Rma Study Guide
emancipated minor
child legally considered as an adult
the dizziness is on and off
chronology
epiglottis
closes airway during swallowing
timed urine specimen
collected over period of time
the calyces receives urine from what
collecting ducts
biliary tree
composed of bile ducts connecting liver gallbladder and duodenum
antidiuretic hormone that allows the kidney to what urine
concentrate
3 c's
connect collaborate, close
before flu shots you are asked to sign what
consent
first step in first aid
control bleeding
calcitonin and parathyroid hormone
control plasma levels of calcium
hemostat
controls bleeding
channel
course into which something may be directed
pituitary gland located
cranial cavity
ordinances
created and enacted by local government
calyces
cup-like structures that collect urine from collecting ducts of the nephron units
otomy
cut into
epithelial membranes
cutaneous, serous& mucous membranes
tomy
cutting
analgesic
drug to relieve pain
the wall of what structure secrets cholecystokinin
duodenum
what structure contains the villi, and microvilli, where nutrients are absorbed into the blood
duodenum
where is the site in which the breakdown of food is completed
duodenum
where the common bile duct empties its contents
duodenum
URI lasting over 5 days
duration
Tony is a chronic alcoholic with cirrhosis of the liver, a condition in which liver cells die and are replaced by connective tissue. Which of the following signs would you expect to observe in Tony? ANSWER: decrease in plasma protein production portal hypertension and ascites jaundice increased clotting time All of the answers are correct.
e
myringo
ear drum
phagia
eating
eosinphils
engulf invading bacteria
megaly
enlarged
deceased patient bills go to
estate
acromegaly
excessive growth after puberty
transverse
extended across
dorsi
foot
restrictive endorsement
for deposit only
temporal
forehead
antigens
foreign bodies in RBCs
antigens
foreign substances on surface of RBCs
laws
formal enforceable rules and policies base don community standards of conduct
plasm
formation, substance
naturally acquired active immunity
having measles is an example of this type of immunity
covered entities
healthcare providers, health plans, and healthcare clearinghouses that transmit claims electronically
inner ear
hearing and equillibrium
islets of Langerhans
hormone secreting cells
standard precautions require PPE worn
in contact with blood
Ketonuria
ketones in the urine
term for the presence of ketone bodies in urine
ketonuria
nephro
kidney
hepat
liver
benign
non cancerous
leuko
white
privacy security, portability of insurance, physical safeguards address tow hat
HIPPA
most common blood bourne pathogen
HIV
Py/o
Pus
Leukocyte
WBC protect body from infection
leukocytes
WBCs fight infection
what is the abbreviation for before meals
ac
trans
across
contract law
agreement creating a contract
Vaccine
an antigen bearing substance, stimulates the production of antibodies
priority E
an errand
anaphlyaxis
anaphylactic shock allergic reaction
adrenal medulla
anterior pituitary gland
weight and height are what measurements
anthropometric
encephalopathy
any brain dysfunction
ERH purchased as subscription arrangement and pays monthly fee
application sever model
Enzymatic breakdown of which of the following compounds doesn't begin until it reaches the stomach? Hint A.1 Hint not displayed ANSWER: lipids proteins carbohydrates
b
In the small intestine, which of the following enzymes breaks down maltose? Hint D.1 Hint not displayed ANSWER: sucrase maltase dextrinase lactase glucoamylase
b
Plicae circulares are ANSWER: ridges in the wall of the stomach. circumferential folds in the mucosa and submucosa of the small intestine. abnormal structures formed by excessive pressure in the small intestine. sacculations in the colon. fingerlike projections on the surface of the mucosa of the small intestine.
b
he root of a tooth is covered by ANSWER: the root canal. cementum. dentin. enamel. pulp.
b
menarche
beginning of menstruation
minor surgical skin cleanser
betadine, iodine
nocturnal enuresls
inability to control urination at night
Eosinophils
involved in inflammatory response respond to allergic reactions and parasitic infections
neurohypophysis
is the posterior pituitary gland
what will occur if an equal amount of air is not injected into a vial when withdrawing medication from the vial
it may be difficult to remove the medication from the vial
sent to patient with amount owed
itemized statement
medicare HCPCS code example
j0540
syn
join together
scoliosis
lateral curvature of the spine
ion
makes up an atom
westigren tube
measures ESR
menarche
menstruation beginning
progress notes pertaining to treatment
minimum necessary standard
Maslows hierarchy of needs #1 self actualization
mortality, creativity, spontenaity, problem solving, lack of predjudice, acceptance
medial cubital
most common vein for venipuncture
adduction
move toward middle
stasis
movement
gluteus maximus
muscle that flexes the thigh
onycho
nail
documentation of immunization includes
name of immunization, date given, person administrating, location
along with the endocrine system, what system helps regulate nearly all organ systems
nervous
NPO
nothing by mouth
sebo-sebum
oil
fire extinguisher inspection
once per year
bulbourethral gland
one of two small exocrine glands in male reproduction
trigone
one specific area of the floor of the bladder it is a triangular area formed by 3 pts the entrance points of the 2 ureters and the exit of the urethra. the exit urinary bladder contains a sphincter muscle "internal sphincter"
correct statement
one urethra
exo
outer
privacy rule of discussing pt info in what places
over the phone
plegia
paralysis
Chyme
paste-like mixture of partially digested food, water and digestive enzymes that is formed in the stomach
as part of the urinary system, what structure plays the most important role in re absorption
peritubular cappilaries
which blood vessels are primarily concerned with re absorption
peritubular capplilaries
synapse
permits a neuron to pass an electrical or chemical signal to another cell
monocytes
phagrocytotic cells respond with more cells
chemicals that cause a response outside the body, in another individual are known as
pheromones
source
place from which something arises
MRI of brain is example of what
plan
purging
practice of removing inactive and closed health records away from active records
loop of henle
proximal convoluted tuble dips towards the renal pelvis to form a hair-pin shaped structure contains descending and ascending limb
physical collection of an individuals healthcare info
pt chart, pt record, EHR, EMR
no shows
pt fails to show up and does not call
when accompaning a pt into a room the MA documents what
pt reason for visit
what enzyme is found in saliva
ptyalin
peritubular capillaries
re-absorption takes place here surrounds the tabular structures of the nephron and unit, primarily concerned with re-absorption and secretion in the formation of urine
the distal convoluted tubule
reabsorbed Na+ in response to aldosterone
lexia
reading
atria
receiving blood chambers
annual exam
refers to a complete physical examination that adults have once a year.
parathyroid hormone (PTH)
regulates calcium and phosphorus metabolism
histamine
released by injured cells causes blood vessels to dilate a massive release can cause wheezing and hypotension
voided checks
retain with cancled checks and write void across
ascites
retention of free fluid within the peritoneal cavity
cannulate
retrive bllod for testing
feedback
return of information about the result of a process or activity
peristalsis
rhythmic contraction of smooth muscle that propels a substance forward, peristalsis in the digestive tract moves food from the esophagus toward the anus
what condtion can result from deficiency of vitamin d in children
rickets
Od
right eye
cocci
round bacteria
helps stomach and urinary bladder to expand
rugae
what allows the stomach to expand
rugae
ethics
rules and standards of conduct that govern professional behavior and arise from our shared understanding or morality
rhexis
rupture
electrical conduction of the heart
sa node, AV node, left bundle branches, rt bundle branches , bundle of his, purkinje fibers
Saliva contains what enzyme
salivary amylase or ptyalin waters fluid or mucous
paotid, sublingual, and submandibular refer to what
salivary glands
full, well-fed
satru
PTH is secreted by what
secreted by the parathyroid glands increases blood calcium levels increases activity of the osteoclasts
Hydrochloric acid, intrinsic factor, gastrin
secreted by the stomach
diaphragm
seperates thoracic and abdominal cavities
medical malpractice
serious error made
banking fees on bank statement under
service charges
anaphylaxic reaction and treatment
severe allergic reaction life threatening due to respiratory obstruction treated by with epinephrine (epi pen)
angina pectoris
severe chest pain
latero
side
relevant
significant bearing on a matter
bursae
small synovial lined sacs
the early symptoms of anaphylactic reacion inculde
sneezing, hives, erythema, angioedema, disorientation
Phasia
speech
Phonia
speech
a technology that converts speech into text as provider speaks
speech recognition software
acne and boils
staphylococci
what is the abbreviation for immediately
stat
food moves through the esophagus to what
stomach
lithia
stone
prostate gland
stores and secretes fluid in male reproduction
ortho
straight, erect
rhabdo
striated
what is the least associated with the adrenal medulla
sugar, salt, sex
syncope first response
supine with legs elevated
ailmentation
supplying nourishement
examples of encryption and decryption
technical safeguard
speech recognition
technology that converts speech into text
accessory organs
teeth, tongue, salivary glands, gallbladder, liver, and pancreas.
TPR
temp, pulse, resp
not true regarding electronic messaging prcedures
templates are difficult to personalize to a specific pt
major producer testosterone?
testes
urine flows from the ascending ling into what
the distal convoluted tubule
Adenylate cyclase
the enzyme that removes 2 phosphate molecules from ATP forming cAMP, which is a secondary messenger that directs a cellular change
what structure filters 180 l of water per day
the glomeruli
efferent arterioles carry clean blood out of what
the glomerulus
Posterior pituitary
the lobe of the pituitary gland that regulates blood volume and social attachment by producing antidiuretic hormone and oxytocin
why should pressure not be applied to the injections site after administering an intradermal injection
the medication is not intended to be absorbed into tissues
ownership of physical medical record
the one who creates it
chief complaint
the reason the patient is being seen in the office for that encounter. only one encounter per day is allowed for a patient.
closed pt record
the record of a patient who has not been seen by the provider or any other provider in the billing group in three years or more
coding & billing
the third module in the application. this module features all of the necessary forms and documentation for coding, billing ad ultimately completing a patient's examination.
sclero,histo
tissue
when administering an intradermal injection, the needle must be inserted with the bevel facing upward to allow what
to allow proper wheal formation
go- live
to become operational
nonmalfeasance
to do no harm
cide
to kill
urethra
tube that excretes urine
in the process of secretion, a substance moves from the peritubular capillaries into what structure
tubules
oma
tumor
eversion
turn inside out
pronation
turning palms downward
BID
twice a day
varico
twisted
which of the following sites is commonly used to administer a subcutaneous injection
uer lateral arm
Hypoglycemia
unusually low blood glucose levels
increase in the number of receptors for a given hormone used to control the hormone's secretion describes
up regulation
epi
upon
what structure is located between the renal pelvis and the urinary bladder
ureter
uria
urine
what test requires a clean catch midstream specimen
urine culture
nephron unit
urine making unit of the kidney each kidney- 1 million nephron units cannot be replaced consists of a tubular component snf vascular component
HCG test
urine pregancy test
Atrial Natriuretic hormone increases
urine production
signature on file/ SOF
used in the coding & billing section. signature on file indicates that the medical office has the patient's signature on file. this allows the release of information to the insurance carrier and usually includes the authorization for the assignment of benefits.
patients information form
used to gather data about pt including basic demographic info
cervix, fundus, body
uterus
wellness exam
visit type selected when the patient needs to see the doctor but they are not sick. this could be a preventive service such as a colonoscopy, sigmoidoscopy, mammogram, or bone density study.
VS
vital signs
phonia
voice
emesis
vomitting
Kidneys
we got two of these darn things form urine from the blood
asthenia
weakness
Online-based personal health record
website where patients can create free PHR -easy access
abandonment
withdraw without proper notice
rhitido
wrinkle
i am the fertilized egg
zygote
Glomerular filtration rate
(GFR) rate that filtration occurs; we filter about 180 liters (45 gal) in 24 hours (45 gallons of milf think of that) most is reabsorbed and returned yo our blood-stream; we excrete about 1.5 liters per day
lower esophageal sphincter
(LES) (gastroesphageal) Relaxed- keeps base open Contracted - closes base (preventing reflux) or regurgitation of stomach contents back into the esophagus
Anuria
(Renal Failure) Failure of kidneys to produce urine
sugar, salt, sex?
(cortisol) glucocorticoid mineralcorticoid (aldonsterone) androgens
What is the function of the proximal convoluted tubule that contains microvilli and receives filtrate?
*Reabsorption* of water and solutes
The distal convoluted tubule's (no microvilli) major function is?
*Secretion*
Parathyroid Glands - Parathyroid hormone
- Action --- Corrects blood calcium deficit (Calcium increases, phosphorous decreases) Not good in pt in chronic renal failure - Use --- Treat hypoparathyroidism, hypocalcemia in chronic renal failure
Hypothyroidism -Thyroid Gland - Levothyroxine (T4, Synthroid)
- Action --- Increase metabolism, body growth - Use --- Treat hypothyroidism, myxedema, cretinism - Contraindications --- Thyrotoxicosis, MI (speeds up heart), severe renal disease (decreases excretion) - Interactions --- Increased cardiac insufficiency with epinephrine --- Increased effects of anticoagulants (won't show up in INRs and PTs), vasopressors, decongestants --- Decreased effects of antidiabetics, digitalis --- Decreased absorption with cholestyramine, colestipol - Side effects/adverse reactions ***** Absorbed in the GI - any GI problems creates a need to monitor closely --- Nervousness, insomnia, weight loss (too therapeutic goes into hyperthyroidism) --- Tremors, headache --- Nausea, vomiting, diarrhea, cramps --- Tachycardia, palpitations, hypertension --- Dysrhythmias, angina --- Thyroid crisis
Parathyroid Glands - Calcitriol (Rocaltrol) ALSO TUMS are good for this
- Action --- Promotes calcium absorption from GI tract and renal tubules - Use --- Treat hypoparathyroidism, hypocalcemia -Contraindications --- Hypercalcemia, hyperphosphatemia, excess vitamin D, malabsorption syndrome - Nursing interventions --- Monitor calcium levels --- Advise reporting of symptoms of hypocalcemia (you DON'T want this) ****** Tetany, twitching of mouth, tingling, numbness of fingers, carpopedal spasm, spasmodic contractions, laryngeal spasms - Warn about checking OTC drugs for calcium content NOTE: For chronic renal failure - Give Phoslo with meals (667mg per tablet, 1334mg - 2 tablets)
Pituitary Gland - Adrenocorticotropic hormone Corticotropin (Acthar, ACTH)
- Action --- Stimulates adrenal cortex to secrete cortisol - Use --- Antiinflammatory, diagnose adrenocortical disorders, treat acute multiple sclerosis - Contraindications --- Severe fungal infections, CHF, peptic ulcer - Interactions --- Increase risk of ulcers with aspirin, effect of K-wasting diuretics, decrease effects of antidiabetics --- With aspirin decreases potassium and decreases antidiabetics (blood sugar stays up) - Side effects --- Mood swings (MS - becomes more agitated and depressed), increased appetite, edema, water and Na retention, GI distress, hypokalemia, hypocalcemia, petechiae, ecchymosis, menstrual irregularities --- Osteoporosis, muscle atrophy, decreased wound healing, glaucoma, cataracts, ulcer perforation - Nursing interventions - ACTH --- Monitor growth & development in children --- Monitor weight, edema, electrolytes --- Do not stop drug abruptly; taper doses --- Warn client to decrease salt intake (decreases fluid retention) --- Instruct clients about symptoms to report
Adrenal Glands Glucocorticoids Prednisone ((Deltasone) -
- Action --- Suppresses inflammation, immunosuppression - Use --- Decrease inflammation - Interactions --- Increased effect with barbiturates, phenytoin, rifampin, ephedrine, theophylline --- Decreased effects of aspirin, anticonvulsants, INH, antidiabetics - Side effects/adverse reactions --- Increased appetite, sweating, headache, flushing --- Mood changes, depression, psychosis --- Tachycardia, hypertension --- Hyperglycemia, abnormal fat deposits, muscle wasting, edema --- Glaucoma, peptic ulcers
Adrenal Glands
- Adrenal medulla - Adrenal cortex --- Produces glucocorticoids (cortisol) ----- Promote sodium retention, K excretion ----- Adrenal hyposecretion (Addison's disease) - give prednisone steroid -watch for 5 Ss of steroid use ( Sick- immunocompromised; Sad- Causes depression; Sex- Increases libido; Salt- Retains more and causes weight gain; . Sugar- increases blood sugar) Also increases effect of antidiabetics ----- Levels controlled by negative feedback --- Mineralocorticoids (aldosterone) ----- Secretes aldosterone ----- Promotes sodium and water retention ----- Controlled by RAAS
Ultrasound codes can be found in what section of CPT-4? What about Injection?
