MT Ch. 1

Question 0

Medical record

Answer 0

Paper chart that documents details of patients hospital stay

Question 1

4 Elements of Medical Terms

Answer 1

1. Word root- often indicate part or action
2. Prefix- location of organ, # of parts, or time
3. Suffix- condition, disease, or procedure
4. Combining vowel- usually “O”, used between root and suffix if suffix begins with a consonant

Question 2

Electronic medical record (EMR)

Answer 2

Digitally stored record that documents details of patients hospital stay

Question 3

History and Physical

Answer 3

-patient history, exam results, initial diagnosis, and treatment plan written by admitting physician

Question 4

Physicians orders

Answer 4

Complete list of care, meds, tests, and treatments physician orders for patient

Question 5

Nurses notes

Answer 5

Treatment throughout the day and vital signs, specifics, patient response, and condition

Question 6

Physician progress notes

Answer 6

Contains updated assessment, diagnoses, and further plans of care

Question 7

Consultation reports

Answer 7

Report given by a specialist

Question 8

Ancillary reports

Answer 8

Reports from various treatments received

Question 9

Diagnostic reports

Answer 9

Results of diagnostic tests, usually clinical lab and medical imaging

Question 10

Informed consent

Answer 10

Document signed by patient/responsible party that describes purpose, methods, benefits, and risks of procedure

Question 11

Operative report

Answer 11

Diagnosis and and operation details written by the surgeon

Question 12

Anesthesiologists report

Answer 12

Details of substances given, patient response, and vital signs during surgery

Question 13

Pathologists report

Answer 13

Details regarding tissue removes from patient

Question 14

Discharge summary

Answer 14

Documents entire hospital stay, from admitting diagnosis to final diagnosis and follow up

Question 15

Acute Care/ General Hospitals

Answer 15

Diagnose and treat diseases for short time periods, offer ER

Question 16

Specialty Care Hospitals

Answer 16

Provide care for specific diseases

Question 17

Nursing Homes/Long Term Care Facilities

Answer 17

People who can’t take care of themselves and people who need extra recovery time

Question 18

Ambulatory Care Centers, Surgical Centers, Outpatient Clinics

Answer 18

Services not requiring overnight stay; from simple surgeries to testing and therapy

Question 19

Physicians offices

Answer 19

Diagnostic and treatment services in a private setting

Question 20

Health Maintenance Organization (HMO)

Answer 20

Prepaid system of services by primary-care physicians, specialists, and other providers

Question 21

Home health care

Answer 21

Provides personal care in patients home

Question 22

Rehab centers

Answer 22

Intensive PT and OT; inpatient and outpatient treatment

Question 23

Hospices

Answer 23

Supportive treatment to terminally ill patients and their families

Question 24

Organization of Body

Answer 24

Cells, tissues, organs, systems, body

Question 25

Cytology

Answer 25

Study of cells and their function

Question 26

Cell membrane

Answer 26

Outermost boundary of a cell

Question 27

Cytoplasm

Answer 27

Watery internal environment of cell

Question 28

Nucleus

Answer 28

Contains cells DNA

Question 29

What does a cell always have no matter it's shape?

Answer 29

Nucleus, cytoplasm, cell membrane

Question 30

Histology

Answer 30

Study of tissues

Question 31

Tissues

Answer 31

When cells grouped together function to perform a specific activity

Question 32

4 Types of Body Tissues

Answer 32

Epithelial, connective, muscle, nervous

Question 33

Muscle tissue

Answer 33

- produce movement through contraction - composed of muscle fibers - forms skeletal muscle, smooth muscle, cardiac muscle

Question 34

Skeletal muscle

Answer 34

Attached to bone

Question 35

Smooth muscle

Answer 35

Found in internal organs such as intestine and blood vessels

Question 36

Cardiac muscle

Answer 36

Found only in the heart

Question 37

Epithelial tissue

Answer 37

- Covers and lines body structures | - can absorb substances, secrete substances, or excrete wastes

Question 38

Connective tissue

Answer 38

- supporting and protecting tissue | - bone, cartilage, tendons, and adipose

Question 39

Bone

Answer 39

Provides structural support for the whole body

Question 40

Cartilage

Answer 40

Shock absorber in joints

Question 41

Tendons

Answer 41

Connect skeletal muscles to bones

Question 42

Adipose

Answer 42

Provides protective padding around body structures

Question 43

Nervous tissue

Answer 43

- composed of neurons | - forms brain, spinal cord, and network of nerves