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Medical Terminology > Charting Terms > Flashcards

Charting Terms Flashcards

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USMLE® Step 1 flashcards
1
Q

AMOUNTS
1. large amounts of drainage
2. medium amount of drainage
3. small amount of drainage

A

AMOUNTS
1. profuse, copious
2. moderate
3. small amount of drainage

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2
Q

ABDOMEN
1. large and extends outward
2. hard, board like
3. soft, flabby
4. swollen, rounded
5. filled with gas
6. hangs down

A

ABDOMEN
1. protuberant, distended
2. hard, rigid, distended, tympanic, taut
3. relaxed, flaccid
4. distended, edematous
5. tympanic, flatulent
6. pendulous

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3
Q

BACK
1. Hunchback
2. small of back
3. swayback

A

BACK
1. kyphosis
2. lumbar region
3. lordosis

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4
Q

BLEEDING
1. nose bleed
2. blood in urine
3. spitting up of blood
4. positive blood in stool

A

BLEEDING
1. epistaxis
2. hematuria
3. hemoptysis
4. Guaiac positive

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5
Q

BREATH
1. unpleasant
2. foul
3. with sweet fruit-like odor
4. urinous odor

A

BREATH
1. halitosis
2. fetid
3. fruity, sweet
4. odor of ammonia

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6
Q

BREATHING
1. breathing
2. difficult breathing
3. short periods when breathing has ceased
6. inability to breathe while lying down
7. rapid breathing
8. increasing dyspnea with periods of apnea

A

BREATHING
1. respiration
2. dyspnea
3. apnea
6. orthopnea
7. tachypnea
8. Cheyne-Stokes respirations

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7
Q

CONSCIOUSNESS
1. alert, fully conscious, oriented to date, time, place
2. only partly conscious
3. unconscious, but can be aroused
4. unconscious, cannot be aroused

A

CONSCIOUSNESS
1. A&O x3
2. semi-conscious
3. stuporous
4. comatose

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8
Q

COUGH
1. type of cough
2. occurring in spasms
3. coughing up or expectoration of blood
4. barking

A

COUGH
1. continuous, persistent, productive,
nonproductive, dry, hacking
2. spasmodic
3. hemoptysis
4. stridulous

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9
Q

DECAY
1. dead tissue

A

DECAY
1. tissue necrosis, necrotic

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10
Q

DEFECATION
1. frequent liquid defecation
2. color of stool
3. constituents of stool

A

DEFECATION
1. diarrhea
2. clay or dark brown, black, yellow, green, tarry, streaked with blood
3. liquid, soft or hard formed, watery,
semi-formed, constipated, undigested food, mucoid

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11
Q

DRAINAGE
1. containing pus
2. bloody
3. of lymphatic fluid
4. contains mucus and pus
5. tough, sticky
6. bloody, lymphatic (serous)

A

DRAINAGE
1. purulent
2. sanguineous
3. serous
4. mucopurulent
5. tenacious
6. serosanguineous

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12
Q

EDEMA
1. indented 2 mm
2. indented 4 mm
3. indented 6 mm
4. indented 8 mm

A

EDEMA
1. 1+ edema
2. 2+ edema
3. 3+ edema
4. 4+ edema

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13
Q

EMESIS
1. produced by conscious effort of patient
2. ejected a few feet distance
3. if blood is noticeable

A

EMESIS
1. induced
2. projectile
3. hematemesis

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14
Q

EYES
1. sharpness of vision
2. yellow in color
3. puffy, swollen
4. drooping eyelids
6. unusually sensitive to light
7. double vision
8. cross eye, squinting
9. abnormal protrusion of eyeball
10. inflammation of conjunctiva
11. dilatation of the pupil
12. contraction of the pupil
13. near-sightedness
14. far-sightedness

A

EYES
1. visual acuity
2. jaundiced
3. edematous
4. ptosis of lids
6. photophobia
7. diplopia
8. strabismus
9. exophthalmos
10. conjunctivitis
11. mydriasis, pupil dilated
12. myosis, pupil constricted, pin point
13. myopia
14. hyperopia

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15
Q

FAINTNESS
1. fainting

A

FAINTNESS
1. syncope/syncopal episode

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16
Q

FEVER
1. without fever
2. temperature above normal
3. temperature greatly above normal

A

FEVER
1. afebrile
2. pyrexia
3. hyperpyrexia

17
Q

HEAD
1. forehead
2. region over temple
3. back of head
4. base of skull
5. having a large head
6. having a small head
7. top of head

A

HEAD
1. frontal region
2. temporal region
3. occipital region
4. basilar region
5. macrocephaly, hydrocephalus
6. microcephalus
7. parietal (right or left)

18
Q

HIVES
1. hives
2. itching

A

HIVES
1. urticaria
2. pruritus

19
Q

JOINTS
1. bending
2. to straighten
3. revolve around
4. move away from median line
5. move toward median line

