Medical and Anatomical Terms: Prefixes and Suffixes, Exams of Network and System Administration

Download Medical and Anatomical Terms: Prefixes and Suffixes and more Exams Network and System Administration in PDF only on Docsity! FBLA Health Care Administration (1300 Questions and Answers). A health record can be defined as written or graphic information documenting facts and events during the rendering of patient care. Either paper or electronic format. - Correct answer health record encourages implementation by offering five annual financial incentives for qualifying offices that convert to an electronic format beginning in 2011 and ending in 2015 or 2016. - Correct answer American Recovery and Reinvestment Act of 2009 (ARRA) Health record content (common) - Correct answer 1. Patient registration (demographic information) 2. Medication record 3. history and physical exam, notes or report 4. Progress or chart notes 5. Consultation reports 6. imaging and x-ray reports 7. Laboratory reports 8. Immunization record 9. Consent and authorization forms 10. Operative report 11. Pathology report. In hospital setting would also include - attending physician's orders - date of admission - hospital stay dates - discharge date - discharge summary What types of systems are used in electronic health record system (EHR) - Correct answer 1. problem-oriented record (POR system) 2. source-oriented record (SOR system or integrated system) consists of: flow sheets, charts, or graphs, that allow aphysician to quickly locate information and compare eaulation - Correct answer Problem- Oriented Record System (POR) documents are arranged according to sections (e.g., H&P section, progress notes, lab tests, radiology reports, or surgical operations) SOR system filed in reverse chronological order. More difficult to locate data due to scattering throughout - Correct answer Source-Oriented Record system (SOR) collection of medical information about the past, present and future of a patient that resides in a centralized electronic system. - Correct answer Electronic Health Record System Difference between an EHR and an EMR - Correct answer : An EMR is individual physician's EMR for the patient, including medical history, allergies, and appointment information. An EHR is all patient medical information from many information systems, including all components of the EMR. Advantages of EHR - Correct answer 1. no physical space required 2. abstracting data is eliminated except when free-form documentation such as narrative notes, dictations, and natural language processing is used. 3. free-text approach, encourages use of abbreviations or fewer spelled out words may result in scant or undecipherable documents. 4. Electronic systems have built in security safeguards to protect against improper disclosure, unauthorized access, or unintended alteration of information for both the data and the system. 5. ARRA requires covered entities to notify individuals if their protected health information is accessed or disclosed in an unauthorized manner. Systemized Nomenclature of Medicine for Clinical Terminology. Medical terminology cassification system that codes text data in an EHR system will assist in standardizing clinical medical terminology - Correct answer SNOMED-CT created the Commission on Systemic Interoperability to develop a strategy to make health care information abailable at all times to patients and physicians. Goal by 2014. - Correct answer Medicare Modernization Act e. Execution of the physician's written instructions by a patient care-giver. - Correct answer Five reasons for legible documention: Evaluation and management, occurs in office visit, inpatient hospital facilities, and nursing homes - Correct answer E/M Current Procedural Terminology - Correct answer CPT Centers for Medicare and Medicaid Services. - Correct answer CMS Developed documentation guidelines for CPT E/M services. - Correct answer American Medical Association and Centers for Medicare and Medicaid Services. also called fiscal intermediaries, fiscal agents, and fiscal carriers, conduct reviews for irregular reporting patterns. HAVE WALK IN RIGHTS, access to a medical practicde w/o apptment or search warrant. - Correct answer Medicare administrator contractors Documentation must support the level of service and each procedure rendered. - Correct answer Third-party payers and federal programs have responsiblity to ensure that professional services provided to patients were medically mecessary criterion used by insurance companies, as well as federal programs, when making decisions to limit or deny payment. Payment may be delayed, downcoded or denied if the medical necessity of a treatment is questioned. - Correct answer medical necessity Insurers differ on definition and may not cover services depending on the benefits of the plan. - Correct answer Good medical practice standards Advance beneficiary Notice of Noncoverage, also know as waiver of liability agreement or responsibility statement - Correct answer ABN If provider has submitted insurance claims for payments deemed fraudulent or inappropriate by government. - Correct answer Audit A point system used while reviewing each patient's health record during the performance of an audit. Points award only if documentation is present for elements required in health record. Point system is used to show where deficiencies occur in health record documentation, evaluation and substantiate proper use of diagnostic and procedural codes.l - Correct answer External Audit Point System HMO, PPO, private carriers can claim refunds Medicare has power to levy fines and penalties and exclude providers from Medicare program - Correct answer consequences of accidental (or intentional) miscoding. If it is not documented, then it was not performed. (have right to deny reinbursement) - Correct answer Insurance carrier and documentation prepayment and postpayment audits to monitor accuracy physicians' use of medical services and procedure codes. - Correct answer Medicare carriers frequent audits a. billing intentionally for unnecessary services b. billing incorrectly for services of physican extenders (NPP) C. billing for diagnostic tests w/o separate report in health record d. changing DOS on insurance claims to cmply with policy coverage dates e. waiving copayments or deductibles, or allowing other illegal discounts f. ordering excessive diagnostic tests g. using 2 different provider numbers to bill the same services for same patient h. failing to return overpayments made by the Medicare program i. misusing prover ID number j. using improper modifiers for financial gain - Correct answer Billing Patterns causing possible audits 1. The health record should be accurate, complete (detailed), and legible. 2. Documentation of each patient encounter includes or provide reference to following: a. chief complaint or reason for encounter b. relevant history c. physical examination d. findings e. prior diagnostic test results f. assessment, clinical impression, or diagnosis g. plan for care h. date and eligible identity of the health care professional 3. The reason for encounter stated 4. Past and present diagnoses 5. Appropriate health risk factors should be identified 6. The patient's progress, response to and changes to treatment, planned follow-up care and instructions and diagnosis should be documented. 7. Patient refusal to follow medical advise 8. Procedure and diagnostic codes reported on the insurance claim form or billing statement supported by documentation. 