Final exam Flashcards
1
Q
Herniorrhaphy
A
hernia repair
2
Q
cholecystectomy
A
gallblader removal
3
Q
Appendectomy
A
appendix removal
4
Q
partial lobectomy
A
partial lung removal
5
Q
Tracheostomy
A
Hole in neck
6
Q
Mastectomy
A
Breast removal
7
Q
Afib s/p cardiac ablation
A
surgery for Afib
8
Q
Afib
A
Atrial fibrillation
9
Q
AICD
A
Automated Implanted Cardiac Defibrillator
10
Q
Pacer
A
Pacemaker
11
Q
Angioplasty
A
The balloon surgery
12
Q
Coronary Stent
A
Inserting a stent into coronary artery
13
Q
Established Pt.
A
Seen at the clinic/practice within the last three years
14
Q
Diagnostic Visit
A
A visit where the CC is a new symptom
15
Q
HM visit
A
a visit where the CC is a routine physical or management of a chronic problem
16
Q
What is the clinic flow (1-5)
A
Check in, physician evaluaiton, Order/results, Assessment/plan, check out
17
Q
Quality Measures
A
vitals, CC, height, weight, BMI, smoking status
18
Q
Vitals
A
O2 sat, BP, HR, respiratory rate
19
Q
H and P
A
HIstory and physical evaluation performed by the physician
20
Q
HPI
A
History of present illness
21
Q
PE
A
Physical Exam
22
Q
PE (Medical Issue)
A
Pulmonary Embolism
23
Q
ROS
A
Review of systems
24
Q
DDX
A
differential diagnoses
25
SOAP
Subjection, Objective, Assessment, Plan
26
Subjective portion of chart
HPI, ROS, part of the PHx
27
Objective Portion of chart
PE, orders, results
28
Subsections of Past history
PMHX, PSHx, SHx, FHx
29
PMHx
Patient Medical History
30
Hypertension (what is it)
High blood pressure
31
HTN
hypertension
32
Hyperlipidemia (what is it)
high cholesterol
33
HLD
hyperlipidemia
34
Hyper/Hypothyroidism
issues with thyroid fxn
35
DM
diabetes mellitus
36
DM treated with pills
NIDDM
37
NIDDM
Non insulin dependent diabetes mellitus
38
IDDM
Insulin dependent diabetes mellitus
39
DM treated with shots
IDDM
40
CAD
Coronary artery disease
41
Allergy vs Adverse Reaction
Allergy is immune response and adverse rxn is a side effect
42
Age cutoff for genetic risk
onset prior to 55 Y/o
43
Smoking Status (5 of them)
Current, former, never, 2nd hand, ecig
44
Alcohol Use (4 of them)
Never, occasionally, daily, chronic
45
2 factors to document in drug use
type of drug and route of admin
46
Pediatric SHx (6 factors)
Caretaker, Daycare, School, Siblings, 2nd hand smoke, Vaccines
47
New Pt.
Not seen at this clinic or practice for at least 3 years
48
Hx
History
49
Tx
Treatment
50
Dx
Diagnoses
51
MLP
Mid level provider
52
MDM
Medical decision making
53
CC
Chief complaint
54
OP
Outpatient
55
Inpatient
A patient who is admitted to the hospital overnight
56
Palpation
when a physician presses on an area
57
Ausculation
Listening with a stethoscope
58
Baseline
normal state of being
59
Chronic
Problem lasting longer than 3 months
60
Acute
New problem within last three months
61
Benign
Normal, or not of concern
62
Objective
Information from the physician
63
Subjective
Info from the Pt.
