Test-taking Skills To help you pass your Excelsior Nursing Exams Know your Medical terminology Introduction The purpose of seeking expertise in medical terminology varies from individual to individual, but the most common reasons for seeking medical terminology proficiency are the following: 1. A junior or senior in college wanting to do advanced work in the medical field 2. A student assigned the responsibility of being proficient in medical terminology prior to the start of classes 3. A career that has climaxed and requires advanced education to jump start it For whichever reason you are deciding to go back to school or continue with your education, this step must be taken carefully and be well planned. Learning medical terminology is a tremendous investment of time, and you must make sure that investment will advance your career in the desired direction. Preparing yourself to make this decision is a two step process. First, you must look within yourself at your current medical knowledge and your proposed destination. You will need to analyze your strength, weaknesses, and time available for study. You will need to prioritize your needs. You will need to set short term and long term goals to help you keep your eye on the prize. The following plan will help you get started on the right way to learning and understanding medical knowledge. 1 Medical terminology is a difficult subject for some students to master, because of the amount of material that must be memorized. Auditory and visual learners should approach the following material differently. It will be more critical for visual learners to make flash cards and have visual stimuli for learning to occur. On the other hand, auditory learners should be prepared to pronounce and record the following terminology for best results. Repetition is the key for both groups of individuals. It is important to note that all medical terminology words are not derived from root words, prefixes and suffixes. Some medical terms come from history, individual accomplishments and traditional words. It is difficult to identify these terms, because they appear like medical terminology that is comprised of root words, prefixes and suffixes. Consequently, memorization of these terms becomes critical. Many of these terms can be found in definition format near the end of this guide. 2 INTRODUCTION ........................................................................................................................................ 2 PRACTICE, PRACTICE, PRACTICE FOR THE BEST RESULTS..................................................... 6 MEDICAL DOCUMENTATION AND TERMINOLOGY ..................................................................... 6 SOAP NOTE ................................................................................................................................................. 7 10 KEY STUDY SECRETS......................................................................................................................... 9 PREFIX/DEFINITION ...............................................................................................................................11 SUFFIX/DEFINITION ...............................................................................................................................12 WORD ROOT/DEFINITION ....................................................................................................................13 100 PRACTICE QUESTIONS ON MEDICAL TERMS.........................................................................18 ANSWER KEY FOR 100 PREFIX/SUFFIX/WORD ROOT QUESTIONS ...........................................28 COMMON MEDICAL ABBREVIATIONS AND DEFINITIONS ........................................................29 MISCELLANEOUS ABBREVIATIONS ................................................................................................37 50 PRACTICE QUESTIONS FOR COMMON MEDICAL ABBREVIATIONS.................................38 ANSWER KEY FOR 50 COMMON MEDIAL ABBREVIATION QUESTIONS .................................46 SURGICAL AND DIAGNOSES ABBREVIATIONS..............................................................................47 50 PRACTICE QUESTIONS ON SURGICAL AND DIAGNOSIS TERMINOLOGY .......................50 ANSWER KEY FOR 50 SURGICAL AND DIAGNOSIS QUESTIONS...............................................58 KEY MEDICAL TERMINOLOGY DEFINITIONS...............................................................................59 BONUS SECTION #1 - MUSCULATURE/INNERVATION REVIEW OF THE ARM AND BACK .......................................................................................................................................................................65 MUSCULATURE/INNERVATION REVIEW OF THE FOREARM.....................................................67 MUSCULATURE/INNERVATION REVIEW OF THE HAND ............................................................69 MUSCULATURE/INNERVATION REVIEW OF THE THIGH ...........................................................70 MUSCULATURE/INNERVATION REVIEW OF THE CALF AND FOOT.........................................72 BONUS SECTION #2 - CPR REVIEW/CHEAT SHEET .......................................................................75 BONUS SECTION #3 - PHARMACOLOGY GENERIC/TRADE NAMES OF 50 KEY DRUGS IN MEDICINE ..................................................................................................................................................79 3 Practice, Practice, Practice for the Best Results Individuals already practicing in the medical field have shown a mastery of the following material. Many graduate programs required a student be proficient in medical terminology on the first day of classes. Therefore, it is up to the student to study the following material and be prepared to utilize medical terminology in documentation for consistency of care for patients and medical discussion. No future medical professional wants to appear incompetent when writing a note in a chart or discussing an idea with a teacher. Consequently, often the burden of study is upon the student to master medical terminology. It can be conquered but only with practice. The following guide was written to present medical terms and provide an opportunity for the student to demonstrate his or her new knowledge on practice tests. Medical Documentation and Terminology Medical documentation standards vary between state and federal organizations. Hospitals and insurance companies have policies that regulate medical documentation and terminology. Health care professionals must adhere to these standards to support the level of treatment and the care plan administered. Medicare is the leader in determining what is required in medical documentation to support delivery of services. The other major insurance companies look to Medicare for leadership with medical documentation and medical terminology. Medical documentation and terminology are used to allow a continuity of care between health care professionals. This terminology is universal and is the language of health care providers. Appropriate medical terminology allows a health care practitioner to clearly identify a colleague’s opinion and determine delivery of services. If an error is present in medical documentation and terminology, the patient will suffer the consequences. For example, if a vascular surgeon identifies the need for a BKA on the right lower extremity and an orthopedic doctor performs an AKA on the right lower extremity, a malpractice suit will most certainly follow. Medicare also sets standards of care that require appropriate documentation for reimbursement purposes. Inappropriate medical documentation and terminology does not support the proper delivery of services and payment to the hospital or clinic will not be forth coming. Consequently, hospitals will close if multiple claims are denied because of inappropriate medical documentation and terminology. 4 SOAP Note The SOAP format is used in most medical schools and allied health schools. It stands for: Subjective, Objective, Assessment and Plan. Each of these sections require the basic understanding of medical terminology to allow continuity of care. The SOAP format requires medical terminology that is considered appropriate by the facility where you are working. Each facility should have a listed set of appropriate medical abbreviations and surgical abbreviations. The “S” includes the patient’s goal, patient’s pain complaint, medical history and social history. The “O” includes the clinician data collection of strength, range of motion, skin integrity and organ system function. The “A” includes the clinician’s opinion about the presented case, prognosis, diagnosis and goals. The “P” includes the plan to progress to the goals set in the “A” and the interventions that are necessary. Some schools are trying to get away from the SOAP format and going to a problem based documentation plan. Basically, under this new plan only changes in status need to be documentation with problem based documentation, other than vitals sign and critical medical information. The problem with the SOAP format is that is unclear when a clinician should stop documenting. As a result, SOAP notes can turn into complete medical reassessments with a single treatment. A clinician’s documentation standards should be set high. Too often, medical terminology and documentation are ambiguous. Clinicians often use arrows, their own abbreviations and paraphrasing that is not professional. Paraphrasing and inappropriate use of medical terminology can result in the firing of a clinician with strong patient care skills. Hospitals and clinics are a business. If they are losing money over poor documentation, changes will be made. Medicare has made information available about frequent medical documentation errors. Moreover, hospitals are trying to bring staff up to speed on these issues. Overuse of abbreviations can lead to sentences that are unclear, therefore, medical errors may have increased occurrence. A medical professional will not be able to remember the definition of every medical term. Medical terminology could fill volumes of dictionaries. However, a medical professional can learn the prefixes, suffixes and word roots that allow for an understanding of most medical terms. The following is a list of prefixes, suffixes, and word roots that will help you reach your goal. It would be pointless to attempt to memorize every medical term. Accordingly, the following information is presented in an easy to memorize alphabetical format. Practice questions are following each major section to determine comprehension of the presented material. 