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Medical Terms > SOAP- abbreviations > Flashcards

SOAP- abbreviations Flashcards

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USMLE® Step 1 flashcards
1
Q

A:

A

assessment

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2
Q

AAROM

A

active assistive range of motion

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3
Q

abd

A

abduction

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4
Q

ac

A

before meals

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5
Q

AC joints

A

acromioclavicular joints- is a joint at the top of the shoulder. It is the junction between the acromion (part of the scapula that forms the highest point of the shoulder) and the clavicle.[1] It is a plane synovial joint.

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6
Q

ACTH

A

adrenocorticotrophic hormone

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7
Q

add

A

adduction

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8
Q

ADL

A

activities of daily living

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9
Q

ad lib

A

at discretion

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10
Q

adm

A

admission

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11
Q

AE

A

above elbow

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12
Q

AFO

A

ankle foot orthosis

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13
Q

AIDS

A

autoimmune deficiency syndrome

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14
Q

AIlS

A

anterior inferior iliac spine

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15
Q

AJ

A

ankle jerk

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16
Q

AK

A

above knee

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17
Q

a.m.

A

morning

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18
Q

AMA

A

against medical advice

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19
Q

amb

A

ambulation, ambulating, ambulated, ambulate, ambulates

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20
Q

ant

A

anterior

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21
Q

AP

A

anterior-posterior

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22
Q

AROM

A

active range of motion

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23
Q

ASA

A

aspirin

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24
Q

ASAP

A

as soon as possible

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25
Q

ASHD

A

arteriosclerotic heart disease

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26
Q

ASIS

A

anterior superior iliac spine

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27
Q

assist.

A

assistance, assistive

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28
Q

B/S

A

bedside

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29
Q

BE

A

below elbow

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30
Q

bid

A

twice a day

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31
Q

bilat.

A

bilateral, bilaterally

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32
Q

BK

A

below knee

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33
Q

BM

A

bowel movement

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34
Q

BP

A

blood pressure

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35
Q

bpm

A

beats per minute

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36
Q

BRP

A

bathroom privileges

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37
Q

BUN

A

blood urea nitrogen (blood test)

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38
Q

C

A

Centigrade

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39
Q

C&S

A

culture and sensitivity

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40
Q

CA

A

cancer, carcinoma

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41
Q

CABG

A

coronary artery bypass graft

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42
Q

CAD

A

coronary artery disease

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43
Q

cal

A

calories

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44
Q

CBC

A

complete blood count

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45
Q

CBI

A

closed brain injury

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46
Q

CBS

A

chronic brain syndrome

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47
Q

CC,C/C

A

chief complaint

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48
Q

cc

A

cubic centimeter

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49
Q

CHF

A

congestive heart failure

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50
Q

cm

A

centimeter

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51
Q

CNS

A

central nervous system

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52
Q

c/o

A

complains of

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53
Q

CO2

A

carbon dioxide

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54
Q

COLD

A

chronic obstructive lung disease

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55
Q

cont.

A

continue

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56
Q

COPD

A

chronic obstructive pulmonary disease

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57
Q

COTA

A

certified occupational therapy assistant

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58
Q

CP

A

cerebral palsy

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59
Q

CPR

A

cardiopulmonary resuscitation

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60
Q

CSF

A

cerebral spinal fluid

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61
Q

CV

A

cardiovascular

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62
Q

CVA

A

cerebrovascular accident

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63
Q

CWI

A

crutch walking instructions

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64
Q

Cystro

A

cystoscopic examination

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65
Q

dept.

A

department

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66
Q

DIP

A

distal interphalangeal joint

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67
Q

D/C

A

discontinued or discharged

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68
Q

DM

A

diabetes mellitus

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69
Q

DO

A

doctor or osteopathy

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70
Q

DTR

A

deep tendon reflex

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71
Q

Dx

A

diagnosis

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72
Q

ECF

A

extended care facility

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73
Q

ECG, EKG

A

electrocardiogram

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74
Q

EEG

A

electroencephalogram

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75
Q

EENT

A

ear, eyes, nose, throat

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76
Q

EMG

A

electromyogram, electromyography

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77
Q

E.R.

A

emergency room

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78
Q

eval.

A

evaluation

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79
Q

ext.

A

extension

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80
Q

F

A

fair (muscle strength, balance)

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81
Q

FBS

A

fasting blood sugar

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82
Q

FH

A

family history

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83
Q

flex

A

flexion

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84
Q

ft.

A

foot, feet (the measurement, not the body part)

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85
Q

FUO

A

fever, unknown origin

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86
Q

FWB

A

full weight bearing

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87
Q

fx

A

fracture

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88
Q

G

A

good (muscle strength, balance)

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89
Q

GB

A

gallbladder

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90
Q

GI

A

gastrointestinal

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91
Q

gm

A

gram

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92
Q

GYN

A

gynecology

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93
Q

h, hr.