9. Confidentiality of health record maintained 10. Each chart entry dated - Correct answer Common Medical Office Documents/ Documentation guidelines for Medical Services Degree of documentation depends on the complexity of the service and the specialty of the physican. history, examination, medical decision making - Correct answer Contents of a Medical Report includes: chief complaint (CC), History of Present Illness (HPI), review of systems (ROS), past history, family, or social history (PFSID) extent of each depends on present problems - Correct answer Documentation of History concise statement usually in patient's own words describing symptom, problem, condition, diagnosis, physician-recommended return, or other factor. REQUIRED FOR ALL LEVELS OF HISTORY: - Correct answer Chief complaint (CC) chronological description of development of the patients present illness from first sign or symptom or from previous encounter to present (may include one or more of the following): 1. location, 2, Quality/Character of the symptom/pain, 3. severity or degree (1-10), 4. Duration, 5. Timing, when, 6. Context - situation associated with symptom 7. Modifying factors that make it better or worse, 8. Associated signs and symptoms - Correct answer History of present illness (HPI) Inventory of body systems obtained through a series of questions that is used to identify signs or symptoms patient might be experiencing or has (e.g., a patient who has received treatment for a condition and is then referred by the physician to a second physician for treatment for the same condition), - Correct answer continuity of care intensive care provided in a variety of acute life-threatening conditions requiring constant "full attention" by a physician. A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition. - Correct answer Critical care it may be given by the physician in a hospital ED or in a physician's office setting. Emergency care is that is provided to acutely ill patients and may or may not involve organ system failure, but does require immediate medical attention. - Correct answer Emergency care medical condition that manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediately medical attention could reasonably be expected to result in placing the patients health in serious jeopardy, serious impairment to body functions, or serious dysfunction of any body organ or part. - Correct answer Emergency medical condition as defined by Medicare Any medical condition of a recent onset and severity , including but not limited to severe pain, that would lead a produent lay person, possessing an average knowledge of medicine and health, to believe that his or her condition, sickness, or injry is of such a nature that failure to obtain immediate medical care could result in placing the patient's health in serious jeopardy, seirous impairment to bodily functions, or serious dysfunction of bodily organ or part - Correct answer Lay person definition of an emergency discussion with a patient, family, or both concerning one or more of the following: diagnostic results, impressions, or recommended diagnostic studies; prognosis; risks and benefits of treatment options; instructions for treatment or follow-up; importance of complication with chose treatment options; risk factor reduction, and patient and family eduction. - Correct answer Counseling impression - Correct answer imp diagnosis - Correct answer dx should be eliminated from vital sections of health record, such as final diagnosis, operative notes, discharge summaries, and descriptions of special procedures - Correct answer AMA policy on abbreviations term including the name of a person (e.lg. Graves' disease)) s hould not be used when a comparable anatomic term can be used in its place ex. "Buerger's disease compared to thromboangitis obliterans - Correct answer eponym. a condition that runs a short but relative severe course - Correct answer acute a condition persisting over a long period of time - Correct answer chronic problems can occur with documentation because of missing or misused essential words (ex. diastolic dysfunction instead of heart failure due to diastolic dysfunction - Correct answer diagnostic terminology and abbreviations may not support billing of services, instead, documentation must indicate exatly which limb was examined and abbreviated wording would not pass an audit. "CANNED" notes mean no assessment was actually performed, this is fraud. - Correct answer within normal limits (WNL), noncontributroy, negative/normal, other than the above, all systems were normal ex. chest x-ray report reviewed, or read instead of "chest x-ray negative" - Correct answer Detailed documentation justifies billed services by providing verification a) preoperative vs postoperative, (b) simple/intermediate/complex (c) undermining (d) take down (e) lysis of adhesion (f) surgical position (g) surgical approach (ex. vaginal vs. abdominal - Correct answer surgical terminology (preop) period before a surgical procedure, begins with the first preparation to a patient fore surgery and ends with anestheia in operating room - Correct answer preoperative (PO) period of time after surgery, beginning with patient emerging from anesthesia and continues through time required for acute effects of anestheia and surgical procedures to decrease - Correct answer postoperative (example, repair of lacerations) listed as simple, intermediate or complex repairs. Documentation should liste the length (in centimeters) of all incisions and layers of involved tissues sothat correct procedure codes for excision of lesions and type of repair can be determined. - Correct answer surgical procedures for integumentary system one layer closure - Correct answer simple laceration (superficial) requires layered closure of one or more of the deeper layers of the skin and tissues - Correct answer intermediate laceration require more than layered closure and may require reconstructive surgery - Correct answer complex lacerations Document length of time spent on procedure, especially if of unusual duration such as prolonged services, counseling, or team conferences. Stated somewhere in the report. - Correct answer If time is factor in coding for reimbursement. document - Correct answer State of art equipment therapeutic or cosmetic procedures - Correct answer Surgical procedures one of two categories cut in a horizontal fashion - Correct answer undermining to take apart - Correct answer take down destruction of scar tissue - Correct answer lysis of adhesions - bilateral ( pertaining to both sides) unless otherwise prohibited by state law, information that is transmitted by fax is acceptable, and may be filed iwth the patient's health record. 1. fax is derived from facsimile 2. state law may prohibit transmitting claims information by fax 3. sensitive information should have a cover sheet 4. confirm the fax arrived at destination - Correct answer Fax transmissions for insurance claims from legal standpoint, protecting patient's confidentiality in fax process crucial. PATIENT MUST SIGN AUTHORIZATION TO RELEASE INFORMATION VIA FAX. fax machines should be in secure, private location. a cover sheet always used containing recipient name, sender, date, total of pages, fax telephone numbers, a statement of personal, priviledged and confidential medical information intended for the named recipient only. with request that authorized receiver sign and return attached receipt form at bottom of cover letter. use coded reference number - Correct answer Sensitive information do not use fax machines routinely 1. hand or mail delivery will not meet needs of immediate patient care 2. required by a third party for ongoing certification of payment for hospitalized patient - Correct answer AHIMA vs fax machine 1. STD, HIV, Alcohol or drug treatment . Psychiatric and psychotherapy records, patient financial data - Correct answer do not fax verify fax was received or ensure fax received at destination or run log from fax machine - Correct answer transmittal verification / check with medicare fiscal intermediarey as to acceptability in faxing - Correct answer Medicare fax policy under penalty - writ requiring the appearance of a witness at a trial or other proceeding, see details on pp 118-120 - Correct answer subpoena requires witness to appear an dbring or send certain records in his possession - Correct answer subpoena duces tecum protected health information - Correct answer PHI electronically store information - Correct answer ESI concern that they may be altered, overwritten without leaving any evidence, or stored in several computer systems. Metadata or supportive data that is information on the computer system about the medical data, - Correct answer ESI issues supportive data that is information on the computer system about the medical data such as - substantive data is application based and may contain modifications, edits, or comments - system-based data includes author, date and time when the entry was created, and date of modification - embedded data is text, numbers, content direcdtly imput but not visible on output (eg., spreadsheet formulas or hyperlinks) - Correct answer Metadata subpoena issued by notary public - Correct answer notary subpoena preservation of health records governed by federal, state and local laws. see pp 120 - Correct answer retention of records proof materials for the establishment of evidence should be kept indefinitely in event of legal inquiry. Calendars, appointment books and telephone logs also should be filed and stored. - Correct answer Federal False Claims Act makes requests for electronic data a standard part of the discovery process during federal lawsuits including health, accounting phone, instant messaging and electronic