5 10 Key Study Secrets Secret #1 Study only five to ten terms at a time starting with same letter. Confusion will often result if studying more than ten terms at a time. Secret #2 Make flashcards. When studying medical terminology flashcards can be most helpful for the repetitive practice that is required. Secret #3 Start early. Begin studying the following terms at least one month prior to the first day of class to allow this new found knowledge to become “hardwired” in the brain. Once again confusion can set in if not enough study time is allowed. Secret #4 Involve others. Get family and friends to quiz your new medical knowledge to see if your recall is as sharp as you think. Family and friends may be able to point out weakness in your medical terminology that you cannot see. Secret #5 Identify problematic medical terminology and focus in on these terms. The terms that you keep missing, identify and set to the side. Focus on problematic terminology at a separate time to allow your full attention. Secret #6 Write out words that are complex and difficult to spell. A misspelled medical term may mean the difference between “life and death” of some patient further down the road. Secret #7 Make your own practice test when you are finally done with this book. Use only the terms that have consistently been placed in the problematic file. Only take the test after a three to five hour wait to test if the terms are in long term memory and not in short term memory. Secret #8 Pay special attention to capitalization when studying. All surgical and diagnoses abbreviations are capitalized. Not every common medical abbreviation is capitalized. Secret #9 6 Purchase a tape recorder to record medical terms that can be played later if you are an auditory learner. Limit listening session time in order to not overload the short term memory. Secret #10 Set realistic long-term goals in appropriate time frames. Allow yourself plenty of study time to absorb the following material and don’t be overwhelmed. 7 Prefix/Definition aanantebibinbradydiadysendoepieuexexohemihyperhypointerintrametamicromultineonullipanparaperperipolypostpreprosubsuprasymsyntachytetratransuni- without without before two two slow through difficult within over normal outward outward half excessive deficient between within change minute, tiny numerous new none total beyond through surrounding many after before before below superior join join rapid four through one 8 Suffix/Definition -ac -ad -al -algia -apheresis -ar -ary -asthenia -atresia -capnia -cele -centesis -clasia -clasis -coccus -crit -cyte -desis -drome -eal -ectasis -ectomy -emia -esis -gen -genesis -genic -gram -graph -graphy -ia -ial -iasis -iatrist -iatry -ic -ician -ictal -ior -ism -itis -lysis -malacia -megaly -meter -odynia -oid pertaining to toward pertaining to pain removal pertaining to pertaining to weakness occulsion, closure carbon dioxide hernia aspirate fluid off lung break break berry-like bacteria separate cell fusion run pertaining to expansion removal blood dysfunction condition agent that causes cause pertaining to record recording device process of recording disease condition pertaining to condition physician specialty pertaining to one that attack pertaining to condition of inflammation separating softening increasing in size measure pain resembling -ologist -ology -oma -opia -opsy -orrhagia -orrhaphy -orrhea -orrhexis -osis -ostomy -otomy -ous -oxia -paresis -pathy -penia -pepsia -pexy -phagia -phobia -phonia -physis -plasia -plasm -plasty -plegia -pnea -poiesis -ptosis -salpinx -sacoma -schisis -sclerosis -scope -scopic -sis -spasm -stasis -stenosis -thorax -tocia -tome -tripsy -trophy -uria 9 person that practices study tumor vision view of blood flowing profusely repairing flow break condition to make an opening cut into pertaining to oxygen partial paralysis disease decrease in number digestion suspension swallowing, eating excessive fear of sound, voice growth development a growth repair by surgery paralysis breathing formation sagging fallopian tube malignant tumor crack hardening visual device used for inspection visual inspection condition of abnormal muscle firing standing narrowing chest labor, birth cutting device surgical crushing develop urine Word Root/Definition carp/o caud/o cec/o celi/o cephal/o cerebell/o cerebr/o cervic/o cheil/o cholangi/o chol/e chondro/o chori/o chrom/o clavic/o clavicul/o col/o colp/o core/o corne/o coron/o cortic/o cor/o cost/o crani/o cry/o cutane/o cyan/o cyes/i cyst/o cyt/o A abdomin/o acou/o acr/o aden/o adenoid/o adren/o alveol/o amni/o andro/o angi/o ankly/o anter/o an/o aponeur/o appendic/o arche/o arteri/o athero/o atri/o aur/i aur/o aut/o azot/o abdomen hearing height/extremities gland adenoids adrenal gland alveolus amnion male vessel stiff frontal anus aponeurosis appendix beginning artery fatty plaque atrium ear ear self nitrogen B bacteri/o balan/o bi/o blast/o blephar/o bronch/i bronch/o burs/o bacteria glans penis life developing cell eyelid bronchus bronchus bursa D dacry/o dermat/o derm/o diaphragmat/o dipl/o dips/o disk/o dist/o diverticul/o dors/o C calc/i cancer/o carcin/o cardi/o carpals tail cecum abdomen head cerebellum cerebrum cervix lip bile duct gall cartilage chorion color clavicle clavicle colon vagina pupil cornea heart cortex pupil rib cranium cold skin blue pregnancy bladder cell calcium cancer cancer heart 10 tear skin skin diaphragm double thirst disk distal diverticulum back duoden/o dur/o duodenum dura hem/o hemat/o hepat/o herni/o heter/o hidr/o hist/o humer/o hydr/o hymen/o hyster/o E ech/o electr/o embry/o encephal/o endocrin/o enter/o epididym/o epiglott/o episi/o epitheli/o erythr/o esophag/o esthesi/o eti/o sound electricity embryo brain endocrine intestine epididymis epiglottis vulva epithelium red esophagus sensation cause of disease blood blood liver hernia other sweat tissue humerus water hymen uterus I ile/o ili/o infer/o irid/o iri/o ischi/o ischo/o F ileum ilium inferior iris iris ischium blockage J femor/o fet/i fet/o fibr/o fibul/o femur fetus fetus fibrous tissue fibula jejun/o K kal/i kary/o kerat/o kinesi/o kyph/o G gangli/o ganglion/o gastr/o gingiv/o glomerul/o gloss/o glyc/o gnos/o gravid/o gynec/o gyn/o jejunum ganglion ganglion stomach gum glomerulus tongue sugar knowledge pregnancy woman woman potassium nucleus hard motion hump L lacrim/o lact/o lamin/o lapar/o laryng/o later/o lei/o H 11 tear duct milk lamina abdomen larynx lateral smooth leuk/o lingu/o lip/o lith/o lob/o lord/o lumb/o lymph/o white tongue fat stone lob/o flexed forward lumbar lymph omphal/o onc/o onych/o oophor/o ophthalm/o opt/o orchid/o orch/o organ/o or/o orth/o oste/o ot/o ox/i M mamm/o mandibul/o mast/o mastoid/o maxill/o meat/o melan/o mening/o menisc/o men/o ment/o metr/i metr/o mon/o muc/o myc/o myel/o myelon/o myos/o my/o breast mandible breast mastoid maxilla opening black meninges meniscus menstruation mind uterus uterus one mucus fungus spinal cord bone marrow muscle muscle P pachy/o thick palat/o palate pancreat/o pancreas parathyroid/o parathyroid gland par/o labor patell/o patella path/o disease pelv/i pelvis perine/o peritoneum petr/o stone phalang/o pharynx phas/o speech phleb/o vein phot/o light phren/o mind plasm/o plasma pleur/o pleura pneumat/o lung pneum/o lung pneumon/o lung poli/o gray matter polyp/o small growth poster/o posterior prim/i first proct/o rectum prostat/o prostate gland proxim/o proximal pseud/o fake psych/o mind N nas/o nat/o necr/o nephr/o neur/o noct/i nose birth death kidney nerve night O ocul/o olig/o navel tumor nail ovary eye vision testicle testicle organ mouth straight bone ear oxygen eye few 12 pub/o puerper/o pulmon/o pupill/o pyel/o pylor/o py/o staped/o staphyl/o stern/o steth/o stomat/o strept/o super/o synovi/o system/o pubis childbirth lung pupil renal pelvis pylorus pus Q quadr/i T four tars/o tendin/o ten/o test/o therm/o thorac/o thromb/o thym/o thyroid/o thyr/o tibi/o tom/o tonsill/o toxic/o trachel/o trich/o tympan/o R rachi/o radic/o radicul/o radi/o rect/o ren/o retin/o rhabd/o rhin/o rhytid/o rhiz/o spinal nerve nerve radius rectum kidney retina striated nose wrinkles nerve S salping/o sacr/o scapul/o scler/o scoli/o seb/o sept/o sial/o sinus/o somat/o son/o spermat/o sphygm/o spir/o splen/o spondyl/o stapes clusters sternum chest mouth chain-like superior synovia system fallopian tube sacrum scapula sclera curved sebum septum saliva sinus body sound sperm pulse breathe spleen vertebra tarsal tendon tendon testicle heat thorax clot thymus thyroid gland thyroid gland tibia pressure tonsils poison trachea hair eardrum U uln/o ungu/o ureter/o urethr/o urin/o ur/o uter/o uvul/o ulna nail ureter urethra urine urine uterus uvula V vagin/o 13 vagina valv/o valvul/o vas/o ven/o ventricul/o ventro/o vertebr/o vesic/o vesicul/o valve valve vessel vein ventricle frontal vertebra bladder seminal vesicles viscer/o vulv/o internal organs vulva X xanth/o xer/o 14 yellow dry 100 Practice Questions on Medical Terms 1. Which of the following definitions match the term meningitis? A: B: C: D: inflammation of the meninges condition of the meninges pertaining to the meninges abnormal meninges 2. Which of the following definitions match the term neurasthenia? A: B: C: D: inflammation of a nerve nerve weakness condition of a nerve abnormal nerve protrusion 3. Which of the following definitions match the term osteoblast? A: B: C: D: condition of the ear bone developing cell pertaining to bone destruction an intervertebral condition 4. Which of the following definitions match the term carpectomy? A: B: C: D: excision of cartilage from a joint excision of cartilage from the neck excision of bone from the hand excision of bone from the foot 5. Which of the following definitions match the term osteoclasis? A: B: C: D: breaking of a bone repair of a bone incision made in bone pertaining to bone 6. Which of the following definitions match the term patellectomy? A: B: C: D: incision made in the patella pertaining to the patella fusion of the patella removal of the patella 7. Which of the following definitions match the term cranioplasty? 15 A: B: C: D: repair of the skull fusion of the skull incision in the skull suture of the cerebellum 8. Which of the following definitions match the term tenorrhaphy? A: B: C: D: incision made in a tendon pertaining to a tendon cutting of a tendon suture of a tendon 9. Which of the following definitions match the term osteotome? A: B: C: D: instrument used to fuse bone instrument used to cut bone instrument used to repair the ear cell type related to bone 10. Which of the following definitions match the term otopyorrhea? A: B: C: D: rupture of the ear pus draining from the ear bleeding in the eye pus draining from tear ducts 11. Which of the following definitions match the term otomycosis? A: B: C: D: bacteria in the ear pain in the ear drum fungus in the ear inflammation of the inner ear 12. Which of the following definitions match the term otalgia? A: pain in the ear B: bacteria in the ear C: pain in the eye D: bacterial infection in the eye 13. Which of the following definitions match the term otosclerosis? A: pain in the ear B: hardening of the ear C: puncture of the ear 16 D: condition of the ear 14. Which of the following definitions match the term retinal? A: B: C: D: condition of the retina inflammation of the retina narrowing of the retina pertaining to the retina 15. Which of the following definitions match the term lacrimal? A: B: C: D: condition of the tear ducts inflammation of the eye narrowing of the eye pertaining to the tear ducts 16. Which of the following definitions match the term opthalmopathy? A: B: C: D: narrowing of the eye pertaining to the eye disease of the eye inflammation of the eye 17. Which of the following definitions match the term optomyometer? A: B: C: D: device that measure light refraction device that measures eye muscles device that measures eye pressure device that measures ear muscles 18. Which of the following definitions match the term retinoblastoma? A: B: C: D: tumor from a retinal cell softening of a retinal cell shrinking of a retinal cell inflammation of a retinal cell 19. Which of the following definitions match the term leukocoria? A: B: C: D: condition of a brown pupil condition of a white pupil decreased white blood cells increased white blood cells 20. Which of the following definitions match the term laparoscopy? 