Medical Terminology Abbreviations Quiz

Questions and Answers

What do Physician's orders to PT per w/c turn Pt.qh indicate?

Go to physical therapy in a wheelchair

Turn the patient every hour

Both A and B (correct)

None of the above

What is the diagnosis indicated by Dx: RA; R/O SLE?

Rheumatoid arthritis, rule out systemic lupus erythematosus

What is the intervention plan stated for the patient in PT note?

See Pt. once per day for activities of daily living training including transfer training, correcting for balance issues, ultrasound at 1.0 to 1.5 watts per centimeter squared for 5 minutes.

What does c/o SOB p bilat. UE PNF exercises mean?

Complains of shortness of breath after bilateral upper extremity proprioceptive neuromuscular facilitation exercises Signup and view all the answers

What does Dx: multiple sclerosis; R/O OBS indicate?

The medical diagnosis is multiple sclerosis, and rule out organic brain syndrome. Signup and view all the answers

What is the patient's condition regarding their limb as noted in PT?

The patient has a below-the-knee amputation. Signup and view all the answers

What should you document regarding the patient's heart rate after self-care activities?

Heart rate increased by 20 beats per minute after 2 minutes of self-care activities. Signup and view all the answers

What does the PT note indicate regarding the patient's mobility?

The patient ambulated in parallel bars with full weight bearing left lower extremity for approximately 20 feet twice with minimal assistance. Signup and view all the answers

What is stated about upper extremity strength in the PT or OT note?

Upper extremity strength is 5/5 throughout bilaterally. Signup and view all the answers

What is the anticipated goal regarding patient transfers?

Decrease dependence in transfers from wheelchair to bed to moderate assistance within 1 week. Signup and view all the answers

What does the patient complain about following ambulation?

Complains of right hip pain after ambulating 300 feet with a walker. Signup and view all the answers

What should be documented regarding weight bearing?

The patient may be 50 percent partial weight bearing left lower extremity per verbal order of Dr. Smith. Signup and view all the answers

What does D/C US in area of (R) SI joint indicate?

Discontinue ultrasound in the area of the right sacroiliac joint. Signup and view all the answers

What is the medical diagnosis noted for the patient?

Fractured left clavicle and subluxation of the left sternoclavicular joint. Signup and view all the answers

What was the fasting blood sugar level upon admission?

Fasting blood sugar was over 300. Signup and view all the answers

What does the chronic renal failure (CRF) diagnosis mean?

Medical diagnosis of chronic renal failure. Signup and view all the answers

What does the manual muscle test reveal?

Strength of 4/5 throughout the upper extremities bilaterally. Signup and view all the answers

What does the X-ray examination reveal?

Fracture of the left third metacarpal immediately proximal to the metacarpophalangeal joint. Signup and view all the answers

What must be written to occupational therapy?

To occupational therapy for activities of daily living per verbal order of Dr. Jones. Signup and view all the answers

What is noted about the patient's impression regarding their nerves?

Impression: peripheral neuropathy and rule out central nervous system dysfunction. Signup and view all the answers

What is the term for a tumor of the bone?

Osteoma Signup and view all the answers

What does hypoglycemia refer to?

Abnormally low blood sugar. Signup and view all the answers

What does subcutaneous mean?

Beneath the skin. Signup and view all the answers

What does suprapubic refer to?

Above the symphysis pubis. Signup and view all the answers

What does dorsal or posterior refer to?

Pertaining to the back of the body. Signup and view all the answers

What does cephalad mean?

Toward the head. Signup and view all the answers

What does erythema refer to?

Abnormal redness of the skin. Signup and view all the answers

What does intercostal mean?

Between the ribs. Signup and view all the answers

What does anterior or ventral refer to?

Front of the body. Signup and view all the answers

What does afferent refer to?

Conducting toward a structure. Signup and view all the answers

What does symphysis pubis refer to?

Fusion of the pubic bones medially. Signup and view all the answers

What is cardiomegaly?

Enlargement of the heart. Signup and view all the answers

What does meniscectomy refer to?

Removal of a meniscus. Signup and view all the answers

What does chondroma refer to?

Cartilaginous tumor. Signup and view all the answers

What does arthrodesis mean?

Fusion of a joint. Signup and view all the answers

What does craniotomy refer to?

Surgical opening of the skull. Signup and view all the answers

What does neurology study?

The study of the nervous system. Signup and view all the answers

What does anesthesia refer to?

Without sensation. Signup and view all the answers

What is phlebitis?

Inflammation of a vein. Signup and view all the answers

What does hypertension refer to?

Abnormally high blood pressure. Signup and view all the answers

What is arthritis?

Joint inflammation. Signup and view all the answers

What does arthroscopy entail?

Inspection of a joint with a scope. Signup and view all the answers

What is myopathy?

