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Med Terminology Quiz 2 (concepts)
Concepts
216
Medical
Graduate
01/30/2018

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Term
Medical specialty concerned with the study of x-rays
Definition
Radiology
Term
Does radiology include diagnosis and treatment?
Definition
Yes
Term
uses radioactive substances that emit radiation to Dx disease
Definition
Nuclear Medicine
Term
What are the 3 categories of Radiology?
Definition
X-rays, Ultrasounds, Magnetic and Radio Waves
Term
What are the 4 categories of x-rays?
Definition
Contrast studies, computed tomography (CT Scans), Fluoroscopy, Conventional X-ray studies
Term
Category of ultrasound
Definition
Ultrasonography
Term
Category of Magnetic and Radio Waves
Definition
Magnetic Resonance Imaging (MRI)
Term
Used to detect pathologic condition, including arthritis, fractures, cavities of the teeth
Definition
X-rays
Term
What are two advantages of digital radiography? What's an example?
Definition
Uses computer to create a digital image
Less radiation
Ex. Mammography
Term
Uses Xray and computer to create cross-sectional images (slices) of specific body image
Definition
Computed Tomography (CT)
Term
Useful in detecting disease of bony structures & internal organs and in diagnosing brain tumors, heart disease, spinal cord lesions
Definition
Computed Tomography (CT)
Term
Do CT's use contrast medium?
Definition
Sometimes
Term
Three examples of contrast studies
Definition
Upper GI Series (UGI)
Upper GI with Small Bowel Follow-Through
Barium Enema
Term
involves patient swallowing barium followed by X-rays of esophagus, stomach and/or duodenum
Definition
Upper GI Series
Term
includes upper GI and Xrays of the remaining small intestines
Definition
Upper GI with Small Bowel Follow-Through
Term
involves the study of the large intestine following a barium enema
Definition
Barium Enema
Term
general term used when contrast media is used with Xray to create image of blood vessels
Definition
Angiography
Term
2 ways angiography is used
Definition
Diagnosing blockage caused by atherosclerosis.
Guiding minimally invasive surgery of blood vessels of the heart.
Term
injection of contrast media into joint (knee, shoulder) followed by Xray
Definition
Arthrography
Term
Xray of bronchial tree after injection of contrast media
Definition
Bronchography
Term
Xray of bile ducts and gallbladder; includes various types
Definition
Cholangiography
Term
3 examples of cholangiography
Definition
percutaneous transhepatic cholangiogram, intravenous cholangiogram, endoscopic retrograde cholangiopancreatography.
Term
X-ray image of contract injected blood vessels is produced by taking two x-ray pictures (the first without contrast) and using a computer to eliminate obscuring shadows from the second image
Definition
Digital Subtraction Angiography
Term
X-ray record of the endometrial cavity and fallopian tubes is obtained after injection of contrast material through the vagina and into the endocervical canal
Definition
Hysterosalpingography
Term
X-ray imaging of the spinal cord after injection of contrast agent into the subarachnoid space surrounding the spinal cord
Definition
Myelography
Term
X-ray imaging of the renal pelvis and urinary tract
Definition
Pyelography
Term
What are side effects of contrast media?
Definition
flushing, nausea, warmth or tingling sensation
Term
Therapeutic/diagnostic procedures performed by radiologist while pt is undergoing fluoroscopy (real-time pics) or ultrasound
Definition
Interventional Radiology
Term
5 uses of interventional radiology
Definition
Used for placement of drainage catheters, marking abnormal cells with pens, occlusion of bleeding vessels, biopsies, chemotherapy administration
Term
Xray procedure using a fluorescent screen instead of the photographic plate to create the image
Definition
Fluoroscopy
Term
What are the 2 advantages of fluoroscopy?
Definition
internal organs can be viewed in motion and the patient’s position can be changed constantly to get the best image.
Term
What's one of the main purposes of angiography
Definition
Guide minimally invasive surgery of blood vessels of the heart.
Term
What does PTCA stand for?
Definition
Percutaneous transluminal coronary angioplasty
Term
3 steps of PTCA
Definition
Catheter with deflated balloon tip is inserted through femoral artery
Catheter is threaded through stenosed artery
Balloon is inflated and deflated several times to push atheromatous deposits against wall of artery.
