Terminology
is a collection of terms used by people in a particular profession
Jargon
medical documents record info about......
medical history
communication skills are _________ for health science professionals
important
H.P.I. stands for and is.....;.
history of present illness and is a basic timeline review of when pt was seen last and what occurred
Alzheimers disease is an example of what type of "nym". acronym, eponym, synonym or homonym
eponym
definition of symptoms is:
features or feelings which act as evidence of disease, injury or other medical problems.
is organized in _______ ________ order
reverse chronological
_____ _______ is an important skill for health care professionals
effective listening
review of systems is the review of ......
general body systems
what term describes a disease/lesion which is present at birth
congenital
acronyms are......
shortened phrases formed the first letters of each word. MRI (example)
social history includes:
drug/alcohol/tobacco use, occupation and relationship status.
asking open-ended questions is a part of therapeutic communication T or F
true
physician progress notes are written records summarizing the care and _____ provided
services
pronunciation of letters can be expressed using the ________
international phonetic alphabet (IPA)
words with the same pronunciation or spelling but have different meanings.
homonyms
family history includes:
illness affecting current family or causing their death
pain scale is 1- 10 with ____ being the worst pain in imaginable.
10
the reason why the pt is in the clinic being seen by the provider is the......
Chief complaint
what do you NOT do if you are unsure of something in the healthcare field?
guess! do not guess - ask someone!
words with similar or same meanings but are spelled and pronounced differently
synonyms
past illnesses or surgeries are documented here......
past medical history
sensory barriers like deafness or blindness would make the MA use _______ or ______ instead.
sign language or braille
the treatment plan portion of the chart includes
the course of action to address the med problem
anatomical term for windpipe is........
trachea