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Exam Review Flashcards

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1
Q

objective symptom

A

a symptom that can be observed by an examiner

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2
Q

subjective symptoms

A

a symptom that is felt by the patient but cannot be observed

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3
Q

flow sheet

A

a paper document or electron screen that allows similar data to be recorded and viewed chronologically

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4
Q

SOAP

A

subjective, objective, assessment, plan

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5
Q

account payable

A

outstanding bill of a business

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6
Q

accounts receivable

A

amount owed to a business for goods and services

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7
Q

adjustment

A

change to a patients account that is neither a charge or a payment

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8
Q

charge slip

A

form used to keep track or charges and payments at the time of a patient visit

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9
Q

credit

A

posting that is subtracted from an account balance

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10
Q

debit

A

posting that is added to an account balance

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11
Q

disbursements

A

money paid out

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12
Q

reconciling

A

making sure two financial records agree- such as bank statement and bank balance

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13
Q

superbill

A

itemized charge slip that includes diagnosis codes and procedure codes required for insurance billing

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14
Q

cashiers check

A

check drawn on a bank instead of individual account

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15
Q

certified check

A

check on an individual account that a bank assumes responsibility for

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16
Q

fee schedule

A

list of charges for specific procedures that may be performed in a medical office

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17
Q

assault

A

threat or attempt to hurt someone that puts them in danger or they feel afraid

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18
Q

battery

A

bodily harm or touching of another

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19
Q

stare decisis

A

“let the decision stand”- decision are based on precedents from pervious case

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20
Q

res ipsa loquitur

A

“the facts speak for themselves”

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21
Q

QuiTam

A

provision of Federal False Claims Act- encourages and rewards private individuals who are aware of fraud

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22
Q

malfeasance

A

performing an illegal act

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23
Q

res judicata

A

“the things have been decided”

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24
Q

defamation

A

harming or ruining ones reputation through written or spoken word

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25
slander
false charges and malicious oral statements
26
active euthanasia
taking action to bring someones death with the intention of ending their suffering
27
involuntary euthanasia
ending a terminal patients life by medical means without their permission
28
nonvoluntary euthanasia
performed on non-competent patients who have not stated their preferences for treatment
29
voluntary euthanasia
performed on patient with their permission
30
passive euthanasia
withholding life-sustaining treatments, allowing the patient to die
31
misfeasance
improper performance of a proper or lawful act
32
nonfeasance
failure to act when one should
33
what are the four elements of negligence?
1. Duty or care- how one acts towards another individual 2. Dereliction of care- breach in delivering care 3. Direct cause- failure in duty leads to harm 4. Damages- harm/injury that can be remedied by monetary value
34
locus tenens
"the substitute for"- allows one medical professional to serve temporarily for another
35
deposition
sworn out of court witness statement taken under oath, that can later be used in court
36
negligence
taking an unreasonably, carless action that could foreseeably cause harm- accidental
37
contributory negligence
failure of an injured plaintiff to act prudently- partially responsible due to their own actions
38
comparative negligence
a rule used to calculate each individuals responsibility involved in an accident
39
libel
written statement that causes harm to another individuals character
40
``` How long does each type of file need to be kept? Adult Medical Records? Birth register? Child(minor) medical record? Death register? Diagnostic, images and x-rays? Disease index? Fetal heart monitor record? Master Patient index? Operative index? Physicians index? Surgical procedures register? ```
``` Answers: 10 years after most recent encounter permanently age of majority+statue of limitation permanently 5 years 10 years 10 yrs. after child reaches age of majority permanently 10 years 10 years permanently ```
41
Healthcare coding
Process of assigning numeric or alphanumeric codes to identify treatment, services, or supplies provided to a patient during visit.
42
TRICARE
military health plan that provides services for active duty personnel and their families, survivors of military personnel and retired military personnel and their families
43
Coinsurance
a type of insurance in which the insured pays a share of the payment made against a claim.
44
Capitation
payment to a provider that covers each plan member's health care services for a certain period of time
45
CMS-1500 form
the standard form used by health-care providers to bill for services, including disease state management services.
46
Comorbidity
the simultaneous presence of two chronic diseases or conditions in a patient
47
ICD Codes (International Classification of Diseases)
alphanumeric codes that are used to uniformly describe every medical diagnosis, description of symptoms, and cause of death
48
HCPCS Level 1 Codes
Consists of codes found in the CPT Manuel. They are 5 position numeric codes used to report physician services rendarded to patients
49
Pharmacodynamic
study of drugs and their actions on living organisms
50
Pharmacognosy
science of natural drugs and their physical, botanical, and chemical properties
51
Pharmacogenomics
study of how ones genetic makeup affect their bodies response to drugs
52
Pharmacokinetics
study of the metabolism and action of drugs within the body
53
Pharmacotherapeutics
study of drugs and their relationship to the treatment of disease
54
Toxicology
study of poisons; science focused with toxic substances
55
Drug names- Chemical Generic Trade/Brand
Answers- Formula that denotes the composition of the drug Official, established nonproprietary name The name under which a company markets a drug
56
``` Explain the schedule of drugs? Schedule 1 Schedule 2 Schedule 3 Schedule 4 Schedule 5 ```
1- drugs with no currency acceptable medical use, high potential for abuse, Heroin LSD Ecstasy 2- high potential for abuse Oxytocin Fentanyl Adderall 3- mod/low potential for abuse with physical/phychological dependence Vicodin Codeine Steroids 4- low potential for abuse and low risk of dependence Xanax Valium Ambien 5- very low potential for abuse cough medication Lomotil Motofen Lyrica
57
initial dose
first dose of medication
58
average dose
amount proven more effective with minimum toxic effect
59
loading dose
initial larger dose given at beginning of treatment
60
maintenance dose
amount that will keep level of drug at a therapeutic level
61
minimum dose
smallest dose of drug that will be effective
62
maximum dose
largest amount of a drug that can safely be given
63
therapeutic dose
amount of drug needed to get desired effect
64
divided dose
fractional amount of drug given at short intervals
65
unit dose
remeasured amount of drug individually packaged
66
cumulative dose
total amount of a drug in the body after repeated medication
67
lethal dose
amount of a drug that can kill a patient
68
toxic dose
amount of drug given that can cause drug toxicity
69
Four stages of a drugs life in the body? 1. Absorption 2. Distribution 3. Metabolism 4. Excretion
1. the drug passes into the body fluids and tissues 2. the drug is transported from the blood to the intended site of action 3. process that involves enzyme-catalyzed reactions in the body that break down drug 4. substance is eliminated from the body
70
What are the 6 rights of Proper Drug Administration?
1. Right Patient 2. Right Drug 3. Right Dose 4. Right Route 5. Right Time 6. Right Documentation
71
``` what are the following drugs used for? Adrenaline/Epinephrine Albuterol Atropine Benadryl Compazine Dextrose 50% Diazepam Digoxin Dilantin Glucagon Hydrocortisone Insulin Lasix Lidocaine Morphine Sulfate Narcan Nitroglycerin Sodium Bicarbonate Valium Verapamil ```
``` Answers: Vasoconstrictor Bronchodilator Restores heart rate antihistamine antiemetic counteracts hyperinsulinism- hypoglycemia anti anxiety agent cardiac drug anticonvulsant hyperglycemic agent anti-inflammatory hormone furosemide- makes you urinate anti arrhythmic used for severe pain antidote in narcotic overdoses vasodilator- arteries alkalinizing agent anti anxiety, muscle relaxant used for hypertension ```

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