Term
Tiny mesh-like tubes made from plastic or wire placed permanently inside blood vessel or other pathway to hold it open after angioplasty
Definition
Stent
Term
High frequency sound waves that bounce off body structures; the resulting echo wave creates an image of the structure
Definition
Ultrasound
Term
What is the record produced from an ultrasound called?
Definition
sonogram, echogram
Term
3 examples of uses of ultrasound
Definition
intracranial and ophthalmic lesions, heart and valve disorders (echocardiography), abdominal masses and to asses fetal growth and development
Term
Uses electromagnetic energy to create sagital, frontal and cross-sectional images
Definition
Magnetic Resonance Imaging (MRI)
Term
Describe MRI's relationship to x-rays and contrast media
Definition
Does not use Xray and does not require a contrast media
Term
What areas is the MRI useful for studying
Definition
studying soft tissues, detecting edema in brain, visualizing the spinal cord, abdomen and chest
Term
view (film) is from front to back
Definition
AP (Anterior, Posterior)
Term
view is back to front
Definition
PA
Term
view is from side to side
Definition
lateral
Term
View from right to left
Definition
right lateral
Term
view from left to right
Definition
left lateral
Term
view is at an angle & shows structures that may not be visible from AP or PA views.
Definition
Oblique
Term
medical specialty that studies & uses radioactive drugs to diagnose & treat disease
Definition
Nuclear Medicine
Term
How many different nuclear medicine procedures for every organ system?
Definition
Over 100
Term
2 parts of Radiopharmaceuticals. Define Each
Definition
1) Radionuclide: radioactive part that is detectable in body by a device called a scintillation camera

2. Pharmaceutical: chemical portion of drug that concentrates in particular organ or cell
Term
How are radiopharmaceuticals administered?
Definition
Administered intravenously, orally or by inhalation.
Term
Break apart the term technetium-99m medronate into its components and explain each
Definition
Radionuclide: technetium-99m or Tc-99m
Pharmaceutical: medronate; compound that concentrates in the bones
Term
procedures that involve the anlaysis of blood or urine; performed outside of body using a radiopharmaceutical
Definition
In vitro
Term
3 examples of in vitro studies
Definition
radioimmuno- assay (RIA) to detect hormones, drugs, or antibodies.
Term
procedures that trace amount of radioactive substances from within body
Definition
In vivo
Term
_____________ is used to detect the radiation in the body.
Definition
scintiscanner (scintillation camera)
Term
radiation detector used to image the radio pharmaceutical that is emitted from the body organ/cell.
Definition
Scintiscanner
Term
3 advantages of nuclear medicine
Definition
Demonstrates not only structure, but function; the function can be quantitated (i.e. assign a numerical value to the physiologic function indicating the degree of function).

Abnormalities are usually detected earlier

Pathology that cannot be visualized by other diagnostic methods may be detected via nuclear medicine.
Term
4 types of nuclear scans.
Definition
Bone Scan
MUGA Scan
PET Scan
Thallium Scan
Term
nuclear scan that detects infections, cancers
Definition
Bone scan
Term
nuclear scan that illustrates the function/ motion of the heart ventricles
Definition
MUGA scan
Term
nuclear scan that produces cross sectional images
Definition
PET Scan
Term
nuclear scan that is used to asses the perfusion of the myocardium
Definition
Thallium Scan
Term
Components of Digestive System
Definition
GI Tract and Accessory Organs
Term
4 main functions of digestive system
Definition
Absorption, Ingestion, Digestion, Elimination
Term
Moistening food to form bolus
Definition
Mastication (Chewing)
Term
3 salivary glands
Definition
Parotid, Submandibular, Sublingual
Term
Only compound absorbed in mouth
Definition
nitroglycerin
Term
Food in the stomach is referred to as what?
Definition
Chime
Term
Food in the large intestines is referred to as what?
Definition
Feces
Term
Look at slide 6 Chapter 5
Definition
Term
Where gases rise up to in the stomach
Definition
Fundus
Term
Where is heartburn felt?
Definition
Esophageal Sphincter/Cardiac Sphincter
Term
Pylorus
Definition
Funnel in the stomach
Term
What breaks down fats? Where does this occur?