-Radiology -Medicine
How is a deposit slip generated in SimChart?
-billing & coding module -form repository
Features of Personal Health Records
-emergency contacts -family history -medical history -social history -health logs etc.
Paper-based personal Health Record
-inexpensive and secured as the patients property -generally organized into three ring binders so that documents can easily be added or removed. tabbed dividers like those used in patient records kept in medical offices, can be used to organize and identify documents (see page 199)
Benefits of Personal Health Records
-monitor medications and potential drug interactions -learn about diseases and conditions that affect them or their loved ones -follow physician self-care instructions for nutritional plans, postoperative self-care, and so on. -access data anywhere (if an online PHR is chosen) etc.
Prostaglandins
1) Paracrine substances 2) Not stored, synthesized just prior to release 3) Very potent in small amts but can be quickly inactivated
The Glomerulus is more efficient at filtration than other capillary beds because:
1. It's filtration membrane is *more permeable* 2. Glomerular *blood pressure is higher* 3. Has *higher net filtration pressure* (constantly forcing fluid out!)
Parts of the urinary system
2 kidneysform urine from the blood 2 ureters carry urine from kidneys to the urinary bladder 1 urinary bladder temporary storage tank for urine 1 urethra carries urine to the outside of the body
which of the following needle lengths is used to administer a subcutaneous injection
5/8 inch
adult pulse average bpm
60-80
Blood ph
7.35-7.45
how much can the bladder hold
700-800 ml
the bladder can hold
700/800
how much urine does the normal adult excrete each day
750/2000 ml
minicomputer
A computer of medium power, between a microcomputer and a mainframe
supercomputer
A particularly powerful mainframe computer
Host
A server that provides data transfer, storage space, and other services to users at remote locations; a host has a unique domain name and is, in effect, the point at which a website originates
Compliance Plan
A written set of office policies and procedures intended to ensure compliance with laws regulating billing, coding, and third party reimbursement
Q: A nurse is administering prednisone (Deltasone)to a client newly admitted to the hospital with multiple other drugs. WHat interactions are considered?
A: (1) Potassium-wasting diuretics increase potassium loss resulting in hypokalemia (2) Risk for GI bleeding/ulceration increases with aspirin and NSAIDS. (3) Prednisone action is decreased when taken with phenytoin (Dilantin) as it increases glucocorticoid metaboilism. (4) risk of dysrhythmias and digital toxicity increases when taken with cardiac glycosides (5) May need to increase dosage of antidiabetic agents with glucocorticoids.
Q: The client is given desmopressin acetate (DDAVP). The nurse knows this drug treats which condition?
A: Diabetes insipidus
Q: A nurse is caring for a client who is prescribed somatropin (Genotropin) to stimulate growth. What will the nurse monitor in the client's urine?
A: Glucose
Q: A client is taking vasopressin (Pitressin) for diabetes insipidus. For which vasopressin-related side effect should the nurse monitor?
A: Hypertension
Q: A client is taking levothyroxine (Synthroid). For which adverse effect would the nurse monitor the client?
A: Tachycardia
Q: A client is starting on levothyroxine (Synthroid) for long-standing hypothyroidism. What would be the expected dose for this client?
A: The client will start on a low dose, which will be gradually increased.
what is not controlled by a hypothalmic releasing hormone
ADH
secreted by neurohypophysis
ADH & oxytocin (antidiuretic hormone)
Egs of Peptides as hormones
ADH, OT, TRH, SS, GnRH Made from aa's
Pancreas
Accessory organ of digestion located below the stomach
Mictrition
Act of Voiding
what is the target gland of ACTH
Adrenal cortex
water soluble vitamins
B&C
Noctural Enuresis
Bedwetting. Inability to control urination at night or during sleep.
Bilirubin/o
Billirubin
Hemat/o
Blood
Hematuria
Blood in the urine
24 Hour Specimen
Discard first urine (do not pee directly into container). Contains preservative. Used for quantitive tests (total protein, creatinine clearance, kidney stones). Must refrigerate. 3000 mL, Dark colored container.
First Void Urine
Done first thing in the morning, contains the greatest concentration of dissolved substances, a small abnormal amount can be easily detected. Refrigerate until brought to the office.
site of most chemical digestion?
Duodenum
services related to office visits and hospital observation codes are coded from
E & M
Parts of the stomach
Fundus, body pylorus
Parts of a medical Hx
Genetic disease=Family Smoking status=Social
*Glomerular Filtration Rate*: the total amount of filtrate formed per minute by the kidneys
Glomerular Filtration Rate directly proportional to Net Filtration Pressure. ie: BP *up* --> NFP *up* --> GFR *up*
What surrounds the glomerulus that contains podocytes and filtration slits that allow filtrate to pass into space?
Glomerular capsule
Which nephron capillary bed has high pressure?
Glomerulus
What are the two capillary beds of every nephron?
Glomerulus (filtration) and Peritubular Capillaries (reabsorption, secretion)
Glycosuria
Glycose (sugar) in the urine
what is the name of the hormone present only in urine and blood of pregnant women
HCG
HCG
HUMAN CHORIONIC GONADOTROPIN--hormone produced by placenta. Tested for in urine pregnancy tests. Highest at 8 weeks then slows and could not be read.
Core Functions
Health info management, Results management, Pt. support, Reporting and population health (ALL OF THE ABOVE Which is NOT?)
Prolactin releasing factor (PRF)
Hormones that stimulate the release of prolactin by the ant pit.
Growth hormone-releasing hormone (GHRH)
Hypothalamic. Stimulates secretion of GH in the ant pit.
adrenocorticotropic hormone (ACTH)
Hypothalamus uses CRF to stimulated the pituitary to release ACTH to the adrenal cortex. The adrenal cortex releases glucocorticoids (cortisol), mineralocorticids (aldosterone) and androgen to the body.
Urinary Inconteinence
Inability to retain urine
Diuresis
Increased formation and secretion of urine
Polyuria
Increased output of urine >2000mL/day due to increased fluid intake, diabetes insipidus or mellitus, or renal tubule damage.
Documenter
Individual responsible for recording data in pt. chart. NOT patient.
What is located where the distal convoluted tubule lies between the afferent and efferent arterioles?
Juxtaglomerular Apparatus (JGA)
What type of nephron is involved in the production of concentrated urine?
Juxtamedullary
Vasa recta are found in what type of nephron?
Juxtamedullary nephrons
Keton/o
Ketone
Confidentiality
Kevin's HIV results are in and doctor asks to make appt. to review results together in private office setting
What organ filters blood and allows toxins, metabolic wastes and ions to leave the body as urine?
Kidney
which structure prevents gastric reflux
LES- lower esophageal sphincter
Medical records alphabetical filing
Last name, first name, middle, title
Medical necessity
Legal doctrine, medical services rendered must be reasonable and necessary according to generally accepted standards
Paracrine
Local chemicals, act over short distances on other cells
What functions as chemoreceptors of filtrate?
Macula Densa
Cloudy Specimen
May be a presence of bacteria, pus, blood, fat, yeast, sperm, mucous, or fecal contaminants. (Or just sitting out too long)
Coding Varience
Medical coding mistakes caused by computer error or by various kinds of human error, from simple carelessness to incorrect application of coding guidelines and procedures
Covered Entities
Medical offices submitting claims electronically are called?
a tetanus injections would be coded form
Medicine
Where are the medullary pyramids found that drain into the minor/major calyces?
Medulla
Fraud
Misrepresentation of medical services provided to deceive or mislead another person or entity
How do hypothalamic stimulation reach the post pit?
Nerve impulses travel via the infundibulum
Noct/i
Night
Exocrine
Non-hormone secretions into ducts. Ducts lead to epithelial surfaces eg sudoriferous, mammary, salivary, sebaceous, mucous glands
pt rights are violated they file a complaint with who
OCR
Fax
Output device that encodes documents in order to transmit them over telephone lines
an outcome based payment model that rewards providers for delivering evidence- based care according to specific standards and for electronically documenting compliance with those standard
P4P
Physical collection of health info
Patient chart patient record EHR EMR *(All of the above)*
Somatostatin (SS)
Polypeptide released by hypothalamus that inhibits the secretion of other hormones such as growth hormone, TSH. Produced in panc as well and inhibits cholecystokinin and insulin
Acute vs Chronic
Present suddenly and sever but brief/ Congestive Heart Failure and Asthma
Fraud
Presenting (or causing to be presented) claims for services that an individual or entity knows or should know to be false
ADH
Produced by the post pit and decreases urine production by reducing volume of water excreted. Also inc bp due to vasoconstriciton
clotting factors
Prothrombin thrombin fibrinogen and fibrin
Purging
Removing inactive and closed health records away from active records
Juxtaglomerular cells are enlarge smooth muscle cells that have secretory granules containing what?
Renin
What regulates blood pressure in the kidney?
Renin
Bacteria
Rod or round shaped Not normally present in urine More than a few may indicate contamination during collection or UTI (more than 1000 per mL)
Triiodothyronine (T3)
Same as T4 but 5x more potent
Parathyroid gland
Secretes PTH (parathyroid hormone) Inc Ca2+ and dec phosphate ions in blood.
Physical safeguards (theft or damage)
Security safeguards
Established vs Closed Pt
Seen or not in 3 yrs
Pineal Gland
Small pea sized gland in the brain that produces melatonin. Melatonin: 1)timing of sleep 2) bp regulation
Yeast
Smooth, retractile bodies with oval shape and small buds that project from cells. May be from Diabetes or vaginal contaminant (yeast infection).
HIPPA 5010
Standard electronic format that facilitates claims processing
Encryption technology
System that keeps data secure by converting to unreadable code during transmission and then unencrypting info when it reaches the recipient
ICD 9 or 10
Tabular list of diseases
Speech recognition software
Technology that converts speech into text as a provider speaks into a microphone
induration
The act or process of becoming hardened
adenohypophysis
The anterior pituitary gland which secretes growth hormone (GH), Thyroid-stimulating hormone (TSH), adrenocorticotropic hormone (ACTH), and gonaditropins (follicle-stimulating hormone (FSH). Luteinizing hormone (LH)
Graves disease (thyrotoxicosis)
The most common type of hyperthyroidism caused by hyperfunction of the thyroid gland. Characterized by a rapid pulse (tachycardia), palpitations, excessive perspiration, heat intolerance, nervousness, irritability, exophthalmos (bulging eyes), and weight loss.
thyrotoxicosis AKA Graves disease
The most common type of hyperthyroidism caused by hyperfunction of the thyroid gland. Characterized by a rapid pulse (tachycardia), palpitations, excessive perspiration, heat intolerance, nervousness, irritability, exophthalmos (bulging eyes), and weight loss.
If the glomerular filtration rate is too high, what happens to needed substances?
The needed substances are not reabsorbed quickly enough and are lost in the urine *bad!*
Medical Coding
The process of assigning standard numeric or alphanumeric codes to diagnoses, procedures, and treatments for research, disease tracking, and reimbursement purposes
mineralocorticoids
The second type of corticosteroid, produced by adrenal cortex. Targets the kidney to promote sodium reabsorption and help control the salt-water balance.
HIPPA 5010
The standard claim format used by a noninstitutional provider or supplier to submit a claim electronically to Medicare and most other insurance carriers for covered services
deoxyribose
The sugar found in the side chains of DNA
Casts
Tiny, cylindrical with round or flat ends of fibrous or protein materials , such as pus and fats, that are thrown off into the urine in kidney disease.Precipitated in the renal tubules and are flushed out when filtrate builds up behind them. Classed according to the substances in them, most common is hyaline casts
Abuse
Unintentional deception in which a provider inappropriately bills for services that are not medically necessary, do not meet currents standards of care, or are not medically sound
What transports urine from the bladder out the body?
Urethra
What provides a temporary storage reservoir for urine?
Urinary bladder
Ur/o
Urine
Which substance contains metabolic wastes and unneeded substances?
Urine
Clean Catch Specimen
Used to avoid contamination of the urine specimen from the microorganisms normally present on the external genitalia; cleanses genitalia with antiseptic wipe (3), after expelling a small a amount of urine the rest is collected in the sterile container; Required for a culture to detect a UTI or evaluate therapy treatment.
Audit Trail
Used to determine if any unauthorized info was accessed
Nitrates
Usually present in urine NOT NITRITES. If converted could indicate presence of pathogen, UTI. Conduct first void specimen, do not perform on urine that standing out. could lead to a false positive.
artificially acquired active immunity
Vaccin is example of this type of immunity boosters toxoid
Encounter
Visit with provider
A drug that blocks the action of carbonic anhydrase in parietal cells would result in ANSWER: a higher pH during gastric digestion. decreased gastrin production. a lower pH during gastric digestion. decreased production of pepsinogen by chief cells. increased protein digestion in the stomach.
a
Carbohydrate digestion begins in the ANSWER: mouth. ileum. stomach. duodenum. esophagus.
a
Chief cells secrete ANSWER: pepsinogen. mucus. gastrin. intrinsic factor. hydrochloric acid.
a
Functions of the tongue include all of the following, except ANSWER: partitioning the oropharynx from the nasopharynx. sensory analysis of food. manipulation of food. mechanical processing of food. aiding in speech.
a
In response to the hormone secretin, the pancreas secretes a fluid ANSWER: rich in bicarbonate ion. rich in enzymes. rich in bile. rich in mucus. that contains only amylase.
a
Parietal cells secrete ANSWER: hydrochloric acid. enteropeptidase. pepsinogen. gastrin. mucus.
a
The enzyme amylase digests ANSWER: polysaccharides. peptides. nucleotides. disaccharides. triglycerides.
a
The intestinal hormone that stimulates the pancreas to release a watery, bicarbonate-rich fluid is ANSWER: secretin. cholecystokinin. gastrin. enterocrinin. GIP.
a
Which of the following is true regarding lactose intolerance? ANSWER: the intestinal crypts are not producing the enzyme lactase lactose intolerant infants cannot digest dairy fat and are at risk of starvation the person cannot digest any type of monosaccharide the enzyme maltase begins to digest lactose the stomach produces inadequate amounts of lactase
a
Which of these descriptions best matches the term cholecystokinin (CCK)? ANSWER: causes gallbladder to contract stimulates gastric secretion stimulates pancreas to secrete bicarbonate-rich fluid carries absorbed sugars and amino acids where pancreatic juice and bile enter duodenum
a
he lamina propria and mucous epithelium are components of the ANSWER: mucosa. muscularis mucosa. adventitia. serosa. submucosa
a
stratified squamous epithelial lining can be found in all of the following, except in the ANSWER: stomach. oral cavity. oropharynx. anal canal. esophagus
a
Adipose cell
a cell specialized for the storage of fat
Osteoclast
a cell that increases blood calcium by breaking down bone
Osteoblast
a cell that produces osteocytes causing bone growth
Target cell
a cell with a receptor molecule that binds to a particular hormone
neurotransmitter
a chemical signal used to transmit a signal from one neuron to another across the synaptic cleft
Phosphodiesterase
a class of enzymes that break a type of bond found in the secondary messenger cAMP, which deactivates the molecule
Protein kinase
a class of enzymes that modify the function of substrates by phosphorylating them
G protein
a class of peripheral proteins involved in signal transduction that activate other molecules by phosphorylating them
Corticosteroid
a class of steroid hormones produced by the adrenal glands that regulate stress, the immune system, inflammation, and metabolism
adverse action
a decision by an insurance company, such as a health of disability insurer to deny or terminate insurance or to increase rates, usually based on information obtained from a consumer reporting agency
encounter
a documented interaction or visit between a patient and healthcare provider
Vitamin D
a fat soluble vitamin derived from cholesterol that is necessary for calcium absorption
pt info form
a form used to gather data about the patient, including basic demographic information, medical insurance data, and emergency contact
Endocrine gland
a gland that secretes hormones directly into the blood stream
Thyroid stimulating hormone
a hormone of the anterior pituitary that regulates the hormones thyroxin, triiodothyronine, and calcitonin production
Luteinizing hormone
a hormone produced by the anterior pituitary that causes ovulation in females and production of testosterone in males. It works synergistically with FSH to produce secondary sexual characteristics.
adrenocorticotropic hormone
a hormone produced by the anterior pituitary that primarily causes the adrenal glands to produce corticosteroids
Calcitonin
a hormone produced by the thyroid gland that regulates blood calcium by inhibiting osteoclast. Inhibits calcium and phosphate from bones. Responds directly to inc ca2+ conc in blood, and digestive horms.
