U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL CORRESPONDENCE PHASE 9lB BNCOC TECHNICAL TRAINING C2000014 1195 Basic Medical Terminology and Abbreviations 1. REFERENCES: Appendix B, AR 40-66, Medical Record Administration. Lillis, Carol A., Brady’s Introduction to Medical Terminology. Norwalk, Conn: Appleton and Lange. 1990. Subcourse MED 010, Basic Medical Terminology. U.S. Army Academy of Health Science, August 1989. Thomas, Clayton L., M.D., M.P.H., ed. Taber’s Cyclopedic Medical Dictionary. 13th ed. Philadelphia: F.A. Davis Company, 1977. II. OBJECTIVES A. Terminal Learning Objective. Given a document with medical terms and abbreviations, correctly interpret the contents of the document. B. Enabling Learning Objectives. 1. Given a list of components of medical terms and a list of definitions and/or descriptions, match each component with its definition or description IAW cited references. 2. Given a list, select the steps in analyzing and defining medical terms IAW cited references. 3. Given a list of common medical root words, prefixes, and suffices, and a list of definitions, match each root word, prefix, or suffix with its definition IAW cited references. 4. Given a medical term and a list of definitions, select the definition for each term IAW cited references. 5. Given a definition of a medical term, build the defined term using the correct prefix, root word, and/or suffix. C2 000014 1195 6. III. Given a document with medical abbreviations and a list of definitions, match each abbreviations with its definition IAW cited references. EXPLANATION Objective 1. A. Given a list of components of medical terms and a list of definitions and/or descriptions, match each component with its definition or description IAW cited references. Components of Medical Terms. 1. 2. 3. Root word. a. The main body or foundation of the medical term. b. Also called the “stem”. c. Usually identifies a body part, structure, or system. d. All terms have at least one root word. Prefix. a. One or more letters or syllables placed before the root word. b. Explains or adds meaning to the rest of the word. c. Terms may have one or more prefixes or none at all. Suffix. a. Letters or syllables at the end of the root word. b. Adds meaning to the rest of the word. c. Terms may have one or more suffixes or none at all. 2 C2000014 1195 4. 5. Objective 2. Combining vowel. a. A vowel which may be inserted between root words, or between root word and prefix or suffix. b. Separates components and makes pronunciation easier, but does not change meaning. Use of some terminology components may vary from one term to another; one component may be used in one term as a prefix, and as a root or suffix in another. Example: N% cyt” (cell) is a root word in “cytology” (the study of cells), and a prefix i “cytotoxin” (a toxin which attacks cells) Given a list, select the steps in analyzing and defining medical terms IAW cited references. B. Analyzing Medical Terms. 1. Identify root word(s) 2. Identify prefix(es), if any. 3. Identify suffix(es), if any. 4. Determine correct definition of each component. 5. Put component definitions together in logical sequence to define entire term. Objective 3. C. NOTE: Given a list of common medical root words, prefixes, and suffixes, and a list of definitions, match each root word, prefix, or suffix with its definition IAW cited references. Definitions of Common Root Words, Prefixes, and Suffixes. See Annex A (Common Medical Root Words, Prefixes, Suffixes) Objective 4. Given a list of medical terms and a list of definitions, select the definition for each term IAW cited references. 3 C2000014 1195 D. Medical Terms and Definitions. 1. NOTE: Defining terms., See Annex B (Common Medical Terms) a. Gastroenteric (1) Root words and meanings - 'gastr"/stomach, (2) “enter”/intestines. Suffix and meaning - "ic"/pertaining to. (3) b. c. d. e. Definition - pertaining to the stomach and intestines. Phlebitis. (1) Root word and meaning - “phleb”/vein. (2) Suffix and meaning - “itis’/inflammation. (3) Definition - inflammation of a vein. Lipoma. (1) Root word and meaning - "lip"/ fat (2) Suffix and meaning - “oma”/tumor. (3) Definition - fatty tumor. Osteoarthritis. (1) Root words and meanings - “osteo”/bone, (2) “arthr”/joint. Suffix and meaning - ‘itis”/inflammation. (3) Definition - inflammation of the bone and joint. Pericardial. (1) Root word and meaning - “cardi”/heart. (2) Prefix and meaning - “peri”/surrounding. 4 C2000014 1195 (3)Suffix and meaning - “al”/pertaining to. (4)Definition - surrounding the heart. Objective 5. NOTE: Given a definition of a medical term, build the defined term using the correct prefix, root word, and/or suffix. See Annex A (Common Root Words, Prefixes, and Suffixes). E. Building Medical Terms. 