Chapter 2

Question 1

acute

Answer 1

Started recently, sharp, severe symptom

Question 2

Chronic

Answer 2

been going on awhile

Question 3

exacerbation

Answer 3

getting worse

Question 4

abrupt

Answer 4

all of a sudden

Question 5

febrile

Answer 5

to have a fever

Question 6

afebrile

Answer 6

not have a fever

Question 7

malaise

Answer 7

not feeling well

Question 8

progressive

Answer 8

more and more each day

Question 9

symptom

Answer 9

something a patient feels

Question 10

noncontributory

Answer 10

not related to this specific problem

Question 11

lethargy

Answer 11

a decrease in level of consciousnesses,in medical record this usually indicated the patient is very sick

Question 12

genetic/ hereditary

Answer 12

runs in the family

Question 13

alert

Answer 13

able to answer questions, responsive, active

Question 14

oriented

Answer 14

being aware of themselves, where they are, current time
all three oriented x 3

Question 15

marked

Answer 15

it really stands out

Question 16

unremarkable

Answer 16

another way of saying normal

Question 17

auscultation

Answer 17

to listen

Question 18

percussion

Answer 18

to hit something and listen for the resulting sound

Question 19

palpation

Answer 19

to feel

Question 20

impression

Answer 20

another way of saying assessment

Question 21

diagnosis

Answer 21

what the health care professional thinks the patient has

Question 22

differential diagnosis

Answer 22

a list of conditions the patient may have based on symptoms exhibited and the results of exam

Question 23

benign

Answer 23

safe

Question 24

malignant

Answer 24

dangerous, a problem

Question 25

degeneration

Answer 25

to be getting worse

Question 26

remission

Answer 26

to get better or improve, most often used when talking about cancer

Question 27

localized

Answer 27

stays in a certain part of the body

Question 28

systemic/ generalized

Answer 28

all over the body

Question 29

prognosis

Answer 29

the chances of things getting better or worse

Question 30

occult

Answer 30

hidden

Question 31

lesion

Answer 31

diseased tissue

Question 32

recurrant

Answer 32

to have again

Question 33

sequela

Answer 33

a problem resulting from injury or disease

Question 34

pending

Answer 34

waiting on

Question 35

pathogen

Answer 35

organism that causes the problem

Question 36

morbidity

Answer 36

at risk for being sick

Question 37

mortality

Answer 37

risk of dying

Question 38

etiology

Answer 38

the cause

Question 39

disposition

Answer 39

what happened to the patient at the end of the visit

Question 40

discharge

Answer 40

literally to unload: has 2 meanings 1. to send home ( unload the patient) 2.Fluid coming out of the body (body unloading fluid)

Question 41

pallative

Answer 41

treating the symptoms, but not actually getting rid of the cause

Question 42

observation

Answer 42

watch, keep an eye out

Question 43

reassurance

Answer 43

to tell the patient that the problem is not serious

Question 44

supportive care

Answer 44

to treat the symptoms and make the patient feel better

Question 45

sterile

Answer 45

extremely clean, germ free conditions

Question 46

prophylaxis

Answer 46

preventative treatment

Question 47

SOAP method, S is for...

Answer 47

Subjective

Question 48

SOAP method, O is for...

Answer 48

Objective

Question 49

SOAP method, A is for...

Answer 49

Assessment

Question 50

SOAP method, P is for...

Answer 50

Plan

Question 51

Caudal

Answer 51

Toward the bottom or tail

Question 52

Dorsum

Answer 52

top of hand or foot

Question 53

palmar

Answer 53

palm of hand

Question 54

CCU

Answer 54

coronary care unit

Question 55

ECU

Answer 55

emergency care unit

Question 56

ER

Answer 56

emergency room

Question 57

ED

Answer 57

emergency department

Question 58

ICU

Answer 58

intensive care unit

Question 59

PICU

Answer 59

pediatric intensive care unit

Question 60

NICU

Answer 60

neonatal intensive care unit

Question 61

SICU

Answer 61

surgical intensive care unit

Question 62

PACU

Answer 62

post-anesthesia care unit

Question 63

L&D

Answer 63

labor and delivery

Question 64

OR

Answer 64

operating room

Question 65

post-op

Answer 65

after surgery

Question 66

pre-op

Answer 66

before sugery

Question 67

VS

Answer 67

vital signs

Question 68

T

Answer 68

temperature

Question 69

BP

Answer 69

blood pressure

Question 70

HR

Answer 70

heart rate

Question 71

RR

Answer 71

respiratory rate

Question 72

I/O

Answer 72

Input/ output- what the patient has had to eat or drink

Question 73

Dx

Answer 73

diagnosis

Question 74

DDx

Answer 74

differential diagnosis

Question 75

Tx

Answer 75

treatment

Question 76

Rx

Answer 76

prescription

Question 77

H&P

Answer 77

history and physical

Question 78

Hx

Answer 78

history

Question 79

CC

Answer 79

chief complaint

Question 80

HPI

Answer 80

history of present illness

Question 81

ROS

Answer 81

review of symptoms

Question 82

PMHx

Answer 82

past medical history

Question 83

FHx

Answer 83

family history

Question 84

NKDA

Answer 84

no known drug allergies

Question 85

PE

Answer 85

physical exam

Question 86

Pt

Answer 86

patient

Question 87

y/o

Answer 87

years old

Question 88

h/o

Answer 88

history of

Question 89

PCP

Answer 89

primary care provider

Question 90

f/u

Answer 90

follow up

Question 91

SOB

Answer 91

shortness of breath

Question 92

HEENT

Answer 92

Head eyes ears nose throat

Question 93

PERRLA

Answer 93

pupils are equal, round, and reactive to light and accommodation

Question 94

NAD

Answer 94

no acute distress

Question 95

CV

Answer 95

cardiovascular

Question 96

RRR

Answer 96

regular rate and rhythm

Question 97

CTA

Answer 97

clear to auscultation (normal sounding lungs

Question 98

WDWN

Answer 98

well develpoed, well nourished

Question 99

A&O

Answer 99

alert and oriented

Question 100

WNL

Answer 100

within normal limits

Question 101

NOS

Answer 101

not otherwise speified

Question 102

NEC

Answer 102

not elsewhere classified

Question 103

PO

Answer 103

per os (mouth)

Question 104

NPO

Answer 104

nil per os (nothing by mouth)

Question 105

PR

Answer 105

per rectum

Question 106

IM

Answer 106

intramuscular

Question 107

SC

Answer 107

subcutaneous

Question 108

IV

Answer 108

intravenous

Question 109

CVL

Answer 109

central venous line

Question 110

PICC

Answer 110

peripherally inserted central catheter

Question 111

Sig

Answer 111

short for sigma (label), instructions

Question 112

BID

Answer 112

twice daily, bis in die- two in a day

Question 113

TID

Answer 113

thre times daily ter in die

Question 114

Q

Answer 114

every x ie. Q4hr, every 4 hours

Question 115

QD

Answer 115

daily, quaque die

Question 116

QID

Answer 116

4 times a day, quarter in die

Question 117

QHS

Answer 117

at night, quaque hora somni

Question 118

AC

Answer 118

before meals, ante cidum

Question 119

PC

Answer 119

after meals, post cibum

Question 120

prn

Answer 120

as needed, per re nata

Question 121

ad lib

Answer 121

as desired