A
  1. flexion
  2. extension
  3. rotation
  4. abduction
  5. adduction
20
Q

LIPS
1. blue in color

A

LIPS
1. cyanotic

21
Q

MEDICINE
1. by mouth
2. by rectum
3. breathing in
4. rubbing into skin
5. under the skin
6. within the skin
7. within the muscle
8. within the spinal canal
9. within the vein
10. within the bone
11. pouring into body cavity

A

MEDICINE
1. orally
2. rectally
3. inhalation
4. topically
5. subcutaneous
6. intradermal
7. intramuscular
8. intraspinal, intrathecal
9. intravenous
10. intraosseous
11. instillation

22
Q

MENSTRUATION
1. if present when admitted
2. painful
3. total absence of
4. profuse or prolonged flow
5. cessation of

A

MENSTRUATION
1. menses present
2. dysmenorrhea
3. amenorrhea
4. menorrhagia
5. menopause

23
Q

ODOR
1. very unpleasant

A

ODOR
1. offensive, foul

24
Q

PARALYSIS
1. of the muscles of the face
2. of the legs
3. of one side of the body
4. of a single limb
5. of all 4 extremities and usually the trunk

A

PARALYSIS
1. facial
2. paraplegia
3. hemiplegia
4. monoplegia
5. quadriplegia

25
Q

PERSPIRATION
1. large amount/profuse

A

PERSPIRATION
1. diaphoresis, diaphoretic

26
Q

POSITIONS
1. flat on back, arms straight at sides
2. on side, knees flexed
3. on left side, left arm behind back, left leg slightly flexed, right leg greatly flexed
4. head of bed semi-erect
5. on back, buttocks near edge of table, knees well flexed and separated
6. resting on knees and chest
7. on back, pelvis and legs higher than head
8. on abdomen, face turned to one side
9. prone with hips over break in table and feet below level of head
10. seated, leaning forward, bracing elbows on lap or on table

A

POSITIONS
1. supine
2. lateral
3. Sim’s (left or right)
4. Semi-Fowler’s 40-45° - modified, knees legs not flexed
5. lithotomy
6. knee-chest
7. Trendelenburg
8. prone
9. jackknife
10. orthopneic

27
Q

PULSE
1. number of beats per minute
2. rhythm
3. beats missed at intervals
4. > 100 beats per minute (bpm)
5. slow in rate, < 50 bpm
6. only scarcely perceptible
8. pulseless
9. pulse strength
10. normal

A

PULSE
1. rate
2. regular or irregular, coupling, galloping
3. intermittent
4. rapid, fast, tachycardia
5. slow, bradycardia
6. thready, weak
8. Imperceptible, absent
9. 0 = absent, not palpable, inaudible č Doppler
1+ = diminished/palpable
2+ = expected/normal
3+ = strong/full pulse
4+ = bounding, can’t be obliterated
10. normal in rate and rhythm

28
Q

SKIN
1. normal
2. blue in color
3. very white
4. redness
5. shines
6. raw surface
7. yellow in color
8. containing colored areas
9. scraped
10. cold and moist
11. splotchy r/t poor circulation

A

SKIN
1. healthy, normal for race
2. cyanotic
3. extreme pallor, ashen
4. erythema
5. glossy
6. excoriation
7. jaundiced
8. pigmented
9. abraded, denuded
10. clammy
11. mottled

29
Q

SPEECH
1. not understandable
2. meaningless, wondering
3. words run together
4. difficulty speaking
5. unable to speak

A

SPEECH
1. incoherent
2. rambling
3. slurring
4. dysphasia (can be r/t cognitive, structural, or articulation disorder; contact ST for eval)
5. aphasia

30
Q

THROAT
1. difficulty in swallowing
2. inability to swallow
3. other descriptive terms

A

THROAT
1. dysphagia
2. aphagia
3. red, swollen, inflamed, ulcerated

31
Q

TONGUE
1. descriptive terms

A

TONGUE
1. pink, moist, dry, cracked, swollen, coated, inflamed, ulcerated

32
Q

URINATION
1. to urinate
2. no control over urination
3. large amount of urine voided
4. total suppression of urine
5. frequent voiding at night
6. increased amount voided
7. painful urination
8. pus in urine
9. blood in urine
10. scantiness of urine
11. sugar in urine

A

URINATION
1. voiding, micturate
2. incontinence
3. diuresis
4. anuria
5. nocturia
6. polyuria
7. dysuria
8. pyuria
9. hematuria
10. oliguria
11. glycosuria

33
Q

WEIGHT
1. overweight
2. abnormal thinness
3. very underweight

A

WEIGHT
1. obese
2. emaciated, wasting
3. cachectic

34
Q

WOUNDS
1. discharging pus
2. black or gray necrotic tissue
3. wound drainage

A

WOUNDS
1. suppurating, purulent
2. eschar
3. Exudate

Medical Terminology (5 decks)

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