CPCT Medical Terminology and Documentation 2 — Questions and Answers
Question 1: What does the medical term 'dyspnea' mean?
- Painful swallowing
- Difficulty breathing (Correct answer)
- Abnormal speech
- Excessive urination
Correct answer: Difficulty breathing
Dyspnea is the medical term for difficult or labored breathing, often described by patients as shortness of breath.
Question 2: Which body plane divides the body into right and left halves?
- Frontal (coronal) plane
- Transverse (horizontal) plane
- Sagittal (midsagittal) plane (Correct answer)
- Oblique plane
Correct answer: Sagittal (midsagittal) plane
The midsagittal (median sagittal) plane divides the body into equal right and left halves.
Question 3: A patient's intake and output (I&O) record should include which of the following as OUTPUT?
- IV fluids, oral fluids, ice chips
- Urine, wound drainage, vomit, and stool (Correct answer)
- Only urine output
- All fluids administered only
Correct answer: Urine, wound drainage, vomit, and stool
Output includes all measurable fluid losses: urine, wound drainage, emesis, gastric suction, and significant liquid stool.
Question 4: The term 'edema' refers to:
- Abnormal accumulation of fluid in tissues (Correct answer)
- Reduced red blood cell count
- Hardening of arterial walls
- Decreased urinary output
Correct answer: Abnormal accumulation of fluid in tissues
Edema is the abnormal accumulation of fluid in interstitial tissue spaces, causing swelling.
Question 5: What does the acronym 'SOAP' refer to in clinical documentation?
- Standard, Objective, Accurate, Prompt
- Subjective, Objective, Assessment, Plan (Correct answer)
- Systematic, Observation, Analysis, Protocol
- Safety, Order, Assessment, Procedure
Correct answer: Subjective, Objective, Assessment, Plan
SOAP is a structured documentation format: Subjective (patient's complaints), Objective (measurable findings), Assessment (interpretation), Plan (care actions).
Question 6: Which medical suffix means 'inflammation'?
- -plasty
- -itis (Correct answer)
- -osis
- -otomy
Correct answer: -itis
'-itis' denotes inflammation, as in appendicitis (appendix inflammation) or arthritis (joint inflammation).
CPCT Medical Terminology and Documentation 2
What does the medical term 'dyspnea' mean?