1. 2. Definition - pain in nerves. a. Root word/”neur” (nerve); suffix/”-algia” (pain). b. Term - neuralgia. Definition - excision of the liver. a. b. 3. Root word/”hepat” (liver) ; suffix/”-ectomy” (excision) Term - hepatectomy. Definition - inflammation of the bladder. a. Root word/”cyst” (bladder) ; suffix/”-itis” (inflammation). b. Objective 6. NOTE: Term - cystitis. Given a list of medical abbreviations and a list of definitions, match each abbreviation with its definition IAW cited references. See Annex C (Common Medical Abbreviations) P. Medical Abbreviations. 1. May be symbols or letters. 2. Many originate as Latin or Greek words. 5 C2 000014 1195 3. NOTE: Authorized by AR 40-66, Medical Record Administration, and by locally approved facility listings. medical treatment (1) Take ii caps po tid for 10 days. (2) Take iii tabs po ac and hs. (3) Take 0.5 ml SQ pm for ss of allergic reaction. (4) Administer ii gtts ou qid (5) Take vs qid, I&O qd, may have BRP, (6) Pt. do pain R leg 50 mg Demeral administered IM c good relief. See Annex D (Practical Exercise) and complete. 6 ANNEX A INSTRUCTIONAL AIDS COMMON MEDICAL ROOT WORDS. Part PREFIXES, C2000014 1195 AND SUFFIXES 1 ROOT WORDS ROOT WORD aden angi arthr bio carcin cerebr cephal cerv chol chondr cost crani cyst cyt derm electr emesis encephal. . enter erthr esthesia MEANING gland vessel joint life cancer brain head neck bile cartilage rib skull bladder cell skin electricity vomit brain intestine red feeling, sensation febr fever gastr stomach gen producing, beginning gluc/glyc. . .sugar gynec woman, female hema/hemo/ hemat blood hepat liver hyster uterus ROOT WORD laryng lip lith mening myel myo nephr neur oculo/ ophthalm onc osteo oto phleb pneo breathing pneum proct psych pulm pyel rhin radi scler scopy tendo thromb toxin uro/uria vaso veno 7 MEANING larynx fat stone membrane marrow, spine muscle kidney nerve eye tumor, mass bone ear vein breath, lung, air rectum. anus soul, mind lung pelvis pus nose ray hard examination, inspection tendon clot of blood poison urine vessel vein C2 000014 1195 ANNEX A (cant) INSTRUCTIONAL AIDS Part 2 PREFIXES PREFIX ab a-, an before, in front of anti bi brady contra cyano dys ec-/ecto endo erythro hemi hyper hypo inter intra leuko peri post pre-/pro retro semi sub super-/supra tachy trans tri MEANING away from absence of, without, not ante against two, both, double slow opposite, against blue difficult, painful outside within, inside red half excessive, above, beyond too little, low, below, deficient between inside white around, surrounding after before, in front of backward, behind, back of half under, beneath, below above, beyond, superior fast across, over three 8 ANNEX A (cont) INSTRUCTIONAL AIDS Part SUFFIX -ac, -al, -ar, -algia —cele -centesis -cis -cyte -ectasis -ectomy -emia -genic -gram -iasis -ist -logy -lysis -megaly -oma -opsy -osis -otomy/-tomy -pathy -sclerosis -scopy -ic C2000014 1195 3 SUFFIXES MEANING pertaining to pain hernia, tumor, protrusion, pertaining to puncture cut cell expansion, dilation removal, excision blood producing, originating record condition, formation of, presence of one who specializes in inflammation process, study breakdown, destruction enlargement tumor to view condition cutting open, incision disease hardening examination, inspection, looking into 9 ANNEX B INSTRUCTIONAL AIDS C2000014 1195 COMMON MEDICAL TERMS afebrile without fever arteriosclerosis hardening of the arteries bradycardia slow heart action bradypnea slow breathing bronchitis inflammation of the bronchus cardiovascular pertaining to the heart and vessels cyanosis condition of blueness cystitis inflammation of the bladder dyspnea difficult breathing endocarditis inflammation within the heart endotracheal pertaining to the inside of the trachea gastroenteritis inflammation of the stomach and intestine hematoma tumor filled with blood hematuria blood in the urine hepatitis inflammation of the liver hyperglycemia high blood sugar hypertension high blood pressure hypoglycemia low blood sugar hypotension low blood pressure intercostal between the ribs intracerebral pertaining to the inside of the brain intracranial pertaining to the inside of the skull 10 C2000014 1195 laryngoscopy ANNEX B (cont) INSTRUCTIONAL AIDS examination of the larynx with an instrument myocardial pertaining to the heart muscle pathology study of disease splenectomy removal of the spleen tachycardia fast heart action tachypnea fast breathing thyroidotomy incision into the thyroid thyroidectomy removal of the thyroid 11 ANNEX C INSTRUCTIONAL AIDS C2000014 