Thyroxine
a hormone that regulates metabolism, increases body temperature, and increases long bone growth synergistically with growth hormone
what is an example of administering medication
a medical assitant gives an IM injections to a patient
Epinephrine
a neurotransmitter and nonsteroid hormone produced by the adrenal medulla that regulates heart rate, blood vessel diameter, and metabolic shifts. It is released during times of acute stress (fight or flight response).
Prolactin
a nonsteriod hormone of the anterior pituitary with many functions including immune system regulation and milk production
adrenal glands
a pair of endocrine glands just above the kidneys. the adrenals secrete the hormones epinephrine (adrenaline) and norepinephrine (noradrenaline), which help to arouse the body in times of stress.
third party payer
a party other than the patien, spouse, parent, or guardian who is responsible for paying all or part of the patients medical costs, typically the insurance company
screen saver
a program that displays moving text or images on the screen if input is not received for a given time period
Enzyme
a protein catalyst that speeds up reactions
audit
a review of employee activity within the EHR system, including an examination of whih files were accessed or modified, when, and why
cAMP
a secondary messenger activated by adenylate cyclase in response to chemical signals
troche
a small tablet or losenge
radio button
a specialized type of button on a software interface that toggles on and off, Tells the user that only one response is appropriate because two radio buttons can;t be depressed at the same time
Cortisol
a steroid hormone produced by the adrenal cortex in response to stress and low blood glucose levels that increases glucose formation, suppresses the immune system, and decreases inflammation
interoperability
ability of separate EHR systems to share information in compatible formats
symptoms of lactose intolerant
abnormal bloating, diarrhea, flatulence, and abnormal cramping
atresia
abscence of an opening
an outcomes-based payment model that offers providers financial incentives from meeting specific standards and electronically documenting compliance with them
abuse
unintentional deception in which a provider inappropriately bills for services that are not medically necessary, do not meet current standards of care, r are not medically sound
abuse
unintentional deception of which a provider inappropriately bills for services that are not medically necessary, do not meet current standards of care, or are not medically sound
abuse
praxia
achieve
dia
across , thru
steroids
adrenal cortex and sex glands secrete steriods
ACTH stimulates what
adrenal cortex to cortisol
I sit on to of the kidney?
adrenal gland
sits on top of kidney
adrenal gland
what gland is part of fight of flight?
adrenal medulla
what is a gland? Sympathetic (fight or flight)
adrenal medulla (Adrenalin)
gluteus Medius
adult IM injection site
a binding legal document prepared and signed by a competent individual outlining the person's wishes should the person become instructions
advance directive
a server that provides data transfer, storage space, and other services to users at remote locations
advance directive
insurance decides to discontinue insurance is an example of what
adverse action
insurance decides to discontinue insurance is what
adverse action
patient refuses venipuncture
advise nurse
systemic
affecting entire system
post op
after surgery
contra
against
routinely waving co payments
against federal guidlines
acetylcholine
aids in transmission of nerve impulses
thrombocytes
aka Platelets stop body from bleeding clotting
pyelonephritis
aka kidney infection begins in the urinary bladder then goes to the kidneys inflammation of the kidneys
what hormone affects blood volume
aldosterone
pan
all
antibodies
all chemicals in the body
cytoplasm
all contents of a cell except for the nucleaus
Metabolism
all of the chemical reactions that occur in a cell (both anabolic and catabolic)
why is the dorsogluteal site used to administer an intramuscular injection to an adult
all the above
trial balance
all transactions balance with end of day journal
once an encounter is created the first clinical record to land on is
allergies
what is the term for an abnormal reaction to a substance that is normally harmless
allergy
what hels to reduce the pain of an im injection
allowing alcohol to dry, inserting needle quickly, holding the needle steady, and withdrawing the needle the same degree it went in
the waste product is produced from the breakdown of amino acids and is converted to urea by the liver
ammonia
The enzyme that digests starch into disaccharides and trisaccharides is ________.
amylase
button
an element of the user interface on which the user can click to execute a command, such as confirm, cancel or exit
encryption technology
an email system capable of transmitting an encrypted message storing it in a coded format
active pt
an established patient who has been seen by the provider or another provider in the billing group within the past three years
Hypothalamus
an organ of the brain with many functions including regulation of body temperature, thirst, hunger, and the pituitary gland
Pancreas
an organ with both endocrine and exocrine functions. It regulates blood glucose levels by producing the nonsteroid hormones insulin and glucagon, and it secretes digestive enzymes into the small intestine that break down proteins, carbohydrates, lipids, and chyme
what condtion can result from deficency of iron
anemia
Aplastic Anemia
anemia caused with myelosuppression
adenohypophysis- what is it and what does it secrete
anterior pituitary gland secretes 6 major hormones master gland 1. growth hormone 2. Prolactin (milk production) 3. Thyroid-stimulating hormone (stimulates thyroid gland) 4.ACTH- adrenocorticotropic hormone (adrenal cortex) 5.Follicle (fish eggs) develp. of eggs/production of sperm 6.Luteinizing (ovulation)
against
anti
achromycin
antibiotic
B cells
antibodies this organ filters and removed worn out blood cells
artificially acquired passive immunity
antibodies given to an individual who had been exposed is example of this type of immunity -babies -given to prevent the onset of disease after exposure
heparin
anticoagulant used in thrombosis and heart surgery
input device
any hardware device that sends data to the computer
corticosteriod
any of a group of steroid hormones produced in the adrenal cortex or made synthetically. There are two kinds: glucocorticoids and mineralocorticoids. They have various metabolic functions and some are used to treat inflammation.
tort
any wrong doing
noise
anything intefering with the communicatio process
aortic blood flow
aortic semilunar valve to rest of body
dorsalis pedis
arch of foot
Category II codes?
are supplemental codes used to help researchers collect data, track illness and disease, and measure quality of care. The use of these codes are not required, and there is no reimbursement value attached to using them
insulin
assist glucose into cells
which of the following is not a common duty of the front office
assisting pt to exam room
para
at or one side
Clinical documentation begins where?
at the encounter
Day sheet
at the end of the day, the MA documents all payments and charges processed during the day on the Day Sheet, which acts as a summary of accounting for a specific date -the info documented within the Day Sheet is then used to complete a Bank Deposit Slip, located in the office forms section of the Form Repository
tendons
attach muscle to bone
guidlines for written messages don't include what
attaching the message to the pt chart after the physician has answered the message
HIV impairs what
attacked helper T-cells & impairs immune system
mid brain
audio and visual
office manager reviews what every 6 months to determine if unauthorized info is accessed
audit trail
in order to see someone you need a copy of the from sent to the specialist
authorization
what describes hormone that targets the same tissue it secrets
autocrine
when collecting a clean catch midstream urine specimen, a front- to- back motion is used to cleanse the urinary meatus to
avoid drawing microorganism from the anal region into the area being cleansed
disto
away
Powerful peristaltic contractions that occur a few times each day in the colon are called ANSWER: defecation. mass movements. haustral churning. segmentation. pendular movements.
b
The breakdown products of which of the following are absorbed into lacteals? Hint E.1 Hint not displayed ANSWER: carbohydrates fats proteins
b
The middle segment of the small intestine is the ANSWER: ileum. jejunum. pylorus. cecum. duodenum
b
aseptic hand washing hands position
below elbows
which of the following is not a benefit to the personal health record
benefit from duplictate testing and reassurance
angioma
benign tumor of dilated or newly formed blood vessels
what cells release insulin
beta cells (found also in the islet of langerhans)
subQ
between bone and muscle
choroid
between the sclera and the retna
emulsification is most associated with what substance
bile
liver lobule secrets what
bile
the liver can remove hormones and excreted those hormones in what
bile
Emulisfication
bile can split large globule into 1000s of tiny fat because of this passes can work on a tiny fat globules therefor digesting more fat
cystic duct, common bile duct, and the hepatic ducts are part of what
biliary tree
CPT Codes
billing codes for medical, surgical and diagnostic services
melano
black
appendix
blind-ended tube connected to the cecum
emia
blood
anatomical positon
body errect arms to side palms forward
OU
both eyes
cephalo
brain
dendrite
branched projections of a neuron
medical liability cases causes
breach of trust patient and physician and lack of communication between the two
lysis
breakdown
Jaundice (What is it and how is caused)
breaks down RBC --> billirubin --> to quick --> increase in billirubin
masto
breast
palpation
breast exam
naturally acquired passive immunity
breast fed infant is an example of this type of immunity
spiro
breath
pnea
breathing
PO
by mouth
Digestion refers to the ANSWER: mechanical breakdown of food. chemical breakdown of food. mechanical and chemical breakdown of food. progressive dehydration of indigestible residue. All of the answers are correct.
c
Functions of the large intestine include ANSWER: chemical breakdown of food. secretion of vitamins. resorption (absorption) of water and compaction of feces. absorption of bile salts. production of gas to move waste toward the rectum.
c
G cells of the stomach secrete ANSWER: pepsin. enteropeptidase. gastrin. secretin. cholecystokinin.
c
Hydrochloric acid from the stomach is neutralized in the small intestine by: ANSWER: enzymes from the intestinal crypts bile from the liver sodium bicarbonate from the pancreas water that was ingested with the food trypsin
c
Increased secretion by all the salivary glands results from ANSWER: hunger. myenteric reflexes. parasympathetic stimulation. sympathetic stimulation. hormonal stimulation.
c
Products of fat digestion are transported initially by ANSWER: the arterioles. veins. lymphatic vessels. the interstitial fluid. capillaries.
c
The pH of the blood in gastric veins ANSWER: is constant because of buffering. is greater following a 24-hour fast than during digestion of a large meal. is greater during digestion of a large meal than following a 24-hour fast. None of the answers are correct.
c
The uvula is located at the ANSWER: base of a tooth. margin of the oropharynx and the laryngopharynx. posterior margin of the soft palate. margin of the vestibule. posterior of the tongue.
c
Waves of muscular contractions that propel the contents of the digestive tract are called ANSWER: segmentation. pendular movements. peristalsis. mastication. churning movements.
c
Which of the following enzymes is important for breaking down protein? Hint B.1 Hint not displayed ANSWER: amylase lipase pepsin
c
he hormone that stimulates secretion and contraction by the stomach is ANSWER: secretin. CCK. gastrin. enteropeptidase. cholecystokinin.
c
he part of a tooth that contains blood vessels and nerves is the ANSWER: dentin. periodontium. pulp cavity. enamel. cementum.
c
hich of the following enzymes is important for the digestion of fat? Hint C.1 Hint not displayed ANSWER: trypsin pancreatic amylase pancreatic lipase pepsin
c
Bowmans capsule
c-shaped structure that partially surrounds a cluster of filtering capillaries called glomerulus
second chemical messenger camp is a second home (:
cAMP
decreased plasma levels of calcium?
calcitonin
a person responsible for providing physical care and emotional support, usually in a home- care setting to a person who is ill, disabled, or dependent
caregiver
aorta
carries blood from lft ventricle to branch arteries
etio
cause
appendix attaches here
cecum
the appendix is attached to what structure
cecum
thoracic
chest
mastication
chewing
Mechanical digestion
chewing, breaking down large pieces of food into smaller particles
CC
chief complaint
duodenum secretes
cholecystokinin
congestive heart disease and asthma are examples of
chronic condition
the stomach mixes and mashes a bolus of food that is called
chyme
early medical documentation of present day PTSD was first seen when
civil war
cms 1500 form
claims
find patient
clicking on this icon in the global icon task bar in the header opens up the patient search. select a patient to enter into the clinical care module and begin documenting in the patient record.
purchases software and installs it on the practice own server
client server modle
CLIA
clinical laboratory improvement amendments regulates lab quality standards
proximal
close to the shoulder
thrombus
clot
hematoma
clot from bending arm after venipuncture
agglutination
clotting or clumping of blood
delinquent accounts are sent
collection agency
renal pelvis
collects urine in kidneys
the sigmoid is part of what
colon
choroid
color part of eye
Hemoglobin
combination of protein and iron
presbyopia
common eye condition from aging
cretinism
condition of congenital hypothyroidism in children that results in a lack of mental development and dwarfed physical stature; the thyroid gland is either congenitally absent or imperfectly developed
plasia
condition of formation
morale
confidence, cheerfulness, discipline, and willingness to perform assigned tasks
dr asks to make appointment to review together in a private office setting is an example of what
confidentiality
peripheral nervous system
consists of the nerves and ganglia outside of the brain and spinal cord
the CPT 4 coding system
consits of 5 digit codes
anabolism
constructive process of building up new substances
ICD 9 CM and ICD 10 CM coding manuals
contain a tubular list of disease
Plasma
contains proteins, ions, nutrients gases & waste accumulates at top of tube, lighter liquid portion of blood 55% of blood volume
endocrie system
contains the glands
systole
contracting blood chambers
peristalsis is due to what
contraction of smooth muscle
most accurate respirations
count for 60 seconds
submitting claims electronically is called what
covered entities
vulvo
covering
epiglottis
covers trachea, during swallowing, directs food and water into the epiglottis
dorsal cavity
cranial & spinal cavity
vagus nerve
cranial nerve 10
antecubital fossa
crease in arm to obtain blood
how do you duplicate a record
create a new record for pts who have not been seen in the last three years
bilirubin
created by heme a biproduct of hemolysis (break down of RBC)
tortuous
crooked
tripsy
crushing
CPT
current procedural terminology. used for procedural coding.
tome
cutting instrument
During the cephalic phase of gastric secretion, ANSWER: production of gastric juice slows down. secretin inhibits parietal and chief cells. the stomach responds to distention. there is an increased flow of action potentials along the vagus nerve to the stomach. the intestinal reflex inhibits gastric emptying.
d
The duodenal ampulla receives secretions from the ANSWER: duodenum and the pancreatic duct. duodenum and the pylorus. duodenum and the jejunum. common bile duct and the pancreatic duct. duodenum and the bile duct.
d
What chemical is found in the fluid that flows through the pancreatic duct? ANSWER: Pepsin Salivary amylase Bile pigment Trypsinogen
d
Which organ is responsible for dehydration and compaction of indigestible materials? ANSWER: esophagus small intestine stomach large intestine anus
d
he prominent ridges in the lining of the empty stomach are called ANSWER: villi. papillae. cardia. rugae. plicae.
d
n response to the hormone cholecystokinin, the pancreas secretes a fluid ANSWER: rich in bicarbonate. rich in bile. rich in mucus. rich in enzymes. that contains only amylase.
d
info entered into pt chart how
data input form, voice recognition, scanning, direct key
a summary of all the transaction performed during the business day is generated using what
daysheet
infarct
dead myocardial tissue
Sensory system
deals with the bodys sensation
necro
death
EHR allowing specialist to gain access is an example of what
decision support
penia
decrease
Thrombocytopenia
decreased # of platelets
anemia
decreased rbc
fixed amount of money pt is to pay after each visit
deductible
renal medulla
deeper within kidney (middle) where you can find some calyces
swallowing?
deglutition
transverse plane
divide upper and lower halves
sagittal
dividing body into right and left sides
giving two or more patients the same appointment slot with the same provider
double booking
right lymphatic duct
drains right arm, neck, right side of face and right thorax empties into the right subclavian vein
efferent arterioles
drains the glomerulus forms the peritubular capillaries carry clean blood out of the glomerulus
anti-infective
drug used to prevent infection
xero
dry
endocrine
ductless glands that produce internal secretions that flow to all parts of the body
billary tree
ducts that connect the liver, gallbladder, and duodenum
Pancreatic juice enters the small intestine at the ________.
