Building a Medical Vocabulary HCP 224 Complete each statement: 4. Inflammation of the uterine lining is

Using Vocabulary XI. Circle the correct answers in the following multiple choice questions.

6. When Rita delivers a baby boy, the obstetrician counts six toes on the right foot and five toes on the left foot. What is the name of this condition? (carpopedal disease, Paget disease, phalangitis, polydactylism) 7. Lee has leukemia and has undergone chemotherapy and total body radiation to destroy leukemic cells from the soft material

in the cavities of bones. What is the name of the soft tissue that fills the cavities of bones? (bone marrow, diaphysis, epiphysis, periosteum) 8. The orthopedist examines radiographic images of Manuel’s knee and explains a procedure in which a fiberoptic tube is inserted into the knee for direct visualization. What procedure is being explained? (arthrogram, arthrography, arthroscope, arthroscopy) 9. Kevin has had flat feet most of his life, and the orthopedist recommends orthotics to be worn in his shoes. What is the name of Kevin’s condition? (Dupuytren contracture, hallux valgus, tarsal tunnel syndrome, tarsoptosis) 10. Some statistics estimate that one in two women older than 50 years will sustain a fracture during their lifetime that is related to this metabolic bone disease characterized by loss of bone density and deterioration of bone tissue. Which bone disease is described? (osteitis deformans, osteolysis, osteoporosis, Paget disease)

VI. Circle the correct answer for each of the following: 1. Danielle is riding on the back of a motorcycle when it is hit by an automobile. The ER physician’s findings include evidence of a fracture at the base of the skull, accompanied by facial paralysis and a soft bruise behind the left ear, indicating a tear of the outermost of the three meningeal membranes. What is the name of the outermost membrane? (arachnoid, cochlea, dura mater, pia mater) 2. Harry B., 75-years-old and living at home with his wife, shows signs of a type of dementia that involves irreversible loss of memory, disorientation, and speech and gait disturbances.

Which disorder has been described? (Alzheimer disease, Lou Gehrig disease, Meniere syndrome, multiple sclerosis)

4. Khalida, age 75, sees her internist and complains of symptoms that he recognizes as transient ischemic attacks (TIAs). After extensive testing, which is normal except for hypertension, he prescribes antihypertensives and warns her of the characteristics of a stroke. Which of the following is another name for stroke? (cerebrovascular accident, craniocerebral trauma, monoplegia, polyneuropathy) 5. Xavier undergoes radiography that includes injection of contrast medium to detect lesions of the spinal cord. Which of the following terms is a record of his test? (encephalogram, encephalography, myelogram, myelography) 6. Cameron has suffered a morbid fear of becoming trapped in a closed place as long as she can remember. Which of the following is her condition? (acrophobia, agoraphobia, claustrophobia, zoophobia)

8. Which reaction is the nurse practitioner testing when she strikes the patient’s patellar tendon, just below the kneecap? (biceps reflex, deep tendon reflex, kneecap reflex incontinence, superficial reflex) 9. Fifteen-year-old Brittany is experiencing insatiable episodes of continuous eating and afterward experiencing depression and purging. Which disorder is described? (anorexia nervosa, bulimia, cerebral concussion, hypochondriasis)

XII. Read the following Death Summary, and match terms with their descriptions. (Not all selections will be used.) Henry Stein – DEATH SUMMARY Task Time Scale Options Help View Edit As Of 03:05 R? Patient Name: Henry Stein DOB: March 30, 1945 ID No.: 015-0004 Sex: Male Date of admission: Jul 10, 2016 Date of death: Jul, 10, 2016 Flowsheet: Medical Report Level: Report Table Group List MAR Task List I&O Pt. Info Pt. Schedule Surgery Clinical Notes Form Browser Orders Last 48 Hours ED Lab Radiology Assessments Medical Report Medication Profile INTRODUCTION: Mr. Stein has been a patient at this facility for the past 20 years. On his first visit, he brought medical records that state that he suffered posttraumatic stress disorder after returning from combat in Vietnam, accompanied by claustrophobia and paranoia. He has received psychotherapy from Dr. Sharaf in Mental Health regularly at this facility for many years. He was brought to Acute Trauma Care at 1602 hours in extremely unstable condition after he sustained a gunshot wound through-and-through the brain. HISTORY OF PRESENT ILLNESS: This was reportedly a self-inflicted gunshot wound, bihemispheric, involving both of the ventricular systems. He was resuscitated after CT scan, resuscitated in the ICU. Vital signs initially improved, but it was clear he was developing coagulopathy. We did have the neurosurgeons available for consideration of ICP monitor, but with his clinical and radiographic examination findings, the patient would have had no meaningful survival whatsoever. The neurosurgeon and I elected to go with an ICP monitor placement, which was accomplished in the Intensive Care Unit by Dr. Reid. (See separate dictation.) No family members were available at the time. HOSPITAL COURSE: Patient’s ICPs were extremely elevated. He became persistently more and more coagulopathic. He developed sympathetic dysfunction, causing wild variations in his vital signs. Andrea Nicole Stein, the patient’s wife, arrived at the hospital; being the next of kin, she elected to discontinue this futile care. I agreed that this patient had an unsurvivable brain injury and bihemispheric gunshot wound. At that point we withdrew care, and the patient succumbed shortly thereafter. 1. bihemispheric 2. claustrophobia 3. ICP monitor 4. paranoia 5. posttraumatic stress disorder 6. psychotherapy 7. sympathethic dysfunction A. behavior associated with delusions of persecution B. characterized by acute emotional response to a traumatic event C. device to monitor a patient’s intracranial pressure D. dysfunction of the autonomic nervous system E. measuring of the acetycholine level F. morbid fear of closed spaces G. pertaining to both sides of the cerebrum H. pertaining to the cerebellum I. psychologically induced immobility J. therapy by psychologic means

Health Care Reporting XIV. Read the health care report, then write terms from the report that

match the descriptions. Emma Lang – MEDICAL REPORT Task Time Scale Options Help View Edit As Of 16:07 ? Lang, Emma Age: 56 DOB: 04-12-60 Sex: Female MRN: 345789 Loc: FIN: Flowsheet: Assessments Level: History/PE Table Group List MAR Task List 1&O Pt. Info Pt. Schedule Surgery Clinical Notes Form Browser Orders Last 48 Hours ED Lab Radiology Assessments Medical Report Medication Profile Admitting Complaint: Multiple sclerosis History of Admitting Complaint: Diagnosis of multiple sclerosis was made in 1999 by MRI scan. Family has noted progressive confusion over last 3-4 months, especially in the morning, and anorexia. She frequently chokes on liquids and has difficulty understanding speech, weakness in both arms and legs, and severe spasticity. She seldom speaks. She is catheterized 3-4 times per day due to urinary retention. Allergies: None. Physical Examination Cardiovascular, Pulmonary, and Gastrointestinal: No unusual findings. General: Disoriented to time, place, and person. Carries out simple commands. Neurologic: Eyes and ears appear normal except for possible diplopia. Muscle strength is decreased in both arms. Tone is increased in right leg. Genitourinary: No unusual findings. Family History: Mother had Alzheimer disease and hyperkinesia. Impression: Progressive neurologic disorder with dementia, dysarthria, neurogenic bladder, and dysphasia. Milton Freeberger, M.D. PROD MAHAFC 10 March 2017 12:11 1. difficulty in language function 2. abnormally increased motor function 3. progressive, degenerative disease of the bra 4. loss of appetite 5. chronic disease characterized by progressive destruction of the myelin sheaths of neurons