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Medical Scribe > Medical Scribe 2 > Flashcards

Medical Scribe 2 Flashcards

1
Q

movement away from the midline

A

abduction

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2
Q

scrape of the skin

A

abrasion

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3
Q

collection of pus beneath the skin

A

abscess

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4
Q

using extra muscles other than the diaphragm to help breathe

A

accessory muscle usage

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5
Q

movement toward the midline

A

adduction

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6
Q

without fever

A

afebrile

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7
Q

expressed emotional/social response

A

affect

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8
Q

able to walk

A

ambulatory

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9
Q

unequal pupil size

A

anisocoria

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10
Q

limping, gait that can develop to avoid pain while walking

A

antalgic gait

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11
Q

in front of or directed to the front

A

anterior

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12
Q

abnormal heart rhythm

A

arrhythmia

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13
Q

loss of coordination

A

ataxia

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14
Q

without trauma

A

atraumatic

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15
Q

normal external head exam

A

atraumatic/normocephalic

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16
Q

tissue breakdown or wasting away, typically due to degeneration of cells

A

atrophy

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17
Q

listening with a stethoscope

A

auscultation

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18
Q

general appearance/state of a person’s body

A

body habitus

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19
Q

intestinal sounds by auscultation

A

bowel sounds

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20
Q

decreased heart rate (<60)

A

bradycardia

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21
Q

decreased respiratory rate

A

bradypnea

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22
Q

whooshing sound of a vessel by auscultation

A

bruit

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23
Q

extremely thin, malnourished as a result of weight and muscle loss due to disease

A

cachexia/cachectic

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24
Q

toward the feet

A

caudal

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25
Q

toward the head

A

cephalad

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26
Q

general appearance of a patient

A

constitutional

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27
Q

abdominal flanks, anatomical angle of the body containing the kidneys, formed by the vertebral column and 12th rib

A

costovertebral angle

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28
Q

peripheral nerve originating from the brain (CN2-12)

A

cranial nerve

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29
Q

cracking palpable in a joint

A

crepitus

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30
Q

cervical spine

A

C-spine

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31
Q

bluish color of the skin due to hypoxia

A

cyanosis

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32
Q

area of skin that is supplied by a specific nerve branch

A

dermatome

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33
Q

displacement of a bone from a joint

A

dislocation

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34
Q

away from the limb root

A

distal

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35
Q

an aversive state in which a person is unable to completely adapt to stressors and their resulting stress and can show maladaptive behaviors

A

distress

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36
Q

movement of the hands or feet toward the dorsum (back)

A

dorsiflexion

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37
Q

extremely malnourished and frail

A

emaciated

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38
Q

turned outward

A

everted

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39
Q

straighten out

A

extension

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40
Q

having a fever

A

febrile

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41
Q

monotone and unemotional

A

flat affect

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42
Q

bending movement where the angle between the bone of the limb and joint decreases

A

flexion

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43
Q

palpable fluid collection under the skin, common sign of abscess

A

fluctuance

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44
Q

scratching sound of the heart via auscultation

A

friction rub

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45
Q

anterior portion of scalp and forehead

A

frontal

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46
Q

extra heart sounds via auscultation

A

gallop

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47
Q

involuntary tensing of the abdominal wall muscles to protect internal organs in acute process