duodenal papilla
common bile duct empties its contents into what
duodenum
parts of the small intestines
duodenum, jejunum, ilem
small intestine parts
duodenum, jejunum, ilium
4 d's of negligence
duty, dereliction, direct cause & damages
An intestinal hormone that stimulates gastric secretion is ANSWER: cholecystokinin. enteropeptidase. secretin. gastric inhibitory peptide (GIP). gastrin.
e
During deglutition, ANSWER: the lower esophageal sphincter opens. the larynx elevates and the epiglottis closes. smooth muscle contracts. the soft palate elevates. All of the answers are correc
e
Functions of teeth include ANSWER: clipping. cutting. crushing. tearing. All of the answers are correct.
e
The Kupffer cells of the liver ANSWER: destroy bacteria. present antigens. are phagocytic. destroy RBCs. All of the answers are correct.
e
The activities of the digestive system are regulated by ANSWER: intrinsic nerve plexuses. parasympathetic and sympathetic neurons. hormones. the contents of the digestive tract. All of the answers are correct.
e
The double-layer sheets of serous membrane that support the viscera are called ANSWER: peritoneal sheets. the dorsal and ventral frenulums. the diaphragm. ascites. mesenteries.
e
The enzyme pepsin digests ANSWER: lipids. carbohydrates. vitamins. nucleic acids. proteins.
e
The essential functions of the liver include ANSWER: bile production. hematological regulation. metabolic regulation. albumin production for blood osmotic pressure. All of the answers are correct.
e
Tom has hepatitis, an inflammation of the liver. Which of the following symptoms would you expect to observe in Tom? ANSWER: blood in the feces elevated levels of blood glucose overproduction of blood plasma albumin impaired digestion of protein jaundice
e
What provides access for blood vessels entering and leaving the liver? ANSWER: greater omentum falciform ligament mesentery proper diaphragm lesser omentum
e
tympanic thermometer
ear
secure email
email system capable of transmitting an encrypted message and storing it in a coded format
not an acceptable use of email in the office
emailing pt lab results to home email
what type of pt correspondence can be created in simchart of the medical office
emails, phone messages, and letters
refers to fetus (3 to 8 weeks)
embryo
fascia
enclosed muscle
what starts the clin documentation of pt visit
encounter
term used for food that has vitamins and minerals added to it to replace those lost during processing of food
enriched food
the purpose of aspirating when administering and IM injections is to
ensure that the needle is not in a blood vessel
encroachment
entry into an area not previously occupied
an allergy to latex is classified as what
environmental
prevents food from entering trachea
epiglottis
the flap of tissue prevents food and water from entering the respiratory passages
epiglottis
catecholamines
epinephrine & non epinephrine secreted in stressful and emergency situations
the hormone secreted by the kidneys to stimulate the production of RBC's by bone marrow is called
erythropoietin
tube that carries food from the pharynx to the stomach
esophagus
term for an amino acid that is required by the body and must be obtained from food
essential amino acid
neutrophil
essential part of the immune system
maturation of egg develop female characteristics
estrogen
the gonads secrete what hormones
estrogen, progesterone, testosterone
ethical dilemma
ethical problem were something of value will be lost
locus of authority
ethical problem when 2 or more agents think knows whats best for patient only one prevailing
a set of rules and standards of conduct that grow from understandings of right and wrong
ethics
Qod
every other day
q
everyday
Cytoplasm
everything within the cell except for the nucleus
noctruria
excessive (voluntary) urination during the night
gigantism
excessive growth during childhood
polyuria may be caused by
excessive intake of fluids, consumption of caffeine, diabetes mellitus, taking a diuretic
Atrial Natriuretic hormone ANP
excretes of sodium and water by kidney cardiac hormone- lower blood pressure secreted by - walls of atria control electrolyte homeostasis
diastole
expanding blood chambers
ectasis
expansion
ICD-9 V- Codes
external causes of injury
ethical dilemma
faced with 2 or more acceptable choices
district court
federal matters
capitated
fee schedule for paying medicare claims
customary fee
fee typically charged for a service in a particular geographic area
Parasympathetic neurons
feed and breed
estrogen
female hormones
fallopian tube
fertilization takes place
oligo
few
WBC's
fight infection
Sympathetic neurons
fight or flight
lymphatic system
fights infections
duodenum
first part of the small intestine foods moves to after mix with stomach acid
pexy
fixation
copay
fixed sum of money that is paid by the patient usually at the time medical services are rendered
tarso
flat of foot
the elimination of gas that is produced during digestion and released from the anus is what
flatulence
sarco
flesh
synovial fluid
fluid in joints and tendons
Interstitial fluid
fluid that fills the spaces between cells and tissues
accommodation
focusing ability of the eye
rugae
folds in stomach
rugae
folds in the stomach
presenting ( or causing to be presented) claims for services that an individual or entity knows or should know to be false
fraud
unstructured data
free data entry using direct keying, dictation, or transcription
Maslows hierarchy of needs #3 love/belonging
friendship, family, sexual intimacy
clean catch
genitals cleaned before specimen collection
muscoloskelatal system
gives ability to move
disclose
giving access to, releasing, or transferring information to a person or entity not legally or ethically authorized to use of have knowledge of it
double booking
giving two or more patients the same appointment slot with the same provider
adeno
gland
endocrine system
glands
balano
glans penis
patient demographics
global icon used to add a new patient to the patient database or to edit current patient information.
GFR stands for
glomerular filtration rate
what is described as a ball of capillaries in the nephron that contains pores for acting like a strainer
glomeruli
structure found between afferent & efferent arterioles
glomerulus
Alpha
glucagon
Alpha cells
glucagon producing cells of the pancreas
what urine test may be positive when a patient has undiagnosed diabetes mellitues
glucose
examples of monosaccharides
glucose, fructose, and galactose
glio
glue
sugar
glyc/o
enlargement of the thyroid gland
goiter
enlargement of the thyroid gland is
goiter
enlargement of thyroid gland
goiter
types of leukocytes
granular and Agranular
staphylo
grapelike clusters
corpus callosum
grey matter on cerebral hemisphere
femoral pulse
groin
affrerent arteriole
group of blood vessels supplies the nephrons
tricho
hair
villi
hairlike projections that cover the lining of the small intestine
hemi
half
kerato
hard
sclerosed
hard
sclerosis, sclero
hard
secondary storage
hard disk drives, floppy disks, and tape.
characteristics of monounsaturated fat
has a protective effect against heart disease, it is liquid at room temp, found primarily in plant-based food
established pt is someone who what
has been seen in the practice in the last three years
an autoimmune system caused by hyposecretion of thyroid hormone is called
hasimoto's disease
outstanding checks
have not cleared the bank
skelatal musle
head &neck
core functions of the ehr are
health info, managment, result management, pt support, reporting and pop health
inflammation characteristics
heart --> dilated blood vessels redness--> dilated blood vessels swelling --> by walls leak fluid and other dissolved substances into tissue
systole
heart expands
obtaining blood pressure arm should be
heart level
diastole
heart relaxes
mediastinum
heart, aorta, thymus gland, chest portion of the trachea, esophagus, lymph nodes and important nerves
apical heartbeat
heartbeat heard thru a stethascope
thermy,thermo
heat
skelatal muscle function
heat production, movement &posture
rhagia
heavy
calcaneus
heel bone
platelets
help blood clot
what is not a characteristic of soluble fiber
helps lower blood cholesterol, god food sources include oatmeal, applies, broccoli, and legumes
cele
hernia
Crypto
hidden
diabetes millitus
high blood sugar from body not producing enough insulin
what is the stimulus of the release of insulin
high plasma levels of glucose
supreme court
highest court
cessation of breathing
highest emergency priority
immune response
highly specific host defense mechanism
an electronic claim form used to gather reimbursement from insurance payer for the physician
hippa 5010
E & M Coding relate to what? (Evaluation & Management)
history, physical examination, evidence of the medical decision making, office/hospital/visits, consults etc.
urticaria
hives
gastrin, secretin, and cholecystiokinin are what
hormones
Catecholamine
hormones or neurotransmitters
endocrine
hormones released by glands directly into blood. No ducts Acts over a long distance
monocytes
horseshoe shaped helps with immune response
noscomial infection
hospital acquired
a server that provides data transfer and storage space to remote location
host
hs
hour of sleep(bedtime)
deficiency of insulin?
huperglycemia
office uses EHR for new pt and paper for established pt
hybrid
what name is used on a food label to identify trans fat
hydrogenated vegetable oil
deficiency of insulin
hyperglycemia
what is found in pt medical records
immunizations, living will, operative reports, referral letters
misfeasance
improper performance of a lawful act
insurance write offs logged
in adjustment column
carotid artery
in neck
diagnostic/lab results
in the clinical care module, the results of diagnostic procedures and laboratory results can be recorded.
Retention
inability to empty the bladder: the urine is being producned normally by the kindeys
Type I diabetes
inability to regulate blood glucose levels because of a deficiency in insulin production
urinary incontinence
inability to retain urine in the bladder
steriods
include the glucocorticoids, mineralcorticoids and androgens
Infection
increase WBC = leukocytosis
not a goal of meaningful use incentive
increase that cost of EHR system
goiter
increased secretion of TSH; the thyroid gland enlarges
booster
increases antibodies to an antigen
neurohpophysis- what is it and what does it secrete
increases blood calcium levels
cardiac glycoside
increases strength and force of myocardial contractions and slows heart rate
the vastus lateralis site is used most often to administer medication to whwo
infants and young children
sepsis,septo
infection
cholera
infection of the small intestine that causes a large amount of watery diarrhea
pyelitis
inflammation of renal pelvis
cystitis
inflammation of the bladder
hepatitis
inflammation of the liver
Cystitis
inflammation of urinary bladder, specifically the wall. Lower UTI
arbritration
informal hearing
what structure connects the hypothalamus and the adenohypophysis
infundibulum
contraceptives
inhibits ovulation
hemostasis vascular phase
injury to area
hemophelia
innability to clot properly
basilic vein
inner arm
tympa
inner ear
brachial pulse
inner elbow
retina
inner most layer of the eye
mucosa
innermost membrane lining
scope
instrument for viewing
shock
insufficient blood flow to the heart
Beta
insulin
high plasma levels of glucose is my stimulus
insulin
only hormone to lower blood glucose
insulin
what enables glucose to enter the body cells and be converted to energy
insulin
what is a patients visit with a provider
interaction
ICD-9/ICD-10
international classification of diseases 9th or 10th revision for diagnostic coding.
einthoven triangle
interpretation of electrical conduction of the heart
IV
intravenous
basophils
involved in inflammatory response secrete histamine and heprin; anticoagulants
the z track method is used to administer injections that are what
irritating to subvutaneous tissue
the adrenal medulla
is part of the "fight-or-flight"
Coding
is the process of assigning standard numeric or alphanumeric codes to diagnoses, procedures, and treatments for reimbursement purposes.
continuity of care
key aspect of quality that encompasses planning and coordination of care, communication among members of the healthcare team, and accessibility and trans portability of information
pyelo
kidney or pelvis
urinary tract urine flow
kidney, ureter, bladder, prostate(males)urethra
cell -to -cell combat
killer T-cells
T cells
killer, helper, suppressor and memory
patella
knee cap
gno
knowledge
skills for using EHR include
knowledge of med term
pernicuos anemia
lack of B12
apathy
lack of feeling
night blindness cause
lack of vitamin A
what structure absorbes excess water from the waste remaining after nutrients have been absorbed
large intestine
femur
largest bone in the body(leg)
parotid
largest salivary gland
administrative law
law developed and enforced by gov
common law
law developed by judges through decisions of courts
federal act
law passed by congress
statutes
law passed by state legislatures
constitutional law
law that relates to the constitution
ad
left ear
al, as
left ear
OS
left eye
os
left eye
Respondent superior
let the master answer
CEJA agrees to
lethal injection, organ donations, abortion & surrogate motherhood with stipulations
autoclave door left open slightly after cycle
lets items dry
liver
lies immediately below diaphragm tucked under right rib cage largest gland in the body - 2 inches structures surrounding secretes bile
hypothalmus
links the nervous system to the endocrine system via the pituitary gland
plasma
liquid part of blood
chime
liquid part of digestive enzymes
interragatory
list of questions from one party of a lawsuit to another
agenda
list or program of things to be done or considered
module
listed at the top of the screen, just below the simchart for the medical office logo, are the main buttons for navigating within the medical office. there are three different modules for the application: front office, clinical care, and coding & billing.
detoxifies drugs?
liver
hepatic refers to what
liver
what organ synthesizes clotting factors, stores vitamins, detoxifies drugs, and helps regulate blood glucose
liver
document the specifies with life- sustaining treatments should be administered of withheld if the person becomes incapacitated
living will
legal document that may include DRN would be called
living will
the part of an advanced directive that specifies which life- sustaining treatments should be administered or withheld if the person becomes incapacitated
living will
municipal court
local court
adrenal gland
located in each kidney regulates function
patient dashboard
located in the clinical care module, the patient dashboard provides a summary of the patient record. a list of the patient previous encounters can be found here.
claim
located in the coding & billing module, the claim that would be submitted to the insurance carrier is created for a specific encounter. the claim includes all of the information that the insurance carrier would need to process the claim and make a payment to the medical office. Some of the information included diagnosis & procedure codes and fees.
patient ledger
located in the coding & billing module, the ledger list all of the transitions that have occurred for the patient. all charges, payments, and adjustments should be recorded should be recorded in the patient ledger.
superbill
located in the coding & billing module, this is the first step in completing the billing process for the patient visit. all of the service and supplies provided to the patient must be recorded on the superbill.
grading
located in the instructor view, the grading module displays the course grade book and allows instructors to view and comment on student's work as well as approve final grades and review competencies.
info panel
located on the left-hand side of the screen, the info panel is the user's primary source of navigation within the application. the options in the info panel will change depending on the selected module.