mail that might be needed for future litigation - Correct answer Federal Rules of Civil Procedure kept for at least 6 years from date of creation - Correct answer HIPAA NPP acknowledgements physican may terminate a contract - sending a certified letter of withdrawal to patient (if refused by patient, file returned letter in patient's chart) - sending a certfieid letter of confirmation of discharge when patient states that he or she no longer desires care - send letter confirming that the patient left the hospital against medical advise or the advise of physician, UNLESS signed statement in patient's hospital records - Correct answer Termination of a case see box 4-1 on pp 124-125 - Correct answer Prevention of legal Problems every patient seen by physician must have comprehensive legible documentation about what occurred during the visit for the following reasons; (1) avoidance of denied or delayed paments 2. enforcement of medical record keeping rules by insurance carriers 3. suppoena of health record by state investigators or the court for review 4. defense of a professional liability claim - Correct answer Reasons for proper medical record Documentation (four) foremost tool of clinical care and communication - Correct answer Electronic health record as tool HIPAA directs adoption of national electronic standard - Correct answer Medical records evolving into electronic media ensures that services paid for have been provided and were medically necessary and that documentation must support the level of service and each procedure rendered - Correct answer CMS introduced documentation guidelines to Medicare carriers show where deficiencies occur in health record documentations and substantiantes proper use of diagnostic and procedure codes - Correct answer External and internal audits must be signed or electronically verified by provider to show the note was reviewed and the test results were acknowledge - Correct answer HIPAA medical records problem focused, expanded problem focused, detailed, and comprensive - Correct answer Levels of E/M services are based on four types of physical examination: . Usual policy of physicans to retain medical records - Correct answer retention of Records for living patients Nursing Station Patient Bedside Rolling Chart Rack Outside Patient's Room - Correct answer Typical Locations to Find a Medical Patient Chart Chart ALWAYS travels with the _patient Patient goes to operating room - operating room Patient is on the floor - on the floor -For long periods of hospitalization Chart is _thinned_ - infrequently used information is removed Removed information is still stored on patient floor - Correct answer Where can the chart always be found? Sections of the Patient Medical Chart - Correct answer Admitting data _Physician orders_ Graphic charts (flow sheets) Nursing notes Laboratory data Diagnostic procedures Operating room procedures History and _Physical_______ Progress notes _Medication Administration Report (MAR) Miscellaneous -Standardized forms forms generally used -Located at the front of chart -Contains biographical data including: Name DOB Marital status Gender Emergency contact Financial status Insurance information Guarantor Provides data to billing department __Date______ and __Time______ of admission Name of admitting physician Admitting diagnosis/problem Admitting service - Correct answer What information does the Admitting Data contain? Consent Forms Documents risks and benefits of a specific action that takes place during admission Types include: Medical treatment Tests/procedures Investigational treatment/drugs Release of information Photographs, videotapes, film of patient Health Insurance Portability and Accountability Act (HIPAA) forms Even the smallest amount of risks. All types of FORMS are going to be in admitting data. - Correct answer Besides information, what else must be filed under admitting data? What comes after Admitting data? - Correct answer Physician Orders What are physician orders and what types are there? - Correct answer __Directives______ for patient treatment Types of orders Written _Verbal_______ Telephone What follows physician orders? - Correct answer Graphic Charts. Also known as _flowsheets_______ Standardized forms that simplify data collection and retrieval Quantitative records of _repetitive monitoring activities Arranged to easily visualize __trends______ and _patterns Can be standardized to specific nursing units or patients receiving special therapy - Correct answer What are graphic charts also known as and what information do the contain? Vital signs Intake and output ADLs Blood glucose Insulin doses Intravenous fluids Blood products Neurologic checks - Correct answer Name examples what information can be obtained from graphic charts. What is the section of the patient's chart after graphic charts? - Correct answer Nursing notes. Used to document _observations_______ and patient care _activities_______ Builds on info from _graphic charts_ Can be separate section or integrated in physician's progress notes can be separate or will be part of the progress notes. - Correct answer What are nursing notes exactly? Physical functioning (are they moving) Behavior/mental status (memory) Clinical signs/symptoms Nursing interventions: PRN medications administered Risk assessments Pain assessments or interventions Documentation of care ANY AS NEEDED MEDICATIONS THAT WERE GIVEN!!!! Patient _education_______ Nursing consults Nursing care plans Nursing admission data _Discharge__ planning - Correct answer What information can be found in nursing notes? What section of the chart follows nursing notes? - Correct answer Laboratory Data Lab test results are usually contained in one section Most facilities will have a _computer_______ -based lab system WHO PROVIDED THE CARE? WHY DID SOMETHING HAPPEN? This is where the WHY comes into play. Nurses notes sometimes in here. - Correct answer What information is found in the Progress Notes? WHO PROVIDED THE CARE? WHY DID SOMETHING HAPPEN? This is where the WHY comes into play. Nurses notes sometimes in here. - Correct answer What information is only found in the Progress Notes? Dated Timed _Signed_______ Handwritten, dictated, or typed Outline or narrative format Documentation of errors Single cross out with _error__ written above Includes person's initials and date - Correct answer What the characteristics of a properly written Progress Note? Filed in forward or reverse _chronological_ order Pharmacists contribute to progress notes Admission medication history Discharge medication counseling Provision of drug information Recommendations to modify therapeutic regimens Reverse order. The newest day on top. Oldest day on the bottom of stack. - Correct answer How are the Progress Notes organized? What section is located after Progress Notes - Correct answer ? Medication Administration Record (MAR) Medication administration not documented on MAR _Physician____ administration - progress notes Medications given during code - code sheet Perioperative orders - anesthesia or _operating___ records - Correct answer What is listed in MAR section? What section is after the MAR? - Correct answer Miscellaneous Contains information that is not included in other sections Examples include Ambulance reports Records from outside hospitals _Discharge___ orders Documentation of patient's valuables - Correct answer What information is found in Miscellaneous? Healthcare providers within the hospital Administrative personnel of facility Patients (have to sign form) Legal Educational Research Audit You should only use the chart if needed. - Correct answer Who should use the chart? Healthcare_______ professionals Physicians Nurse practitioners Physician assistants Pharmacists Nurses Dieticians Physical therapists Respiratory therapists Administrative_______ personnel Hospital administrators Medical records personnel Ward clerks __Patients______ For outpatient provider For insurance purposes - Correct answer List the people who fall under these categories to use the chart. __Legal______ use Used as _evidence__ in legal action or suit Why it is important to document ALL interventions correctly Malpractice suits may be filed for various reasons Poor judgment of standard of care Medication or treatment errors Negligence Adverse drug effects _Educational_______ use Students receive valuable instruction from "real life" patient charts Important to remove all patient identifiers and obtain appropriate permission for use _Research_____ use Charts can provide clinical and health statistics research Important to obtain IRB and HIPAA approvals prior to commencement of