Definition
Bile, Liver
Term
Loss of appetite
Definition
Anorexia
Term
Abnormal accumulation of fluid in the abdomen
Definition
Ascites
Term
Rumbling or gurgling noises produced by the movement of gas, fluid, or both in the gastrointestinal duct
Definition
Borboygmi
Term
Difficulty in passing stools
Definition
Constipation
Term
Frequent passage of loose, watery stools
Definition
Diarhhea
Term
Difficulty in Swallowing
Definition
Dysphagia
Term
Gas expelled from the stomach through the mouth
Definition
Eructation
Term
Gas expelled through the anus
Definition
Flatus
Term
Black, tarry stools; feces containing digested blood
Definition
Melena
Term
Fat in the feces
Definition
Steatorrhea
Term
Open sore in the lining of the stomach or duodenum
Definition
Peptic Ulcer
Term
Chronic inflammation of the intestinal tract
Definition
Crohn Disease
Term
Abnormal outpouchings in the intestinal wall of the colon. Trapping fecal matter and maybe causing infection/pain
Definition
Diverticulosis
Term
Painful inflammation of the intestines commonly caused by bacterial infection
Definition
Dysentery
Term
loss of peristalsis with resulting obstruction of the intestines
Definition
Ileus
Term
Telescoping of the intestines
Definition
Intussusception
Term
Group of GI symptoms but without defined abnormalities
Definition
Irritable Bowel Syndrome
Term
Chronic inflammation of the colon with presence of ulcers
Definition
Ulcerative colitis
Term
Twisting of the intestine on itself
Definition
Volvulus
Term
Used to treat ascites
Definition
Paracentesis
Term
What are the 3 sources of hyperbilirubinemia
Definition
Increased hemolysis
Hepatocyte Dysfunction (liver disease)
Obstruction of Bile Flow
Term
Causes fluid filled blisters (fever blisters, cold sores)
Highly contagious, no cure
Definition
Herpes Stomatitis
Term
White patches, precancerous
Definition
Oral leukoplakia
Term
Failure of esophageal sphincter to relax, causing the esophagus to dilate
Definition
Achalasia
Term
Causes Renal calculi (singular is calculus)
Definition
Nephrolithiasis
Term
Treatment for Nephrolithiasis
Definition
forced fluids, lithotripsy or surgery
Term
the crushing of calculi via extracorporeal ultrasound (shock waves)
Definition
Lithotripsy
Term
What composes renal calculi?
Definition
uric acid or calcium salts
Term
Etiology of renal calculi?
Definition
may be idiopathic or may be hyperuricemia or hypercalcemia
Term
What diagnostic procedure determines nephrolithiasis
Definition
pylelogram, ultrasound
Term
symptoms include proteinuria, edema, hypoalbuminemia, hypercholesterolemia, and susceptibility to infection
Definition
Nephrosis
Term
Etiology includes post glomerulonephritis, toxins and/or drugs, diabetes, cancers, and other.
Definition
Nephrosis
Term
Inherited disorder characterized by multiple fluid filled sacs in the kidney
Definition
Polycystic Kidney Disease
Term
How long are PKD patients asymptomatic?
Definition
Early adulthood
Term
Cysts progressively develop causing nephromegaly, hematuria (from the cysts rupturing), UTIs, hypertension and uremia.
Definition
Polycystic Kidney Disease
Term
Infection of kidney (mainly pelvis)
Definition
Pyelonephritis
Term
Characterized by pus formation resulting in abscesses
Definition
Pyelonephritis
Term
Treatment for pyelonephritis?
Definition
Antibiotics & sometimes surgery
Term
Occurs when Waste (urea, creatinine, uric acid) is not eliminated
Definition
Renal Failure
Term
3 variances in renal failure
Definition
Acute vs. chronic
Reversible vs. irreversible
Progressive, mild or severe
Term
What is the diagnosis based on for renal failure?
Definition
Dx based on creatinine clearance
Term
Sudden and severe drop in blood pressure (shock) or interruption of blood flow to the kidneys from severe injury or illness
Definition
Prerenal
Term
Direct damage to the kidneys by inflammation, toxins, drugs, infection, reduced blood supply
Definition
Intrarenal
Term
Sudden obstruction of urine flow due to enlarged prostate, kidney stones, bladder tumor, or injury
Definition
Postrenal
Term
Hemodialysis uses ______________ to circulate blood from pt to artificial kidney
Definition
arteriovenous fistula
Term
Occurs when temporary or patient usually has some kidney function
Definition
Periotoneal dialysis
Term
Uses catheter inserted into peritoneal cavity
Definition
Periotoneal dialysis
Term
Two types of peritoneal dialysis
Definition
Continuous ambulatory peritoneal dialysis Continuous cycling peritoneal dialysis
Term
inflammation of connective tissue that lies between the renal tubules
Definition
interstitial nephritis
Term
malignant tumor of the kidney occurring in childhood
Definition
Wilms Tumor
Term
opening at the most distal end of the urinary tract (where urine flows out)
Definition
Meatus
Term
What 3 body parts use peristalsis to actively transport substances?