loop of henele
long loop in the the kidney, from which water and salts are resorbed into the blood
muscle expands becomes
longer and thinner
vagus
longest of the cranial nerves
lumbo
lower back
ischium
lower back part of the hip bone
sphincter that allows food to enter the stomach from the esophagus
lower esophageal sphincter
pneumo
lung
supination,supine
lying on back facing upward
lymphatic organs
lymph nodes/tonsils/thymus gland, and spleen
microhermatocrit centrifuge
machine for hermatocrit reading
bronchi
main air passages of the lungs
corpus
main part of an organ or bodily structure
glaucoma
major cause of blindness in the US
felony
major crime such as rape, murder or burgalry
flexion
make joint angle smaller by bending
documentation
makes diagnosis and treatment more efficient and effective. promotes patient safety, provides evidence of care, serves as a risk management function
keratin
makes skin waterproof
andro
male
androgens
male sex hormone
licensure
mandatory credential
poly
many
not a guideline for e visit
many be ofered to new and established pt
complex carbohydrates are made up of what
many sugar units strung together in a long chain
shock
marked drop in BP
Adrenal androgens
masculinizing hormones such as testosterone produced by the adrenal glands
bolus
mass of food
soluble
materials that can be disolved in water
glucometer
measures glucose
hematocrit
measures packed RBC's
urinometer
measures urine
mensuration
measuring a body part
anthropometric measurements
measurments of height, weight and size used to compare the relatice proportions of human health and illness
meato
meatus
best describes the chewing of food
mechanical digestion
a legal doctrine which holds tat medical services rendered must be read and necessary according to generally accepted clinical standards
medical necessity
high alert medication
medication that poses a heightedn risk of injury or death when administerd improperly
peritoneum
membrane that lines the walls of the abdominal cavity
blood may normally be present in the urine because of what
menstruation
what is used most often to prescribe and administer medication
metric
casts
microscopic creatures in urine
what refers to the voluntary expulsion of urine
micturition
brachial artery
middle
dermis
middle layer of skin
dermal puncture
middle or ring finger
jejunum
middle section of the small intestine
galacto
milk
foods high in dietary cholestorl
milk, liver, and shellfish
mg
milligram
ML
milliliter
the collecting duct sends urine to the
minor calyx
misdeameanor
minor crime punishable by fine
county courts
misdemeanor & civil matters
another name of coding variances os
mistakes
what is used to send and retrieve emails
mobile device
modality
mode
front office clinical care billing and coding are an example of what
modules
erythroblastosis
mom = Rh Dads = Rht if baby is Rht the babies blood can cross the placenta during birth and enter blood. Mother then produces antibodies if mom becomes pregnant again antibodies attack baby
OSHA
monitors standard precautions
ethics
moral right and wrong
neutrophils
most common granulocytes remain in blood for short time phagocytosis (pacman) deficiency in this is life threatening
autoclaving
most effective method of sterilization
menopause
most eggs and follicles have dissappeared
handwashing
most important infectious control procedure
abducens
motor nerve of the eye
structured data
mouse clicks, touch screen commands or simple keystroke combinations to enter data that conform to a controlled vocab
oro
mouth
stomato
mouth
Pathway of the digestive system
mouth - pharynx- esophagus- stomach-small intestines- large intestine- rectum- anus
kinesea
movement
praxia
movement
peristalsis
movement of food forward
muco
mucous
the urinary tract lining is lined with
mucous membrane
Bartholins gland
mucous producing glands on each side of the vagina
what is the name given to a closed glass container with a rubber stopped that holds more than one dose of medication
multiple dose vial
Myo
muscle
involuntary muscle
muscle contracts without concious control
if employer believed to be unethical
must be certain before reporting
valid contract
must be in writing
negligence
must be proven
steno, stenosis
narrowing
stenosis
narrowing
what can result from atherosclerosis of the coronary arteries
narrowing of the coronary arteries, partial blockage of the coronary arteries, and hardeing of the arterial walls
prone
naturally inclined
omphalo
navel
proximo
near
para
near, abnormal
distal
nearest to wrist
frequency
need to urine often
basic suture setup
needle holder & scissors
secretion of cortisol by the adrenal gland suppresses further secretion of the ACTH by the anterior pituitary gland is what interaction
negative feedback control
urine making structure of kindeys
nephron unit
what is found in the kindey
nephron units
fibrin
netlike structure in blood (blood clotting) clotting factor
what condition can result from a deficiency of vitamin b9 (folic acid)
neural tube birth defects
antacid
neutralizes gastric acid to relieve gastric pain and irritation
neo
new
stomy
new opening
second class mail
newspapers and magazines
ulna
next to pinky
radial artery
next to thumb
coordination of benefits
non duplication
excessive protein in kidneys
not functioning properly
karyo
nucleus
HCPCS Codes
numbers assigned to every task and service given to a Medicare patient start with a to v or oj
term used for chemical substance found in food that is needed by the body for survival and well-being
nutrient
metaboliosm
nutrients broken down in body
vitals, anthropometric data, imaging studies, and lab test are
objective
duty
obligation
duty
obligation to have or perceived to have
workers comp covers
occupational injuries
presbyo
old
advocate
one who pleads case for another
the method of keeping a personal health record includes a month subscription and patients have access to a database of health information
online personal health record
subpoena duces tecum
order for witness to appear in court with medical records
dr sends script and pharmacist notices allergies to meds in an example of what
order management
viscero
organ
gonads
organ that makes gamtes(testes & ovaries)
mitochondria
organellewhich most cells biochemical processes of respiration and energy production occur
culture and sensativity
organisms associted with UTI's
cephalic vein
outer arm used for obese patients in venipuncture
epidermis
outer layer of skin
epicardium
outer layer of the heart
vastus lateralis
outer thigh muscle
parietal pericardium
outermost layer of the heart
serosa
outermost membrane layer
fibrous pericardium
outermost pericardial membrane
urinary meatus
outside opening (pee hole)
abduction
outward
Metabolic acidosis
over production of acids or failure of the kidneys to remove acids from the blood. One of the effects of type I diabetes. Insulin prevents the breakdown of lipids and amino acids. The result of lipid and amino acid break down is ketoacids.
oo
ovum
oxygen
ox/i
Cyanosis
oxygen -poor blood tissue appears blue
i help the uterine muscle contract
oxytocin
sa node
pacemaker of the heart controls heartbeat
what requires a food lable
packaged foods
ekg electrodes
pads to connect lead wires
algia
pain
aglesia
pain sensativity
seminle vesicle
pair of small tubular glands that are near the prostate
roof of mouth
palate
common bile duct does not empty into
pancreas
insulin and glucagon secreted are secreted by what
pancreas
no bile in
pancreas
this gland released insulin and glucagon
pancreas
what gland secrets two hormones: one hormone elevates blood glucose and the second hormone decreases blood glucose
pancreas
where can you find the islets of Langerhans
pancreas
where to find the islet of langerhans
pancreas
bile is not found where
pancrease
what organ secretes the most potent of the digestive enzymes
pancrease
the method is inexpensive, easy to maintain, and secure. the cheif drawback is the
paper- based personal health record
renal pelvis
part of the kidneys
ascending colon
part of the large intestine extends from cecum to colon
mediastinum
part of thoracic cavity between lungs containing heart aorta espophogus trachea and thalmus
supernatant
part of urine left after sedimentation
septum
partition
trachea
passageway for air
nasopharynx
passes air only
esophogus
passes food
PSFH
past, family,and social medical history
macule
patch of skin discolored not elevated
the portion of a patient portal that contains data loaded by the patient and to which he or she alone may grant or deny access
patient controlled health record
confidentiality most sacred trust for
patients
payee
pay to the order of
what is an example for an allergen
peanuts, house dust, insect stings, ragweed
pyelo
pelvis or kidney
esophagus
penetrates the diaphragm, peristalsis moves food through the esophagus
collection agency fee to physician
percentage
the patients forearm should be held taut while administering the mantoux test to do what
permit easier insertion of the needle
maker
person writing check
comprehensive, electronic or paper-based record of health information controlled by the patient through which he or she can access, manage, and share confidential health information
personal health record
ic
pertaining to
mediolateral
pertaining to middle and one side
dermic
pertaining to skin
Hepatic
pertaining to the liver
vein inflammantion
phlebitis
security guards are examples of what
physical safeguard
urinalysis
physical, chemical & microscopic
fee splitting
physician accepts payment from another physician
medicare patients treated by non participating physician
physician pays partial fees
visitors that should immediatly be announced and escorted in
physicians
gram
picture, recording
melanin
pigments
secrete melatonin
pineal gland
what gland secretes melatonin and is concerned with out biologic rhythms
pineal gland
hemostasis coagulation phase
platlet converts to fibrin clot
telephone ettiquette
polite, helpful response and respectful manner toward callers that shows patients they are cared for and valued
renal tubule
portion of the nephron containing the tubular fluid filtered through the glomerulus
First class mail
post cards, letters Packages include boxes, thick envelopes, or tubes
AKA - neuropophysis
posterior pituitary gland
neurohpophysis
posterior pituitary gland
template
predefined, customization forms that facilitate structured data collection by offering the clinical a set of menus, check boxes, and other tools with which to enter data into progress notes, letters, and other EHR documents
root word
prefix
gravido
pregnant
medicare part B covers
prescription medical equipment
default
preselected value or setting that will be used unless specifies a substitute by overriding
hematuria
presence of blood in the urine
pyuria
presence of pus in the urine
glycosuria
presence of sugar in the urine
purpose of adding trans fat to a food item
preserve foods, increase shelf life, and give it a more desirable taste
implied consent
presumed consent
pylorus
prevent intestinal contents from reentering the stomach
general health panels, pap smear, mammograms and dental visits are documentation as what
preventive services
Anticoagulant
prevents blood clot from forming
function of carbohydrates in the body
primary source of energy for the body
HIPPA coverage's
privacy/confidentiality ability to have insurance if you leave your job etc.
medication reconciliation
process of comparing the medication list in the patients EHR with the patients self- report of the medications he of she has been taking
authentication
process of determining whether the person attempting to access a given network or EHR system is authorized to do so
purging
process of separating inactive pt from active ones
filtrate
process whereby water & dissolved substances more through a membrane in response to pressure
basophils
produce histamines
Thyroid-stimulating hormone (TSH)
produced by ant pit and stimulates the production of T3 and T4 in thyroid gland
Prothrombin
produced by clotting factor very dependent on vitamin K without vitamin k were unable to make prothrombin
vitamin k
produced by normal flora in colon
Flatulence
produced from air that is swallowed
estrogen
produces female characteristics
testes
produces male hormones
communuted fracture
produces many bone fragments
ADH antidiurectic hormone
produces urine (decreases water) secreted by the posterior pituitary gland
type 1 diaetes is caused by an inability of the body to
produve insulin
what hormone plays a role in preparing the reproductive system for pregnancy by thickening the uterine wall
progesterone
I stimulate the mammary gland
prolactin
name the hormones of the adrenohyposhysis
prolactin growth hormone (GH) ACTH follicle stimulating hormone (FSH) lutenizing hormone
expectorant
promotes clearance of mucus from respiratory tract
surrounds upper portion of the urethra and contributes to formation of semen
prostate gland
asepsis
protecting against micro-organisms & pathogens
integumantery system function
protection, sensation, thermoregulation and excretion
Good samaritan act
protects healthcare providers from civil and criminal liability
what hormone binds with the receptor sites located on the cell membrane
protein hormone
Globin
protein portion of hemoglobin
clotting factors
prothrombin --> thrombin--> fibrimnogen -->fibrin
joints
provide bone movement
fee profile
provide consumers with a general idea of (full) fees
characteristics of vitamins
provide energy for the body, consists of inorganic compounds, needed in small amounts for normal growth and development, and can be produced by the body
ligaments
provide joint strength
functions of fat in the body
provides energy for body, assists in the transmission of nerve impulse, insulates and cushions the body
group of current pt in EHR are called what
pt registry, master pt index
dr asking MA to print handouts for a pt is an example of what
pt support
closed pt
pt who hasn't been seen in three years
punitive
punish
once retention period is over the chart may be
purged, closed, destroyed, inactive
pyo
pus
located between duodenum and stomach?
pyloric sphincter
common adult pulse site
radial
ultrasound would be coded from
radiology
prevailing fee
range of fees in same community
aldosterone
re-absorption of sodium and water increases blood volume and blood pressure hormone that work on the kidneys secreted by adrenal cortex acts primarily on distal convoluted tubule, sodium is reabsorbed water follows; potassium is excreted
located on the plasma membrane specific to the hormone it accepts
receptors
pharynx
recives air & food
graphy
recording process
petachia
red dots from tight tournequit
what are key elements in the treatment of obesity
reduced calorie eating plan, physical exercise program, and behavior modification plan
the adenohypophysis
refers to the anterior pituitary gland
functions of vitamin b
regulate metabolism, facilitate nervous system function, maintain healthy skin, assist enzymes in converting food into energy
pituitary
regulates growth
antihistamine
relieves symptoms associated with allergies
net pay
remaining amount after deductions
hemostasis fibrinolysis phase
removal of clot
E
remove
diuretic
removes excess fluid from the body by increasing urine output
spleen
removes old red blood cells and holds a reserve of blood in case of hemorrhagic shock
major artery that supplies the kindeys
renal
kidney stones
renal calculi composed of calcium urinary stones
the outer rim of the kidneys is called
renal cortex
kidney failure
renal suppression renal failure kidneys fail to remove wastes concentrate urine and maintain electrolyte balance
tinea capititus
ringworm-fungal infection of the scalp
user name, passwords and screen savors are examples of what
safeguard
monitoring security on mobile device
screen saver, logout, dont leave unattended, password
patient search
screen where a user searches for an existing patient within the application or begins to create a new one. when beginning a new process (such as an encounter or a correspondence) that is patient specific, a patient search will need to be performed first.
most descriptive of cAMP
second chemical messenger
distal convoluted tubule
second twisted area of the renal tubule
growth hormone
secreted by adenohypophysis, stimulates growth of the musculoskeletal system, and is also called somatoropic hormone
Prolactin (PRL)
secreted by ant pit and stimulates the breast to produce milk
T3, T4, and calcitonin are
secreted by the thyroid gland
pancreas
secretes digestive enzymes
prostate
secretes fluid for semen
salivary glands
secretes saliva
what is the response to low plasma levels of calcium
secretion of PTH
virtual private network
secure internet
Maslows hierarchy of needs #4 safety
security of body, employment, morality resources,family, health,property
civil law
seeks to resolve non criminal disputes
lepsy
seizure
follow-up/established visit
select this visit type if the patient is coming in to follow-up on a previously diagnosed condition or if they are an established patient with the medical office and they are not coming in for an annual exam, urgent visit, or wellness exam.
Maslows hierarchy of needs #2 esteem
self esteem,confidence, achievment, respect to and for others
aorta function
sends blood out by left ventricle
thalmus
sensory perception and regulation of motor functions
myxedema
severe hypothyroidism in the adult. Symtoms include lethargy, apathy, memory impairment, emotional changes, slow speech, deep coarse voice, edema of the eyelids and face, thick dry skin, cold intolerance, slow pulse, constipation, weight gain, and abnormal menses.
pruritis
severe itching
diaiphysis
shaft of a long bone
tibia
shin bone
muscle contracts becomes
shorter and thicker
priority b
should be done today
profit &loss statement
shows net profit
patient ledger card
shows services and bills
ribose
simple sugar
proximal convoluted
site where most reabsorption takes place
the term parenteral refers to
sites located outside the gastrointestinal tract
authority
sitting behind a desk communicates
venipuncture patient postion
sitting in chair
betadine, povidone iodine , hibiclens
skin cleansing agents for minor surgical procedures
apocrine gland
skin gland that produces thick skin excretion
impetigo
skin infection
subcutaeous
skin layer farthest from surface
epidermis, dermis, subcutaneous
skin layers
intradermal injections are used to administer what test
skin test
hypno
sleep
somno
sleep
brady
slow
glomorulo
small ball of functioning unit of the kidney
papule
small elevation of the skin
bulbourethra
small exocrine gland located in male reproductive system
uvula
small fleshy lobe in back of throat
what best describes the duodenum, jejunum and the ileum
small intestine
incorrect group
small intestine: duodenum, jejunum, ileum, cecum
olfacto
smell
leio
smooth
urinary tract lining
smooth muscle mucous membrane
pyloric sphincter
smooth muscle - controls the release of stomach contents to the small intestines
smoking status of pt would be discussed under what history
social
malacia
softening
pms
software used in medical office to accomplish administrative tasks, including entry of patient demographics, record-keeping for insurance and other billing transactions, appointment scheduling and advanced accounting functions
connotation
something suggested by a word or thing
connotation
something suggested by word or thing
field
space allocated on a form for specific numeric or text data
av bundle(bundle of his)
specialized for electrical conduction
what results indicates a concentrated urine specimen
specif gravity: 1.025
midpiece, head, figellum are part of
sperm
puberty
sperm and egg mature
myelo
spinal cord, bone marrow
Gram stain
staining bacteria using a dye called crystal (gentian) violet.