Disease of a muscle. Signup and view all the answers

What does dyspnea mean?

Difficult or bad breathing. Signup and view all the answers

What is ataxia?

Lack of coordination. Signup and view all the answers

What does chondromalacia mean?

Softening of cartilage. Signup and view all the answers

What is encephalitis?

Inflammation of the brain. Signup and view all the answers

What is meningioma?

Tumor of the meninges. Signup and view all the answers

What does hemiplegia refer to?

Paralysis of one half of the body. Signup and view all the answers

What does subclavicular mean?

Beneath the clavicle. Signup and view all the answers

What does analgesia mean?

Without pain. Signup and view all the answers

What does bilateral refer to?

Affecting both sides. Signup and view all the answers

What does contralateral mean?

Opposite side. Signup and view all the answers

What does aphasia refer to?

Lack of speech. Signup and view all the answers

What is tendinitis?

Inflammation of a tendon. Signup and view all the answers

What does bradykinesia mean?

Slowness of movement. Signup and view all the answers

What does dysphagia mean?

Difficulty swallowing. Signup and view all the answers

What does arthralgia mean?

Pain in the joints. Signup and view all the answers

What is cerebromalacia?

Softening of the brain. Signup and view all the answers

What does costochondral refer to?

Pertaining to a rib and its cartilage. Signup and view all the answers

Study Notes

Physician Orders and Medical Records

"to PT per w/c turn Pt.qh" indicates patient is to go to physical therapy in a wheelchair and be turned every hour.
Diagnoses in medical records include "Dx: RA; R/O SLE" for rheumatoid arthritis and the need to rule out systemic lupus erythematosus.
Intervention plans in physical therapy may include activities of daily living (ADL) training, ultrasound treatments, and specific knee care.

Patient Complaints and Vital Signs

Complaint of shortness of breath (SOB) post bilateral upper extremity exercises noted as "c/o SOB p bilat.UE PNF exercises."
Heart rate increase after self-care activities documented as "Pt.HR ^ 20 BPM p 2 min. of self-care ADL."

Patient Abilities and Assessment

Ambulation ability in the parallel bars requires minimal assistance and is noted with full weight-bearing (FWB) status.
Upper extremity strength assessment reports as 5/5 bilaterally.

Rehabilitation Goals and Orders

Anticipated rehabilitation goals aim for decreased dependence in transfers within one week.
Documented orders for physical and occupational therapy must include the verbal order of physicians.

Medical Diagnoses and Definitions

Conditions like multiple sclerosis (Dx: multiple sclerosis; R/O OBS) and chronic renal failure (Dx: CRF) are recorded.
Fractures and joint issues, such as fractures of the left clavicle and left sternoclavicular subluxation, are critical components of medical documentation.

Common Medical Terms

Abnormal conditions such as hypoglycemia (low blood sugar), erythema (redness of skin), and ataxia (lack of coordination) are important clinical observations.
Anatomical terms like subcutaneous (beneath the skin), suprapubic (above the symphysis pubis), and contralateral (opposite side) are essential for precise communication.

Surgical Procedures and Physical Assessment

Terms like craniotomy (surgical opening of the skull) and arthroscopy (inspection of a joint with a scope) describe various procedures.
Conditions such as tendinitis (inflammation of a tendon), arthritis (joint inflammation), and dysphagia (difficulty swallowing) are commonly encountered in patient assessments.

Neurological Observations

Neurological terms include neurology (study of the nervous system), myopathy (disease of muscle), and hemiplegia (paralysis of one half of the body).
Other relevant conditions include encephalitis (inflammation of the brain) and meningioma (tumor of the meninges).

Synonyms and Clinical Context

Terms like analgesia (without pain) and bradykinesia (slowness of movement) describe patient experiences in clinical settings.
Key demonstrated knowledge includes understanding of cardiovascular terms such as hypertension (high blood pressure) and cardiomegaly (enlargement of the heart).

Miscellaneous Medical Conditions

Conditions like osteoma (bone tumor), chondroma (cartilaginous tumor), and chondromalacia (softening of cartilage) contribute to orthopedic assessments.
Observations of joint pain, such as arthralgia (pain in joints) and chronic conditions necessitating pain management.

Key Abbreviations and Terminology

Recognize abbreviations like B/K for below-the-knee amputation and PWB for partial weight-bearing.
Important clinical abbreviations include D/C for discontinue, c for with, and R/O for rule out.

This summary encapsulates key medical terms, patient assessment notes, and essential clinical concepts necessary for understanding medical documentation and patient care protocols.

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Description

Test your knowledge of common medical abbreviations with this quiz. Each card provides a term or abbreviation commonly used in physician's orders and medical records, along with its definition. Enhance your understanding of medical terminology and improve your communication in healthcare settings.