ pain.   Referred  
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Increased hepatic resistance to blood flow, as happens in cirrhosis, results in: A. Hepatic arterial HTN & obstruction of common bile duct B. Portal vein HTN & esophageal varices C.Portal artery HTN & ascites D.Hepatic vein HTN & hepatic vein aneurysm   B. Portal vein HTN & esophageal varices  
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Bleeding in the gastrointestinal tract proximal to the ligament of Treitz is considered to be in the: A. Colon B. Small Intestine C. Lower GI Tract D. Upper GI Tract   D. Upper GI Tract  
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In glomerular filtration, BP forces plasma, dissolved substances, & small proteins out of the glomerulus & into ___.   Bowman's Capsule  
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Water is reabsorbed from the filtrate back into the blood by __. A. Endocytosis B. Facilitated Diffusion C. Osmosis D. Active Transport   C. Osmosis  
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The renal vein takes blood from the kidney to the __.   Inferior vena cava  
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The glomerular filtration rate will (increase or decrease) if blood flow through the kidneys decreases?   Decrease  
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The cells that secrete renin are called ____ cells, which are located in the wall of the ____ arteriole.   Juxtaglomerular, afferent  
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If blood flow through the kidneys decreases, then the GFR will (increase or decrease)?   Decrease  
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To help maintain the normal pH of the blood, ___ ions may be secreted into the renal filtrate. A. Ammonium B. Sodium C. Chloride D. Hydrogen   D. Hydrogen  
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The glomerular filtration rate is the amount of renal filtrate formed by the kidney in ___.   1 minute  
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In tubular reabsorption, glucose and amino acids are reabsorbed by the process of ___. A. Active Transport B. Pinocytosis C. Osmosis D. Passive Transport   A. Active Transport  
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The muscular digestive tube in which food passes through the body from mouth to anus; includes the esophagus, pharynx, stomach, and intestines   Alimentary Canal  
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Accessory digestive organs lie externally , but are connected to, the alimentary canal via ___.   Ducts  
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the involuntary constriction and relaxation of the muscles of the intestine or another canal, creating wave-like movements that push the contents of the canal forward   Peristalsis  
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the digestive process in which food moves through the GI tract; includes swallowing and peristalsis   Propulsion  
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a form of mechanical digestion that involves contractions of the circular muscles in the digestive tract to mix food with digestive juices and increase nutrient absorption by moving food over the intestinal wall   Segmentation  
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the digestive process in which food is is physically prepared for chemical digestion; includes chewing, churning of food in the stomach, and segmentation   Mechanical Digestion  
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the digestive process that involves secretions of digestive enzymes throughout the digestive tract that break down food and other nutrients into their chemical building blocks for easier use   Chemical Digestion  
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the digestive process that functions to transport digested end products from the lumen of the alimentary canal and into the blood and lymphatic capillaries   Absorption  
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the digestive process that involves the elimination of indigestible substances from the body as feces   Defecation  
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In reference to the abdominal Regions, all of the following are part of the Superior 3 Regions EXCEPT: A. Left Hypochondriac Region B. Epigastric Region C. Umbilical Region D. Right Hypochondriac Region   C. Umbilical Region  
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In reference to the abdominal Regions, all of the following are part of the Middle 3 Regions EXCEPT: A. Umbilical Region B. Epigastric Region C. Left Lumbar Region D. Right Lumbar Region   B. Epigastric Region  
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In reference to the abdominal Regions, all of the following are part of the Inferior 3 Regions EXCEPT: A. Epigastric Region B. Left Iliac (Inguinal) Region C. Right Iliac (Inguinal) Region D. Hypogastric (Pubic) Region   A. Epigastric Region  
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The inner peritoneum wrapped around the internal organs that are located inside the intraperitoneal cavity   Visceral  
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The outer peritoneum attached to the abdominal wall and pelvic walls   Parietal  
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a sheet of 2 serous membranes that are fused back to back and functions to hold the digestive organs in place, stores fat, and provides a route by which circulatory vessels and nerves reach the organs in the peritoneal cavity   Mesenteries  
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to chew   Masticate  
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The 2 leading causes of fatal anaphylactic reactions are injected penicillin and ___. A. Inhaled Substances B. Hymenoptera Stings C. Ingested Penicillin D. Eating Peanuts   B. Hymenoptera Stings  
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Medical term for itching   Pruritus  
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The appropriate dose of epinephrine for a patient experiencing an allergic reaction with dyspnea and wheezing is: A. 0.3 mg 1:1,000 IM B. 0.75 mg 1:10,000 IM C. 0.15 mg 1:10,000 IM D. 1 mg 1:1,000 IV/IO   A. 0.3 mg 1:1,000 IM  
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The signs and symptoms of anaphylaxis usually begin within __ to __ seconds   30 - 60  
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Diphenhydramine acts on ___ receptors   Histamine  
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During an allergic reaction the body releases histamine in response to an antigen in order to (increase or decrease) dilation of the capillaries?   Increase  
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The release of histamine in the body from an allergic reaction promotes vasodilation and an (increase or decrease) in vascular permeability?   Increase  
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The surface of the tooth   Enamel  
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The bone-like structure that underlies the enamel cap and forms the bulk of the tooth   Dentin  
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Cells of the liver that produce bile, synthesize plasma proteins, store excess carbs as glycogen, & detoxify & degrade body wastes, hormones, & drugs   Hepatocytes  
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Cells of the liver that destroy bacteria, foreign particles, and worn-out red blood cells   Kupffer Cells  
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Vessel of liver circulation that carries deoxygenated blood to the inferior vena cava   Hepatic Vein  
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Vessel of liver circulation that carries oxygenated blood to the liver   Hepatic Artery  
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Vessel of liver circulation that carries nutrient-rich blood from the stomach and intestines   Hepatic Portal Vein  
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The liver plays a major role in manufacturing many of the substances required for ___   Blood Clotting  
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Structures of liver circulation that carries bile from the liver to the duodenum where it is emptied   Hepatic Ducts  
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All of the following are functions of the Urinary System EXCEPT: A. Maintain water balance in the body B. Maintain osmolarity of fluids C. Regulation of extracellular fluid ions D. Maintain proper plasma volume E. All of the above   E. All of the above  
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Anemia that is caused by a deficiency in vitamin B12 or a lack of intrinsic factor   Pernicious Anemia  
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Anemia that is caused by a suppression of the red bone marrow with decreased production of RBC's, WBC's, and platelets   Aplastic Anemia  
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Anemia that is caused by the destruction of red blood cells before the end of their normal life span   Hemolytic Anemia  
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Anemia that is caused by a genetic disorder in which the hemoglobin are formed in crescent shapes   Sickle-Cell Anemia  
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Anemia that is caused by a lack of dietary iron   Iron-Deficiency Anemia  
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a hormone secreted by the thymus to stimulate T cell production in the peripheral lymphoid tissue   Thymosin  
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