HIPPA 5010
standard electronic format that facilitates the claims processing for drs.
medicare funded
state and federal
criminal law
state and government
ism
state of condition
day sheet
statement for daily business transaction
slander
statement not known to be true
hemostasis platelet phase
sticks to area to cause platelet plug
hypothalmic- releasing hormones
stimulates
erythropoietin
stimulates the production of red blood cells hormone secreted by the kidneys that stimulates the bone marrow to produce red blood cells stimulated by the low oxygen levels in blood
funds, body, and pylorus are parts of what
stomach
fundus, body, pyloris are part of
stomach
pyloric sphincter is located between the duodenum and what structure
stomach
GI tract
stomach, colon. intestines, anus rectum
stasis
stoppage
what words best describes the function of the urinary bladder
storage
Bile
stored in the gallbladder digestive aid secreted by the liver emulsifies fats (greenish-yellow)
gallbladder
stores and concentrates bile
physiology
study of functions of living organisms
electron
subatomic particle carrying negative charge
neutron
subatomic particle with no negative electric charge
bankruptcy notification
submit form to court trustee
medicare claims
submitted electronically required by HIPAA
anti-inflammatory
suppresses inflammation and modifies normal immune response
roe V wade
supreme court judgement making abortions legal
desis
surgical fixation of bone or joint
centesis
surgical puncture to obtain fluid
glomeruli
surrounded by bowmans capsule filters (pushing) water and dissolved solute through pores of glomerlar membrane
apnea
suspension of breathing
rhaphy
suture
deglution refers to what
swallowing
deglutition
swallowing
hidra
sweat
cilia
sweep fluids and foreign particles out of cells
what neurons from the celiac ganglion suppress digestion in part by diverting blood to skeletal muscles to the heart
sympathetic
pt complain of dizziness
symptoms
sx
symptoms
anabolism
synthesis of complex molecules in living organisms from simpler ones together with the storage of energy
not criteria for choosing EHR record vendor
system that can be accessed by the medical office and not other care entities
caudal
tail
organ or tissue the homorne acts on
target hormone
organ or tissue the hormone acts on
target organ
temporal pulse
temple
tono
tension
snellin chart
test eye sight
orchido
testicles
deposition
testimony from witness
what steriod is an androgen
testosterone
axon
that conducts electrical impulses away from the neuron's cell body
Basal metabolic rate
the amount of energy required for an organism at rest
retention period
the amount of time patient record must, by law, be maintained by the medical office
progress notes
the area of the patient record where new information for each patient visit is recorded using the SOAPE format. the progress note should be accessed if there is a question during the billing process in regards to what services were provided and /or the diagnosis.
Trendelenberg position
the body is laid flat on the back (supine position) with the feet higher than the head by 15-30 degrees
correspondence
the correspondence icon in the global icons offers access to the typical correspondence that is found in a medical office. templates are found in both email and letter formats for a new patient welcome, missed appointment, normal test results, memorandum, patient termination, appointment reminder, and phone messages.
form respository
the form repository is part of the global icons and houses all patient specific forms that, once documented, are saved to a patient record.
SOAPE charting
the format used in the progress note to record new information for the patient visit. the information is recorded in the appropriate category; Subjective, Objective, Assessment, Plan, and Evaluation.
Islets of Langerhans
the hormone secreting cells of the pancreas
guarantor
the individual legally responsible for the bill. in the patient demographics section, a guarantor must be designated. it could be the patient themselves or it could a spouse or parent.
Anterior pituitary
the lobe of the pituitary gland that produces adrenocorticotropic hormone, follicle stimulating hormones, thyroid stimulating hormone, luteinizing hormone, growth hormone, and others
insured
the name of the policy holder for the health insurance policy. this could be the patient, a spouse, or a parent.
bowman's capsule is part of what
the nephron unit
Parathyroid hormone
the nonsteroid hormone produced by the parathyroid that causes osteoclasts to reabsorb bone thus increasing blood calcium levels
who is not part of documenting in pt chart
the patient
receptionist documents what
the patient appointment times
assignment of benefits
the patient signs a release, giving the insurance carrier permission to pay the medical office directly instead of sending the payment to the patient.
privacy
the patients freedom to determine when, how much, and under what circumstances his or her medical information may be disclosed
confidentiality
the patients right and expectation that individually identifiable health information will be kept private and not disclosed without the patients permissions
anonymity
the patients right which exists to varying degrees to have private health data collected in a way that can never be linked or traced back to him or her
claims with assigned assignment of benefits are paid
the physician
Binding site
the portion of a molecule that docks with molecules that include chemical messengers
Adrenal cortex
the portion of an endocrine gland that produces the hormones aldosterone, cortisol, and androgens
record
the record button features all of the patient charts that comprise the patient record. the patient record menu will change based upon which encounter type has been selected for the patient. depending on the type of visit selected you would find the allergies section, chief complaint, health history, immunizations, medications, order entry, patient education, preventative services, problem list, progress notes, and vital signs.
organization culture
the shared set of values, beliefs, and assumptions that governs the perceptions and interactions of the organizations members and guides their behaviors and decision making
hydrochloric acid, intrinsic factor and gastrin are secreted by what
the stomach
formatting
the structure or organization of digital data for storing, printing, or displaying
prothrombin time
the time it takes blood to clot in a test tube
the urinary meatus is part of what
the urethra
new patient visit
the visit type would be chosen for a patient that has not been seen in the medical office within the last 3 years.
pachy
thick
conjunctiva
thin membrane lines eyelids
medicare is an example of
third party payer
pharyngo
throat
Platelets
thrombocytes stops bleeding produced in the red bone marrow
alveoli
tiny sacs in lungs
medication administration
to give medication in the office
insulin secreted why
to increase blood levels of glucose occurs after a meal
unique identifiers
to keep patient identity confidential
parenteral route for administering medications is used why
to obtain more rapid action
when withdrawing medication from a vial, the needle must be insterted below the fluid level to prevent what
to prevent the entrance of air bullbles into the syringe
thymus
to produce and process lymphocytes or T cells
linguo
tongue
enamel, dentin, and cementum are related to what structure
tooth
60 seconds
tournequit left on
superficial
toward the surface
true about waiting rooms
toys are ok as long as cleaned daily
link
traditionally referred to as a hyperlink, a link is blue, underlined text that is clickable by the user and takes them to another location or screen within the simchart for the medical office.
medical technologist
trained to perform lab procedures
erythrocytes
transport oxygen
functions of blood
transport oxygen, fight infection, regulate temp & maintain acid balance
functions of water
transportation of substances in and out of cells, cools the body through perspiration, provides a solvent for ridding the body of waste, cushions the shock to bones and joints
neurosurgeon
treats brain and spinal cord
three
tri
the triangular are where the two ureters and urethra opening are found is called what
trigone
burns need immediate attention when
trouble breathing
diplo
two
bilateral
two sides
universal recipent
type AB blood
Universal donor
type O type
lymphocytes
type of leukocyte(WBCs)important in immune system
repression
unconscious exclusion of painful impulses, desires, or fears
metastasis
uncontrolled transfer disease from on organ to another
sub
under
zygo
union
O negative blood
universal donar
through description of pt clinical presentation
unstructured data entry
Hyperglycemia
unusually high blood glucose
deltoid
upper arm
sa node location
upper wall of RT atrium
what substance is normally present in the urine
urea
the tubes that carry urine from the kidneys to the urinary bladder are called
ureters
gonococcal cultures obtained from
urethra
the tube that leads from the urinary bladder to the outside of the body
urethra
what is the most common of the wastes and accounts for about 50% of total waste
uric acid
cystitis refers to inflammation of what
urinary bladder
kidney,ureter,bladder,urethra
urinary system organ flow
micturition
urinating
voiding
urinating
most water is lost from the body how
urine
restating
used to let patient know you understand what they communicated
lipid lowering agent
used to lower cholesterol
antihypertensive
used to manage high blood pressure
analgesic
used to manage moderate to sever pain
antitssive
used to prevent or relieve coughs
lancet
used to puncture finger
laxative
used to relieve constipation
heparin
used to treat and prevent blood clots
bone resorption inhibitor
used to treat and prevent osteporosis
insurance claim error
using rule out diagnosis
Receptor molecule
usually a protein embedded in the plasma membrane that responds to a chemical signal causing a change within the cell
placenta forms here
uterus
myometrium and endometrum
uterus - middle inner layer
a freshly voided specimen is couldy, it means what
uti may be present
immunization
vaccination uses dead or attenuated pathogens to stimulate antibody production
colpo
vagina
periosteum
vascular connective tissue enveloping the bones
endosteum
vascular membrane that lines the inner surface of long bones
verbal aggression
verbally attacking
vaso
vessel
membrane covering the lungs
visceral pleura
plopia
vision
urgent visit
visit type selected when a patient has called and needs to been seen on the same day. this could be if they have been having nausea and vomiting for several days, sore throat with a fever, a fever of more than 101, and burning & frequency associated with urination.
what vitamin is required for the formation of prothrombin needed for normal blood clotting
vitamin k
codes that are supplemental codes used to help researches collect data, track illness and disease and measure quality of care
volume 1
ICD-9 volume that contains codes used by hospitals to report inpatient care is
volume 3
septa
wall
a means of connecting wireless to the internet using a local area network or router
wi-fi
endo
within or inside
A,a
without
s
without
tasks needed to complete a step in business process
work flow
not covered entity
workers comp programs
Appendix
worm-like structure contains lymphocytes and is a source of immune cells
carpels
wrist
insurance rider
written form attached to an insurance policy that alters the policy's coverage
statutory law
written law set down by a legislature
exposure control plan
written program protecting employees against hazards
malfeasance
wrongful & unlawful act
xantho
yellow
primi
first
Egs of proteins as hormones
GH, PRL Made from aa's
Heme
contains iron & carries oxygen
prostaglandins
group of lipid compounds that are derived enzymatically from fatty acids
system
group of organs working together
trophy
growth
the person who bears ultimate financial responsibility for a patients account, usually the patient
guarantor
foreceps
holds tissue
prolactin
hormone released by the pituitary gland
prolactin
hormone released by the pituitary gland
Hr
hour
cholecystokinin
(CCK) causes smooth muscle of the gallbladder to contract/ bile is released into the oystic dut
ureter
(2) carry urine from the kidneys to the urinary bladder connects to trigon
Telecrine
The effect of a hormone distant from its site of secretion
Adrenal medulla
The interior of the _____ gland that produces epinephrine and norepinephrine
An enzyme that digests proteins into peptides is ANSWER: amylase. nuclease. lipase. trypsin. maltase.
d
Finish pages 8 and 9 of Lecture 1
......
hiv codes
042 disease, v08 infection
performing sedimentation rate westigren tube filled
0mm
which of the following needle lengths is used to administer and intramuscular injection into the dorsogluteal site on an average size adult
1 1/2 inch
urethra
1 carries urine to the outside of the body
what is the maximal amount of medication that can be administered throught the subcutaneous route
1 ml
Specific Gravity
1.003-1.035. Density of an object relative to water. Need to know when converting weight to volume. (Water to dissolved substances) First voided morning sample has the highest.
Encounter Form
A form generated to reflect the services and charges for a pt. visit. It includes pt. info, account balance, and follow up instructions
intradermal injection
10-15 degrees 27g
individual who is responsible for recording data in pt record is called
document
rules of nines
11 areas of the body each covering 9%
Personal health record
All of the above are features NOT benefit from duplicate testing and reassurance Comprehensive electronic or paper based record of health info controlled by pt.
patient fails to keep appointment
document in chart
life span of a RBC
120 days
Prolactin release-Inhibiting hormone aka Dopamine
Amine released by hypothalamus. inhibits prolactin release by hypothalamus
Tabular list of disease can be found in what manual(s)?
ICD-10-CM ICD-9-CM
examples of pt insurance form
IIHI, PHI
Negative feedback
a mechanism for maintaining homeostasis were the product inhibits its own production
hemoconcentration
bllod concentrates one area
What organ is primarily responsible for water absorption? ANSWER: esophagus large intestine anus pancreas stomach
B
lymphocytes
B & T cells produced in red bone marrows role in immune response
Urea
A colorless crystalline compound that is the main nitrogenous breakdown product of protein metabolism and excreted in urine.
Duodenum
1st segment = small intestines width of 12 fingers, 10 inches, most digestion and absorption occur mostly here
What structure transports urine from kidneys to bladder?
Paired ureters
releases insulin and glucagon
Pancreas
what is used to administer an intradermal injection
26G 3/8 inch
Jejuenum
2nd segment = small intestines approx 8 ft digestion and absorption of food occurs in the first third of the jejunum
tid
3 times a day
age analysis on accounts
30,60,90&120 days overdue accounts
Egs of amines as hormones
Norepinephrine and epinephrine. Made from amino acids
ileum
3rd segment = small intestines approx 12 ft its functions is to complete the process of absorption of digestion end products Vit. B12 & bie salts
ACTH (Adrenocorticotropic hormone)
Peptide released by ant pit and is part of hpa axis. Inc release of cortisol by adrenal cortex.
Gonadotropin-releasing hormone (GnRH)
Peptide released by the hypothalamus Stimulates the release of gonadotropins LH and FSH
Ketones
Normal product of fat metabolism. Chemical test used to detect the presence of ketone bodies in the urine (ketonuria); positive test indicates that fats are being used by the body instead of carbohydrates, which occurs during starvation or an uncontrolled diabetic state
Qid
4 times a day
Corticotropin-releasing hormone (CRH) aka CRF
Peptide released by the hypothalamus. Stimulates the anterior pituitary to secrete ACTH
Which nephron capillary bed has low pressure?
Peritubular Capillaries
Sickle Cell Anemia
RBC is c-shaped or sickle shaped Blocks blood flow
EKG ground
RL(rt leg)
arteries characteristics
blood away from heart, pulse, valves, bright red, stay in place
hemophilia
blood clotting disorder blood doesnt clot (takes time) most common in males
SubQ injection
45 degrees, 2cc 25g
apheresis
blood of a donar or patient is passed thru an apparatus to seperate the blood
BP
blood pressure
catabolism
The metabolic breakdown of complex molecules into simpler ones
postural blood pressure
blood pressure readings are takne in differnt positions
postural blood pressure
blood pressure readings taken in different positions
after administering a tuberculin skin test, it should be read within how many hours
48-72 hours
veins characteristics
blood to heart, no pulse, no valve, dark red, bouncy and rise
homeostasis
bodies abilty to maintain an acid base balance
secretion
bodily fluids
corpus
body
somato
body
what percent of water is an adult made up of
60/65
tickler file
a file of memoranda or notices that remind of things to be done
day sheet
a form that keeps track of the services and money received for a patient's care.
osteo
bone
greenstick fracture
bone bent not broken on one side
Hormone
a molecule produced by cells, endocrine glands, and tissues that regulates body systems through cellular change
legacy
a functional EHR system slated to be replaced with newer software
Urine produced per day?
750-2000mL
Thyroid gland
a gland that regulates metabolism by secreting thyroxin and triiodothyronine, and blood calcium by secreting calcitonin
Exocrine gland
a gland that releases its product through a duct onto a surface or into a cavity
oxytocin
a neurohypophyseal hormone that stimulates the uterine muscle to contract, thereby assisting in labor
accepting assignment on medicare claims physician gets
80%
triiodothyronine (T3)
80% comes from thyroxine conversion. 20% comes from the thyroid gland and is made up of 2 tyrosine and 3 iodine.
chemical messenger that influences or controls the activities of other tissues or organ is known as what
a hormone
Hormone-receptor complex
a hormone bound to a target molecule
Glucagon
a hormone produced by alpha cells of the pancreas that causes an increase in blood glucose levels
what angle of needle insertion should be used to administer an IM injection
90 degrees
intramuscular injection
90 degrees 21-23g
Insulin
a hormone produced by beta cells of the pancreas that decreases blood glucose levels
Aldosterone
a hormone produced by the adrenal cortex that regulates blood pressure primarily by causing the retention of ions and therefore water by osmosis
Myelosupression
bone marrow supression can be caused by anticancer drugs, pt must be monitored
compound fracture
bone sticks thru skin
Norepinephrine
a neurotransmitter and nonsteroid hormone produced by the adrenal medulla that is necessary for concentration and is involved in the fight or flight response
Follicle stimulating hormone
a hormone produced by the anterior pituitary gland that causes the maturation of eggs in females and the development of sperm in males. It also helps regulate maturation and reproductive processes.
Microcomputer
: A small computer that contains a microprocessor
Growth hormone
a hormone produced by the anterior pituitary gland that has a variety of functions including muscle, and organ development
skeletal system
bones, cartlidge & ligaments
fourth class mail
books and media
au
both ears
CPT-4 (Current Procedural Technology, Fourth Edition)
A comprehensive set of medical codes and corresponding labels that describe procedures, treatments and services for the purpose of determining reimbursement rates
dendrite
branched projections of a neuron
Advance Directive
A binding legal document prepared and signed by a competent individual outlining the pt.s wishes should the person become incapacitated. Components of and advance directive may include a medical power of attorney and a living will
Antidiuretic hormone
A hormone produced by the hypothalamus and secreted by the posterior pituitary. It causes water retention and constricts blood vessels
mainframe
A large high-speed computer, esp. one supporting numerous workstations or peripherals
Glycogen
A polymer of glucose molecules used by animals to store excess glucose in the liver and muscle cells
Personal Health Record
A secure, comprehensive record of health information that is controlled by the individual, creating a confidential electronic or paper-based file that is easy to access, manage, and share
Workflow
A set of related tasks needed to complete a step in the business process
Q: A client tells a nurse that she has been taking Synthroid each day for the past 9 days, and notices no improvement. The nurse tells her what?
