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Medical Terminology and Documentation Flashcards

6 cards from real CPCT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Medical Terminology and Documentation flashcards as text

  1. What does the medical term 'dyspnea' mean?

    Answer: Difficulty breathing

    Dyspnea is the medical term for difficult or labored breathing, often described by patients as shortness of breath.

  2. Which body plane divides the body into right and left halves?

    Answer: Sagittal (midsagittal) plane

    The midsagittal (median sagittal) plane divides the body into equal right and left halves.

  3. A patient's intake and output (I&O) record should include which of the following as OUTPUT?

    Answer: Urine, wound drainage, vomit, and stool

    Output includes all measurable fluid losses: urine, wound drainage, emesis, gastric suction, and significant liquid stool.

  4. The term 'edema' refers to:

    Answer: Abnormal accumulation of fluid in tissues

    Edema is the abnormal accumulation of fluid in interstitial tissue spaces, causing swelling.

  5. What does the acronym 'SOAP' refer to in clinical documentation?

    Answer: Subjective, Objective, Assessment, Plan

    SOAP is a structured documentation format: Subjective (patient's complaints), Objective (measurable findings), Assessment (interpretation), Plan (care actions).

  6. Which medical suffix means 'inflammation'?

    Answer: -itis

    '-itis' denotes inflammation, as in appendicitis (appendix inflammation) or arthritis (joint inflammation).