17 A: B: C: D: visual inspection of the abdomen visual inspection of the lungs visual inspection of the larynx visual inspection of the small intestine 21. Which of the following definitions match the term endoscopy? A: B: C: D: visual inspection of the abdomen visual inspection of the larynx visual inspection of a unfilled organ visual inspection of the kidney 22. Which of the following definitions match the term herniorrhaphy? A: B: C: D: hernia bleeding hernia draining suturing of a hernia excision of a hernia 23. Which of the following definitions match the term choledocholithotripsy? A: B: C: D: colon Surgery narrowing of the bile duct incision made to remove a stone in the bile duct crushing of a stone in the bile duct 24. Which of the following definitions match the term celiotomy? A: B: C: D: incision in the abdominal cavity excision of the small colon suture of the small colon colon surgery 25. Which of the following definitions match the term polyposis? A: B: C: D: prolapse of a polyp condition of multiple polyps inflammation of the liver tumor in the small intestine 26. Which of the following definitions match the term hyperglycemia? A. B. C. D. exorbitant amount of sodium in the bloodstream excessive amount of sugar in the bloodstream exorbitant amount of iron in the bloodstream deficient amount of potassium in the bloodsteam 18 27. Which of the following definitions match the term hypokalemia? A: B: C: D: activation of potassium in the bloodstream low level of sodium in the bloodstream low level of potassium in the bloodstream activation of sodium in the bloodstream 28. Which of the following definitions match the term adrenomegaly? A: B: C: D: excessive development of the adrenal gland insufficient development of the adrenal gland excessive development of the adenoids insufficient development of the adenoids 29. Which of the following definitions match the term myelomalacia? A: B: C: D: softening of the myocardium hardening of the myocardium softening of the spinal cord tissue hardening of the spinal cord tissue 30. Which of the following definitions match the term aphasia? A: B: C: D: loss of paralysis loss of appetite loss of hearing loss of speech 31. Which of the following definitions match the term cephalalgia? A: B: C: D: pain in the foot pain in the hand pain in the sacrum pain in the brain 32. Which of the following definitions match the term monoplegia? A: B: C: D: loss of function in two extremities loss of sensory function below the waist bilaterally loss of function in one extremity loss of motor function below the waist bilaterally 33. Which of the following definitions match the term neurology? A: the study of nervous system diseases 19 B: the study of only nerve cells C: a physician that practices medicine dealing with nerves D: nerve dysfunction 34. Which of the following definitions match the term phrenopathy? A: B: C: D: a disease condition of the mind a disease condition of the phrenic nerve a disease condition of the respiratory system a disease condition of the spinal cord 35. Which of the following definitions match the term encephalitis? A: B: C: D: inflammation of a nerve root inflammation of a nerve cell inflammation of a tumor inflammation of the brain tissue 36. Which of the following definitions match the term neuroma? A: B: C: D: bone cancer nerve root irritation cerebellum growth tumor involving nerve cells 37. Which of the following definitions match the term neuroblast? A: B: C: D: dying nerve cell growing nerve cell transient nerve cell enlarged nerve cell 38. Which of the following definitions match the term osteonecrosis? A: growing bone tissue B: transient bone tissue C: enlarged bone tissue D: dying bone tissue 39. Which of the following definitions match the term subcostal? A: B: C: D: below the clavicle below the rib below the cranium below the carpal 20 40. Which of the following definitions match the term suprapatellar? A: below the patella B: above the patella C: inferior to the patella D: lateral to the patella 41. Which of the following definitions match the term bradykinesia? A: B: C: D: faster motion impaired mobility slower motion spontaneous recovery 42. Which of the following definitions match the term arthralgia? A: B: C: D: pain in the knee pain in the back pain in the joint pain in the femur 43. Which of the following definitions match the term dyskinesia? A: B: C: D: difficult mobility difficult development difficulty with swallowing proprioception deficits 44. Which of the following definitions match the term spondylosyndesis? A: B: C: D: vertebrae fusion puncture wound to the spinal cord spinal cord damage spinal cord fusion 45. Which of the following definitions match the term phalangectomy? A: B: C: D: fusion of a finger incision made in the toe suturing of a finger removal of a finger 46. Which of the following definitions match the term oncology? A: study of ulcers B: study of neurons C: study of tumors 21 D: study of cells 47. Which of the following definitions match the term somatogenic? A: B: C: D: starting in the body start from the beginning starting in the cell starting in the brain 48. Which of the following definitions match the term leukocytosis? A: B: C: D: decreased white blood cell count increased white blood cell count systemic white blood cell disease white necrosis 49. Which of the following definitions match the term karyocyte? A: B: C: D: cells without a nucleus cells with a nucleus bacteria that destroy cells bacteria that inhabit the skin 50. Which of the following definitions match the term dorsal? A: B: C: D: front back lateral anterior 51. Define the term abarognosis. 52. Define the term paresthesia. 53. Define the term thermanalgesia. 54. Define the term causalgia. 55. Define the term orthopnea. 56. Define the term tachypnea. 57. Define the term bradycardia. 58. Define the term hypermobility. 22 59. Define the term analgesia. 60. Define the term bradykinesia. 61. Define the term dysmetria. 62. Define the term nystagmus. 63. Define the term hypotonia. 64. Define the term cathode. 65. Define the term kinetics. 66. Define the term cyanosis. 67. Define the term chronotrophy. 68. Define the term diaphoresis. 69. Define the term dysphagia. 70. Define the term hemiparesis. 71. Define the term rhizotomy. 72. Define the term hemostasis. 73. Define the term neurectomy. 74. Define the term tenodesis. 75. Define the term bursitis. 76. Define the term arthroplasty. 77. Define the term arthrodesis. 78. Define the term erythema. 79. Define the term ankylosis. 80. Define the term arthralgia. 81. Define the term synovectomy. 23 82. Define the term myositis. 83. Define the term osteotomy. 84. Define the term tinnitus. 85. Define the term ataxia. 86. Define the term kyphosis. 87. Define the term sialorrhea. 88. Define the term oscillopsia. 89. Define the term escharotomy. 90. Define the term myotomy. 91. Define the term nocturia. 92. Define the term quadriplegia. 93. Define the term micturition. 94. Define the term hyperesthesia. 95. Define the term aphasia. 96. Define the term voltmeter. 97. Define the term salpingitis. 98. Define the term encephalitis. 99. Define the term hepatitis. 100. Define the term hypoglycemia. 24 Answer Key for 100 Prefix/Suffix/Word Root Questions 1. A 26. B 51. inability to determine weight (*) 76. reconstruction of a joint 2. B 27. C 52. aberrant sensation without cause 77. fusion of a joint by surgery 3. B 28. A 53. inability to sense heat 78. red color distribution (*) 4. C 29. C 54. burning, painful sensation (*) 79. immobilization of a joint 5. A 30. D 55. limited breathing in supine 80. joint pain 6. D 31. D 56. elevated respiratory rate 81. removal of the synovial lining 7. A 32. C 57. slow heart rate 82. inflammation of muscle 8. D 33. A 58. excessive movement 83. cutting of bone 9. B 34. A 59. loss of pain sensation 84. ringing in the ear (*) 10. B 35. D* 60. aberrant slow mobility/movement 85. uncoordinated movement 11. C 36. D 61. limited ability to judge distance 86. excessive curve of the spine 12. A 37. B 62. oscillations of the eye 87. increased drooling 13. B 38. D 63. decreased tone 88. eye blurring with movement 14. D 39. B 64. negative source of electrical current (*) 89. incision made in eschar (*) 15. D 40. B 16. C 41. C 17. B 42. C 65. study of forces that create movement (*) 90. release of a muscle 66. color of blue appearing on the skin because of oxygen deficiency 91. increased frequency of urination at night 92. complete or partial motor/sensory loss of 67. heart rate (*) all four extremities 18. A 43. A 68. profuse sweating (*) 19. B 44. A 69. difficulty with swallowing 94. increased sensory awareness 20. A 45. D 70. partial weakness affecting ½ of the body 95. impaired ability to communicate 21. C 46. C 71. cutting of a nerve root 96. device that measures voltage 22. C 47. A 72. bleeding stopping 97. infection of the fallopian tubes 23. D 48. B 73. resection of a nerve 98. inflammatory disease of the brain 24. A 49. B 74. attaching of a tendon to a bone (*) 99. inflammatory disease of the liver 25. B 50. B 75. inflammation of a bursa 100. low glucose level in blood 93. urination (*) Identifies word that is not based solely on prefix, suffix and word root configuration. 