research - Correct answer Outside the hospital, who else would need to use the chart? Health Insurance _Portability_ and _Accountability_ Act Created a national standard to protect individuals' medical records and other health information Sets forth requirements for all healthcare professionals concerning protected health information - Correct answer What does HIPPA stand for and what did it implement? Medical information is only useful when it is properly understood and accurately interpreted Use most recent data available Use similar types of information to help assess patient Know where new data can be found Assess the whole picture before arriving at a conclusion - Correct answer What information and steps should you use when assesing a patient? eyelid - Correct answer blephar/o hearing - Correct answer -cusis the iris - Correct answer irid/o irit/o ir/I ir/o the lens of the eye - Correct answer phac/o phak/o tissue death - Correct answer -necrosis abnormal narrowing - Correct answer -stenosis a surgical puncture to remove fluid for diagnostic purposes or to remove excess fluid - Correct answer -centesis the process of producing a picture or record - Correct answer -graphy picture or record - Correct answer -gram visual examination - Correct answer -scopy bleeding - Correct answer -rrhagia before birth - Correct answer Prenatal the time and events surrounding birth - Correct answer perinatal the time and events after birth - Correct answer postnatal away from, negative, absent - Correct answer ab- toward, to, in the direction of - Correct answer ad- right - Correct answer dextr/o left - Correct answer sinistr/o outside, out of, away from - Correct answer ex- in, into, not, without - Correct answer in- large, abnormal size, long (ie: macroscopic) - Correct answer macro- small (ie: microscopic) - Correct answer micro- large, great - Correct answer megal/o- mega before - Correct answer pre- after - Correct answer post- scanty, few - Correct answer olig/o between, among - Correct answer inter- less, below - Correct answer sub- above, excessive - Correct answer super- above, excessive - Correct answer supra- within, inside - Correct answer intra- good, normal, well, easy - Correct answer eu- the study of - Correct answer -ology stone - Correct answer lith- fungus - Correct answer myc/o bone marrow, spinal cord - Correct answer myel/o muscle - Correct answer my/o specialist - Correct answer -ologist renal pelvis (part of the kidney) - Correct answer pyel/o pus - Correct answer py/o fever, fire - Correct answer pyr/o belly side of the body (ie: ventral) - Correct answer ventr- back of the body (ie: dorsal) - Correct answer dors- front, before (ie: anterior) - Correct answer anter/o- situated in the back (ie: posterior) - Correct answer poster/o- head - Correct answer cephal/o- tail, lower part of the body - Correct answer caud/o- cartilage (ie: hypochondriac...1of9 regions of abdominopelvic) - Correct answer chondr/o- gland - Correct answer aden/o- fat - Correct answer adip/o cell - Correct answer cyt/o -cyte in, within, inside - Correct answer -end endo- out of, outside, away from - Correct answer exo- tissue - Correct answer hist/o- histi/o- disease, suffering, feeling, emotion - Correct answer path/o disease, suffering, feeling, emotion - Correct answer -pathy development, growth, formation - Correct answer plas/I plas/o development, growth, formation - Correct answer -plasia control, maintenance of a constant level - Correct answer -statsis -static stomach - Correct answer gastr/o- nose - Correct answer rhin/o liver (ie: hepatitis) - Correct answer hepat/o- gland - Correct answer aden/o three - Correct answer tri- to lead - Correct answer duct- action - Correct answer -ion to bend - Correct answer flex- stretch out - Correct answer tens- breastbone (ie: sternum) - Correct answer stern/o- collar bone - Correct answer cleid/o- flesh - Correct answer sarc/o deficiency - Correct answer -penia without - Correct answer a- violent action - Correct answer clon- slow - Correct answer brady- weakness, lack of strength - Correct answer -asthenia on, upon - Correct answer epi- condyle (skeletal system) - Correct answer condyl- partial or incomplete paralysis - Correct answer -paresis half - Correct answer hemi- four - Correct answer quadr/i electricity - Correct answer electr/o heart - Correct answer card/o- cardi/o- blood vessel (ie: angioplasty, vascular) - Correct answer angi/o- vas/o- capillary - Correct answer capill/o vein - Correct answer phleb/o- ven/o- ears - Correct answer acous/o acoust/o audi/o audit/o ot/o artery - Correct answer arteri/o blood - Correct answer hem/o- hemat/o- blood or lymph vessel - Correct answer angi/o- aorta - Correct answer aort/o plaque, fatty substance - Correct answer ather/o a mixture, blending - Correct answer -crasia blood, blood condition - Correct answer -emia fast, rapid - Correct answer tachy- clot - Correct answer thromb/o blood vessels (ie: vascular) - Correct answer vascul- protein - Correct answer -globin hold back - Correct answer isch- crown - Correct answer coron- something inserted - Correct answer embol- color - Correct answer chromat- bacteria - Correct answer bacter- fat (ie: mono lipids) - Correct answer lipid- without, less than - Correct answer an- growth - Correct answer -plast destroy - Correct answer -lytic immature - Correct answer -blast pertaining to - Correct answer -tic -ic -ac -eal -ior -al -ical -ory -an -ial -ous -ar -ary -ine valve - Correct answer valv/o aneurysm - Correct answer aneurysm/o abnormal condition - Correct answer -ago -iasis -osis -esis -ion -ia -ism lymph - Correct answer lymph/o lymphatic vessels and ducts - Correct answer lymphangi/o lymph nodes - Correct answer lymphaden/o tonsils and adenoids - Correct answer tonsill/o adenoids and tonsils - Correct answer adenoid/o spleen - Correct answer splen/o lymphocytes - Correct answer lymphocyte/o thymus - Correct answer thym/o against - Correct answer anti- cancerous - Correct answer carcin/o immune, protection, safe - Correct answer immun/o urethra - Correct answer urethr/o prostate - Correct answer prostat/o hernia dia- through, between, apart, complete - Correct answer -cele stretching, dilation, enlargement - Correct answer -ectasis glomerulus - Correct answer glomerul/o stone, calculus - Correct answer lith/o breakdown, separation, setting free, destruction, loosening - Correct answer -lysis surgical fixation - Correct answer -pexy to crush - Correct answer -tripsy urination, urine - Correct answer -uria cerebrum, brain - Correct answer cebebr/o, encephal/o spine - Correct answer myel/o nerves - Correct answer neur/i-, neur/o- burning, burn - Correct answer caus/o shaken together, violently agitated - Correct answer concuss/o sensation, feeling (ie: anesthesia) - Correct answer -esthesia feeling, nervous sensation, sense of perception - Correct answer esthet/o- the process of producing a picture or record (ie: sonography) - Correct answer -graphy membranes, meninges - Correct answer mening/o abnormal fear - Correct answer -phobia mind (ie:psychiatric) - Correct answer psych/o- root, nerve root - Correct answer radicul/o having an affinity for - Correct answer tropic one who or one which - Correct answer er condition, state, or theory - Correct answer ism condition - Correct answer tion specialist - Correct answer ist one who - Correct answer er quality - Correct answer ity possessing, having, full of - Correct answer ous ability - Correct answer able ability - Correct answer ible enlarged - Correct answer megaly process or condition (noun) - Correct answer y (noun) study of - Correct answer logy (noun) one who studies - Correct answer logist inflammation - Correct answer itis instrument used to cut slices - Correct answer tome incision - Correct answer tomy excision - Correct answer ectomy to make a surgical artificial opening - Correct answer ostomy an instrument used to record data - Correct answer graph picture or record - Correct answer gram pain - Correct answer algia pain - Correct answer dynia disease - Correct answer pathy disease, condition, status, process - Correct answer osis (changes -osis from a noun to an adjective) - Correct answer tic cell - Correct answer cyte embryonic or immature cell - Correct answer blast blood - Correct answer emia an instrument used to measure or count something - Correct answer meter decrease in or not enough - Correct answer penia process of measuring or counting something - Correct answer metry blood - Correct answer em an increase in numbers (when used with blood cells) - Correct answer osis nourishment - Correct answer trophy tumor - Correct answer oma