A

hour

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94
Q

H&H, H/H

A

hematocrit and hemoglobin

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95
Q

H&P

A

history and physical

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96
Q

HA, H/A

A

headache

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97
Q

Hb, Hgb

A

hemoglobin

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98
Q

HCVD

A

hypertensive cardiovascular disease

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99
Q

HEENT

A

head, ear, eyes, nose, throat

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100
Q

HEP

A

home exercise program

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101
Q

HI

A

head injury

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102
Q

HIV

A

human imlIlunodeficiency virus

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103
Q

HNP

A

herniated nucleus pulposus

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104
Q

HOB

A

head of bed

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105
Q

HR

A

heart rate

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106
Q

hr.

A

hour

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107
Q

hs

A

at bedtime

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108
Q

ht.

A

height

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109
Q

Ht

A

hematocrit

110
Q

Htn

A

hypertension

111
Q

Hx

A

history

112
Q

I & 0

A

intake and output

113
Q

ICU

A

intensive care unit

114
Q

IM

A

intramuscular

115
Q

imp.

A

impression

116
Q

in.

A

inches

117
Q

indep

A

independent

118
Q

inf

A

inferior

119
Q

IV

A

intravenous

120
Q

kcal

A

kilocalories

121
Q

kg

A

kilogram

122
Q

KJ

A

knee jerk

123
Q

KUB

A

kidney, ureter, bladder

124
Q

L or l (lower case L)

A

liter

125
Q

LFT or LT or a” L” in a circle

A

left

126
Q

lb.

A

pound

127
Q

LBP

A

low back pain

128
Q

LE

A

lower extremity

129
Q

LOC

A

loss of consciousness

130
Q

LP

A

lumbar puncture

131
Q

m

A

meter

132
Q

max

A

maximal

133
Q

MD

A

medical doctor; doctor of medicine

134
Q

MED

A

minimal erythemal dose

135
Q

Meds.

A

medications

136
Q

MFT

A

muscle function test

137
Q

m g

A

milligram

138
Q

MI

A

myocardial infarction

139
Q

min

A

minimal

140
Q

min.

A

minutes

141
Q

ml

A

milliliter

142
Q

mm

A

millimeter

143
Q

MMT

A

manual muscle test

144
Q

mo.

A

month

145
Q

mod

A

moderate

146
Q

MP, MCP

A

metacarpalphalangeal

147
Q

MS

A

multiple sclerosis

148
Q

N

A

normal (muscle strength)

149
Q

NDT

A

neurodevelopmental treatment

150
Q

neg.

A

negative

151
Q

N.H.

A

nursing home

152
Q

noc

A

night, at night

153
Q

npo

A

nothing by mouth

154
Q

NSR

A

normal sinus rhythm

155
Q

NWB

A

non-weight-bearing

156
Q

0:

A

objective

157
Q

OB

A

obsetrics

Latin obstare, “to stand by”) is the health science that deals with pregnancy, childbirth, and postpartum period 1

158
Q

OBS

A

organic brain syndrome

159
Q

od

A

once daily

160
Q

O.P.

A

outpatient

161
Q

O.R.

A

operating room

162
Q

ORIF

A

open reduction, internal fixation

163
Q

OT

A

occupational therapy, occupational therapist

164
Q

OTR

A

occupational therapist (used to follow official signature of the occupational 17 therapist)

165
Q

oz.

A

ounce

166
Q

P

A

poor (muscle strength, balance)

167
Q

P:

A

plan (treatment plan)

168
Q

P.A.

A

physician’s assistant

169
Q

PA

A

posterior/anterior

170
Q

para

A

paraplegia

171
Q

pc

A

after meals

172
Q

per

A

by/through

173
Q

per os, p.o.

A

by mouth

174
Q

PERRLA

A

pupils, equal, round, reactive to light and accommodation

175
Q

P.H.

A

past history

176
Q

p.m.

A

afternoon

177
Q

PNF

A

proprioceptive neuromuscular facilitation

PNF or proprioceptive neuromuscular facilitation stretching, is a set of stretching techniques commonly used in clinical environments to enhance both active and passive range of motion with the ultimate goal being to optimize motor performance and rehabilitation

178
Q

PNI

A

peripheral nerve injury

179
Q

POMR

A

problem-oriented medical record

a method of recording data about the health status of a patient in a problem-solving system

180
Q

pos.