25 Common Medical Abbreviations and Definitions amt ANS A _ a @ A: AA AAROM aa ab abd abd ABG ac AC joint ACTH AD add ADH ADL ad lib adm ADT AE AFB AFO A/G AIDS AIIS AJ AK alb alka phos AM AMA a.m. amb amp amount autonomic nervous system anterior anteroposterior auscultation and percussion aqueous active range of motion artificial rupture of membranes left ear aspirin as soon as possible arteriosclerotic heart disease anterior superior iliac spine assistance as tolerated arteriovenous axillary ant before at AP assessment A&P Alcoholics Anonymous active assistive range of aq AROM motion ARM of each abortion AS abdomen ASA abduction ASAP arterial blood gases ASHD before meals acromioclavicular joint ASIS adrenocorticotrophic hormone assist. right ear as tol adduction AV antidieuretic hormone ax activities of daily living as desired admission B admission, discharge, transfer BE barium enema BE below elbow above elbow acid-fast bacilli Bib. Drink ankle foot orthosis bihor during two hours bid twice a day albumin globulin ration autoimmune deficiency bilat. bilateral syndrome BK below knee anterior inferior iliac BM bowel movement spine B.M.R.basal metabolic rate BP blood pressure ankle jerk above knee BR bedrest albumin BRP bathroom privileges BS blood sugar alkaline phosphatase between midnight-noon B/S bedside bpm beats per minute against medical advice morning BRP bathroom privileges ambulate BUN blood urea nitrogen ampule Bx biopsy 26 b.v. cont. COTA vapor bath C CP CPK CPR c C C C&S C1-C7 Ca cal cap caps. CAPD with Celsius’ Centigrade culture and sensitivity cervical vertebrae calcium calorie capsule capsule continuous ambulatory peritoneal dialysis cath catheterization CBC complete blood count CBI closed brain injury CBR complete bed rest CBS chronic brain syndrom cc cubic centimeter CC chief complaint CC colony count CCU coronary care unit CEA carcinoma embryonic antigen CHO carbohydrate chemo chemotherapy chol cholesterol CIP computerized impedance plethysmography circ circumcision cl clinic Cl chloride cl liq clear liquid cm centimeter CMV cytomegalovirus CNA certified nursing assistant CNS central nervous system cr tomorrow c/o complains of CO carbon monoxide Co. compound COLD chronic obstructive lung disease comp compound cond condition CRNA C&S CSF CT Cu CV CVP cx CXR CWI Cysto continue certified occupational therapy assistant cerebral palsy creatine phosphokinase cardiopulmonary resuscitation certified registered nurse anethetist culture and sensitivity cerebrospinal fluid computed tomography copper cardiovascular central venous pressure cervix chest x-ray crutch walking instructions cystoscopic examination D d. D. DAT Dieb.second DC DIP D&C D/C del dept. diff dim disch DNA DO DOA DOB dr DRG D/S DTR 27 a day give diet as tolerated every second day discontinued distal interphalangeal joint dilatation and curettage discharged delivery department differential one-half discharge deoxyribonucleic acid doctor of osteopathy dead on arrival date of birth dram diagnosis-related groupings dextrose in saline deep tendon reflex DW Dx distilled water diagnosis FHT flex flu FSH E E enema ft. EBL estimated blood loss FTT FUO ECG electrocardiogram FWB ECF extended care facility Fx EchoEG echoencephalography ECT electroconvulsive therapy ED emergency department G EDD estimated date of delivery EEG electroencephalogram g EENT eye, ear, nose and throat G EGD esphagogastroduodenoscopy GB series EKG electrocardiogram GERD elix elixir EMG electromyogram GI e.m.p. in the manner prescribed gm ENG electonystagmography gtt ENT ear, nose and throat Grad. EP studies evoked potential studies GTT ER emergency room gtt. GU ERCP endoscopic retrogradecholangiopancreatography Gyn ERT estrogen replacement therapy H ESR erythrocyte sedimentation rate h ESWL extrcorporeal shock-wave H lithotripsy HD H&H etiol etiology eval evaluation exam examination HCl HCVD ext extract ext external Hct HEENT F F F FBS Fe feb FH Fahrenheit fair (muscular strength) fasting blood sugar iron fever family history HEP Hg Hgb HI HIV 28 fetal heart tones flexion influenza follicle-stimulating hormone foot, feet (measurement) failure to thrive fever of unknown origin full weight bearing fracture gram good (muscular strength) gall bladder series gastroesophageal reflux disease gastrointestinal gram drop gradually glucose tolerance test drops genitourinary gynecology hour hypodermic hemodialysis hemoglobin and hematocrit hydrochloric acid hypertensive cardiovascular disease hematocrit head, ear, eyes, nose, throat home exercise program mercury hemoglobin head injury human immunodeficiency virus HOB H&H H&P HNP HOB HR HRT hr hs Ht ht Htn Hx hypo head of bed hematocrit and hemoglobin history and physical herniated nucleus pulposes head of bed heart rate hormone replacement therapy hour hour of sleep hematocrit height hypertension history hypodermic K kcal KCL kg KJ KO KUB KVO L L (L) L1-L5 lab lac lat Lat.dol. lb. LBP L&D LDH LE lg LLL LLQ LMP LOP LP LPN LR lt LUL LUQ I ICU IM imp. in. indep inf incid in d. inj int. cib. int.noct. I&O IPG IPPB irrig isol IUD IV IVC IVP potassium kilocalories potassium chloride kilogram knee jerk keep open kidney, ureter, bladder keep vein open intensive care unit intramuscular impression inches independent inferior cut in a day an injection Between meals during the night intake and output impedance plethysmography intermittent positive pressure breathing irrigation isolation intrauterine device intravenous intravenous cholangiogram intravenous pyelogram liter left lumbar vertebrae laboratory laceration lateral to the painful side pound low back pain labor and delivery lactic dehydrogenase lower extremity large left lower lobe left lower quadrant last menstrual period loss of consciousness lumbar puncture licensed practical nurse lactated ringer’s left left upper lobe left upper quadrant M M. m man. max mcg MD Meds. mets mEq K 29 mix meter in the morning maximal microgram medical doctor medications metastasis milliequivalent MFT MCH MCV mEq mg min min. mL mm MMT mo. mod MOM MCP, MP MR MRI MS MS muscle function test mean corpuscular hemoglobin mean corpuscular volume milliequivalent milligram minimal minutes milliliter millimeter manual muscle test month moderate milk of magnesia metacarpalphalangeal may repeat magnetic resonance imaging morphine sulfate multiple sclerosis O O: O2 OB OBS OD oint OOB OP Ophth OR ORIF Ortho OS OT OTR oto OU oz N N Na NA NaCl NAS NB NDT neg neuro NG N.H. NICU noc noct NPO NS NSR NWB N&V NVS normal (muscle strength) sodium nursing assistant sodium chloride no added salt newborn neurodevelopmental treatment negative neurology nasogastric nursing home neonatal or neurological intensive care unit night night nothing by mouth normal saline normal sinus rhythm non-weight bearing nausea and vomiting neurovital signs objective oxygen obstetrics organic brain syndrome right eye or overdose ointment out of bed outpatient ophthalmic operating room open reduction internal fixation orthopedics left eye occupational therapy/therapist occupational therapist (official signature) otology both eyes, each eye ounce P _ p P P P P: Part.aeq. PA para pc PCU PCV PDR Peds PEEP PEG 30 after phosphorus pulse poor (muscle strength) plan equal parts physician’s assistant/ posteroanterior paraplegia after meals progressive care unit packed cell volume physician’s desk reference pediatrics positive end expiratory pressure percutaneous endoscopic gastrostomy per per os PERRLA PET scan PFT PICU PKU PMS PM PNF PNI PNS po POMR pos. poss post post-op PP PPD pr PRE PRBC PRN PROM PSA PSIS PT pt PTA PTA PTB PTT by by mouth pupils equal, round, reactive to light and accommodation positron emission tomography scan pulmonary function tests pediatric intensive care unit phenylketonuria premenstrual syndrome between noon and midnight proprioceptive neuromuscular facilitation peripheral nerve injury peripheral nervous system orally or postoperative or phone order problem oriented medical record positive possible posterior postoperatively postpartum or postprandial (after meals) purified protein derivative per rectum progressive resistive exercise packed red blood cells as needed passive range of motion prostatic specific antigen posterior superior iliac spine prothrombin time or physical therapy patient or pint physical therapy assistant prior to admission patellar tendon bearing PVD PWB Px partial thromboplastin time peripheral vascular disease partial weight bearing prognosis Q q qd q h qid qn qod qoh qt qq qs every every day every # hour (e.g. q4h) four times per day every night every other day every other hour quart also sufficient quantity R R ® RAIU RBC R.D. re: reg rehab REM reps resp RLL RLQ RN R/O ROM ROS RR RROM rt RT RUL Rx 31 rectal right radioactive iodine uptake blood cell count registered dietician regarding regular rehabilitation rapid eye movement repetitions respirations right lower lobe right lower quadrant registered nurse rule out range of motion review of systems recovery room resistive range of motion right or routine respiratory therapist right upper lobe prescription, treatment tab TAT TB TCDB TCT temp TENS S s SACH sc SC joint SCI sec. SED SICU without solid ankle cushion heel subcutaneous sternoclavicular joint spinal cord injury seconds suberythemal dose surgical intensive care unit Sig write/label SLR straight leg raise SMAC sequential multiple analysis computer SNF skilled nursing facility ss one half SOAP subjective, objective, assessment, plan SOB shortness of breath S.O.S. if needed S/P status post spec specimen SSE soapsuds enema staph staphylococcus stat immediately STD sexually transmitted disease strep streptococcus sublingsublingual subq subcutaneously sum take sup superior supp suppository surg surgical SVN small-volume nebulizer s.v.r. alcohol Sx symptoms TIA tid tinct TKR TLC TNR TO TPN tr trach TSH TE TUR Tx tablet tetanus antitoxin tuberculosis turn, cough, deep breath thrombin clotting time temperature trancutaneous electrical nerve stimulator transient ischemic attack three times a day tincture total knee replacement tender loving care tonic neck reflex telephone order total parenteral nutrition tincture tracheostomy thyroid-stimulating hormone tap water enema transurethral resection traction U U unit UA urine analysis UE upper extremity UGI upper gastrointestinal UMN upper motor neuron Ung ointment UPPP uvulopalatopharyngoplasty URI upper respiratory infection US ultrasound Ut.dict.as directed UV untraviolet V T t. T T1-T12 T4 vag VCUG VDRL three times trace (muscle strength) thoracic vertebrae thyroxine vic. 32 vaginal voiding cystourethrogram Venereal Disease Research Laboratory Times v.o. vol. VPS VS verbal order volume ventilation/perfusion scanning vital signs WNL wt. within normal limits weight X XRT W radiotherapy, radiation therapy Y WA WBC W/C wk. while awake white blood cell wheel chair Week y/o yd. yr. 33 years old yard year Miscellaneous Abbreviations // 1 2 % @ = Δ ♂ ♀ to, toward from and moving to per up down parallel bars or parallel assistance of one assistance of two percent at greater than less than equals change male female 34 50 Practice Questions for Common Medical Abbreviations 1. The pt denies attending AA. A. B. C. D. The physical therapist denies attending ambulation association. The patient denies attending Alcoholics Anonymous. The pint denies attending Alcoholics Anonymous. The physical therapist denies attending Alcoholics Anonymous. 