split, cleft, fissure - Correct answer schisis vision - Correct answer opia visible - Correct answer opter instrument used to make thin slices - Correct answer -tome instrument used to make thin slices in the skin - Correct answer dermatome instrument used to make thin slices in bone - Correct answer osetotome process and procedure of using an instrument to make thin slices - Correct answer -tomy process and procedure of using a dermatome(instrument) to make thin slices in the skin - Correct answer dermatomy process and procedure of using a osteotome(instrument) to make thin slices in bone - Correct answer osteotomy instrument that records visually - Correct answer -graph instrument that visually records a x-ray - Correct answer radiograph the product of using a recording instrument. the recording or image produced. - Correct answer -gram the x-ray recoding or image produced - Correct answer radiogram process or procedure of using an instrument to record visually - Correct answer -graphy process of producing images visually using an x-ray - Correct answer radiography a measuring instrument - Correct answer -ometer a instrument used to measure temperature - Correct answer thermometer a instrument used to measure lung capacity - Correct answer spirometer process or procedure of using a measuring instrument - Correct answer - ometery process or procedure of using a measuring instrument to measure the pelvis - Correct answer pelvimetry process or procedure of using a measuring instrument to measure temperature - Correct answer thermometry process or procedure of using a measuring instrument to measure lung capacity - Correct answer spirometry instrument used for examining(usually visually or sound) - Correct answer -oscope instrument used for visually examining the eye - Correct answer ophthalmoscope instrument used for visually examining the bladder - Correct answer cystoscope instrument used for examining the chest by listening - Correct answer stethoscope instrument used for listening to fetal heart sounds - Correct answer fetoscope process and procedure of using an instrument to examine - Correct answer -oscopy process and procedure of using an instrument to examine the eye - Correct answer ophthalmoscopy process and procedure of using an instrument to examine the bladder - Correct answer cystoscopy process and procedure of using an instrument to examine by listening to fetal heart sounds - Correct answer fetoscopy binding together - Correct answer -desis binding together of a vessel - Correct answer vasodesis to cut, pertaining to - Correct answer -cision pertaining to cut into - Correct answer incision pertaining to cut out - Correct answer excision process or procedure to excise or to surgically remove - Correct answer - ectomy process or procedure to surgically remove the tonsil - Correct answer tonsillectomy process or procedure to surgically remove the appendix - Correct answer appendectomy incision into - Correct answer -otomy incision into the abdomen - Correct answer laparotomy incision into the colon - Correct answer colotomy incision into the the trachea - Correct answer tracheotomy process or pocedure of fixing and suturing - Correct answer -opexy process or procedure of fixing and suturing the fallopian tubes - Correct answer salpingopexy process or procedure of fixing and suturing the uterus into place - Correct answer hysteropexy process or procedure of fixing and suturing the lips into place - Correct answer cheilopexy process or procedure of fixing and suturing the testes - Correct answer orchiopexy process or procedure of bone reconstruction surgery - Correct answer osteoplasty process or procedure to surgically reapir the fallopian tubes - Correct answer salpingorrhaphy running togather in a pattern - Correct answer -drome symptoms united - Correct answer -syn proceeding or before - Correct answer -pro symptoms united in a pattern - Correct answer syndrome preceeding a pattern/ early warning before outbreak - Correct answer prodromal related to knowledge - Correct answer -gnosis thorough - Correct answer -dia thorough knowledge - Correct answer diagnosis before knowledge/ a prediction of a likely outcome - Correct answer prognosis soften - Correct answer malacia softening of the bone - Correct answer osteomalacia process or procedure of enlargement - Correct answer megaly process or procedure of enlargement of the heart - Correct answer cardiomegaly process or procedure of enlargement of the bladder - Correct answer cystomegaly destroy or separate - Correct answer olysis destroy or separate the blood - Correct answer hemolysis resembles or similar to - Correct answer -oid fat - Correct answer -lip mucous - Correct answer -muc shield - Correct answer -thyr dagger - Correct answer -xyph resembles or similar to fat - Correct answer lipoid resembles or similar to mucous - Correct answer mucoid resembles or similar to a shield - Correct answer thyroid resembles or similar to a dagger - Correct answer xyphoid urine or urination, related to - Correct answer -uria related to bacteria in the urine - Correct answer pyuria related to blood in the urine - Correct answer hematuria process or procedure of development from usage - Correct answer -trophy no muscular process of development - Correct answer atrophy excessive process of muscular development from usage - Correct answer hypertrophy breathing - Correct answer -pnea difficult,painful - Correct answer -dys no, not, any or without - Correct answer -a,ar,an without breathing/no breathing - Correct answer apnea difficult or painful breathing - Correct answer dyspnea related to paralysis - Correct answer -plegia half or one side - Correct answer -hemi related to one-sided paralysis - Correct answer hemiplegia four - Correct answer -quad related to paralysis from the neck down - Correct answer quadriplegia related to voice due to laryngeal issues - Correct answer -phonia related to no voice due to larygneal issues - Correct answer aphonia related to cellular growth or development - Correct answer -plasia related to no cellular growth or development - Correct answer aplasia low - Correct answer -hypo related to excessive cellular growth or development - Correct answer hyperplasia excessive - Correct answer -hyper related to low cellular growth or development - Correct answer hypoplasia related to speech - Correct answer phasia related to no speech/without speech - Correct answer aphasia related to eating or swallowing - Correct answer -phagia related to no eating or swallowing - Correct answer aphagia difficult, abnormal, poor, painful - Correct answer dys abnormally fast - Correct answer tachy small - Correct answer micro large - Correct answer macro with or together - Correct answer syn too much or too many - Correct answer poly in or toward - Correct answer eso beside, beyond, near, abnormal - Correct answer para toward - Correct answer ad in front of - Correct answer pro through or complete - Correct answer dia bad, painful, difficult - Correct answer dys well or easy - Correct answer eu outer-outside - Correct answer ecto inner-inside - Correct answer endo middle - Correct answer meso backward-behind - Correct answer retro near - Correct answer para outside - Correct answer exo first - Correct answer proto water or fluid - Correct answer hydro sweat - Correct answer hidro half - Correct answer hemi half - Correct answer semi one - Correct answer mono one - Correct answer uni first - Correct answer prot first - Correct answer prim two - Correct answer di(plo) two - Correct answer bi three - Correct answer tri four - Correct answer tetra four - Correct answer quadr five - Correct answer penta five - Correct answer quint six - Correct answer hexa six - Correct answer sex/ta seven - Correct answer hepta seven - Correct answer sept/a eight - Correct answer octa eight - Correct answer oct nine - Correct answer enne(a) nine - Correct answer non(i) ten, tenth - Correct answer deca ten, tenth - Correct answer dec(i) one hundred, one hundredth - Correct answer hecto one hundred, one hundredth - Correct answer cent(i) one thousand, one thousandth - Correct answer kilo one thousand, one thousandth - Correct answer mill(i) many or more than one - Correct answer multi none - Correct answer nulli first - Correct answer primi away from - Correct answer ab down from or from--resulting in less than - Correct answer de out from - Correct answer ex through, complete - Correct answer dia through - Correct answer per around - Correct answer peri around - Correct answer circum same - Correct answer homo S ocial life· (job/house/smoking/alcohol , etc . ) - Correct answer "PAM HUGS FOSS" past, family and