Exam Review Flashcards

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
Q

slander

A

false charges and malicious oral statements

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26
Q

active euthanasia

A

taking action to bring someones death with the intention of ending their suffering

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27
Q

involuntary euthanasia

A

ending a terminal patients life by medical means without their permission

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28
Q

nonvoluntary euthanasia

A

performed on non-competent patients who have not stated their preferences for treatment

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29
Q

voluntary euthanasia

A

performed on patient with their permission

30
Q

passive euthanasia

A

withholding life-sustaining treatments, allowing the patient to die

31
Q

misfeasance

A

improper performance of a proper or lawful act

32
Q

nonfeasance

A

failure to act when one should

33
Q

what are the four elements of negligence?

A
  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
Q

locus tenens

A

“the substitute for”- allows one medical professional to serve temporarily for another

35
Q

deposition

A

sworn out of court witness statement taken under oath, that can later be used in court

36
Q

negligence

A

taking an unreasonably, carless action that could foreseeably cause harm- accidental

37
Q

contributory negligence

A

failure of an injured plaintiff to act prudently- partially responsible due to their own actions

38
Q

comparative negligence

A

a rule used to calculate each individuals responsibility involved in an accident

39
Q

libel

A

written statement that causes harm to another individuals character

40
Q
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?
A
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
Q

Healthcare coding

A

Process of assigning numeric or alphanumeric codes to identify treatment, services, or supplies provided to a patient during visit.

42
Q

TRICARE

A

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
Q

Coinsurance

A

a type of insurance in which the insured pays a share of the payment made against a claim.

44
Q

Capitation

A

payment to a provider that covers each plan member’s health care services for a certain period of time

45
Q

CMS-1500 form

A

the standard form used by health-care providers to bill for services, including disease state management services.

46
Q

Comorbidity

A

the simultaneous presence of two chronic diseases or conditions in a patient

47
Q

ICD Codes (International Classification of Diseases)

A

alphanumeric codes that are used to uniformly describe every medical diagnosis, description of symptoms, and cause of death

48
Q

HCPCS Level 1 Codes

A

Consists of codes found in the CPT Manuel. They are 5 position numeric codes used to report physician services rendarded to patients

49
Q

Pharmacodynamic

A

study of drugs and their actions on living organisms

50
Q

Pharmacognosy

A

science of natural drugs and their physical, botanical, and chemical properties

51
Q

Pharmacogenomics

A

study of how ones genetic makeup affect their bodies response to drugs

52
Q

Pharmacokinetics

A

study of the metabolism and action of drugs within the body

53
Q

Pharmacotherapeutics

A

study of drugs and their relationship to the treatment of disease

54
Q

Toxicology

A

study of poisons; science focused with toxic substances

55
Q

Drug names-
Chemical
Generic
Trade/Brand

A

Answers-
Formula that denotes the composition of the drug
Official, established nonproprietary name
The name under which a company markets a drug

56
Q
Explain the schedule of drugs?
Schedule 1
Schedule 2
Schedule 3
Schedule 4
Schedule 5
A

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
Q

initial dose

A

first dose of medication

58
Q

average dose

A

amount proven more effective with minimum toxic effect

59
Q

loading dose

A

initial larger dose given at beginning of treatment

60
Q

maintenance dose

A

amount that will keep level of drug at a therapeutic level

61
Q

minimum dose

A

smallest dose of drug that will be effective

62
Q

maximum dose

A

largest amount of a drug that can safely be given

63
Q

therapeutic dose

A

amount of drug needed to get desired effect

64
Q

divided dose

A

fractional amount of drug given at short intervals

65
Q

unit dose

A

remeasured amount of drug individually packaged

66
Q

cumulative dose

A

total amount of a drug in the body after repeated medication

67
Q

lethal dose

A

amount of a drug that can kill a patient

68
Q

toxic dose

A

amount of drug given that can cause drug toxicity

69
Q

Four stages of a drugs life in the body?

  1. Absorption
  2. Distribution
  3. Metabolism
  4. Excretion
A
  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
Q

What are the 6 rights of Proper Drug Administration?

A
  1. Right Patient
  2. Right Drug
  3. Right Dose
  4. Right Route
  5. Right Time
  6. Right Documentation
71
Q
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
A
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