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Training Flashcards

1
Q

ALOC

A

Altered level of consciousness

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2
Q

BM

A

Bowel movement

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3
Q

DOE

A

Dyspnea on exertion

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4
Q

EOMI

A

Extraocular Movement intact

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5
Q

HA

A

Headache

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6
Q

MI

A

Myocardial infarction (heart attack)

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7
Q

NAD

A

No acute distress

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8
Q

NSR

A

Normal sinus rhythm

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9
Q

PNA

A

Pneumonia

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10
Q

UTI

A

Urinary track infection

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11
Q

ASA

A

Aspirin

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12
Q

CA

A

Cancer

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13
Q

PCN

A

Penicillin

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14
Q

DM

A

Diabetes Mellitus

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15
Q

PTX

A

Pneumothorax

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16
Q

SOB

A

Shortness of breath

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17
Q

FB

A

Foreign body

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18
Q

CVA

A

Cerebral vascular accident (stroke)

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19
Q

TIA

A

Transient ischemic attack (mini stroke)

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20
Q

TX

A

Treatment

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21
Q

Earwax

A

Cerumen

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22
Q

Runny nose

A

Rhinorrhea

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23
Q

Vomiting blood

A

Hematemesis

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24
Q

Room spinning

A

Vertigo

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25
Q

Fainting

A

Syncope

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26
Q

Sensitivity to light

A

Photophobia

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27
Q

Sweating

A

Diaphoresis

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28
Q

Bruising

A

Ecchymosis

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29
Q

Itchiness

A

Pruritus

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30
Q

Ear ringing

A

Tinnitus

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31
Q

Removal of appendix

A

Appendectomy

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32
Q

Removal of breast

A

Mastectomy

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33
Q

Cardiac bypass

A

CABG (coronary artery bypass graft)

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34
Q

Hernia repair

A

Herniorrhaphy

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35
Q

Removal of gallbladder

A

Cholecystectomy

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36
Q

Removal of the uterus

A

Hysterectomy

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37
Q

“Crackles”

A

Tales

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38
Q

For main components of the medical chart you are responsible for?

A
  1. HPI
  2. ROS
  3. PMhxFHxSHx
  4. PE
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39
Q

Name the eight elements of the HPI?

A
  1. Location
  2. Quality
  3. Severity
  4. Context
  5. Timing
  6. Duration
  7. Associated signs & symptoms
  8. Modifying factors
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40
Q

True or false: The HPI in the ROS are subjective?

A

True: these are from the patient’s perspective

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41
Q

True or false: patient’s past surgeries should be documented in the physical exam (PE)?

A

False: should be in past medical history

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42
Q

True or false: the physical exam is objective?

A

True: from the doctors point view

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43
Q

True or false: whether a patient smokes or not should be documented in the PMFSH?

A

True: this is social history

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44
Q

Fever

A

Febrile

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45
Q

Vomiting

A

Emesis

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46
Q

pain with urination

A

Dysuria

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47
Q

RRR

A

Regular rate and rhythm (cardio finding)

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48
Q

TMs

A

Tympanic membranes (ENT findings)

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49
Q

CVAT

A

Costal Vertebral Angle Tenderness (back finding sometimes GU)

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50
Q

BS present

A

Bowel sounds present

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51
Q

SNF

A

Skilled nursing facility

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52
Q

BIBA

A

Brought in by ambulance

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53
Q

CP

A

Chest pain

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54
Q

ATX

A

Atelectasis

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55
Q

Pregnancy

A

Gracie

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56
Q

Oophorectomy

A

Surgical removal of ovary

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57
Q

Tubal pregnancy

A

Ectopic

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58
Q

Tying of tubes

A

Tubal litigation

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59
Q

Clipping of vas deferens

A

Vasectomy

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60
Q

Tonsil removal

A

Tonsillectomy

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61
Q

CAD

A

Coronary artery disease

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62
Q

DVT

A

Deep vein thrombosis

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63
Q

PE

A

Pulmonary embolism

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64
Q

PTSD

A

Post dramatic stress disorder

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65
Q

PUD

A

Peptic ulcer disease

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66
Q

PTA

A

Prior to arrival

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67
Q

NTG

A

Nitroglycerin

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68
Q

FS

A

Finger stick (blood sugar)

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69
Q

AMS

A

Altered mental status

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70
Q

A-fib

A

Atrial fibrillation

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71
Q

Normal heart rhythm

A

Arrhythmia

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72
Q

Blood in urine

A

Hematuria

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73
Q

VB

A

Vaginal bleeding

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74
Q

COPD

A

Chronic obstructive pulmonary disease (Chronic bronchitis, emphysema)