1195 COMMON MEDICAL ABBREVIATIONS ABBREVIATION A/E ac ad lib adm ASAP bid bm BP BRP C c cap CC cc c/o C02 CPR CXR d/c ECG, EKG EBL ER F fb fx gtt H & P HR hs H20 i ii iii iv v I&0 MEANING air evacuation before meals at will, as desired admission, admitted as soon as possible twice a day bowel movement blood pressure bathroom privileges Centigrade, Celsius with capsule chief complaint, current complaint cubic centimeter complaint of, complains of carbon dioxide cardiopulmonary resuscitation chest X-ray discontinue, discharge electrocardiogram estimated blood loss emergency room Fahrenheit foreign body fracture drop (liquid measurement) history and physical heart rate hour of sleep (bedtime) water 1 2 3 4 5 intake and output 12 C2000014 1195 IDDM IV IM mg ml MVA NPO NTC 02 OD OS OU post-op pre-op po pt pm PC qd qh qid qod Rx sc or sq s sx sls stat SOB tab TPR tid tx vs > < ANNEX C (cant) INSTRUCTIONAL AIDS insulin-dependent diabetes mellitus intravenous intramuscular milligram milliliter motor vehicle accident nothing by mouth nitroglycerin oxygen right eye left eye both eyes, each eye postoperative (after surgery) preoperative (before surgery) by mouth patient as needed after meals every day every hour four times a day every other day prescription, treatment subcutaneous without symptoms signs and symptoms immediately short of breath, shortness of breath tablet temperature, pulse, respirations three times a day treatment vital signs (temperature, pulse, respirations, blood pressure) greater than (2>1) less than (l<2) 13 ANNEX D C2000014 INSTRUCTIONAL AIDS PRACTICAL EXERCISE ROOT WORDS 1195 PREFIXES Match the root word in Column A Match the prefix in Column A with its definition in Column B with its definition in Coumn B Column A Column B Column A Column B ____1. glyc a. gland ____ 1. ab a. above ____2. gastr b. skin ____ 2. anti b. before ____3. derm c. sugar ____ 3. dys c. slow ____4. aden d. cell ____ 4. pre d. away from ____5. cyt e. stomach ____ 5. hyper e. fast ____6. hyster f. poison ____ 6. brady f. against ____ 7. nephr g. hard ____ 7. hemi g. half ____ 8. toxin h. uterus ____ 8. endo h. opposite ____ 9. thromb i. kidney _____9. contra i. painful j. clot ____10. tachy ____10.Scler j. within Suffixes Match the suffix in Column A with its definition in Column B. Column A Column B Column A Column B ____ 1. emia _____ 6. pathy a. enlargement f. tumor ____ 2. megaly _____ 7. itis b. examination g. condition ____ 3. osis _____ 8. ectomy c. inflammation h. study ____ 4. scopy _____ 9. logy d. blood i. disease ____ 5.Cyte _____10. oma e. removal of 14 ANNEX D (con’t) j. cell C2000014 1195 INSTRUCTIONAL AIDS Identify and define the root word, prefix, and suffix of each of the following terms and define the term. HYPERGLYCEMIA definitions ______________ prefix ______________ prefix ________________ root word ________________ root word _____________ suffix _____________ suffix definition of hyperglycemia_____________________________________________________ APNEA definitions _____________ prefix _____________ prefix ________________ root word ________________ root word _____________ suffix definition of apnea ____________________________________________________________ MYOCARDITIS definitions ______________ prefix _______________ prefix ______________ root word ______________ root word ______________ suffix ______________ suffix definition of myocarditis _______________________________________________________ 15 ANNEX D C2000014 INSTRUCTIONAL AIDS 1195 Abbreviations Match the abbreviation in Column A with its definition in Column B. Column A Column B Column A Column B ____ 1. ac a. after meals _____ 6. IM f. before meals ____ 2. fx b. complaint of _____ 7. do g. milliliter ____ 3. mg c. subcutaneous _____ 8. pm h. intramuscular ____ 4. ml d. fracture _____ 9. hs i. at bedtime ____ 5. sq e. as needed ____ 10. Pc j. milligram Select the best answer for each of the following. You are at sick call for a sore throat and the P.A. gives you a prescription for an antibiotic which reads, “Take i tab PO qid”. How should you take this medication? 1. 2. 3. 4. one one one two tablet by mouth every four hours. tablet by mouth four times a day. tablet internally twice a day. tablets three times a day. The doctor’s orders for your patient are, “Take vs tid and get a cxr qod.” You will do which of the following? 1. 2. 3. 4. take take take take vital signs very softly vital signs things very every other day and get a chest x-ray now. and get a chest x-ray four times a day. three times a day and get a chest x-ray every other day. slowly and get a chair for the patient four times a day. 16
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