Medical Terminology
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| What does each letter in SOAP stand for? | Subjective, Objective, Assessment, Plan
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| What is the definition of Root? | Foundation or subject of the term
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| What is a Suffix? | Ending that gives essential meaning to the term
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| What is a Prefix | Added to the beginning of a term when needed to further modify (placed at beginning of a word)
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| When DO you use a combining vowel? | To join a root to any suffix beggining with a consonant; to join 2 roots together; to join 2 roots together even when the second root begins with a vowel
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| When DON'T you use a combining vowel? | To join a root to a suffix that begins with a vowel
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| What is are 2 examples of a Subjective section of a health record? | -Main reason for the health visit
-Description of his or her problem
-Timing of the problem
-Previous medical problems or surgeries
-Family Health problems that might relate
-Current medications and allergies
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| What does the Objective part of a health record provide? | The Objective part of a health record tells you about the data collected during the health care providers interaction with the patient.
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| What is the importance of the Assessment part of the health record? | Assessments are the facts from the patient that are recorded and data about the patient are collected, then put together to reach a conclusion on the nature of the problem AKA the diagnosis.
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| What is the Plan section of the health record include? | The plan lays out what the provider recommends what to do about the patients current status. This may include medicine or home remedies, help from another health provider, surgery, or waiting to see if the problem will improve on its own.
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| What is the position called when a person is standing facing forward, arms at the side with palms forward? | Anatomic Position
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| what position does Lateral mean? | Out to the side
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| What position does medial mean? | Toward the middle
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| Ventral/anteral/anterior mean in body positions? | The front
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| Dorsal/posterior body position means? | The back
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| Cranial body position means? | Towards the top
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| Caudal body position means? | Towards the bottom
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| What does it mean when a patient is in a "Prone" body position? | Lying down on belly
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| When a patient is in a "supine" position? | Lying down on back
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| Unilateral means? | One Side
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| Bilateral means? | Both Sides
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| When a patients body is split from left to right, what is the name of the plane? | Sagittal
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| When a patients body is split from upper body to lower body, what is the name of the plane? | Transverse
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| When a patients body is split from front to back, what is the name of the plane? | Coronal
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| Abbreviation ROS means? | Review of Systems
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| Abbreviation of PMHx means? | Past Medical History
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| Abbreviation of FHx means? | Family History
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| Abbreviation of NKDA stands for? | No Known Drug Allergies
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| Abbreviation of PE means | Physical Exam
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| Abbreviation of "pt" means | Patient
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| Abbreviation of "y/o" stands for | years old
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| Abbreviation of "h/o" means | History of
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| Abbreviation of PCP stands for | Primary Care Provider
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| Abbreviation of "f/u" means | Follow up
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| Abbreviation of SOB stands for | Shortness of Breath
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| What does HEENT stand for? | Head, Eyes, Ears, Nose, Throat
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| What does PERRLA stand for | Pupil are Equal, Round, and Reactive to light and accommodation
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| What does NAD stand for | No Acute Distress
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| CV in a chart means? | CardioVascular
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| RRR stands for in a medical chart | Regular Rate and Rhythm
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| CTA means what in a medical chart | Clear to Auscultation (description of normal sounding lungs)
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| WDWN stands for? | Well Developed, well nourish
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| A&O means | Alert & Oriented
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| WNL means | Within Normal Limits
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| NOS stands for | Not Otherwise Specified
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| NEC | Not elsewhere classified
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| When Administering medicine, PO stands for | By Mouth
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| NPO on a chart stands for | Nothing by mouth
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| When administering medicine, PR means | Per rectum (anal)
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| When administering medicine, IM means | Intramuscular
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| When administering medicine, SC means | subcutaneous (under the skin)
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| When administering medicine, IV means | Intravenous
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| When administering medicine, CVL stands for | Central Venous Line
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| When administering medicine, PICC stands for | Peripherally inserted central catheter
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| When administering medicine, Sig means | Instructions short
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| What are the 2 languages that were used to describe Medical Terminology language? | Greek and Latin
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| Root word Muscul/o means | muscle
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| Root woord dermat/o means | Skin
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| Root word Derm/o means | skin
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| Root word vascul/o means | blood vessel
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| Root word vas/o means | blood vessel
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| Root word pneumon/o means | lung
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| Root word pneum/o means | lung
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| Root word pulmon/o means | lung
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| Root word my/o means | muscle
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| Root word angi/o means | blood vessel
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| Root word hemta/o means | blood
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| Root word hem/o means | blood
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| Root word Cutane/o means | skin
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| -meter | instrument used to measure
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| -metry | process of measuring
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| -scope | instrument used to look
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| -scopy | process of looking
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| -graph | instrument used to produce a recording
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| -graphy | process of recording
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| -gram | written record