A: "It may take several weeks for you to notice a therapeutic effect from the drug".
Q: Nurse is administering vasopressin (Pitressin) to a client. Implications for this drug will be?
A: (1) Montor the client for decreased blood pressure (2) Monitr the client's pulse for increased heart rate.
dendrite
branched projections of a neuron that act to conduct the electrochemical stimulation
Blood Flow in Nephron
Afferent arteriole --> Glomerulus (filtration) --> Efferent arteriole --> Peritubular capillaries and vasa recta (blended modified blood)
How data entered into pt. chart?
All of the above
Q: Propanolol (Inderal) may be prescribed to clients with hyperthyroidism to do what?
A: Decrease tachycardia and tremors
Q: A clinet is taking dihydrotachysterol (DHT). WHat is the nursing implication?
A: To monitor weekly calcium levels
Q: the nurse is administering the growth hormone somatrem (Protropin), and knows the action of this drug is to do what?
A: To stimulate growth in long bones at epiphyseal plates.
Q: A client is given corticotropin (Achthar). The nurse knows to monitor the client for which condition?
A: Weight gain
Q: Radioactive iodine (131I) is contraindicated for which client?
A: a client who is pregnant
adrenal cortex is the target gland of what
ACTH
Third party payer
An individual or entity other than the patient (1st party) or the provider (2nd party) that is financially responsible for a portion of the patient's healthcare bills
Electronic Data Interchange (EDI)
An info exchange technology that facilitates the rapid, accurate transfer of encrypted data in a standardized, mutually agreed upon format
accessory organ
An organ that assists with the functioning of some other organ within a system
POC documentation
done by provider ASAP
Di
double
Triiodothyronine
a hormone that regulates metabolism, increases body temperature, and increases, and increases long bone growth synergistically with growth hormone
Granulocytes
B= Basophils E= Eosinophils N= Neutrophils - contain granules in the cell
PIF
Basic demographic info, payer info, emergency contact
Tropic hormone
a hormone that regulates the hormone production of another endocrine gland
spleen
filters blood
waste from the bloodstream that is collected by the glomerulus is called
filtrate
Reason for Visit
CC
patient complains of urinary frequency
CC
reason for pt to seek care from provider
CC
what allows practitioners to tailor the care of a individual pt
CDS
uniform language for describing procedures and treatments performed by healthcare providers
CPT 4
Procedure coding
CPT/Consist of 5 digits
The outermost superficial region of the kidney that contains most of the nephrons is called?
Cortex
glucocorticoids
Cortisol and Cortisone are types of these hormones, produced in the Adrenal cortex, helps body resist long-term stressors; increases blood glucose levels; controls effects of inflammation from edema
parts of teeth
Crown, root, dentin, pulp
Steroid hormone
a lipid based hormone that typically causes cellular change by turning genes on
fee schedule
a list of services and supplies with the amount that is charged for those services or supplies
what is recommended to prevent and control hypertension
DASH
Day Sheet
Daily business transactions, checks and balances
Adverse Action
Decision by insurance company to terminate based on consumer reporting agency
Oliguria
Decreased output of urine
Patient encounter form data items
Demographics, date of appt., guarantor, Ins. pol # & group ID, problem & diagnosis codes, service codes & ranking, account balance.
antidiuretic hormone (ADH)
Developed in the posterior pituitary gland, influences the absorption of water by kidney tubules
Dysuria
Difficult or painful urination
subtle
Difficult to understand
Dys
Difficult, labored, or painful
creatinine
a nitrogenous waste product that is a excreted by the kidneys
Hybrid
EHR for new pt. and paper for old pt.
Minimum Necessary Standard
ENT for seasonal allergies, only notes pertaining to tx, example of?
Technical safeguards (electronic)
Encryption and decryption technology
Simple goiter
Enlarging of the thyroid gland. Occurs due to thyroid deficiency. No thyroid hormones are produced to inhibit TSH release
smallest pathogen
Epstein Barr Virus
Egs of steroids as hormones
Estrogens, progesterone, testosterone, aldosterone, cortisol Made from cholesterol
Nocturia
Excessive (Voluntary) urination at night
iron
FE
Egs of glycoproteins as hormones
FSH, LH, TSH Made from proteins/carbs
Urgency
Immediate need to urinate
What is in a Pt. record?
Immunization records Operative reports Living will referral letters *(NOT college transcripts)*
Safeguards
Implementation of usernames, passwords, and screensavers
Oxytocin
a nonsteroid hormone produced by the posterior pituitary that cause uterine contraction and milk secretion in women. It causes social attachment and trust in both males and females.
Medical Necessity
Is a legal doctrine that holds that medical services rendered must be reasonable and necessary according to generally accepted clinical standards
Pay for Performance (P4P)
Is an outcomes-based payment model that rewards provides for delivering evidence-based care according to specific standards and for electronically documenting compliance with those standard.
thyroid-stimulating hormone
Is started by the thyroid-releasing hormone in the hypothalamus. TSH stimulates the thyroid gland to release thyroxine (T4) and triiodonthyronine (T3).
*Net Filtration Pressure*: the pressure responsible for filtrate formation
NFP = glomerular pressure - (Oncoctic pressure of glomerular blood + capsular hydrostatic pressure) Pressure of glomerulus must be higher than blood and capillaries!
Avoiding duplicate records
NOT create new record not been seen in 3 yrs
What are the structural and functional units that *form filtrate* that consist of the glomerulus, Bowman's capsule, and renal corpuscle called?
Nephron
Addison disease
Occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone
convolutions
One of the convex folds of the surface of the brain. ...
thyroxine (T4)
One of two iodine-containing hormones that are secreted by the thyroid gland and that help regulate metabolism, development, and maturation in vertebrates.
P4P
Outcomes based payment model that rewards providers for delivering evidence based care according to specific standards for electronically documenting compliance
What is a Urinalysis?
Physical, Chemical, Microscopic analysis of urine
which of the following pieces of information is not found on the patient encounter form
Physician NPI number
CC
Reason for seeking care/ Urinary frequency
chronological
Relating to the establishment of dates and time sequences
What tube leads to the hilus?
Renal Pelvis
thyroid gland secrets what hormone
T3 & T4
thyroid gland secretes what?
T3,T4, calcitonin
Thyroid gland hormones
T3- triiodothyronine (controls metabolic rate & regulate growth development) T4- tetraiodothyronine
ICD-9 Volume III contains what?
Tabular List and Alphabetic Index of procedures -third volume used by hospitals. these codes are used to report inpatient care and are not intended for use by am ambulatory care practices
VPN
a pathway that allows encrypted data to travel securely through an internet connection to its destination, where it is unencrypted
Living Will
The part of an advance directive that specifies which life sustaining treatments (for example, mechanical ventilation and tube feeding) should be administered to or withheld if the person becomes incapacitated
Medical Power of Attorney (Also called Durable Power of Attorney for healthcare or healthcare proxy)
The part of an advance health care directive naming a trusted person to make medical decisions on the pt.s behalf should they become unable to make such decisions independantly
established patient
a patient that has been seen in the medical office in within the last three years
new patient
a patient that has not been seen in the office within the last 3 years
Guarantor
The person who bears ultimate financial responsibility for a pt.s account; usually the guarantor is the pt., but the guarantor for a minor or a person of decreased mental capacity may be a parent, trustee, or legal guardian
hypophysis
The pituitary gland - has an anterior and posterior lobe
neurohypophysis
The posterior pituitary gland. It secretes antidiuretic hormone (ADH) (vasopressin) and oxytocin.
what is uncluded in a complete urinalysis
a physical, chemical and microscopic examination of urine
plakia
a plate or flat plane
Gene
a portion of a DNA molecule that is a code for a protein
default
a preselected value or setting that will be used unless the user specifies a substitute by overriding the preselceted choice
neuorotransmitter
carries nerve impulses across a synapse
pulmonary veins
carries oxygenated blood to the heart
Vas Deferens
carries sperm to epididymis to await ejaculation
ureter
carries urine from kidney to bladder
Soluble
a property of a chemical that allows it to dissolve in a solvent forming a solution
vas deferens, ejaculatory duct, and urethra
carry sperm
Glycoprotein
a protein with a short chain of carbohydrates often involved in cell signaling and recognition
How do hypothalamic hormones reach the ant pit
These are transported through the hypophyseal portal system
Leukocytes
White blood cells, accompanies inflammation of kidneys and lower UTI, acute and chronic pyelonephritis, cystitis, urethritis, recommended specimen for women, clean catch.
An
Without, absence of
epiphysis
`end of a long bone
audit trail
a record that traces a users electronic footsteps by recording activity and transactions, including unsuccessful attempts to view unauthorized screens, within the EHR system
day sheet
a register for daily business transactions: also called day journal
PC
after meals
yellowish, fatty plaque
ather
an individual with high blood cholesterol level
atherosclerosis
Which of these gut hormones and actions are mismatched? ANSWER: secretin; stimulate bile secretion vasoactive intestinal peptide; inhibit intestinal blood flow cholecystokinin; stimulate gall bladder contraction gastrin; stimulate gastric motility
b
dorso
back
Landing page
calendar
adlosterone
causes Na+ and water reabsorption
general damages
compensate pain & suffering
An intestinal hormone that stimulates the release of insulin from the pancreatic islet cells is ANSWER: cholecystokinin. enterocrinin. secretin. gastric inhibitory peptide (GIP). enteropeptidase.
d
The crown of a tooth is covered by ANSWER: periodontium. cementum. pulp. enamel. dentin.
d
thoracic duct
drains left arm, neck, left side of face and left thorax empties into the left subclavian vein
oto
ear
good sources of protein in food
eggs. milk, meat
ulna
elbow
terminal plate
electrical mechanical conductor
incidence of swine flu can be monitored with the help of what EHR function
electronic communication and connectivity
peripheral
electronic equipment connected by cable to the CPU of a computer
pustule
elevation containing pus
QD
every day
QH
every hour
Caregiver
A person responsible for providing physical care and emotional support, usually in a home care setting, to a person who is ill, disabled, or dependant
osis
Abnormal condition
How document immunization?
All of the above
What does documentation accomplish?
All of the above
If the glomerular filtration rate is too low, what happens?
All the substances, including wastes, are reabsorbed *bad*
Personal Health Record Software
Allows patients to access, create, save and share to computers and thumb drives
LH effect on males
Also called interstitial cell-stimulating hormone (ICSH) as it stimulates Leydig cells to produce testosterone
Pituitary Gland - Anterior
Anterior pituitary gland - releases these hormones - Growth hormone (GH) --- Stimulates growth in tissue and bone - Thyroid-stimulating hormone (TSH) --- Acts on thyroid gland - Adrenocorticotropic hormone (ACTH) --- Stimulates adrenal gland - Gonadotropins (FSH), (LH) --- Affects ovaries
organelles
Any of a number of organized or specialized structures within a living cell
Simchart modules
Areas of EHR (Front office, Clinical care, Coding and billing)
Renal Artery
Artery that delivers oxygenated blood to the kidney
Coding
Assigning standard numeric and alphanumeric characters to dx & tx is called?
Graves disease
Autoantibodies bind TSH receptors on thyroid cell membs, leading to hyperthyroidism Results in exopthalmia and goiter
a comprehensive set of medical codes and corresponding labels that describes producers, treatments, and services for the purpose of determining reimbursements rates
CPT-4
cortisol
CRH and ACTH. Dec protein synthesis Inc fatty acid release Stimulate gluconeogenesis from noncarbs
diabetes insipidus
Caused by a deficiency of ADH, large amounts of water are excreted by the kidneys. It can lead to severe fluid volume deficit and electrolyte imbalance.
Medical record ownership
Facility created in
subject file
Files organized by topics
What substance contains all the plasma components except protein and blood cells?
Filtrate
Laws
Formal, enforceable rules and policies based on community standards of conduct
Parasites
From fecal or vaginal material (Trichomonoiasis)
Gastrin, Secretion, Cholecystonkinin
Gastrin- secreted by stomac CCK- secreted by the intestines
Where is filtrate formed?
Glomerulus
palate
Hard- bone separates the oral cavity from the nasal cavity Soft- separates the oral cavity from the naso- pharynx
Frequency
Having to urinate often
Where do the ureters enter and exit on the kidney (in and out entry)?
Hilus
Thyrotropin-releasing hormone (TRH)
Hypothalamic and stimulates release of TSH and prolactin from ant pit.
IM
Intramuscular
Autocrine
Local chemicals, act over short distances on SAME cell
Agranuocytes
Lymphocytes & monocytes
Third party payer
Medicare
New Pt.
Never been seen or been 3 yrs
what is the abbreviation for by mouth
PO
Pyuria
Pus in the urine
Erythrocyte
RBC Transport oxygen through heme
Olig/o
Scanty, few
Ethics
Set of rules and standards that grow from our understanding of right and wrong
Soap-e
Subjective=Pt. own words Objective=Vital signs Plan=MRI Evaluation=Dx of DM
Glyc/o
Sugar
sugar, salt, sex
Sugar- glucocorticoids salt- mineralcorticoids sex- ovaries secrete estrogen/ testes secrete testosterone
LH effect on females
Surge triggers ovulation and development of corpus luteum
Medical Identity Theft
The unauthorized use of someone else's personal info to obtain medical services or submit fraudulent medical insurance claims for reimbursement
records management
This may include classifying, storing, securing, accessiblility
Abuse
Unintentional deception, inappropriately bills for services not medically necessary and not meet current standards of care, not medically sound
hypothyroidism
a decrease in thyroid hormone secretion
epithelial tissue
a type of animal tissue
comprehensive visit
a type of patient encounter. within the comprehensive visit, there are five different types to choose from when creating a new encounter.
creatinie is what
a waster product that is filtered and not reabsorbed
patient records are classified how
active, inactive, closed
condition presents suddenly and is usually sever but of brief duration
acute condition
ADJMT
adjustment found on the ledger and day sheet. An adjustment is a change to a patient's account that is neither a charge for services nor a payment.
out standing balance prints after pt is seen is an example of what
administrative
anti
against
through the process of digestion, protein is broken down into what
amino acids
hyperthyroidism
an overactive thyroid gland
brach, brachio
arm
humero
arm
axilla
armpit
peri
around
ostomy
artificial opening
ad lib
as desired
pm
as needed
BP 1280/80 mg example of what
assessment
pre op
before surgery
nato
birth
upper gastrointestinal tract
buccal cavity, pharynx, esophagus, stomach, and duodenum
primary function of protein in the body
build, repair, and maintain body tissue
Third class mail
bulk advertisments
rrhage
burst forth
gluteal
buttocks
salpingo
canal, duct
carcino
cancer
sarcoma
cancer
malignant
cancerous
examples of an empty calorie food
candy, cake, cookies, and soft drinks
examples of macronutrients
carbohydrates, fats, protein
Common bile duct
carries bile from hepatic ducts and the cystic duct to the duodenum
Beta cell
cells of the pancreas that produce insulin
CDC
center for disease control
cerebro
cerebrum
what are main areas of lymph nodes
cervicle axillary inguinal
what guidelines should be followed when administering a medication
check the date expiration date, check you have the right med, identiy the patient by full name, check that the patient isnt allergic to the medication
oxytocin
chemical neurotransmitter in the brain
cold sterilization
chemicals used to sterilize
pleural cavity
chest
Agglutination
clumping of the antigen - antibody interaction caused hemolysis (incorrect blood typing /transfusion)
coagulation
clumps makes clot
the process of assigning standard numeric or alphanumeric characters to diagnoses, procedures, and treatments is called
coding
epididymis
coiled tubes in each testes to store sperm until matured
medulla
controls breathing and blood flow
kyphosis
convex curve in upper spine
how should urine reagent strips be stored
cool area, dark container, dry area, and tightly closed
the chief glucocorticoid is what
cortisol
most accurate blood pressure
count for 60 seconds
trauma
damage to underlying tissue
stages of dying
denial, anger, bargaining, depression & acceptance
the proximal convoluted tubules extend to become what
descedning limb (loop of henle)
proximal convoluted tubules extend become what?
