Medical Terminology Abbreviations Quiz

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.