64
Osteoporosis
Weakening of the bones
65
RA
Rheumatoid Arthritis
66
OA
osteoarthritis
67
DDD
degenerative disc disease
68
peripheral neuropathy
numbness in legs
69
PVD
peripheral vascular disease
70
Aortic aneurysm
bulge in the aorta
71
DVT
Deep vein thrombosis
72
TIA
Transient Ischemic Attack (ministroke)
73
CVA
Cardiovascular accident (stroke)
74
Hemorrhagic CVA
stroke caused by brain bleed
75
GPA
used in OBGYN: G is total pregnancies, P is pregnancies that reached 23 weeks, and A is abortions or miscarriages
76
BPH
Benign Prostatic Hypertrophy
77
CRF
Chronic Renal Failure
78
ESRD
End stage renal disease
79
Renal calculi
Kidney stones
80
pyelonephritis
kidney infection
81
UTI
urinary tract infection
82
UC
ulcerative colitis
83
IBS
irritable bowel syndrome
84
PUD
Peptic ulcer disease
85
GERD
gastroesophageal reflux disease
86
PNA
Pneumonia
87
COPD
chronic obstructive pulmonary disorder
88
FHx
Family history
89
Tachycardia
Episodes of fast heartbeat
90
SVT
supraventricular tachycardia
91
CHF
Congestive Heart Failure
92
MI
myocardial infarction
93
CABG
Coronary Artery bypass graft
94
Cardiac Catheterization
Heart cath to Dx CAD
95
PE Tubes
Pressure equalizing tubes
96
Adenoidectomy
Adenoid removal
97
Tonsillectomy
Tonsil removal
98
Spinal fusion
back fused
99
Cervical spinal fusion
Neck fused
100
Hardware
refers to placement of metal plates/pins
101
Athroplasty
Joint repair
102
AKA
Above knee amputation
103
BKA
below knee amputation
104
IVC
inferior vena cava
105
PICC
peripherally inserted central catheter
106
AV
arterioivenous
107
craniotomy
brain surgery
108
Cerebral Shunt
a shunt to allow passage of fluid in brain
109
Carotid endarterectomy
Cleaning of the neck artery
110
Dilation and Curretage (D and C)
Removal of uterine product
111
Prostatectomy
Prostate removal
112
Tubal ligation
tubes tied femal
113
Vasectomy
sterilization male
114
Salpingo-oophorectomy
Ovary and fallopian tubes removed
115
Oophorectomy
ovaries removed
116
Hysterectomy
Uterus removed
117
Nephrectomy
Kidney removal
118
Exploratory Laproscopy
Exploratory surgery
119
Bariatric surgery
stomach stapled
120
Splenectomy
Spleen removal
121
Colostomy
Bag to collect stool
122
Partial colectomy
partial removal of the colon
123
Advair and Albuterol
examples of inhaled asthma Tx which are bronchodilators
124
Pulmicort and symbicort
examples of inhaled asthma Tx that are corticosteroids
125
PPL
Patient problem list
126
Prednisone
Oral steroid Asthma Tx
127
In general the oral asthma tx are
steroids
128
in general inhaled asthma tx are
steroids or bronchodilators
129
Nebulizer
delivers asthma Tx over a course of time
130
INhaler
delivers asthma Tx as a puff per dose
131
4 Questions to assess asthma severity
Nebulizer? Steroids? Hospitalized? Intubated?
132
PEF
Peak expiratory Flow
133
Peak flow monitor
measures exhalation speed in L/min
134
Tool to Dx Asthma
Peak flow monitor
135
Asthma CC
Wheezing, SOB
136
SOB
shortness of breath
137
Rhinitis
nasal inflammation
138
Asthma risk factors
Fhx, obesity, allergies
139
Allergic rhinitis
nasal inflammation caused by allergies
140
Asthma Etiology
constriction of airway due to inflammation and muscular contraction of bronchioles
141
CAD surgical Tx
Angioplasty to Stent to CABG in order of invasiveness
142
CAD non-pharm Tx
lower weight, exercise, manage stress/depression, quit smoking, control triple threat
143
CAD Tx Meds
ASA, NTG, anticoagulates, Tx of triple threat
144
ASA
Aspirin
145
NTG
nitroglycerin
146
Anticoagulates
Meds to prevent blood clotting (blood thinners)
147
CAD Dx Tool
Cardiac Catheterization
148
CP
Chest pain
149
Triple Threat
The three diseases that cause CAD: DM, HTN, HLD
150
Type 2 DM
Can be IDDM or NIDDM. Caused by insulin insensitivity
151
Type 1 DM
Always IDDM. Caused by destruction of Beta cells in pancreas
152
ARBs
Vasodilator, HTN Tx
153
Cozaar/losartan
ARB, HTN Tx
154
ACE Inhibitor
HTN Tx
155
Ca Channel Blocker
HTN Tx
156
prn
as needed
157
normal blood glucose level
80-100 mg/dL
158
Orthostatics
changes in BP with movement
159
Prognosis
Likely course of the disease
160
DDK
dysdiaochokinesia: inability to perform RAM
161
RAM
rapid alternating movements
162
Rombergs Test
Test's balance
163
Dysmetria
lack of coordination
164
Finger to nose, heel to shin