A

positive

181
Q

poss

A

possible

182
Q

post

A

posterior

183
Q

post-op

A

after surgery (operation)

184
Q

PRE

A

progressive resistive exercise

185
Q

pre-op

A

before surgery (operation)

186
Q

prn

A

whenever necessary

“pro re nata”

187
Q

PROM

A

passive range of motion

188
Q

PSIS

A

posterior superior iliac spine

189
Q

PT

A

physical therapy, physical therapist (used after therapist’s signature; varies from facility to facility)

190
Q

PT/PTT

A

protime/prothrombine time

191
Q

Pt., pt.

A

patient

192
Q

PTA

A

physical therapist assistant

193
Q

PTA

A

prior to admission

194
Q

PTB

A

patellar tendon bearing

195
Q

PVD

A

peripheral vascular disease

196
Q

PWB

A

partial weight bearing

197
Q

q

A

every

198
Q

qb

A

every day

199
Q

qh

A

every hour

200
Q

qid

A

four times a day

201
Q

qn

A

every night

202
Q

qt.

A

quart

203
Q

®

A

right

204
Q

RA

A

rheumatoid arthritis

205
Q

RBC

A

red blood cell count

206
Q

R.D.

A

registered dietician

207
Q

re:

A

regarding

208
Q

rehab

A

rehabilitation

209
Q

reps

A

repititions

210
Q

resp

A

respiratory, respiration

211
Q

RN

A

registered nurse

212
Q

R/O

A

rule out (In order to make a good diagnosis, the physician will try to rule the disease/condition named out; if he or she cannot, this will become the diagnosis.)

213
Q

ROM

A

range of motion

214
Q

ROS

A

review of systems

215
Q

RROM

A

resistive range of motion

216
Q

R.T.

A

respiratory therapist, respiratory therapy

217
Q

Rx

A

treatment, prescription, therapy

218
Q

SACH

A

solid ankle cushion heel

219
Q

SCI

A

spinal cord injury

220
Q

SC joint

A

sternoclavicular joint

221
Q

sec.

A

seconds

222
Q

SED

A

suberythemal dose

223
Q

sig

A

directions for use, give as follows, let it be labeled

224
Q

SI(J)

A

sacroiliac (joint)

225
Q

SLE

A

systemic lupus erythematosus

is a systemic autoimmune disease (or autoimmune connective tissue disease) that can affect any part of the body. As occurs in other autoimmune diseases, the immune system attacks the body’s cells and tissue, resulting in inflammation and tissue damage

226
Q

SLR

A

straight leg raise

227
Q

SNF

A

skilled nursing facility

228
Q

SOAP

A

subjective, objective, assessment, plan

229
Q

SOB

A

shortness of breath

230
Q

S/P

A

status post (example: S/P hip fx means Pt. fx her hip in the recent past)

231
Q

spec

A

specimen

232
Q

stat.

A

immediately, at once

233
Q

Sx

A

symptoms

234
Q

T

A

trace (muscle strength)

235
Q

tab

A

tablet

236
Q

TB

A

tuberculosis

237
Q

tbsp.

A

tablespoon

238
Q

TENS, TNS

A

transcutaneous electrical nerve stimulator

239
Q

THR

A

total hip replacement

240
Q

TlA

A

transient ischemic attack

241
Q

tid

A

three times daily

242
Q

TKR

A

total knee replacement

243
Q

TM(J)

A

temporomandibular (joint)

244
Q

TNR

A

tonic neck reflex (also ATNR, STNR)

245
Q

t.o.

A

telephone order

246
Q

TPR

A

temperature, pulse & respiration

247
Q

tsp.

A

teaspoon

248
Q

TUR

A

transurethral resection

(TUR) of the bladder is a surgical procedure that is used both to diagnose bladder cancer and to remove cancerous tissue from the bladder.

249
Q

UA

A

urine analysis

250
Q

UE

A

upper extremity

251
Q

UMN

A

upper motor neuron

252
Q

URI

A

upper respiratory infection

253
Q

US

A

ultrasound

254
Q

UTI

A

urinary tract infection

255
Q

UV

A

ultraviolet

256
Q

VD

A

venereal disease

257
Q

v.o.

A

verbal orders (example: v.o. Dr. Smith/your signature)

258
Q

vol.

A

volume

259
Q

v.s.

A

vital signs

260
Q

w/c

A

wheelchair

261
Q

W/cm2

A

watts per square centimeter

262
Q

WBC

A

white blood cell count

263
Q

wk.

A

week

264
Q

WNL

A

within normal limits

265
Q

wt.

A

weight

266
Q

x

A

number of times performed

267
Q

y/o or y.o

A

years old

268
Q

yd.

A

yard

269
Q

yr.

A

year

270
Q

encephalo

A

pertaining to the brain

271
Q

erythema /er·y·the·ma/

A

redness of the skin due to congestion of the capillaries

Medical Terms (6 decks)

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