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| -centesis | puncture
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| pre- | before
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| post- | after
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| re- | again
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| contra- | against
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| anti- | against
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| pro- | before, on behalf of
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| de- | down, away from
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| a- | not
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| an- | not
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| ante- | before
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| tachy- | fast
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| -ium | tissue, structure
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| -icle | small
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| -ous | pertaining to
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| -ac | pertaining to
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| -ia | condition
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| -eal | pertaining to
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| -logy | study of
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| -logist | specialist in the study of
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| -ist | specialist
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| -iatrist | specialist in the medicine of
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| -iatrics | medical science
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| -old | resembling
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| -iasis | presence of
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| -cele | hernia
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| -penia | deficiency
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| -rrhea | flow
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| -lysis | loosen, break down
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| -ptosis | drooping
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| -rrhexis | rupture
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| Using SOAP a description of the problem in the patients own words | Subjective
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| Using SOAP data collected to assist in understanding the nature of the problem | Objective
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| Using SOAP cause of the problem | Assessment
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| Using SOAP treatment with medicine or a procedure | Plan
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| Amedical professionals directions for a patients medication | Prescription
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| Documents an Imagining procedure by a radiologist | Radiology Report
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| Documents a Pathology procedure | Pathology Report
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| Documents a patients progress during a daily hospital visit | Daily Hospital Note/Progress Note
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| Documents a patients emergency department visit | Emergency Department Note
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| Documents a patients admission to the hospital | Admission Summary
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| Documents a Surgery | Operative Report
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| Documents a patient visit in an office setting | Clinic Note
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| Documents sent to a PCP usually by a specialist to give an opinion on a more challenging problem | Consult Note
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| Documents a patients admission and hospital stay (usually longer stay) | Discharge summary
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| Medical language is necessary and useful because | Medical professionals can communicate clearly and quickly with each other using a common language, and patients can be comforted and assure that the medical professional understands their symptoms and is in control of the diagnosis and treatment process
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| An _________ is a word formed by including the name of the person who discovered or invented what is being described | Eponym
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| Thinking of medical language as a sentence to be translated instead of words to be memorized alls one to | Break down and understand new words
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| CCU | Coronary Care Unit
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| ECU | Emergency Care Unit
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| ED | Emergency Department
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| PICU | Pediatric Intensive Care Unit
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| NICU | Neonatal Intensive Care Unit
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| SICU | Surgical Intensive Care Unit
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| PACU | Post Anesthesia Care Unit
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| DDx | Differential Diagnosis
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| "Abrupt" means | All of a sudden
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| "Febrile" means | To have a fever
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| "Malaise" means | Not feeling well
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| "Auscultation" means | To listen
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| "Palpation" means | To Feel
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| "Idiopathic" means | No know specific cause
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| "Mortality" means | The risk of dying
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| "Pending" means | Waiting for
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| Integumentary system | The skin
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| ABCDE | asymmetry, boarder, color, diameter, evolving
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| AK | actinic keratosis
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| Bx | biopsy
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| C&S | culture and sensitivity
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| Derm | Dermatology
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| ID | intradermal
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| SC | subcutaneous
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| SQ | Subcutaneous
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| Translate the root rhytid/o. | Wrinkle
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| The roots onych/o and ungu/o both mean: | Nail
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| Which of the following roots means thick? | Pachy/o
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| Identify and define the roots in the term pachyderma. | (thick) skin
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| The medical term for a freckle is: | macule, macula
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| Which of these is the correct breakdown and translation of the medical term ichthyosis? | fishy (scaly) skin
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| Which of the following roots means fat? | adip/o, lip/o, steat/o
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| Which of the following root pairs both mean hair? | pil/o, trich/o
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| What is the correct pronunciation for the term alopecia? | a-loh-PEE-sha
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| Translate the term onychopathy as literally as possible. | nail disease
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| Which of these is the correct breakdown and translation of the medical term ichthyosis? |
ichthy (scaly) + osis (condition) = a condition of the skin that is dry and scaly
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| Identify the correct breakdown of the term epidermal into its component parts. | epi/derm/al
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| Which medical term means against histamine? | Antihistamine
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| Which medical term means incision into a nail? | Onychotomy
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| ABCDE is a mnemonic device for remembering steps in analysis and means | asymmetry, border, color, diameter, evolving
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| ID is an abbreviation for: | intradermal = intra (inside) + derm (skin) + al (pertaining to) = pertaining to inside the skin.