2. The ENT M.D. noted yellow disch from pt’s AS. A. The ear, nose, and throat medical doctor noted yellow disembogue from the patient’s right eye. B. The eye, neck, and thoracic medical doctor noted yellow discharge from the patient’s left eye. C. The ear, nose, and throat medical doctor noted yellow discharge from the patient’s left ear. D. The ear, neck, and thyroid medical doctor noted yellow discharge from the patient’s left ear. 3. Elevate HOB to 20 degrees and NPO after 12 am A. elevate head of bed to 20 degrees and give food after 12 noon. B. elevate heels of bed to 20 degrees and nothing by mouth after 12 midnight. C. elevate head of bed to 20 degrees and nothing by mouth after 12 midnight. D. elevate head of bed to 20 degrees and give food after 12 midnight 4. Pt OOB every q2h. A. B. C. D. Patient ordered on bedrest every 2 hours. Pint ordered of blood every 2 hours. Patient out of bed every 2 hours. Patient ordered out of bathroom every 2 days. 5. R/O HIV & flu. A. B. C. D. rule out human immunodeficiency virus and influenza rule out human intestinal virus and fluid restriction reduce output of hepatic intravaneous volume and fluid restriction resume order of hepatic intravaneous volume and fluid restriction 35 6. Transfer NB to NICU. A. B. C. D. transfer next body to neurological intensive care unit transfer newborn to neonatal intensive care unit transfer neonatal boy to newborn intensive care unit transfer next body to neonatal intensive care unit 7. AgNO3 oint to OU qid. A. B. C. D. silver nitrate ointment to both ears four times a day silver nitrate ointment to both eyes four times a day gold nitrate oil to nasal cavities 3 times a day silver nitrate lotion to both eyes 3 times a day 8. Transport pt to OT tid via W/C. A. B. C. D. transport patient to occupational therapy three time a day via wheel chair transport patterns to outside three times a week via water canal transport printer to occupational therapy three time a week via wheel chair transport patient to occupational therapy three times a week via wheel chair 9. MOM po qod A. B. C. D. mom to visit every day milk of Magnesia orally every day milk of Magnesia rectally every other day milk of Magnesia orally every other day 10. Stat PET scan to R/O TIA vs. stroke. A. status positron emission tomography scan to rule out transient ischemic attack verses stroke B. positron emission tomography scan immediately to rule out transient ischemic attack verses stroke C. status plaque etch test scan to rule out transmission in arteries versus stroke D. status plaque etch test scan to rule out transient ischemic attack verses stroke 11. The common medical abbreviation amp stands for: A. B. C. D. amputation ampule ampere admission 12. The common medical abbreviation CMV stands for: 36 A. B. C. D. car motor vehicle cytomegalovirus cysticmegalovirus calorie mass void 13. The common medical abbreviation E stands for: A. B. C. D. emergency enemia elective electroconvulsive 14. The common medical abbreviation BS does not stand for: A. B. C. D. blood sugar bowel sounds breath sounds biopsy signs 15. The common medical abbreviation FHT stands for: A. B. C. D. foot heel toe flexible hose tubing fetal heart tones failing to hear tones 16. The common medical abbreviation I & O stands for: A. B. C. D. in and out inside and outside input and output inner and outer 17. The common medical abbreviation lt stands for: A. B. C. D. light lite lift left 18. The common medical abbreviation lac stands for: A. B. C. D. lactation laceration lactic lancet 37 19. The common medical abbreviation Na stands for: A. B. C. D. nursing assistant nursing aide sodium nocturnal 20. The common medical abbreviation KO stands for: A. B. C. D. keep open kilogram potassium output kidney obstruction 21. The common medical abbreviation NS stands for: A. B. C. D. normal sinus nausea neurovital signs normal saline 22. The common medical abbreviation q stands for: A. B. C. D. quarterly quality every times 23. The common medical abbreviation RT stands for: A. B. C. D. right routine respiratory therapy registered therapist 24. The common medical abbreviation Tx stands for: A. B. C. D. treatment traction thoracic examination therapy 25. The common medical abbreviation supp stands for: A. supplemental 38 B. superior C. suppository D. supple 26. The common medical abbreviation WA stands for: A. B. C. D. wide awake while awake walking aide wide angle 27. The common medical abbreviation UA stands for: A. B. C. D. unit aide urea urinalysis upper alimentary 28. The common medical abbreviation TAT stands for: A. B. C. D. test and trial tetanus antitoxin thyroid attacking toxin emergency 29. The common medical abbreviation SSE stands for: A. B. C. D. superior subcutaneous epidermis superficial subcutaneous epidermis soapsuds enema stainless steel edge 30. The common medical abbreviation P stands for: A. B. C. D. potassium phosphorus plutonium pediatrics 31. The common medical abbreviation g stands for: A. B. C. D. gas gram gallon glucose 39 32. The common medical abbreviation MR stands for: A. B. C. D. may resume may repeat magnetic resonance management resources 33. The common medical abbreviation OP stands for: A. B. C. D. outpatient occupation ophthalmic operation 34. The common medical abbreviation NG stands for: A. B. C. D. nanogram negative nasogastric neurology 35. The common medical abbreviation IV stands for: A. B. C. D. innervenous intervenous intravenous inferior view 36. The common medical abbreviation LR stands for: A. B. C. D. both left and right last rites lactated Ringer’s lower rectum 37. The common medical abbreviation PCU stands for: A. B. C. D. peptic colon ulcer progressive care unit pediatric care unit pulmonary cardiac unit 38. The common medical abbreviation H&H stands for: A. hemoglobin and hematocrit B. hematology and heredity 40 C. heart rate and health risk D. hematocrit and hemodialysis 39. The common medical abbreviation MS stands for: A. B. C. D. morphine sulfate magnesium sulfate magnetic signs metastasis signs 40. The common medical abbreviation OU stands for: A. B. C. D. both eyes both ears left eye right ear 41. The common medical abbreviation hs stands for: A. B. C. D. history hour of sleep hepatic surgery hemodialysis 42. The common medical abbreviation IM stands for: A. B. C. D. internal monitoring intramuscular innermuscular internal masking 43. The common medical abbreviation hypo stands for: A. B. C. D. hypotension hypotonic hypothalamic hypodermic 44. The common medical abbreviation IUD stands for: A. B. C. D. inneruterine device innerureter device intraureter device intrauterine device 45. The common medical abbreviation GU stands for: 41 A. B. C. D. geriatric unit genitourinary gynecology unit green ointment 46. The common medical abbreviation po does not stand for: A. B. C. D. orally postoperatively phone order rectally 47. The common medical abbreviation subq stands for: A. B. C. D. subsequent subcutaneously sublingual substance abuse 48. The common medical abbreviation RR stands for: A. B. C. D. rapid respirations recovery room rest and relaxation routine recovery 49. The common medical abbreviation PNS stands for: A. B. C. D. pediatric nurses station postoperative neurology signs peripheral nervous system no salt added 50. The common medical abbreviation ADL stands for: A. B. C. D. alternative days actual date of labor last date of admission activities of daily living 42 Answer Key for 50 Common Medial Abbreviation Questions 1. B 2. C 3. C 4. C 5. A 6. B 7. B 8. A 9. D 10. B 11. B 12. B 13. B 14. D 26. B 27. C 28. B 29. C 30. B 31. B 32. B 33. A 34. C 35. C 36. C 37. B 38. A 39. A 15. C 40. A 16. C 41. B 17. D 42. B 18. B 43. D 19. C 44. D 20. A 45. B 21. D 46. D 22. C 47. B 23. C 48. B 24. B 49. C 25. C 50. D Surgical and Diagnoses Abbreviations ABE A 43 acute bacterial endocarditis AD AFIB AHD AI AIDS AKA ALL ALS AMI AML AOD A&P AP ARDS ARMD ASCVD ASD ASHD Ast AUL AVR Alzheimer’s disease atrial fibrillation arteriosclerotic heart disease aortic insufficiency acquired immune deficiency syndrome above knee amputation acute lymphocytic leukemia amyotrophic lateral sclerosis acute myocardial infarction acute myelocytic leukemia adult-onset diabetes anterior and posterior colporrhaphy angina pectoris adult respiratory distress syndrome age-related macular degeneration arteriosclerotic cardiovascular disease atrial septal defect arteriosclerotic heart disease astigmatism acute undifferentiated leukemia aortic valve replacement CA CABG CAD CBS CDH CF CHB CHD CHF CI CLD CLL CML COLD COPD CP CPD CPN CRD CS CTS CVA B BA BBB BKA BOM BPH BSO cancer coronary artery bypass graft coronary artery disease chronic brain syndrome congenital dislocation of the hip cystic fibrosis complete heart block coronary heart disease congestive heart failure coronary insufficiency chronic liver disease chronic lymphocytic leukemia chronic myelogenous leukemia chronic obstructive lung disease chronic obstructive pulmonary disease cerebral palsy cephalopelvic disproportion chronic pyelonephritis chronic respiratory disease C-section, cesarean section carpal tunnel syndrome cerebrovascular accident D bronchial asthma bundle branch block below-knee amputation bilateral otitis media benign prostatic hypertrophy bilateral salpingooophorectomy D&C DI DIC DLE DM DT DVT C 44 dilatation and curettage diabetes insipidus diffuse intravascular coagulation discoid lupus erythematosus diabetes mellitus delirium tremens deep vein thrombosis E EM EP ESWL MD MG MI MM MS MVP emmetropia ectopic pregnancy extracorporeal shockwave lithotripsy muscular dystrophy myasthenia gravis myocardial infarction multiple myeloma multiple sclerosis mitral valve prolapse F O FBD FUO fibrocystic breast disease fever of undetermined origin OM OSA G GC GERD GSW P gonorrhea gastroesophageal reflux disease gunshot wound PAC PAT PD PDA PE PID H HB HCVD HHD HMD HNP heart block hypertensive cardiovascular disease hypertensive heart disease hyaline membrane disease herniated nucleus pulposus PTCA PUL PVC PVD I IBS IDDM I&D IHD irritable bowel syndrome insulin dependent diabetes mellitus incision and drainage ischemic heart disease premature atrial contractions paroxysmal atrial tachycardia Parkinson’s disease patent ductus arteriosus pulmonary embolism pelvic inflammatory disease percutaneous transluminal coronary angioplasty percutaneous ultrasound lithotripsy premature ventricular contractions peripheral vascular disease R RA RDS L RHD LAP LE LTB otitis media obstructive sleep apnea laparotomy lupus erythematosus laryngotracheobronchitis rheumatoid arthritis respiratory distress syndrome rheumatic heart disease S SBE M 45 subacute bacterial endocarditis SIDS SLE SMR SO STAPH STD STREP SVD sudden infant death syndrome systemic lupus erythematosus submucous resection salpingo-oophorectomy staphylococcus sexually transmitted disease streptococcus spontaneous vaginal delivery T T&A TB THA TIA TKA TUIP TURP TSS TVH total abdominal hysterectomy tuberculosis total hip arthroplasty transient ischemic attack total knee arthroplasty transurethral incision of the prostate transuretral resection of the prostate toxic shock syndrome total vaginal hysterectomy U UGI UPPP URI UTI upper gastrointestinal uvulopalatopharyngoplasty