descending limb of the loop of henle
neutrophils
destroy bacteria
Agranular leukocyte
destroys foreign cells
sterilization
destruction of all microbial life
hemolysis
destruction of veing
ESR(Erythro Sedimentation Rate)
detect infection
a 24 hour urine specimen may be collected to
determine the cause of kidney stones formation
korotoff sounds
determines blood pressure
corpus luteum
develops from an ovarian follicle during the luteal phase of the menstrual cycle
rheumatology
diagnose joint problems
ICD_9 codes
diagnosis and cause of death
elements of informed consent
diagnosis, risks, benefits & alternative treatments
dysuria
difficult or painful urination
dys
difficult, painful
granular leukocyte
digest micro-organisms
esophageal varices
dilated sub-mucosal veins in the lower esophagus
capillary puncture excessive squeezing causes
dilution of sample with tissue fluid
characteristics of fat souluble
dissolve in fat, excessive intake may lead to toxicity symptoms, and include vitamins A,D,E, and K
where does aldosterone excrete its effects
distal convoluted tubule
The serous membrane that lines the peritoneal cavity ANSWER: secretes peritoneal fluid. decreases friction. lubricates the cavity. prevents irritation. All of the answers are correct
e
The space between the cheeks or lips and the teeth is called the ANSWER: larynx. dip sulcus. fauces. pharynx. vestibule.
e
commensurate
equal measure
cells with no nucleus
erythrocytes
low levels of oxygen stimulate the kidneys to secrete what hormone
erythropoietin
part of the upper gastrointestianl tract
esophagus
anuria
failure of kidneys to produce urine
battery
failure to obtain consent before treatment
nonfeasance
failure to perform an act that should have been performed
syncope
fainting
dillemmas of justice
fair distribution of benefits
justice
fair distribution of burdens
salpingo
fallopian tubes
pseudo
false
genetic disease risk would be covered under what history
family
tachy
fast
a subcutaneous injection is given into what type of tissue
fat
adipose
fat
an output device that encodes documents in order to transmit them over telephone lines
fax machine
does not require universal precautions
feces
cirrhosis
fibrous connective tissue invades any organ
collagen
fibrous protein in the dermis
a deposit slip can be generated in SimChart for the medical office from what
forms repository
lordosis
forward curvature of the spine
fx
fracture
misrepresentation of the medical services provided to deceive or mislead and another or entity
fraud
ventral
front
parts of the uterus
fundus, body and cervix
candida
fungus
myco
fungus
what is done if a patient has a positive reaction to a mantoux test
further diagnostic procedures are perfromed
substance or agent that produces or causes
gen
FSH
glycoprotein polypeptide produced by ant pit and regulates growth, pubertal maturation, and reproductive processes.
collecting duct
goes to the calyces collects fluid from many nephrons empties fluid into the calyx of the renal pelvis urine is formed within collecting duct
eu
good
itis
inflammation
when the kidneys are not meeting the demand of the body this is known as
kidney failure
cecum is part of what
large intestine
cecum, colon, and rectum are parts of what structre
large intestine
medical practice act
laws that define inclusion of medical practice
to accomodate minor emergencies in office
leave open slots in scheduleing
billiruben specimens need protection from
light
renal cortex
lighter outer region
hepatic refers too?
liver
i synthesize clotting factors, stores vitamins, helps regulate blood glucose
liver
the chief organ of drug detoxification
liver
urea
nitrogenous waste product formed by the liver & excreted by the kidneys all part of urine (waste product)
bench trial
no jury
not
non
hematocrit
percentage of blood cells in a sample
show rate
percentage of patients in a practice who arrive for appointments as scheduled or cal in advance to cancel or reschedule
what blood vessel is primarily concerned with reabsorption
peritublular capillaries
with regard to re-absorption, which structure plays the most important role
peritubular capillaries
patients who want to have their information in electronic from but do not wish
personal health record sofrtware
sphygmo
pulse
corium
skin
cutaneo
skin
integumentary system
skin
histo
tissue
glosso
tongue
what is the most important nerve of the digestive tract
vagus
important of the digestive tract
vagus nerve
what vitamin is needed for healthy skin and to maintain vision in dim light
vitamin a
Hyperthyroidism - Thyroid Gland Propylthioruacil (PTU), methimazole (Tapazole)
- Action --- Reduce excess secretion of T4, T3 by inhibiting thyroid secretion - Use --- Treat thyrotoxic crisis, preparation for subtotal thyroidectomy - Interactions --- Increase effect of anticoagulants --- Decrease effect of antidiabetics --- Digoxin and lithium increase action of thyroid drugs --- Phenytoin increases T3 level - Nursing interventions --- Monitor vital signs, weight --- Administer thyroid replacement drug before breakfast - one hour before eating --- Check labels prior to using OTCs (psuedophedrine contraindicated) --- Advise reporting of symptoms of hyperthyroidism --- Encourage medic-alert tag --- Warn of foods that inhibit thyroid secretion --- Administer antithyroid drugs with meals --- Warn of iodine effects and presence in iodized salt, shellfish, OTC cough medications --- Do not abruptly stop antithyroid drugs --- Advise reporting of symptoms of hypothyroidism
Pituitary Gland - Anterior
- Growth hormone --- Drugs for growth hormone deficiency: somatrem (Protropin), somatropin (Humatrope) --- Drugs for growth hormone excess: bromocriptine (Parlodel), octreotide (Sandostatin) - Thyroid-stimulating hormone --- Thyrotropin (Thytropar) - Adrenocorticotropic hormone --- Corticotropin (Acthar)
Thyroid Gland - Hyperthyroidism
- Increase in T4 and T3 - Etiology --- Hyperfunction of thyroid gland ((happens in partial ectomy) --- Excess release of thyroid hormones - Symptoms --- Tachycardia, palpitations, excess sweating, heat intolerance, nervousness, irritability, exophthalmos, weight loss
Thyroid Gland & Hypothyroidism
- Thyroid gland hormones --- Thyroxine (T4) --- Triiodothyronine (T3) levothyroxine (Synthroid) - doesn't get along with anything - give it by itself - give it in the AM at 0700 - Functions --- Regulate protein synthesis, enzyme activity --- Stimulate mitochondrial oxidation - Hypothyroidism --- Decrease in thyroid hormone secretion --- Etiology ----- Primary: thyroid gland disorder, more common ******* Due to thyroid gland inflammation, radioiodine therapy, excess intake of antithyroid drugs, surgery ****** Myxedema (adult), cretinism (child) ----- Secondary: lack of TSH secretion
which of the following are feature of personal health records
-emergency contacts -family history -medical history -social history -health logs etc.
CPT-4 does what & how many digits does the codes contain?
-is a uniformed language for describing procedures and treatments performed by healthcare providers -7800 five-digit codes that represent services rendered
Living Will
A legal document that may include a DNR would be called?
Q: A client taking hydrocortisone for adrenocortical insufficiency (Addison's desease) is admitted to the hospital for a total hip arthroplasty. What is the nursing priority?
A: Admiinistration of supplemental dose of hydrocortisone.
Retention
Amount of time records must be kept by law
What are involved in facultative (on and off) water reabsorption and are affected by alcohol, ADH, and pharmaceuticals?
Collecting Ducts
Copayment
Fixed amt of money pt. pays at each visit
Cushing syndrome
Group of symptoms attributed to the excessive production of cortisol by the adrenal cortex; this syndrome may be a result of a pituitary tumor or a primary adrenal gland dysfunction; symptoms include abnormally pigmented skin, "moon face," pads of fat on the chest and abdomen, " buffalo hump" (fat on the upper back), and wasting away of muscle
Erythropoietin
Hormone secreted by the kidneys that inc rate of rbc production in response to falling oxygen lvls in tissues.
high plasma levels of glucose?
Insulin
Administrative safeguards
Internal policies and procedures, training staff, risk analysis
ICD-10-CM
International Classification of Diseases, Tenth Revision, with Clinical Modification. A coding system used to describe inpatient and outpatient diagnoses
Pituitary Gland - Posterior
Posterior pituitary gland - Antidiuretic hormone --- Vasopressin (Pitressin) --- Desmopressin acetate (DDAVP) - Nursing interventions --- ADH ----- Monitor vital signs, urinary output --- GH ----- Advise athletes not to take GH (effect is irreversible) ----- Administer when needed GH subQ, IM ----- Monitor growth rate
Bilirubin
RBC 120 days, hemoglobin, transport O2, breakdown, releases bilirubin, normally transported to liver and excreted with bile, eventually leaves through intestine (feces), liver cannot accept bilirubin, transported to kidneys, excreted into urine, BILIRUBINA= yellow-brown or green urine, gallstones
corticosteroids
Steroid hormones secreted from the adrenal cortex which promote sodium retention and potassium excretion. The two major classes are the mineralocorticoids and glucocorticoids. Aldosterone is the principal mineralocorticoid, and cortisol is the principal glucorcorticoid.
bladder
Storage unit for urine
Electrolyte
a compound that forms ions in water
mRNA
a copy of the information for making a protein from a gene. It is "read" by ribosomes.
Lipid
a diverse group of molecules with diverse functions characterized by being insoluble in water. They include fats, waxes, sterols, and the fat soluble vitamins (A, D, E, and K)
password
a sequence of characters and sometimes spaces used to prevent unauthorized access to or disclosure of patient information contained in secure electronic files
osis
abnormal condition
gastro reflux disease
abnormal relaxation of the lower esophageal sphincter
keloid
abnormal scar formation
hyper
above
supra
above
Steroids are produced by what gland?
adrenal
frenulum
anchors the tongue
what gland secrets TSH, ACTH, and growth hormone
anterior pituitary gland
the islets of langerhans
are insulin and glucagon secreted
antidiuretic hormone (ADH) and Oxycontin
are secreted by neruohypophysis
estrogen, progesterone, and testosterone
are secreted by the gonads
insulin and glucagon
are secreted by the pancreas and are concerned with the regulation of blood
Category III codes?
are temporary codes applied to emerging technology. These codes are used to minimized the number of unlisted codes being submitted to report services not otherwise described in Category I codes
what are removed as part of a mastectomy
axillary lymph nodes
An intestinal hormone that stimulates the gallbladder to release bile is ANSWER: secretin. cholecystokinin. GIP. gastrin. enteropeptidase.
b
An obstruction of the common bile duct often results in ANSWER: a decrease in production of pancreatic juice. undigested fat in the feces. hepatitis. cirrhosis of the liver. inability to digest protein
b
The region of the stomach that empties into the duodenum is the ANSWER: body. pylorus. fundus. antrum. cardia.
b
Which layer of the digestive tract directly underlies the epithelium? ANSWER: submucosa lamina propria lymphoid nodules muscularis mucosae digestive epithelium
b
Which of the following is an accessory organ of digestion? ANSWER: esophagus pancreas spleen colon appendix
b
infant first aid
back blows, chest thrusts, open mouth
weight
bar
conjugation describes the liver biding the water- soluble molecule to a hormone so it can
be excreted at a faster rate
ante
before
AC
before meals
genesis
beginning
blasto
beginning or young
popliteal
behind the knee
beneficence
being helpful
ventro
belly
hypo
below
Maslows hierarchy of needs #5 physiological
breathing, food, water, sex, Sleep, homestasis, excretion
saturated fats
butter, bacon, and cheese
user can click to execute a command such as confirm, cancel, or exit
button
All of the following are true of the lining of the stomach, except that it ANSWER: is covered by a thick, viscous mucus. is constantly being replaced. recycles bile. has a simple columnar epithelium. contains gastric pits.
c
Bile is stored in the ANSWER: appendix. duodenum. gallbladder. pancreas. liver.
c
decreases plasma levels of calcium
calcitonin
what mineral is needed for helathy bone and teeth
calcium
electrolytes
calcium, potassium & sodium
CPR steps
call, 2 blows 7 pump repeat until help arrives
temporary codes applied to emerging technology
category 3
large intestine
cecum, appendix, ascending colon, transverse colon, descending colon, sigmoid colon &rectum
parts of the large intestines
cecum, appendix,coron, rectum, anus
cyte
cell
spirilla
cell body that twists like a spiral
why is first voided morning specimen preferred for performing a microscopic examination of urine
contains more dissolved substances
trochlear
cranial nerve
The digestive tract is also referred to as the ANSWER: GI tract. esophagus. alimentary canal. alimentary canal and the GI tract. All of the answers are correct.
d
coronal plane
divided by front and back portions
HIPAA regulates
electronic exchange of patient info
a form generated o reflect the services and charges for a patient visit. it includes patient information, account balance, and follow- up instructions
encounter form
a system that keeps data secure by converting it to an unreadable code during transmission and unencrypting the information when it reaches the recipient
encryption technology
cartlidge
flexible tissue attatches bones to joints
what mineral provides an increased resitance to dental cavities
flouride
rhea
flow
deficiency of insulin causes
hyperglycemia
obesity increases the risk of developing what
hypertension, type 2 diabetes, sleep apnea, and osteoarthritis
first step in venipuncture/capillary puncture
identify the patient
urgency
immediate need to urinate
standard precautions are used
in contact with blood, body fluids, mucous membranes or non intact skin
Type II diabetes
inability to regulate blood glucose levels because of failure of cells to respond to insulin
fomites
inadimate objects that can carry infection
Thyroxine (T4)
inc metabolism. inc energy release from carbs, inc prot synthesis. Accelerates growth. Source is TSH from ant pit
catecholamines
include epinephrine and norepinephrine
excretion
infected secretion
septicimia
infection from unclean equipment
arthr
joint
cartilage
joints between bones
synapse
junction that permits a neuron to pass an electrical or chemical signal to another cell
fidelity
keeping a promise
photo
light
definicency of aldonsterone would likely cause what?
low blood volume hypotension
laryngopharynx
lower pharynx
pulmo
lung
ventral cavity
lungs
Sims position
lying on left side left arm behind the body right arm flexed for support (Rectal exams)
lymph
lymph node, watery
mentation
mental activity-thinking
a series of email messages on a single topic
message string
anabolism
metabolism of the body
nulli
none
Voiding/mictrition
normal act of urine
60-120
normal glucose range
rhino
nose
full of sugar
ose
when administering an im injetion, the skig over the injection must be held taut to do what
permit easier insertion of needle
plaintiff
person bringing case to court
amount of time records are kept in storage is called what
rentetion
conditioning
repairing damaged documents
guardium a litem
represents a minor in legal situation
pelvic cavity
reproductive organs, bladder, lg & sm intestines
examples of secondary use
research of disease
planning process of transitioning to EHR
research on EHR, networking with other practices, relevant info for staff meetings, assigning project leaders
adrenal gland
responsible for releasing hormones in response to stress
pyloric sphincter
ring of smooth muscle at the end of the pyloric canal and lets food pass from the stomach to the duodenum
bacillo
rod like
pronation
rotation of the hands and forearms so that the palms face downward
wheal
round
burso
sac
sialo
saliva
ula
small
petty cash
small incidental items
ammonia
stale what our bladder excretes (waste product) produced by break down of amino acids --> converted to urea
barriers
stand in way of ethical choices
stapedo
stapes of the ear
proton
subatomic particle with positive electric charge
documenting pt own words about what they fells
subjective
clinical care
the second module in the application. this module is where all of the clinical charting for a patient takes place.
office visit
the second type of encounter. indicates a generalized office visit.
phone consultation
the third type of encounter that can be used to document a phone call in the electronic health record. a patient can have more than one of these encounter types saved to their record in a business day.
graves disease
thyroid overproduces thyroid hormones
what is the abbreviation for thre times per day
tid
capillary
tiny blood vessels connecting arteries to venules
RBC's
transport oxygen
treason
trying to overthrow the GOV
urethra
tube leading from bladder to outside body to discharge urine
strepto
twisted chains
calendar
when selecting the front office module, the landing page will be the office calendar used to view and schedule appointments. some fields also have calendar pickers next to them. these indicate that a date must be chosen.
what is usually found in urine sediment of a patient with candidiasis
yeast