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75
Q

JVD

A

Jugular vein distention

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76
Q

Breathing tube replacement

A

Endotracheal intubation

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77
Q

FX

A

Fracture

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78
Q

Bi-PAP

A

Bilevel positive airway pressure

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79
Q

NEB

A

Nebulizer

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80
Q

Peripheral numbness

A

Paresthesia

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81
Q

HTN

A

Hypertension

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82
Q

High cholesterol

A

Hyperlipidemia

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83
Q

High blood sugar

A

Hyperglycemia

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84
Q

DKA

A

Diabetic ketoacididosis

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85
Q

MTF

A

Metabolize to freedom

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86
Q

ETOH

A

Alcohol

87
Q

BKA

A

Below knee amputation

88
Q

AKA

A

Above knee amputation

89
Q

TKA

A

Total knee arthroplasty

90
Q

ROM

A

Range of motion

91
Q

Flexion

A

Decreasing the angle of a joint

92
Q

Extension

A

Increasing the angle of the joint

93
Q

LOC

A

Loss of consciousness

94
Q

HGB

A

Hemoglobin

95
Q

Induration

A

Any pathological hardening or thickening of tissue

96
Q

Fluctuance/fluctuant

A

Palpable fluid beneath the skin indicative of infection/puss

97
Q

Cachectic

A

State of general ill appearance and malnutrition

98
Q

WBC

A

White blood cells

99
Q

Rash from a virus

A

Viral exanthem

100
Q

Tachycardia

A

Rapid heartbeat (>100)

101
Q

Tachypneic

A

Increased rate of respiration

102
Q

Bradycardia

A

Slow heart rate ( <60)

103
Q

Bradypneic

A

Slow breathing rate ( <16)

104
Q

Retractions

A

Movements in which the skin pools in around the ribs during inspiration

105
Q

Erythema/erythematous

A

Redness of skin

106
Q

Edema

A

Swelling

107
Q

Cellulitis

A

And inflammation of body tissue (below the skin) characterized by fever and swelling and redness and pain

108
Q

Afebrile

A

No fever

109
Q

Ablation

A

Partial destruction of the pathway of the electrical conduction system of the heart, to treat irregular heart rhythm

110
Q

PND

A

Paroxysmal nocturnal dyspnea (intermittent night time difficulty breathing)

111
Q

Paroxysmal

A

Intermittent, begetting suddenly or abruptly

112
Q

Fibroids

A

Benign tumors in the uterus

113
Q

Frequent urination

A

Polyuria

114
Q

Increased thirst

A

Polydipsia

115
Q

Irregularly irregular

A

No predictable pattern to cardiac cycle, a-fib typically

116
Q

Anticoagulants

A

Medication to stop blood clotting

117
Q

PSVT

A

Paroxysmal supraventricular tachycardia

118
Q

PVD

A

Peripheral vascular disease

119
Q

DKA

A

Diabetic ketoacidosis

120
Q

GERD

A

Gastroesophageal reflux disease

121
Q

ESRD

A

End stage renal disease

122
Q

CRI

A

Chronic renal insufficiency

123
Q

PID

A

Pelvic inflammatory disease

124
Q

N/V/D

A

Nausea, vomiting, diarrhea

125
Q

BTL

A

Bilateral tubal litigation

126
Q

FTT

A

Failure to thrive

127
Q

PERRL

A

Pupils equal, round, reactive to light

128
Q

EOM

A

Extraocular movement

129
Q

EOMI

A

Extraocular movements intact

130
Q

NC

A

Nasal cannula

131
Q

RA

A

Room air

132
Q

NRB

A

Non-rebreather

133
Q

AAA

A

Aortic abdominal aneurysm

134
Q

Numbness

A

Paresthesia

135
Q

DJD

A

Degenerative joint disease

136
Q

CP

A

Cerebral palsy

137
Q

STD

A

Sexually transmitted disease

138
Q

SBO

A

Small bowel obstruction

139
Q

Adenopathy

A

Enlargement of lymph nodes

140
Q

Accessory muscle use

A

Struggling for breath using muscles in the neck

141
Q

Adduction

A

Movement towards the midline of the body

142
Q

AED

A

Automated external defibrillator

143
Q

Afebrile

A

Without fever

144
Q

Ambulatory

A

Able to walk

145
Q

Aneurysm

A

Any abnormal widening of a blood vessel

146
Q

Angina

A

Chest pain due to lack of blood flow to heart muscle

147
Q

Anion gap

A

Difference between the concentrations of serum cations and anions: determined by measuring the concentrations of sodium in cations and chloride and bicarbonate anions

148
Q

Anisocoria

A

Unequal pupils size

149
Q

Arthralgia

A

Pain in joints

150
Q

Articulation

A

Connection between bones

151
Q

Atelectasis (ATX)