upper respiratory infection urinary track infection V VD venereal disease 46 47 50 Practice Questions on Surgical and Diagnosis Terminology 1. The abbreviation ABE stands for: A: B: C: D: acute bacterial endocarditis aortic branch endocarditis atrial branch endocarditis atrial bacterial endocarditis 2. The abbreviation AHD stand for: A: B: C: D: acute heart dysfunction arteriosclerotic heart disease acute heart disease arteriosclerotic heart dysfunction 3. The abbreviation ALL stands for: A: B: C: D: acute lateral laceration acute lower lobe acute lymphocytic leukemia acute lower leukemia 4. The abbreviation AMI stands for: A: B: C: D: acute myocardial infection acute myocardial infarction adult myocardial infarction adult myocardial infection 5. The abbreviation AML stands for A: B: C: D: acute myelocytic leukemia acute myocardial lab acute myelocyctic laceration aqueous myelocyctic leukemia 6. The abbreviation AOD stands for A: B: C: D: acute onset diagnosis acute onset dysfunction adult onset disease adult-onset diabetes 48 7. The abbreviation ARDS stands for: A: B: C: D: adult respiratory distress syndrome adult respiration distress symptoms adult respiration disease symptoms adult respiratory disease syndrome 8. The abbreviation ASD stands for: A: B: C: D: acute septal dysfunction atrial septal defect acute septal disease acute sepsis disease 9. The abbreviation AVR stands for: A: B: C: D: atrial valve replacement aortic valve replacement acute valve replacement acute valve recipient 10. The abbreviation ARMD stands for: A: B: C: D: age-related macular degeneration age related muscular degeneration age research muscular dystrophy age related muscular dystrophy 11. The abbreviation BA stands for: A: B: C: D: benign atrophy bilateral amputation bundle arteriosclerosis bronchial asthma 12. The abbreviation BBB stands for A: B: C: D: benign branch blockade benign block branch branch bundle block bundle branch block 13. The abbreviation BKA stands for: A: block knee arthritis 49 B: below knee amputation C: benign knee arthritis D: below knee area 14. The abbreviation CA stands for: A: B: C: D: cancer coronary artery coronary arrhythmia cystic arthritis 15. The abbreviation CAD stands for: A: B: C: D: cancer and dysfunction coronary acute disease coronary artery disease coronary atrial dysfunction 16. The abbreviation CBS stands for: A: B: C: D: chronic brain syndrome chronic bowel syndrome coronary brachial syndrome chronic blockage syndrome 17. The abbreviation CLD stands for: A: B: C: D: chronic leukemia disease chronic lateral dysfunction chronic liver disorder chronic liver disease 18. The abbreviation CML stands for: A: B: C: D: chronic myelogenous leukemia chronic myelogenous loss chronic myocardial loss chronic myocardial limits 19. The abbreviation COPD stands for: A: B: C: D: chronic overdose pulmonary disorder chronic obstructive pulmonary disorder chronic obstructive pulmonary disease chronic otitis palsy disease 50 20. The abbreviation CRD stands for: A: B: C: D: chronic respiratory disease chronic respiratory disorder chronic respiratory dysfunction chronic rheumatic disease 21. The abbreviation DI stands for: A: B: C: D: diabetes intravascular diabetes intracellular diabetes insipidus diffuse intravascular 22. The abbreviation DVT stands for: A: B: C: D: deep venous transient deep vein thrombosis deep venereal transient deep venous thrombosis 23. The abbreviation EP stands for: A: B: C: D: emmetropia pregnancy emmetropia patient ectopic pregnancy ectopic premature 24. The abbreviation FUO stands for: A: B: C: D: fever of undetermined origin fellow of underwater obstruction fever of unknown origination fellow of underwater origin 25. The abbreviation GC stands for: A: B: C: D: gonorrhea gastric cancer gastric coronary gastric cystitis 26. The abbreviation GSW stands for: A: gastric stapled wound B: gunshot wound 51 C: gastric surgical wound D: gastric sutured wound 27. The abbreviation HB stands for: A: B: C: D: heart blockage heart bundle heart benign heart block 28. The abbreviation HMD stands for: A: B: C: D: hyaline membrane disease hyaline membrane dysfunction heart membrane disease heart membrane dysfunction 29. The abbreviation HNP stands for: A: B: C: D: heart neutral progression heart normal percussion herniated nucleus pulposus herniated nucleus progression 30. The abbreviation IDDM stands for: A: B: C: D: insulin dependant diabetes mellitus insulin deprived diabetes mellitus insulin disorder diabetes mellitus insulin disease diabetes mellitus 31. The abbreviation IHD stands for: A: B: C: D: insulin heavy disorder insulin related heart disease ischemic heart disease ischemic heart disorder 32. The abbreviation LE stands for: A: B: C: D: lower ectopic lower extracorporeal lupus erythematosus lupus extracorporeal 33. The abbreviation MD stands for: 52 A: macular degeneration B: macular deformity C: muscular dysfunction D: muscular dystrophy 34. The abbreviation MG stands for: A: B: C: D: muscular growth muscular genesis myasthenia gravis myasthenia genesis 35. The abbreviation MI stands for: A: B: C: D: muscular infarct macular infarct myocardial infarct myocardial infection 36. The abbreviation MM stands for: A: B: C: D: muscular myeloma multiple myeloma myocardial myeloma macular myeloma 37. The abbreviation MS stands for: A: B: C: D: muscular symptoms multiple sclerosis macular sclerosis myocardial sclerosis 38. The abbreviation MVP stands for: A: B: C: D: mitral valve prolapse mitral valve puncture myocardial valve prolapse myocardial valve puncture 39. The abbreviation OM stands for: A: otitis media B: otitis multiple C: otitis myeloma 53 D: overdose multiple 40. The abbreviation PAC stands for: A: premature aortic convulsions B: premature aortic contractions C: premature arterial contractions D: premature atrial contractions 41. The abbreviation PD stands for: A: B: C: D: Parkinson’s disease pleural dysfunction pleural disorder premature deviation 42. The abbreviation PID stands for: A: B: C: D: pain inflammation disorder painful inflammation diagnosis pelvic inflammatory disease pelvic instability disease 43. The abbreviation PVD stands for: A: B: C: D: pelvic vascular disease pelvic vein disease peripheral vascular disease peripheral vascular disorder 44. The abbreviation RA stands for: A: B: C: D: rheumatoid arthritis rheumatic articulation respiratory arrest respiratory accident 45. The abbreviation RDS stands for: A: B: C: D: respiratory distress syndrome respiratory disease symptoms respiratory disorder syndrome rheumatic disease symptoms 46. The abbreviation SMR stands for: 54 A: B: C: D: superior metatarsal resistance superior metatarsal restrictions submucous resection submucous restriction 47. The abbreviation SVD stands for: A: B: C: D: submucous vaginal disease spontaneous vaginal delivery submucous vaginal disorder spontaneous vaginal dysfunction 48. The abbreviation TAH stands for: A: total abdominal hysterectomy B: transient aortic hypertension C: transient atrial hypertension D: total arthroplasty hip 49. The abbreviation TIA stands for: A: B: C: D: transient insufficiency attack transient ischemic attack transitional ischemic action transient insufficiency action 50. The abbreviation UTI stands for: A: urinary track infection B: urinary transitional insufficiency C: urinary transitional ischemic D: upper torso infection 55 Answer Key for 50 Surgical and Diagnosis Questions 1. A 26. B 2. B 27. D 3. C 28. A 4. B 29. C 5. A 30. A 6. D 31. C 7. A 32. C 8. B 33. D 9. B 34. C 10. A 35. C 11. D 36. B 12. D 37. B 13. B 38. A 14. A 39. A 15. C 40. D 16. A 41. A 17. D 42. C 18. A 43. C 19. C 44. A 20. A 45. A 21. C 46. C 22. B 47. B 23. C 48. A 24. A 49. B 25. A 50. A 56 Key Medical Terminology Definitions A Abrasion Abscess Acapnia Acne Adenoiditis Amenorrhea Alopecia Anorchism Anoxia Anterior Anteroposterior Anuria Aphonia Apnea Atelectasis Azoturia -injury to the integrity of the skin resulting in skin loss -pus forming a pocket -low level of carbon dioxide in the blood -inflammation of the skin related to glands and hair -inflammation of the adenoids -no menstrual discharge -bald condition -absence of testis -deficiency of oxygen -frontal position -frontal to back positioning -no urine production -no voice -not breathing -abnormal expansion of a lung -elevated and excessive level of nitrogen substrates and urea in the urine B Balanitis Balanorrhea Bilateral Biopsy Bronchogram Bronchography -inflammation of the penis -elevated discharge of the penis -both sides -removal of tissue for evaluation purposes -x-ray of the bronchi -the taking of the bronchi x -ray C Cancerous Carbuncle Carcinogen Carcinogenic Carcinoma Caudal Cellulitis Cephalic Cervicectomy Cicatrix Colpoplasty -related to cancer -skin disease associated with boils -cancer causing agent -related to a cancer causing agent -malignant tumor -related to the tail position - inflammation of connective tissue, associated with infection and fever -related to the head position -removal of the cervix -scar -repair of the vagina 57 Colposcope Contusion Cyanosis Cystogram Cytogenic Cystoscope Cystoscopy Cytoid Cytology Cytoplasm -device used to explore the vagina and cervix with visual examination -bruising of tissue with no loss in skin integrity -bluish color of the skin related to poor blood supply -x-ray of the bladder -related to the creation of cells -device used for inspection of the bladder -examination of the bladder by vision -similar to a cell -study of cellular biology -element inside the cell D Debridement Decubitus ulcer Dermatitis Dermatoconiosis Dermatofibroma Dermatologist Dermatology Dermatome Dermatoplasty Diagnosis Distal Dorsal Dyspareunia Dysplasia Dysphonia Dyspnea Dysuria -removal of necrotic tissue from a wound -wound related to a bedsore -inflammation of the dermis -aberrant condition of the epidermis created by dust -skin tumor caused by fibrous cells -doctor that focuses on skin condition/treatment -study of skin -surgical device for skin surgery -surgery involving the skin -determining the dysfunction/disease -away from a point of origin -related to a rear position -painful sexual intercourse -aberrant development -trouble with speaking -breathing complications -urination that is painful E Endoscopy Enuresis Epidermal Epididymitis Epithelial Epithelioma Erythema Erythrocyte Erythrocytosis Erythroderma Etiology Eupnea -inspection of a body cavity with visual examination -uncontrollable urination -related to the skin -inflammation of the epididymis -related to epithelium tissue -tumor made of skin cells -redness in a appearance -red blood cell - elevated red blood cell count -redness of the skin -study of disease relationships/origin -normal breathing 58 F Fibroma Fibrosarcoma Fissure -tumor made of fibrous cells -malignant tumor made of fibrous cells -crack in the skin’s integrity H Hepatosalpinx Hidradenitis Histology HIV Hyperplasia Hypocapnia Hypodermic Hypoplasia Hypoxemia Hydrosalpinx Hymenectomy Hysteropexy -fallopian tube