A

guarding

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48
Q

unilaterial weakness

A

hemiparesis

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49
Q

unilateral paralysis

A

hemiplegia

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50
Q

enlargement of the liver

A

hepatomegaly

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51
Q

protrusion of tissue out of a body cavity

A

hernia

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52
Q

hypersensitivity of skin

A

hyperesthesia

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53
Q

area of skin that is darker than surrounding skin

A

hyperpigmentation

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54
Q

elevated blood pressure

A

hypertension

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55
Q

area of the skin that is lighter than surrounding skin

A

hypopigmentation

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56
Q

low blood pressure

A

hypotension

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57
Q

yellowing of the sclera of the eyes

A

icterus

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58
Q

hardened area of tissue

A

induration

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59
Q

lower, away from the head

A

inferior

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60
Q

groin region

A

inguinal

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61
Q

turned inward

A

inverted

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62
Q

heart sounds heard with atrial fibrillation

A

irregularly irregular

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63
Q

yellowing of skin due to hyperbilirubinemia

A

jaundice

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64
Q

distention of the neck veins due to fluid overload or CHF

A

jugular venous distention

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65
Q

raised scar

A

keloid

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66
Q

forward rounding of the back

A

kyphosis

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67
Q

cut in or through the skin or other tissues

A

laceration

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68
Q

away from the midline, toward the sides

A

lateral

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69
Q

curving inward of the lower back

A

lordosis

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70
Q

lumbar spine

A

L-spine

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71
Q

enlargement of a lymph node

A

lymphadenopathy

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72
Q

flattened, erythematous spots on the skin

A

macular

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73
Q

rash displaying flat, red areas with several raised areas

A

maculopapular

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74
Q

point in the RLQ associated with appendicitis

A

McBurney point

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75
Q

toward the midline/median plane

A

medial

76
Q

stiffening of the neck muscles

A

meningismus

77
Q

divides the body into left and right halves

A

midline

78
Q

description of skin with significant hypoperfusion (loss of circulating fluid); marked by hypotension and coldness of the skin

A

mottled

79
Q

abnormal heartsound, graded on a scale of I-VI

A

murmur

80
Q

pain with palpation of the RUQ with inspiration (tests for cholcystitis)

A

Murphy sign

81
Q

enlargement of nostrils when breathing; sign of respiratory distress

A

nasal flaring

82
Q

involuntary eye movements where eyes appear to be shaking

A

nystagmus

83
Q

pain in the RLQ with internal rotation of the right hip; indicative of appendicitis

A

obturator sign

84
Q

posterior area of head/scalp

A

occipital

85
Q

posterior mouth meeting the superior aspect of the throat

A

oropharynx

86
Q

unhealthy pale appearance; abnormal loss of color from skin

A

pallor

87
Q

relating to the palm, interchangeable with volar

A

palmar

88
Q

able to be felt and easily perceived

A

palpable

89
Q

swelling of the optic nerve sheath

A

papilledema

90
Q

raised bumps, often associated with rash

A

papular

91
Q

percussing

A

tapping on the abdomen like a drum

92
Q

exam findings indicating an acute abdomen

A

peritoneal signs

93
Q

small purple or red discolorations that do not blanch (appear when capillaries bleed, leaking blood into the skin)

A

petechiae

94
Q

swelling that retains an imprint upon palpation

A

pitting edema

95
Q

relating to the sole of the foot

A

plantar

96
Q

relating to the rear or the back, interchangeable with dorsal

A

posterior

97
Q

turn the palm of the hand downward, turn out of anatomical position

A

pronate

98
Q

body position lying face down

A

prone

99
Q

closer to the limb root

A

proximal

100
Q

RLQ pain with extension of the right thigh, sign of appendicitis

A

psoas sign

101
Q

relating to pus

A

purulent

102
Q

aspect of the lateral forearm when in anatomical position

A

radial

103
Q

pain when releasing abdominal palpation also called Blumberg sign

A

rebound

104
Q

wet crackling sound by auscultation of the lungs

A

rales

105
Q

visible sinking of the skin between ribs during breathing, indicative of respiratory distress and use of accessory muscles

A

retractions

106
Q

coarse rattling respiratory sound; often thick mucus sound by auscultation of the lungs

A

rhonchi

107
Q

stiffness of the abnominal wall muscles due to an acute abdominal process

A

rigidity

108
Q

falling to one side when standing with feet together and eyes closed

A

Romberg sign

109
Q

pain in the RLQ when the LLQ is palpated (indicative of appendicitis)

A

Rovsing sign

110
Q

sideways curvature of the spine

A

scoliosis

111
Q

consisting of yellowish serum and blood

A

serosanguinous

112
Q

consisting of yellowish serum

A

serous

113
Q

appearing very drowsy

A

somnolent

114
Q

enlarged spleen

A

splenomegaly

115
Q

physical exam test to evaluate for sciatica

A

straight leg raise

116
Q

high-pitched upper airway sound

A

stridor

117
Q

partial dislocation

A

subluxation

118
Q

beneath a nail

A

subungual

119
Q

eyes appear to be distressed, consistent with dehydration

A

sunken eyes

120
Q

near to the surface

A

superficial

121
Q

turning the palm facing upward or forward

A

supinate

122
Q

body position when lying faceup

A

supine

123
Q

flexible and freely mobile; common descriptor in neck exam

A

supple

124
Q

lower central region of abdomen

A

suprapubic

125
Q

thoracic spine

A

T-spine

126
Q

fast heart rate, <100 bpm

A

tachycardia

127
Q

increased respiratory rate

A

tachypnea

128
Q

the sides of the head

A

temporal

129
Q

slow return of skin to normal position after pinching the area; a sign of dehydration