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| Build a medical term from the information provided: bone inflammation | osteitis
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| Build a medical term from the information provided. wrist inflammation | carpitis
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| Build a medical term from the information provided. removal of a rib | costectomy
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| inflammation of the tendon | tendinitis
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| inflammation of the bursa | bursitis
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| joint inflammation | arthritis
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| decrease in muscle tone or tightness | hypotonia
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| softening of a muscle | Myomalacia
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| muscle tone | myotonia
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| instrument for looking into a joint | arthroscope
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| neur/o | nerves
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| crani/o | head, skull
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| psych/o | mind
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| hypn/o or somn/o | sleep
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| -mania | excessive desire
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| cerebr/o | brain
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| esthesi/o | sensastion, feeling
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| -paresis | slight or partial paralysis
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| myel/o | spinal cord; bone marrow
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| encephal/o | brain
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| -plegia | paralysis
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| mening/o | membrane surrounding the brain and spinal cord
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| LP | lumbar puncture
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| PET scan | positron emission tomography
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| TIA | Transcient ischemic attack
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| ALS | amyotrophic lateral sclerosis
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| EEG | electroencephalography
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| LOC | Level of Consciousness
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| PNS | Peripheral nervous system
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| loss of brain function caused by blood loss | Stroke
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| a disease marked by seizures | epilepsy
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| a disease characterized by sudden, uncontrolled sleepiness | narcolepsy
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| loss or decline in mental function | dementia
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| time after a seizure | postictal
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| time before a seizure | preictal
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| procedure used to examine blood vessels in the brain | cerebral angiography
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| a stroke where the blood loss is caused by the rupture of a blood vessel | hemorrhagic stroke
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| a stroke where blood loss is caused by a blockage | ischemic stroke
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| blockage of a blood vessel in the brain caused by a foreign object | cerebral embolism
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| blockage of a blood vessel in teh brain caused by a clot | cerebral thrombosis
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| Translate the root/suffix asthenia. | Weakness
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| Which root refers to the membrane surrounding the brain and spinal cord? | mening/o, meningi/o
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| Which root refers to the nerve bundle? | gangli/o
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| Which root refers to the spinal cord or bone marrow? | myel/o
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| Which is the correct breakdown and translation of the medical term encephalalgia? | encephal (brain) + algia (pain) = brain pain
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| Which is the correct breakdown and translation of the medical term apathy? |
a (no) + path (suffering, disease) + y (condition) = without feeling; lack of emotion
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| Which is the correct breakdown and translation of the medical term polyneuritis? |
poly (many) + neur (nerve) + itis (inflammation) = inflammation of multiple nerves
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| Build a medical term that means "nerve pain." | Neuralgia
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| Build a medical term that means "abnormal narrowing of the skull." | Craniostenosis
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| Build a medical term that means "removal of a piece of the skull." | Craniectomy
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| An excessive desire to steal is called: | kleptomania.
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| Which is the correct breakdown and translation of the medical term synesthesia? |
syn (with, together) + esthesia (feeling, sensation) = together sensation; condition where one sensation is experienced as another
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| Build a medical term that means "head pain." | Cephalodynia
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| Build a medical term that means "excessive bleeding inside the brain." | Intracerebral hemorrhage
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| A patient experiencing an abnormal sensation, usually numbness or tingling in the skin, is experiencing: | paresthesia.
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