A

Partial collapse of the small airways in the lungs

152
Q

Avulsion

A

Forcible tear in the way of a part or structure

153
Q

Axilla

A

Underarm

154
Q

Brudzinski’s sign

A

Sign of meningitis; positive when a patients legs lift involuntarily when lifting a patient head

155
Q

Bruit

A

A murmur or sound heard in auscultation indicating narrowing of a vessel

156
Q

C/O

A

Complains of

157
Q

Cartotid bruit

A

Noise from the carotid artery he narrowing heard with the stethoscope

158
Q

Cholecystitis

A

Inflammation of the gallbladder

159
Q

Cholelithiasis

A

Gallstone formation in the gallbladder

160
Q

Cirrhosis

A

Chronic degenerative disease of the liver

161
Q

CMT

A

Cervical motion tenderness

162
Q

Colectomy

A

Surgical removal of part or all of the large intestine

163
Q

Colostomy

A

Did you go procedure that provides an opening between the colon and abdominal wall

164
Q

Conjunctiva

A

Mucous membrane lining the eye lids and covering the interior portion of the sclera

165
Q

Crepitus

A

Crackling sound produced when ends of bone rub against each other or against roughening cartilage

166
Q

CSF

A

Cerebrospinal fluid

167
Q

Cyanosis

A

Bluish discoloration of the skin and mucous membranes

168
Q

Cyanotic

A

Bluish skin color due to lack of oxygen

169
Q

Diaphoresis

A

Profuse sweating

170
Q

Dysmenorrhea

A

Painful menstruation

171
Q

Dyspareunia

A

Painful intercourse

172
Q

EF

A

Ejection fraction

173
Q

Ectopy

A

Abnormal heartbeat

174
Q

Hemangioma

A

Benign angioma consisting of a mass of blood vessels

175
Q

Hematoma

A

Localized swelling filled with blood

176
Q

Hematochezia

A

Passage of fresh, bright red blood from the rectum

177
Q

Hemiparesis

A

Slight paralysis or weakness affecting one side of the body

178
Q

Hemiplegia

A

Paralysis of one side of the body

179
Q

Hepatomegaly

A

Liver enlargement

180
Q

ICH

A

Intracranial hemorrhage

181
Q

IUP

A

Intrauterine pregnancy

182
Q

Kernig’s sign

A

Sign of meningitis; positive when the leg is full event at the hip and knee, and subsequent extension of the knee leads to pain

183
Q

LBBB

A

Left bundle branch block

184
Q

RBBB

A

Right bundle branch block

185
Q

LAFB

A

Left anterior fascicular block

186
Q

LNMP

A

Last normal menstrual period

187
Q

LVH

A

Left ventricle hypertropy

188
Q

Malaise

A

Big feeling of bodily discomfort or illness

189
Q

Malocclusion

A

Any deviation from the normal positioning of the upper teeth against the lower teeth

190
Q

Melena

A

Black tarry stool

191
Q

Meningismus

A

Stiff neck/signs of meningitis

192
Q

Myalgia

A

Muscle pain

193
Q

Neuralgia

A

Nerve pain

194
Q

Cephalgia

A

Head pain

195
Q

NSVD

A

Normal spontaneous vaginal delivery

196
Q

Nystagmus

A

And involuntary, rhythmic oscillation of the eyeballs; maybe horizontal, vertical, or rotary

197
Q

Pallor

A

Pail skin

198
Q

Romberg’s sign

A

Following to one side standing with eyes closed

199
Q

Splenectomy

A

Surgical removal of the spleen

200
Q

Splenomegaly

A

An abnormal enlargement of the spleen

201
Q

Splinting

A

Muscle rigidity caused by pain

202
Q

Status epilepticus

A

Continuous seizure activity

203
Q

Stridor

A

High-pitched, crowing sound that occurs with an obstruction in the upper airway (trachea or larynx)

204
Q

TAH

A

Total of abdominal hysterectomy

205
Q

Rovsing’s sign

A

S/S of appendicitis when you power paid LLQ and the PT feel pain in their RLQ

206
Q

Mcburney’s

A

Persistent pain located midway between the umbilicus and the right iliac crest

207
Q

HIPAA

A

Health insurance portability and accountability act

208
Q

CN

A

Cranial nerves

209
Q

TTP

A

Tender to palpation

210
Q

Tugor

A

Skins elasticity; poor elasticity seen one skin remains pinched

211
Q

Thoractomy

A

Surgical scission into chest wall

212
Q

Pronator drift

A

Pronation of one form during pronator drift test; indicates corticospinal tract lesion originating from the contralateral hemisphere

213
Q

Nuchal rigidity

A

Stiffness or and her billeted to bend the neck

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