social history - Correct answer patient medical history 3 parts "the patient's past· experiences with illnesses , operations , injuries and treatments"; - Correct answer Past medical history: "a review· of medical events in the patient's family , including diseases which may be· hereditary or place· the patient· at risk"; - Correct answer Family history·: "an age-appropriate review· of past· and current activities" . - Correct answer Social history·: aseptic hand washing - Correct answer most important procedure for medical assistant. wash regularly, including beginning of the day, before and after lunch, before using gloves, handling specimens or waste, handling clean and sterile supplies; before and after seeing each patient, after blowing your nose and coughing, after breaks, and before leaving for the day. The life span of a record as expressed in the five phases of creation, distribution, use, maintenance, and final disposition. - Correct answer records life cycle id sheet; history and physical exam records; consent forms; physician's progress records; physician order sheets; lab reports; consultation reports; discharge summary - Correct answer parts of hospital medical record explanation of benefits - Correct answer eob document sent by the insurance company to the provider and insured explaining what was covered for each service. - Correct answer explanation of benefits expressed consent - Correct answer Must be obtained from a conscious, competent adult before treatment. Parent must be legal age and rational. Patient must be informed. implied consent - Correct answer Assumption on behalf of a person unable to give consent that he or she would have done so. A written agreement to participate in a study made by an adult who has been informed of all the risks that participation may entail. - Correct answer informed consent a development by the American Medical Association that guarantees a patient the right to receive courteous, considerate,respectful treatment in a clean/safe environment; appropriate healthcare; information about his/her health treatment plan in a way that he or she understands; a continuity of care; confidentiality privacy;participation in planning care and treatment;refusal of care; use of grievance mechanisms; treatment without discrimination;an itemized bill and explanation of all charges; and review of the medical record and/or copy at reasonable fee. - Correct answer patient bill of rights procedures for handling or working with that substance· in a safe manner· , and includes information such as physical data ( melting point·, boiling point·, flash· point·, etc.), toxicity , health effects , first· aid·, reactivity·, storage· , disposal· , protective equipment· , and spill-handling procedures . MSDS formats can vary· from source· to source· within a country· depending on national· requirements . - Correct answer material data safety sheet material data safety sheet - Correct answer msds preferred provider - Correct answer Usually includes an annual deductible and coverage begins after it has been fully paid . Coverage is sometimes available prior to meeting that deductible for services such as doctor· visits (which require· a low· Co-pay) . Includes a network of physicians , hospitals , and specialists that have· agreed to offer· services at a reduced fee· . No referral· from a primary care· physician· is required to see· a specialist· . Allows the flexibility to visit· providers outside the network for a slightly higher fee· and a separate deductible . Often requires a claim· to be· filed before your benefit· reimbursement can be· made . Co-pays and monthly premiums are typically higher than that of an HMO plan· (see below) due to the flexibility . preferred provider organization - Correct answer ppo hmo - Correct answer usually have· co-pays and monthly premiums that are lower than those of a PPO plan· . There is a network of physicians , hospitals , and other specialists offering services at a reduced fee· . The patient· chooses a primary care· physician· who helps coordinate the patient's care· . This physician· must provide· a referral· for the patient· to see· an in-network specialist· . No coverage for providers outside of the network of physicians , hospitals , and specialists , meaning you're charged the full· fee· if you choose· to visit· them , with the exception· of medical emergencies . Few or no claims to be· filed , since the insurance· company· pays the provider· directly health maintenance organization - Correct answer hmo , A tax-advantaged personal savings account, set up to be used exclusively for medical expenses; must be paired with a high-deductible health insurance policy - Correct answer Health savings account health savings account - Correct answer hsa outdated used to collect information about diseases and injuries and to classify diagnoses and procedures - Correct answer . icd 9 Bones , axial skeleton· , appendicular skeleton· , and joints - Correct answer skeletal Muscles and tendons - Correct answer Muscular Skin , hair· , nails , and glands in skin· - Correct answer Integumentary Eyes , ears , nose· , skin· receptors , and mouth· - Correct answer Sensory Heart , blood· vessels , and blood· - Correct answer Cardiovascular Back of the head - Correct answer Occipit/o eye - Correct answer Ocul/o Teeth - Correct answer Odont/o Umbilicus - Correct answer Omphal/o Nails - Correct answer Onych/o Eyes - Correct answer Ophthalm/o, ocul/o Seeing, sight - Correct answer Optic/o, opt/o Mouth - Correct answer Or/o Ear - Correct answer Ot/o Nipple - Correct answer Papill/o Pelvis - Correct answer Pelv/o Penis - Correct answer Phall/o Hair - Correct answer Pil/o Foot - Correct answer Pod/o Nose - Correct answer Rhin/o Body - Correct answer Somat/o Chest - Correct answer Steth/o Mouth - Correct answer Stomat/o Ankle - Correct answer Tal/o Foot - Correct answer Tars/o Chest/thorax - Correct answer Thorac/o Neck or necklike - Correct answer Trachel/o Hair or hairlike - Correct answer Trich/o Front of body - Correct answer Ventr/i, ventr/o Abdomen - Correct answer Abdomin/o Gland - Correct answer Aden/o Adrenal gland - Correct answer Adren/o Air sac - Correct answer Alveoli/o Vessel - Correct answer Angi/o Artery - Correct answer Arteri/o Arteriole - Correct answer Arteriol/o Joint - Correct answer Athr/o Atrium - Correct answer Atri/o Hearing - Correct answer Audi/o Glans penis - Correct answer Balan/o Life - Correct answer Bio- Bronchus - Correct answer Bronch/i, bronch/o Bronchiole - Correct answer Bronchiol/o Cancer - Correct answer Carcin/o Heart - Correct answer Cardi/o Cell - Correct answer Cellul/o Cerebellum - Correct answer Cerebell/o Cerebrum - Correct answer Cerebr/i, cerebr/o Bile - Correct answer Chol/e Gallbladder - Correct answer Cholecyst/o Common bile duct - Correct answer Choledoch/o Cartilage - Correct answer Chondr/i, chondr/o Color - Correct answer Chrom/o Colon - Correct answer Col/o Vagina - Correct answer Colp/o Rib - Correct answer Cost/o Cold - Correct answer Cry/o Hidden - Correct answer Crypt/o Skin - Correct answer Cutane/o Blue - Correct answer Cyan/o Bladder or cyst - Correct answer Cysti, cyst/o Cell - Correct answer Cyt/o Double, twice - Correct answer Dipl/o Duodenum - Correct answer Duoden/o Brain - Correct answer Encephal/o Bone - Correct answer Oss/eo, oss/i, ost/e, ost/eo Roof of mouth - Correct answer Palat/o Disease - Correct answer Path/o Peritoneum - Correct answer Peritone/o Drug - Correct answer Pharmac/o Pharynx - Correct answer Pharyng/o Vein - Correct answer Phleb/o Diaphragm - Correct answer Phren/o Pleura, rib (side) - Correct answer Pleur/o Lungs - Correct answer Pneum/a, pneum/o Lungs - Correct answer Pneum/ato, pneum/ono Gray matter of nervous system - Correct answer Poli/o Rectum, anus - Correct answer Proct/o Lungs - Correct answer Pulmon/o Pus - Correct answer Py/o Pelvis of kidney - Correct answer Pyel/o Rectum - Correct answer Rect/o Kidney - Correct answer Ren/i, ren/o Sacrum - Correct answer Sacr/o Fallopian tube - Correct answer Salping/o Flesh - Correct answer Sarc/o Scapula - Correct answer Scapul/o Infection - Correct answer Sept/o Spleen - Correct answer Splen/o Vertebra - Correct answer Spondyl/o Sternum - Correct answer Stern/o Tendon - Correct answer Tend/o, ten/o Testis - Correct answer Testicul/o Heat - Correct answer Therm/o Chest - Correct answer Thorac/o Thymus - Correct answer Thym/o Thyroid gland - Correct answer Thyr/o Thyroid gland - Correct answer Thyroid/o Tonsils - Correct answer Tonsill/o Trachea - Correct answer Trache/o Eardrum - Correct answer Tympan/o Urine - Correct answer Ur/e, ur/ea, ur/eo, urin/o, ur/o Ureter - Correct answer Ureter/o Urethra - Correct answer Urethr/o Vas deferens - Correct answer Vas/o Vein - Correct answer Vas/o, ven/o Bladder - Correct answer Vesic/o Viscera (internal organs) - Correct answer Viscer/o Red, redness - Correct answer Xanth/o Dry - Correct answer Xer/o Lack of, without, not - Correct answer A-, an- Before, in front of, or forward \ - Correct answer Ante- Opposing or against - Correct answer Anti- Double, two, twice, both - Correct answer Bi- Together or with - Correct answer Co-, con-, com- Down, or from - Correct answer De- Twice or two - Correct answer Di- Beyond, outside of, or outward - Correct answer Extra-, extro- Half, half of - Correct answer Hemi-, semi- Above, excessive, beyond - Correct answer Hyper- Below, beneath, deficient - Correct answer Hyp-, hypo- Into, or within - Correct answer Intro- Large - Correct answer Macro- Tiny, small - Correct answer Micro-, micr- After, or following, behind - Correct answer Post- Constipation - Correct answer Obstipation swallowing - Correct answer Deglutition Urticaria - Correct answer Hives wart - Correct answer Verruca birthmark - Correct answer Nevus lines body cavities open to outside - Correct answer Mucuous membrane movement of body toward midline - Correct answer Adduction lumbar - Correct answer Lower back PNS has - Correct answer 31 pairs of nerves failure of bone marrow to produce red blood cells - Correct answer Aplastic which nerve stimulates diaphragm - Correct answer Phrenic nerve Social Space - Correct answer 4-12 feet personal space - Correct answer intimate touching to 1.5 ft personal space - Correct answer 1.5 to 4 ft public space - Correct answer 12 to 15 ft sign release form - Correct answer To release info patient must Muscle site in the upper extremity that is used as an injection site is - Correct answer deltoid big part of brain - Correct answer Cerebrum mouth - Correct answer Gustatory receptors in PCP - Correct answer Managed care gatekeeper Communication cycle - Correct answer message, receiver, feedback, sender insurance claim form - Correct answer If the physician accepts assignment of benefits should be on top - Correct answer Personal mail goes on below return address - Correct answer Confidential on mail goes future events arranged in chronological order - Correct answer Tickler file direction to look for additional codes - Correct answer See also comparison of ledger card totals and account receivable bonus - Correct answer Trial balance checkbook - Correct answer Bank statement reconciled with w-4 form - Correct answer New employee must complete in daily log - Correct answer In double entry booking original entry is put external causes - Correct answer E codes fee for service - Correct answer Ppo uses regular monthly premium - Correct answer Medicare part B CMS developed by - Correct answer health care financing administration POMR main example - Correct answer SOAP Credit balance on account - Correct answer occurs when patient pays in advance Aural temp is in - Correct answer ear how are test results arranged? - Correct answer Placed most recent on top to oldest on bottom demographic and billing information; placed in front of chart; may include copy of insurance card and photo identification - Correct answer Patient registration record parts of medical chart - Correct answer Chief complaint; past medical history; family history; present illness; social history; occupational history; physical examination; test history; consultations; past medical records; correspondence; progress notes; medical and prescription record; immunization record; consent forms; release of information form; patient registration record expanded CC - Correct answer Present illness demographic and billing information; placed in front of chart; may include copy insurance and photo ID - Correct answer Patient registration record observations and data are categorized according to their source; forms are filed in reverse chronological order (most recent on top); information filed in separate sections - Correct answer Source oriented medical record data are organized according to patient's disease or condition; divided into four parts (database, problem list, plan, progress notes) - Correct answer Problem oriented medical record part of POMR; includes CC, PI, PE, and lab results; each condition gets own page - Correct answer Database numbered and titled list of every patient complaint; part of POMR - Correct answer Problem list diagnostic and treatment decisions for the condition; each plan titled and numbered - Correct answer Plan structured notes that correspond to each problem number; uses the acronyms - Correct answer Progress notes the way the leader communicates, listens, supports, and facilitates the assisting employees in performing a specific task - Correct answer Relationship Behavior hiring process - Correct answer Recruiting, interviewing, checking references, selection, offer, negotiation, acceptance process of recording, classifying, summarizing, reporting, analyzing, and interpreting financial data - Correct answer Accounting property owned or controlled by a business - Correct answer Asset debt obligation of the business - Correct answer Liability amount by which assets exceed liabilities; net worth - Correct answer Owners equity liabilities+ owner's equity - Correct answer Assets= journal, cash payment journal, accounts receivable ledger - Correct answer Single entry system record of charges and receipts - Correct answer Journal cash payment journal - Correct answer checkbook record of the amounts that patients owe the office - Correct answer Accounts receivable ledger most common; all transactions recorded at one time; uses pegboard, day sheet, ledger card, charge slip/receipt - Correct answer Pegboard (write it once) system presented at each visit; payment made each time in small amounts - Correct answer Superbill each transaction recorded in a way that keeps a balance of accounting equation - Correct answer Double entry system accounting software package - Correct answer Total practice management system to remove petty cash - Correct answer Voucher A form prepared by a business (buyer) and sent to another business (seller/supplier) to order items or services. - Correct answer Purchase order fee most frequently charged - Correct answer Usual fee range of usual fees charged for the particular service by practitioners of similar training - Correct answer Customary fee fee assigned to an unusual service; meets the criteria of ucr - Correct answer Reasonable fee increase or decrease to patient account not due to charges incurred or payments received - Correct answer Adjustment provider treats another health care professional for free - Correct answer Professional Courtesy patient's signature requests the insurance company to send insurance proceeds directly to the provider - Correct answer Assignment of benefits form records of debit and credit activity of a patient in the practice - Correct answer Ledger cards analysis of accounts receivable indicating 30, 60, 90 and 120 days delinquency - Correct answer Aging accounts sets minimum wage; requires employers to pay 1.5 if work over 40 hours - Correct answer Fair Labor Standards Act prohibits discrimination based on race, color, religion, or gender - Correct answer Title 7 ,civil rights act 1964 prohibits unfair practices in employment regarding people older than 40 years of age - Correct answer Age Discrimination in Employment Act Social security and medicare tax; employers are required to collect these taxes from wages, must submit amount withheld, taxes deducted from pay every day, employer must match them dollar to dollar - Correct answer FICA withheld tax to support unemployment insurance - Correct answer FUTA Federal Tax Id Number - Correct answer Form SS-4 social security number application form - Correct answer Form SS-5 Wages and Tax Statement - Correct answer Form W2 transmittal of income and tax statement - Correct answer Form W3 Employee's withholding allowance certificate - Correct answer Form W4 employee's annual federal unemployment tax return - Correct answer Form 940 employee's quarterly federal tax return - Correct answer Form 944 Federal Tax Deposit Coupon Book - Correct answer Form 8109 IRS form to report income other than wages - Correct answer Form 1099 translates descriptions of diseases, illnesses, injuries, procedures into numeric codes - Correct answer Coding volume 1 tabular list of 3 to 5 digit diseases volume 2 alphabetical list of diseases, side effects, and e codes; third volume list of procedures - Correct answer ICD-9 CM International Classification of Diseases