with blood present -inflammation of sweat glands -study of tissues in nature -retrovirus that causes AIDS -elevated numbers of cells -decreased level of carbon dioxide in the bloodstream -related to underneath the skin -decreased numbers of cells required for normal organ development -limited oxygen in the bloodstream -water in the fallopian tube -removal of the hypmen -fixation of the uterus I Iatrology Induration Inferior -study of medicine -firm point or points, possibly in the periwound area -below a point of origin K Karyocyte Keloid Keratogenic - cellular unit with a nucleus -scar tissue that has exhibited excessive growth -creation of horny like tissue appearance L Laceration Lateral Leiodermia Leiomyoma Leiomyosarcoma Leukocyte Leukocytosis Lipoid Lipoma -wound with irregular borders, knife like in apperance -opposite of medial, related to point of origin - smooth skin -tumor made of smooth muscle cells -malignant tumor made of smooth muscle cells -white blood cell -elevated white blood cell count -fat like substance -tumor composed of fat 59 Liposarcoma Lithotripsy Lumbar -malignant tumor made of fat cells -crushing of a stone -lower back region M Mammogram Mammoplasty Mammotome Mastitis Mastectomy Mastoptosis Menarche Menometrorrhagia Melanocarcinoma Melanoma Metastasis Metrorrhea Micturate Myometritis Myopathy -x-ray of the breast -repair of the breasts -device used to cut breast tissue -inflammation of breast tissue -removal of a breast -drooping breast -start of menstruation -flow of blood during menstruation, and between cycles -malignant black tumor -tumor of the epithelial tissue -progression of a disease between organs, uncontrollable -uterus discharge that is excessive -voiding or urination -inflammation of the uterine tissue -muscular disease N Necrosis Neopathy Nephrectomy Nephrogram Nephrolysis Nephropexy Nephroma Nephromegaly Nephroptosis Nephrostomy Neuroma Nocturia -cellular death, often resulting in black, dead tissue - new -sprung disease -removal of a kidney -x-ray of the kidney -kidney separation -fixation of the kidney - kidney tumor -kidney enlargement - sagging kidney -creating an opening to the kidney -tumor involving nerves -urination at night O Oligomenorrhea Oncology Onychectomy Onychopryptosis Onychomycosis Onychophagia Oophoritis Oophorectomy -limited menstrual discharge -study of tumor like tissue - removal of a nail -ingrown nail -fungal condition in the nail -eating your nails -inflammation of the ovary -removal of an ovary 60 Orchiepididymitis Orchitis Orchioplasty Orchidectomy Orchidotomy Oximeter -inflammation of the epididymis and testis -inflammation of the testicle -repair of the testis -removal of both or one testis -incision made into the testis -a device used to measure oxygen saturation of the blood P Pachyderma Paroxysm Pathogenic Pathologist Pediculosis Percutaneous Pleuritis Pneumonia Pneumoconiosis Pneumothorax Pneumatocele Posterior Prognosis Pruritus Pyelolithotomy Pyeloplasty Pyosalpinx Pyuria -increased thickness of the skin -sudden attack -disease causing -individual who studies pathology -condition of lice - penetrating the skin -inflammation of the pleura -disease of the lung related to infection -dust in the lung’s condition -air in the chest resulting in the collapse of a lung -hernia associated with the lung -related to the rear/back position -opinion of an individual about outcomes -uncontrollable itching -incision to remove a stone from the renal pelvis -repair of the renal pelvis -pus in the fallopian tube -pus in the urine R Rhabdomyosarcoma Rhinitis Rhinorrhagia Rhinorrhea Rhytidectomy Rhytidoplasty -tumor made of striated muscle cells -inflammation of the nose -bleeding from the nose -nose discharge - removal of wrinkles in the skin - repair of wrinkles in the skin S Salpingocele Sarcoma Scleroderma Seborrhea Spirometer Spirometry -fallopian tube hernia -tumor made up of connective tissue -hardening of connective tissue, related to disease of various organs -elevated production of sebum -device used to measure breathing capacity -taking a measurement of breathing capacity 61 Somatic Somatopathy Somatoplasm Subcutaneous Superior Systemic Syphilis -related to the body -disease related to the body -element of the body -underneath the skin -elevated above a point of origin -throughout - a type of sexually transmitted disease T Thoracalgia Tracheitis Tracheostenois Trichomyosis -pain located in the chest -inflammation of the trachea - reduced trachea size -fungal condition in hair U Uremia Ureteritis Ureterectomy Ureterocele Ureterolithiasis Ureterostenosis Urethrocystitis Urology Unilateral Ungual -blood in the urine -inflammation of the ureter -removal of a ureter -ureter protrussion -stones in the ureter -decreased diameter of the ureter -inflammation of the bladder -study of the urinary system - on one side of the body -related to the nail V Vaginitis Variocele Vasectomy Ventral Visceral Vulvovaginitis -inflammation of the vagina -enlarged veins of the spermatic cord -removal of a duct -related to an anterior position -related to the internal organ systems -inflammation of the vagina and vulva X Xanthochromic Xanthoderma Xanthosis Xeroderma -related to yellow coloring -jaundice like skin -condition of yellow coloring present that is aberrant - skin that is excessively dry 62 Bonus Section #1 - Musculature/Innervation Review of the Arm and Back Muscle Origin Insertion Nerve Trapezius Ext. Occipit Lateral Clavicle, Spinal Accessory Protuberance, Spine of the Scapula Nerve CN XI Spines of T Vertebrae Latissimus Dorsi Spines of Lower 6 T Bicipital Groove Thoracodorsal Transverse Process Upper Medial Dorsal Scapula of C1-C4 Border of Scapula Spinous Process of Medial Border T2-T5 Scapula Below Vertebrae, Iliac Crest and Lower 4 Ribs Levator Scapulae Rhomboid Major Dorsal Scapular Spine Rhomboid Minor Teres Major Spinous Process of Medial Border Dorsal Scapular C7-T1 Scapula Opp. Spine Lateral Dorsal Bicipital Groove Lower Subscapular Lateral Scapula 2/3 Greater Tubercle of Axillary way down Humerus Lateral 1/3 Clavicle Deltoid Tuberosity Inferior Angle of Scapula Teres Minor Deltoid and Acromion Process, Spine of 63 Axillary the Scapula Supraspinatus Supraspinatus Fossa Greater Tubercle of Suprascapular Humerus Infraspinatus Infaspinatus Fossa Greater Tubercle of Suprascapular Humerus Subscapularis Serratus Anterior Subclavius Subscapular Fossa Lesser Tubercle of Upper and lower Humerus Subscapular Slips of Upper 8-9 Ventral-Medial Long Thoracic Ribs Border Scapula Inferior Surface of First Rib the Clavicle Pectoralis Major Medial ½ clavicle Nerve to the Subclavius Bicipital Groove and Side of Sternum Medial and Lateral Pectoral Pectoralis Minor Ribs 3,4,5 or 2,3,4 Coracoid Process Medial Pectoral Biceps Branchii Supraglenoid Posterior Margin of Musculocutaneous Tubercle Radial Tuberosity Coracoid Process Medial Humerus at Coracobrachialis Musculocutaneous Deltoid Tuberosity Level Brachialis Anterior-Lateral ½ Ulnar Tuberosity of Humerus and Coronoid Musculocutaneous Process Triceps Brachii Infraglenoid Olecranon Process Radial Posterior, Lateral Upper Posterior Radial Humeral Condyle Ulna Lateral Radial Styloid Supracondylar Process Tubercle, Below and Medial to the Radial Groove Anconeus Brachioradialis 64 Radial Ridge of Humerus Pronator Teres Medial Epicondyle ½ Way Down on and Supracondylar Lateral Radius Median Ridge Pronator Quadratus Distal-Medial Ulna Distal-Lateral Anterior Radius Interosseous Musculature/Innervation Review of the Forearm Muscle Origin Insertion Nerve Brachioradialis Lateral Radial Styloid Radial Supracondylar Process Ridge of Humerus Pronator Teres Medial Epicondyle ½ Way Down on and Supracondylar Lateral Radius Median Ridge Pronator Quadratus Distal-Lateral Anterior Radius Interosseous Lateral Epicondyle Upper ½ Lateral, Posterior Inter-Deep of Humerus Posterior Radius Radial Flexor Carpi Medial Epicondyle 2nd and 3rd Median Radialis of Humerus Metacarpal Supinator Distal-Medial Ulna Flexor Carpi Ulnaris Medial Epicondyle Palmaris Longus Pisiform, Hamate, Ulnar th of Humerus 5 Metacarpal Medial Epicondyle Palmar Aponeurosis of the Humerus and Flexor Median Retinaculum Flexor Digitorum Medial Epicondyle, Medial 4 Digits 65 Median Suerficialis Radius, Ulna Flexor Digitorum Ulna, Interosseous Medial 4 Digits Median (lateral 2 Profundus Membrane (distal part) digits), Ulnar (median 2 digits) Flexor Pollicis Radius Longus Extensor Carpi Lateral Condyle and Radialis Longus Supracondylar Distal Phalanx Anterior Inter-Deep (thumb) Median 2nd Metacarpal Radial 3rd Metacarpal Posterior Inter-Deep Ridge Extensor Carpi Lateral Epicondyle Radialis Brevis of Humerus Extensor Carpi Lateral Epicondyle Ulnaris of Humerus Extensor Digitorum Lateral Epicondyle Extension Posterior Inter-Deep of Humerus Expansion Hood of Radial Radial 5th Metacarpal Posterior Inter-Deep Radial Medial 4 Digits Extensor Digiti Lateral Epicondyle Extension Posterior Inter-Deep Minimi of Humerus Expansion Hood of Radial (little finger) Abductor Pollicis Posterior Radius Radial Side of 1st Posterior Inter-Deep Longus and Ulna Metacarpal Radial Extensor Indicis Ulna and Extension Posterior Inter-Deep Interosseous Expansion Hood Radial Membrane (index finger) Extensor Pollicis Ulna and Distal Phalanx Posterior Inter-Deep Longus Interosseous (thumb) Radial Proximal Phalanx Posterior Inter-Deep (thumb) Radial Membrane Extensor Pollicis Brevis Radius 66 Musculature/Innervation Review of the Hand Muscle Origin Adductor Policis Capitate and Base of Proximal Phalanx Deep Branch of Adjacent (thumb) Ulnar Tendons of Flexor Extension Deep Branch Ulnar Digitorum Expansion Hood of (medial 2 Ls), Profundas Medial 4 Digits Median (lateral 2 Insertion Nerve Metacarpals Lumbricals Ls) Dorsal Interosseous Sides of Extension Muscles (4) Metacarpals Expansion Hood of Deep Branch Ulnar Digits 2-4 Palmar Interosseous Sides of Extension (3) Metacarpals Expansion Hood, Deep Branch Ulnar Digits 2,4,5 Palmaris Brevis Anterior Flexor Skin-Ulnar Border Retinaculum and of Hand Superficial Ulnar Palmar Aponeurosis Abductor Pollicis Flexor Retinaculum, Lateral Proximal Median (thenar Brevis Trapezium Phalanx (thumb) branch) Flexor Pollicis Flexor Retinaculum, Lateral Proximal Median (thenar Brevis Trapezium Phalanx (thumb) branch) Opponens Pollicis Flexor Retinaculum, Radial Border (1st Median (thenar Trapezium Metacarpal) branch) Abductor Digiti Flexor Retinaculum, Proximal Phalanx Deep Branch Ulnar Minimi Pisiform (little finger) Flexor Digiti Flexor Retinaculum, Proximal Phalanx Minimi Hamate (little finger) 67 Deep Branch Ulnar Opponens Digiti Flexor Retinaculum, Ulnar Medial Minimi Hamate Border (5th Deep Branch Ulnar Metacarpal) Musculature/Innervation Review of the Thigh Muscle Origin Insertion Nerve Psoas Major Bodies and Discs of Lesser Trochanter L2,3 Bodies and Discs of Pectineal Line of L2,3 T12 and L1 Superior Pubic T12-L5 Psoas Minor Bone Iliacus Upper 2/3 Iliac Lesser Trochanter Femoral L2-4 Fossa Pectinius Pubic