test coordination
165
Ataxia
loss of control of body movement
166
Ptosis
drooping of the upper eyelid
167
DTR
deep tendon reflex, measured 0-4+
168
Babinski test
tests reflexes
169
Hypoesthesia
decreased sensation
170
Aphasia/Dysarthria
Speech problems
171
Avulsion
body structure forcibly detached from normal point
172
Ecchymosis
bruising
173
Fluctuant
unstable swelling
174
Induration
hardening of tissue
175
Calor
increased warmth
176
Purpura
purple colored spots on skin
177
Urticaria
Hives
178
Pallor
unusually pale
179
Cyanotic
blue color to skin
180
diaphoretic
excessive sweating
181
CVA tenderness
costovertebral angle tenderness
182
Homans Sign
DVT test
183
CSMT
circulation, sensory, motor, tendon: musculoskeletal exam parameters
184
Adnexal tenderness or mass
issues with external female genetalia
185
CMT
cervical motion tenderness
186
Heme +/-
whether or not there is blood in stool
187
Murphys sign
Gallbladder test
188
Mcburneys, Psoas, Obturator, Rovsings
appendix tests
189
peritoneal signs
guarding, rebounding, rigidity
190
Abd regions high to low
epigastrium to periumbilical to suprapubic
191
LLQ
left lower quadrant: Colon
192
RLQ
right lower quadrant: appendix
193
Flanks
Lower back: kidneys
194
LUQ
left upper quadrant: Pancreas
195
RUQ
Right upper quadrant: Gallblader
196
Tachypnea
rapid breathing
197
Wheezes, Rales Rhonchi
Abnormal breathing sounds
198
Pulse Grading Scale
Ability to obtain pulse, 0-4+ where 2+ is normal
199
Extrasystoles
extra beats
200
Gallops Murmurs, rubs
abnormal heart sounds
201
Bradycardia
HR below 60 BPM
202
Paraspinal tenderness
pain in the muscles around the spinal column
203
vertebral point
tenderness on the spinal column
204
Meningismus
symptoms in the neck similar to meningitis
205
Nuchal rigidity
inability to move the neck
206
cervical lymphadenopathy
swollen lymph nodes
207
FROM
full range of motion
208
ROM
range of motion
209
Bruit
abnormal sound heard over artery
210
JVD
Jugular Venous distention
211
thyromegaly
enlargd thyroid
212
PTA
peritonsillar abscess
213
DMM
dry mucus membranes
214
erythema
redness
215
OP (in ENT)
oropharynx
216
Septal Hematoma
collection of blood in septum
217
Boggy turbinates
swollen inner nose
218
Nares
Nostrils
219
cerumen
ear wax
220
TM
tympanic membrane
221
Signs of otitis media
TM bulging, erythema, rounding
222
Sclera Icterus
Yellow sclera (eyes)
223
anisocoria
unequal pupils
224
EOMI
extra ocular movements intacts
225
PERRL
Pupils, equal, round, reactive to light
226
angioedema
swelling of the face
227
AT/NC
Atraumatic/normocephalic
228
Somnolent
sleepy, drowsy
229
NAD
no acute distress
230
anicteric sclerae
white sclera
231
NML
normal
232
Distal pulses
pulses read at distal locations from 0-4+
233
SaO2
Oxygen saturation, nml 95-100%
234
Respiratory Rate
Breaths/min, nml 12
235
HR
heart rate, nml 60-100 bpm
236
BP
blood pressure nml 80-120/60-80
237
diffuse
not centralized to one location
238
cachetic
malnourished
239
Onset
When the CC began
240
Timing
How often the CC occurs
241
Quality
how the pt describes the pain/CC
242
Info for prior testing
test name, who ordered the test, result
243
US
Ultrasound
244
c/o
complains of
245
HA
Headache
246
XR
Xray
247
Components of past history
SHx, FHx, PMHx, PSHx
248
LFT
liver fxn test
249
polyuria
large urination volume
250
polydypsia
excessive thirst
251
Focal Weakness
impairment in the CNS that results in weakness of a specific body region
252
Syncope
fainting with drop in BP
253
myalgias
joint/muscle pain
254
dysuria
painful urination
255
hematuria
blood in urine
256
N/V/D
Nause vomiting diarhhea
257
Abd
Abdominal
258
CBP
Chronic Back Pain
259
AAA
abdominal aortic aneurysm
260
Ca
Cancer
261
palpitations
episode of rapid heartbeat
262
edema
swelling
263
BLE
bilateral lower extremities
264
epistaxis
nosebleed
265
rhinorrhea
nasal congestion
266
CVS
cardiovascular
267
ENT
ears, nose, throat
268
emesis
vomiting
269
hemoptysis
coughing up blood
270
anaphylaxis
severe allergic reaction
271
PO
by mouth
272
BID
Twice a day
273
dyspneas
difficult/labored breathing
274
DOE
dypnea upon exertion
275
CXR
chest x ray
276
Sx
symptoms
277
Hypotensive BP
Less than 90/60
278
Normal BP range
90-120/60-80
279
Prehypertensive BP
121-140/81-90
280
HTN BP
140/90 and up
281
Melena
Black stool