A

tenting

130
Q

skin elasticity

A

turgor

131
Q

eardrum

A

tympanic membrane

132
Q

bell-like sound when percussing the abdomen

A

tympany

133
Q

pertaining to the medial side of the arm when in anatomical position

A

ulnar

134
Q

does not follow commands

A

uncooperative

135
Q

poor self-hygiene

A

unkempt

136
Q

hives, sign of allergic reaction

A

urticaria

137
Q

fluid or air-filled cavity or sac

A

vesicle

138
Q

often a description of an uticarial plaque (a red swollen mark on the body)

A

weal (wheals)

139
Q

normal state of body and mental development and wellness

A

well-developed

140
Q

high-pitched lung sounds, often due to bronchospasm

A

wheezing

141
Q

removal of an arterial blockage, possibly with stent placement

A

angioplasty

142
Q

removal of the appendix

A

appendectomy

143
Q

use of a scope to visualize inside of joints; may also include limited joint repairs

A

arthroscopy

144
Q

surgery to bypass a blocked coronary artery via a vein graft

A

CABG (coronary artery bypass graft)

145
Q

incision through the abdomen and uterus for the purpose of delivering a baby

A

cesarean section (c-section)

146
Q

removal of the gallbladder

A

cholecystectomy

147
Q

removal of the colon

A

colectomy

148
Q

scraping of the cervical canal and uterine cavity

A

dilation and curettage (D&C)

149
Q

removal of a hemorrhoid

A

hemorrhoidectomy

150
Q

hernia repair using a mesh

A

hernioplasty

151
Q

hernia repair

A

herniorraphy

152
Q

removal of the uterus

A

hysterectomy

153
Q

use of a scope to examine the uterine cavity

A

hysteroscopy

154
Q

removal of a breast

A

mastectomy

155
Q

removal of an ovary

A

oophorectomy

156
Q

removal of the prostate

A

prostatectomy

157
Q

removal of the spleen

A

splenectomy

158
Q

removal of a tonsil

A

tonsillectomy

159
Q

removal of a small piece of tissue for microscopic examination

A

biopsy

160
Q

use of a scope to examine the inside of the colon

A

colonoscopy

161
Q

removing foreign material or dead/damaged/infected tissue from a burn or wound

A

debridement

162
Q

use of a scope to examine the inside of an organ

A

endoscopy

163
Q

used to obtain a small biopsy specimen of tissue or fluid

A

fine needle aspiration (FNA)

164
Q

cleaning and suturing of cuts to the skin

A

laceration repair

165
Q

injection of medication of replacement fluids into a joint space

A

intra articular injection

166
Q

imaging type using radiation and computer analysis

A

computed tomography (CT)

167
Q

x-ray of the chest, usually for evaluation of the lungs

A

chest x-ray (CXR)

168
Q

ultrasound of the heart

A

echocardiogram (echo)

169
Q

type of imaging that uses magnetic waves

A

magnetic resonance imaging (MRI)

170
Q

procedure to map brain waves during sleep

A

polysommnogram

171
Q

type of imaging that is capable of showing the body’s metabolism of certain substances or blood flow rates

A

positron emission tomography (PET scan)

172
Q

imaging type for checking bone health

A

skeletal scintigraphy

173
Q

procedure examining internal structure using sound waves to create images

A

ultrasound

174
Q

type of imaging that uses radiation; often used to evaluate bones or the lungs

A

x-ray

175
Q

basic metabolic panel; tests for electrolyte and glucose levels

A

BMP

176
Q

complete blood count; tests the types and amounts of cells present in the blood

A

CBC

177
Q

CBC with differential; gives more information about the types of cells present in the blood

A

CBC w/ diff

178
Q

comprehensive metabolic panel; more detailed version of a BMP that focuses on organ health

A

CMP

179
Q

ordered from body fluids to test for growth of foreign organisms

A

culture

180
Q

test that indicates blood sugar control over the past 3 months; important in diabetes

A

HbA1C

181
Q

pulmonary function tests; measure the function of the lungs

A

PFT

182
Q

prothrombin tine, test concerning blood clotting ability

A

PT (protime)

183
Q

tests for cholesterol and triglyceride levels

A

lipid panel

184
Q

tests various markers of liver health

A

liver panel

185
Q

thyroid-stimulating hormone; tests thyroid health

A

TSH

186
Q

urinalysis; tests for kidney health and signs of UTI

A

UA

Medical Scribe (2 decks)

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