Ramus Spiral Line Femoral Iliposoas Joining of Psoas Lesser Trochanter L2-4 Greater Trochanter S1, S2 Greater Trochanter Sacral Plexus Greater Trochanter Obturator Major and Iliacus Piriformis Anterior Surface of the Sacrum Obturator Internus Inner Surface of the Obturator Membrane Obturator Externus Outer Surface of the Obturator Membrane Gemellus Superior Ischial Spine Greater Trochanter Sacral Plexus Gemellus Inferior Ischial Tuberosity Greater Trochanter Sacral Plexus Quadratus Femoris Ischial Tuberosity Quadrate Tubercle Sacral Plexus 68 of the Femur Gluteus Maximus Gluteus Minimus Outer Surface of Iliotibial Tract, Inferior Gluteal Ilium, Sacrum and Gluteal Tubercle of Coccyx the Femur Outer Surface of the Greater Trochanter Superior Gluteal Greater Trochanter Superior Gluteal Upper Medial Tibia Femoral Tibial Tuberosity Femoral Upper Medial Tibia Obturator (anterior Ilium Gluteus Medius Outer Surface of the Ilium Satorius Anterior Superior Iliac Spine Quadriceps Femoris Anterior Inferior Iliac Spine, FemurLateral and Medial Gracilis Pubic Bone branch) Abductor Longus Pubic Bone Linea Aspera Obturator (anterior branch) Abductor Brevis Pubic Bone Linea Aspera Obturator (anterior branch) Abductor Magnus Pubic Bone Entire Linea Aspera Sciatic, Obturator Tensor Faciae Latae Iliac Crest Iliotibial Band Superior Gluteal Biceps Femoris Ischial Tuberosity, Head of Fibula, Sciatic-Tibial Linea Aspera Lateral Condyle of portion and Tibia Common Peroneal Portion Semimembranosus Ischial Tuberosity Upper Medial Tibia Sciatic-Tibial Portion Semitendinosus Ischial Tuberosity Upper Medial Tibia Sciatic-Tibial Portion 69 Musculature/Innervation Review of the Calf and Foot Muscle Origin Insertion Nerve Tibialis Anterior Upper 2/3 Lateral 1st Cuneiform and Deep Peroneal Tibia and Base of 1st Interosseous Metatarsal Membrane Extensor Digitorum Upper 2/3 Fibula 4 Tendons-Distal Longus and Interosseous Middle Phalanges Deep Peroneal Membrane Extensor Hallucis Middle 1/3 of Base of Distal Longus Anterior Fibula Phalanx of Big Toe Peroneus Tertius Distal Fibula Base of 5th Deep Peroneal Deep Peroneal Metatarsal Extensor Hallucis Dorsal Calcaneus Brevis Peroneus Longus Peroneus Brevis Extensor Digitorum Deep Peroneal Longus Tendons Upper 2/3 Lateral 1st Metatarsal and 1st Superficial Peroneal Fibula Cuneiform Lateral Distal Fibula 5th Metatarsal Superficial Peroneal Tuberosity Soleus Upper Calcaneus via Shaft of Fibula Achilles Tendon Flexor Digitorum Middle 1/3 of Base of Distal Longus Posterior Tibia Phalanx of Lateral 4 Tibial Tibial Toes Flexor Hallucis Middle and Lower Distal Phalanx of Longus 1/3 of Posterior Big Toe Tibial Tibia Tibialis Posterior Posterior Upper Navicular Bone and 70 Tibial Popliteus Flexor Digitorum Tibia, Fibula 1st Cuneiform Upper Posterior Lateral Condyle of Tibia Femur Calcaneus Middle Phalanges of Medial Plantar Brevis Abductor Hallucis Tibial Lateral 4 Toes Calcaneus Medial Proximal Medial Plantar Phalanx of Big Toe Abductor Digiti Calcaneus Brevis Quadratus Plantae Lateral Proximal Lateral Plantar Phalanx of Big Toe Lateral and Medial Tendons of Flexor Side of the Digitorum Longus Lateral Plantar Calcaneus Lumbricals Tendons of Flexor Extensor Tendons Medial Digitorum Longus of Toes Plantar/Lateral Plantar Flexor Hallucis Cuboid Bone Brevis Splits on Base of Medial Plantar Proximal Phalanx of Big Toe Flexor Digiti Base of 5th Base of Proximal Minimi Brevis Metatarsal Phalanx of Little Lateral Plantar Toe Abductor Hallucis Metatarsals 2-4 Base of Proximal Lateral Plantar Phalanx of Big Toe Interossei Sides of Metatarsal Base of 1st Phalanx Bones and Extensor Tendons 71 Lateral Plantar Bonus Section #2 - CPR Review/Cheat Sheet 1. A: B: C: Risk factors of stroke: heart disease high red blood cell count TIA’s 2. A: B: C: D: E: F: Signs of a stroke: alteration in consciousness sudden weakness or numbness in an extremity on one side of the body sudden falls unexplained dizziness facial paralysis difficulty speaking 3. A: B: C: D: E: Controllable risk factors of stroke and heart attacks: high blood cholesterol obesity TIA’s smoking heart disease 4. A: B: C: D: Chain of survival (adults) early access (911) early CPR early defibrillation early ACLS 5. A: B: C: D: Chain of survival (pediatric) prevention of injuries and arrest early CPR early access (911) advanced care 6. A: B: C: Rate of compression adult-about 100x per minute child-about 100x per minute infant-at least 100x per minute 7. A: B: C: Depth of compression adult- 1&1/2 to 2” compression (hands overlapping) child- 1 to 1&1/2” compression (only heel of one hand) infant- ½ to 1” compression or 1/3 to ½ the depth of infant’s chest (2 fingers) 72 8. A: B: C: Ratio of compression to ventilations adult- both one and two rescuers should use a 15:2 compression to ventilation rate child- both one and two rescuers should use a 5:1 compression to ventilation rate infant-both one and two rescuers should use a 5:1 compression to ventilation rate 9. A: B: C: Rescue breath with a pulse adult-5 seconds (10-12 times per minute) child- 3 seconds (about 20 times per minute) infant- 3 seconds (about 20 times per minute) 10. Common causes of cardiac arrest in infants and children A: breathing emergencies B: onset following or from illness or injury C: heart rhythm dysfunction Adult one-rescuer CPR 1. establish unresponsiveness, activate EMS 2. open airway-look, listen, feel 3. if breathing is inadequate or absent give 2 slow breaths 4. check carotid pulse and signs of circulation in response to the 2 rescue breaths 5. if no pulse, give cycles of 15 chest compressions 6. after 4 cycles of 15:2 check pulse 7. if no pulse cont. beginning with chest compressions **If victim begins breathing, place in recovery position. Child one-rescuer CPR 1. establish unresponsiveness, send second rescuer for EMS activation if available 2. open airway-look, listen, feel 3. if breathing is inadequate or absent give 2 slow breaths 4. check carotid pulse and signs of circulation in response to the 2 rescue breaths 5. if no signs of circulation are present or heart rate is less than 60 bpm with signs of poor perfusion, begin cycles of 5 chest compressions and 1 breath 6. after about 1 minute, check signs of circulation. If alone, activate EMS, then continue compression/ventilation ratio 7. if signs of circulation are present but breathing is absent or inadequate, continue rescue breathing (1 breath every 3 sec. about 20 breaths per minute) **If victim begins breathing, place in recovery position. Infant one-rescuer CPR 1. 2. 3. 4. establish unresponsiveness, send second rescuer for EMS activation if available open airway-look, listen, feel if breathing is inadequate or absent give 2 slow breaths check brachial pulse and signs of circulation in response to the 2 rescue breaths 73 if no signs of circulation are present or heart rate is less than 60 bpm with signs of poor perfusion, begin cycles of 5 chest compressions and 1 breath, using 2 finger technique 6. after about 1 minute, check signs of circulation. If alone, activate EMS, then continue chest compression/ventilation ratio 7. if signs of circulation are present but breathing is absent or inadequate, continue rescue breathing (1 breath every 3 sec. about 20 breaths per minute) 5. **If victim begins breathing, place in recovery position. Adult-Foreign Body Airway Obstruction-Unresponsive 1. 2. 3. 4. 5. 6. 7. establish unresponsiveness “Are you o.k?” activate EMS open airway and check breathing attempt to ventilate give up to 5 abdominal thrusts with victim on their back open airway with tongue-jaw lift followed by a finger sweep repeat steps 3 through til effective, then continue CPR as necessary Adult-Foreign Body Airway Obstruction-Responsive 1. 2. 3. 4. 5. 6. 7. 8. ask “Are you choking?” give abdominal thrust (chest thrusts for pregnant or obese victim) repeat cycle until object is cleared or victim becomes unresponsive if victim becomes unresponsive-activate EMS perform tongue-jaw lift followed by finger sweep open airway and try to ventilate, if still obstructed, reposition head and try again give 5 abdominal thrusts with victim on their back repeat steps 5-7 til breathing is effective, then continue the steps of CPR as needed Child-Foreign Body Airway Obstruction-Unresponsive 1. 2. 3. 4. 5. 6. 7. 8. establish unresponsiveness “Are you o.k?” activate EMS if a second rescuer is available open airway and check for breathing if breathing is absent or inadequate-attempt to ventilate, if unsuccessful reposition and reattempt if ventilation is unsuccessful, perform 5 abdominal thrusts with the victim on their back open airway with a tongue-jaw lift, and if you see the object, remove it-no blind sweeps repeat steps 3-5 until ventilation is successful, then continue the steps of CPR as needed if rescuer is alone and airway obstruction is not relieved after about 1 minute, active EMS 74 **If victim begins breathing, place in recovery position. Child-Foreign Body Airway Obstruction-Responsive 1. 2. 3. 4. 5. 6. 7. 8. 9. ask “Are you choking?” give abdominal thrust, avoid Xyphoid repeat thrusts until object is expelled or victim becomes unresponsive activate EMS if a second rescuer is available open airway with tongue-jaw lift, if you see the object remove it, no blind sweeps open airway , attempt rescue breathing, if no chest rise, reopen airway, and try to ventilate again if ventilation is unsuccessful, provide 5 abdominal thrusts with victim on their back repeat steps 5-7 til effective, then provide additional CPR if necessary if rescuer is alone and airway obstruction is not relieved after about 1 minute, activate EMS **If victim begins breathing, place in recovery position. 75 Bonus Section #3 - Pharmacology Generic/Trade Names of 50 Key Drugs in Medicine 1. Alprazolam 2. Amitriptyline 3. Amoxicillin/clavulanate potassium 4. Betamethasone 5. Bumetanide 6. Bupropion 7. Calcitriol 8. Ceforanide 9. Ceftazidime 10. Cephalexin 11. Ciprofloxacin 12. Clonazepam 13. Cyclobenzaprine 14. Diazepam 15. Dopamine 16. Enalapril 17. Eythromycin 18. Famotidine 19. Fluconazole 20. Fluoxetine 21. Furosemide 22. Gentamicin 23. Haloperidol 24. Hydroxyprogesterone caproate 25. Ibuprofen 26. Ipratropium bromide 27. Ketorolac 28. Lidocaine 29. Lorazepam 30. Meperidine 31. Methicillin 32. Metoprolol 33. Miconazole 34. Nystatin 35. Omeprazole 36. Oxybutynin 37. Oxymetholone 38. Pergolide 39. Phenytoin 40. Prazepam 41. Prednisone XANAX ELAVIL AUGMENTIN CELESTONE BUMEX WELLBUTRIN ROCALTROL PRECEF FORTAZ KEFLEX CIPRO KLONOPIN FLEXERIL VALIUM INTROPIN VASOTEC E-MYCIN PEPCID DiFLUCON PROZAC LASIX GARAMYCIN HALDOL DELALUTIN MOTRIN ATROVENT TORADOL XYLOCAINE ATIVAN DEMEROL STAPHCILLIN LOPRESSOR MONISTAT MYCOSTATIN PRILOSEC DITROPAN ANADROL PERMAX DILANTIN CENTRAX DELTASONE 76 42. 43. 44. 45. 46. 47. 48. 49. 50. Procaine Promethazine Propoxyphene Pseudoephedrine Silver sulfadiazine Temazepam Tolnaftate Vancomycin Warfarin NOVOCAIN PHENERGAN DARVON SUDAFED SILVADENE RESTORIL TINACTIN VANCOCIN COUMADIN 77