Ninth Edition clinical modification Health care financing administration; used to report Medicare services - Correct answer HCFA how organism escapes - Correct answer Means of exit way organisms spread - Correct answer Means of Transmission The immediate transfer of an agent from a reservoir to a susceptible host by direct contact or droplet spread - Correct answer Direct transmission The transmission of an agent carried from a reservoir to a susceptible host by suspended air particles or by animate (vector) or inanimate (vehicle) intermediaries - Correct answer indirect transmission Infectious agent, reservoir, portal of exit, means of transmission, portal of entry and susceptible host. - Correct answer Chain of infection process of cleaning or removing materials from objects; requires scrubbing objects; first step in sterilization process; uses detergents, ultrasound, antiseptic - Correct answer Sanitization agents that remove bacteria, fats, oils, and protein substances - Correct answer Detergents machine that uses sound waves through a liquid to cause a vibration - Correct answer Ultrasound agent that sanitizes skin - Correct answer Antiseptic process of removing infectious material from objects; chemical (soap, alcohol, acids, alkalis), UV radiation, desiccation, boiling - Correct answer Disinfection drying; disinfecting, can't kill spores - Correct answer Desiccation kills bacteria, but not spores or viri - Correct answer Boiling complete destruction of microorganisms; chemical or autoclave - Correct answer Sterilization Autoclave is normally run - Correct answer 250 F; 20lb pressure for 15 mins measurements that indicate a patient's general state of health and homeostasis - Correct answer Vital signs Normal breathing - Correct answer Eupnea Difficult breathing - Correct answer Dyspnea Absence of breathing - Correct answer Apnea Difficulty breathing when supine. - Correct answer Orthopnea Deep breathing - Correct answer Hyperpnea RAPID BREATHING - Correct answer Tachypnea ABNORMAL CRACKLING SOUND WHICH OCCURS DURING BREATHING - Correct answer Rales ABNORMAL SOUNDS HEARD WHEN THE AIRWAY IS OBSTRUCTED, A WHEEZE - Correct answer Rhonchi pattern of breathing characterized by a gradual increase of depth and sometimes rate to a maximum level, followed by a decrease, resulting in apnea - Correct answer Cheyne-stokes respiration normal breaths/minute - Correct answer 16-20 breathing pattern - Correct answer Rhythm amount of air being inhaled - Correct answer Depth measure hemoglobin saturation; normal range 95 to 99 percent; SpO2 - Correct answer Pulse Oximetry instrument to measure blood pressure - Correct answer Sphygmomanometer: unpleasant sensory and emotional experience - Correct answer Pain :COLDER pain acronym - Correct answer Character of the pain; onset of the pain; location of the pain; duration of the pain; what exacerbates the pain; relieves the pain deals with the measurement of size, weight, and proportion of human body - Correct answer Anthropometric measurement standing; arms at sides musculoskeltal and nervous system exam - Correct answer Erect patient sits upright with legs dangling over edge; drape sheet across lap; examine head, chest, heart, upper part of part - Correct answer Sitting patient lies flat on the back with arms at the sides; used to examine chest area drape sheet from under arms - Correct answer Supine Lying on back, knees bent - Correct answer Dorsal Recumbent For transvaginal examination, the patient must be in what position? - Correct answer Lithotomy examination position in which the client is lying on his or her left side with right knee flexed. - Correct answer Sims' Face down - Correct answer Prone PATIENT REST ON KNEES AND CHEST. BUTTOCKS ARE IN THE AIR, ALSO CALLED "GENUPECTORAL". USED FOR RECTAL AND SIGMOID EXAMS - Correct answer Knee Chest PATIENT IS PRONE WITH HEAD AND LEGS LOWERED AND THE BUTTOCKS ELEVATED - Correct answer Proctologic A semi-sitting position; the head of the bed is raised between 45 and 60 degrees - Correct answer Fowler's Head of bed raised approximately 30 degrees; inclination less than Fowler's position; foot of bed may also be raised at knee diapphragmatic breathing - Correct answer Semi-Fowler's storage form of fuel; backup of carbs; help with cushioning - Correct answer Fats organic substances that occur in minute quantities in plant and animal tissues - Correct answer Vitamins electrolytes - Correct answer Minerals A guideline, showing proportions, to help people choose what and how much to eat from each food group. - Correct answer My plate broth, tea, gelatin - Correct answer Liquid diet clear liquid broth tea gelatin milk custard strained cream soup, all juices Soft Diet foods with fiber are eliminate; no raw fruits or vegetables; postoperative - Correct answer Liquid diet full liquid regular diet in which foods are ground, chopped or pureed - Correct answer Mechanical soft diet restricts components that are GI Irritants - Correct answer Bland diet Deficiency of this vitamin is most common cause of non accidental blindness in the world - Correct answer Vitamin A Cyanocobalamin (Cyanocobalamin) Red blood cell formation - Correct answer Vitamin B Riboflavi A.K.A. Riboflavin. Water soluble. Deficiency results in: blurred vision, cataracts, and corneal ulcerations. Also dermatitis and cracking of skin and development of anemia - Correct answer Vitamin B2 A deficiency of _________ has been associated with convulsions and dermatitis in infants - Correct answer Vitamin B6 A special protein called the intrinsic factor is necessary for the absorption of this nutrient - Correct answer Vitamin B12 Among the following compounds that serve as coenzymes in metabolism, which is considered a vitamin for human beings? - Correct answer Biotin 30. Which mineral should be increased during pregnancy - Correct answer Folate Antihyperlipidemic: inhibits VLDL synthesis and release of fatty acids from adipose tissue. Lowers LDL cholesterol and triglycerides and raises HDL cholesterol. Tox: flushing, pruritus, liver dysfunction, increased risk of myopathy when combined with statins. - Correct answer Niacin CoEnzyme A; plays a large role in the synthesis of vitamins A & D, cholesterol, steroids, FAs & AAs - Correct answer Pantothenic acid Ascorbic Acid An important substance needed for proper repair of the skin and tissues; promotes the production of collagen in the skins dermal tissues; aids in and promotes the skins healing process. - Correct answer Vitamin C A fat soluble vitamin that prevent rickets. Produced in the skin from exposure to sunlight. Found in fatty fish, eggs and meat - Correct answer Vitamin D Antioxidant - Correct answer Vitamin E The vitamin produced by the normal flora of the colon in amounts sufficient to meet a person's daily need is.... - Correct answer Vitamin K begin with a few hypoallergenic foods; if no allergy occurs introduce new food group every 10 days - Correct answer Rowe elimination diet Activities aimed at improving health and preventing disease by enabling people to increase control over and improve their health - Correct answer Health promotion temperature pulse respiration - Correct answer TPR The use of heat, cold, and electrical stimulation to produce an increase or descries in blood flow - Correct answer Therapeutic modalities heat therapy - Correct answer Thermotherapy cold therapy - Correct answer Cryotherapy water therapy - Correct answer Hydrotherapy patients who require permanent walking assistance - Correct answer Lofstand crutches A radiological technique that provides real-time images of an anatomical region. - Correct answer Fluoroscopy Study of Drugs - Correct answer Pharmacology Provides info on uses, precautions, indications, and doses for various drugs; section 1 manufacturer index; section 2 product name index; section 3 product category index; section 4 generic and chemical name index; section 5 production identification; section 6 production information - Correct answer Physician's Desk Reference folded sheet of paper within the drug container or box - Correct answer Product insert mix of oil and water - Correct answer Emulsion drug dissolved in alcohol - Correct answer Tincture drug dissolved in a mixture of water, alcohol, and sugar - Correct answer Elixir drug mixed with soap, oil, or water - Correct answer Liniment Adult Dose X (Age ÷ (Age+12)) = Child's Dose - Correct answer Youngs rule a method of determining a pediatric drug dose for a child younger than 1 year of age, based on the child's age and the usual adult dose (assumes that an adult dose would be appropriate for a 12.5-year-old child) - Correct answer Fried's rule