Chapter 2 Test Flashcards

1
Q

SOAP

A

S - subjective
O - objective
A - assessment
P - plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

acute

A

just started recently or is a sharp severe pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

chronic

A

has been going on for a while

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

exacerbation

A

getting worse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

abrupt

A

all of a sudden

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

febrile

A

to have a fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

afebrile

A

to not have a fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

malaise

A

not feeling well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

progressive

A

more and more each day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

symptom

A

something a patient feels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

noncontributory

A

not related to a specific problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

lethargic

A

decrease in level of conciousness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

genetic/hereditary

A

runs in the family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

alert

A

able to answer questions, responsive, interactive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

oriented

A

being aware of who you are, where you are, and the current time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

marked

A

really stands out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

unremarkable

A

normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

auscultation

A

to listen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

percussion

A

to hit something and listen to the resulting sound or feel the vibration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

palpation

A

to feel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

impression

A

assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

diagnosis

A

what the health care professional thinks the patient has

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

differential diagnosis

A

list of conditions the patient may have based on symptoms and results of exams

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

benign

A

safe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

malignant

A

dangerous; a problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

degeneration

A

to be getting worse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

remission

A

to get better or improve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

idiopathic

A

no known specific cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

localized

A

stays in one part of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

systemic/generalized

A

all over the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

prognosis

A

chances of things getting better or worse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

occult

A

hidden

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

lesion

A

diseased tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

reccurent

A

to have again

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

sequela

A

a problem resulting from a disease or injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

pending

A

waiting for

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

pathogen

A

organism that causes the problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

morbidity

A

risk for being sick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

mortality

A

risk for dying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

etiology

A

the cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

prophylaxis

A

preventative treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

disposition

A

what happened to the patient at the end of the visit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

discharge

A

to send home, unload; fluid coming out of a part of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

palliative

A

treating the symptoms, but not actually getting rid of the cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

observation

A

watch, keep an eye on

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

reassurance

A

to tell the patient a problem is not serious/dangerous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

supportive care

A

treat the symptoms and make the patient feel better

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

sterile

A

extremely clean, germ free conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

proximal

A

closer in the center

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

distal

A

farther away from the center

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

lateral

A

out to the side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

medial

A

toward the middle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

ventral/antral/anterior

A

the front

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

dorsal/posterior

A

the back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

cranial

A

toward the top

56
Q

caudal

A

toward the bottom

57
Q

superior

A

above

58
Q

inferior

A

below

59
Q

prone

A

lying down on belly

60
Q

supine

A

lying down on back

61
Q

contralateral

A

opposite side

62
Q

ipsilateral

A

same side

63
Q

CCU

A

coronary care unit

64
Q

ECU

A

emergency care unit

65
Q

ER

A

emergency room

66
Q

ED

A

emergency department

67
Q

ICU

A

intensive care unit

68
Q

PICU

A

pediatric intensive care unit

69
Q

NICU

A

neonatal intensive care unit

70
Q

SICU

A

surgical intensive care unit

71
Q

PACU

A

post anesthesia care unit

72
Q

L&D

A

labor and delivery

73
Q

OR

A

operating room

74
Q

post-op

A

after surgery

75
Q

pre-op

A

before surgery

76
Q

(R)

A

right

77
Q

(L)

A

left

78
Q

(B)

A

bilateral

79
Q

VS

A

vital signs

80
Q

T

A

temperature

81
Q

BP

A

blood pressure

82
Q

HR

A

heart rate

83
Q

RR

A

respiratory rate

84
Q

Ht

A

height

85
Q

Wt

A

weight

86
Q

BMI

A

body mass index

87
Q

I/O

A

intake/output

88
Q

Dx

A

diagnosis

89
Q

DDx

A

differential diagnosis

90
Q

Tx

A

treatment

91
Q

Rx

A

prescription

92
Q

H&P

A

history and physical

93
Q

Hx

A

history

94
Q

CC

A

chief complaint

95
Q

HPI

A

history of present illness

96
Q

ROS

A

review of systems

97
Q

PMHx

A

past medical history

98
Q

FHx

A

family history

99
Q

NKDA

A

no known drug allergies

100
Q

PE

A

physical exam

101
Q

Pt

A

patient

102
Q

y/o

A

years old

103
Q

h/o

A

history of

104
Q

PCP

A

primary care provider

105
Q

f/u

A

follow up

106
Q

SOB

A

shortness of breath

107
Q

HEENT

A

heads, eyes, ears, nose, throat

108
Q

PERRLA

A

pupils are equal, round, and reactive to light and accomodation

109
Q

NAD

A

no acute distress

110
Q

CV

A

cardiovascular

111
Q

RRR

A

regular rate and rhythm

112
Q

CTA

A

clear to auscultation

113
Q

WDWN

A

well developed well nourished

114
Q

A&O

A

alert and oriented

115
Q

WNL

A

within normal limits

116
Q

NOS

A

not otherwise specified

117
Q

NEC

A

not elsewhere classified

118
Q

PO

A

per os (by mouth)

119
Q

NPO

A

nil per os (nothing by mouth)

120
Q

PR

A

per rectum

121
Q

IM

A

intramuscular

122
Q

SC

A

subcutaneous

123
Q

IV

A

intravenous

124
Q

CVL

A

central venous line

125
Q

PICC

A

peripherally inserted central catheter

126
Q

Sig

A

label

127
Q

BID

A

twice a day

128
Q

TID

A

three times a day

129
Q

Q

A

every

130
Q

QD

A

daily

131
Q

QID

A

four times daily

132
Q

QHS

A

at night

133
Q

AC

A

before meals

134
Q

PC

A

after meals

135
Q

prn

A

as needed

136
Q

ad lib

A

as desired