Definition
Ureters, Esophagus, Fallopian Tubes
Term
outer shell of Kidney that is dense (where urine formation occurs)
Definition
Cortex
Term
softer looking structure of kidney (due to collecting ducts)
Definition
Medulla
Term
most proximal part of the ureter (like a funnel)
Definition
Renal Pelvis
Term
What's a sign of concentrated urine?
Definition
Cloudiness in urine
Term
Specific gravity of urine is a measure of what?
Definition
Concentration
Term
pertaining to outside the body
Definition
Extracorporeal
Term
Differentiate between sign and symptom
Definition
Sign- objective things that can be detected
Symptom- subjective things
Term
What is pyelonephritis? What is it caused by?
Definition
A bacterial infection caused by staphylococci
Term
Important component of kidney transplantation to keep recipient safe
Definition
immunosuppresion
Term
treatment for Achalaisa?
Definition
Bland diet and stretching of sphincter
Term
Swollen contorted veins in the esophagus, often associated with liver disease
Definition
Esophageal Varices
Term
What does GERD's stand for?
Definition
Gastroesophageal Reflux Disease
Term
What two things does Gerds lead to?
Definition
Esophagitis and potential scarring
Term
Treatment for Gerds?
Definition
Acid suppression, increase muscle tone via medications
Term
Open sore in the lining of stomach or duodenum
Definition
Peptic Ulcer
Term
What are the risks of peptic ulcers?
Definition
Hemorrhage and perforation
Term
Treatment for peptic ulcers?
Definition
Antibiotics and antacids
Term
abnormal tube-like structure
Definition
Fistula
Term
Benign growths protruding from mucus membrane of colon; may be pre-cancerous
Definition
Colonic polyps
Term
Abnormal outpouching of intestinal wall that traps fecal matter and may cause infection, pain and bleeding
Definition
Diverticula/Diverticulosis
Term
painful, bleeding, inflamed intestines; caused by bacterial infection in contaminated food or water
Definition
Dysentery
Term
swollen/dilated, twisted veins in the rectal area; can be internal or external; pregnancy, obesity, chronic constipation, etc. increase risk
Definition
Hemorrhoids
Term
Characterized by severe, cramping pain, abdominal distention, secretions still produced, unrelenting vomiting with UGI and inability to pass gas or stool with LGI
Definition
Intestinal Obstructions
Term
3 Types of Intestinal Obstructions? Give the subtype of each
Definition
Paralytic Ileus (physiological)
Intussusception (mechanical)
Volvulus (mechanical)
Term
loss of peristalsis in the ileum
Definition
Paralytic Ileus
Term
Intestines telescope one end to another
Occurs frequently in children; rare in adults
Definition
Intussusception
Term
happens when one portion of the bowel slides into the next
Definition
Telescoping
Term
Twisting of the intestines on itself
Definition
Volvulus
Term
Chronic degenerative disease of liver
Definition
Cirrhosis
Term
What happens during cirrhosis
Definition
Hepatic cells degenerate & become covered with fibrous tissues (scarring); liver infiltrated with fat
Term
Symptoms of this disease include Fatigue, malaise, anorexia, bleeding/ bruising, alterations in mental status, etc
Definition
Cirrhosis
Term
contents of GI tract opening into abdominal cavity
Definition
perforation
Term
Differentiate between sessile and peduncilated
Definition
Sessile- grow out of wall
Peduncilated- stalk
Term
Differentiate between polyps and diverticula
Definition
Polyps grow inward
Diverticula grow outward
Term
What does an adhesion refer to?
Definition
Scar tissue
Term
Analysis of cirrhosis
Definition
Hardening of the liver
Term
Transmitted by fecal—oral route, usually resolves itself
Definition
Hep A
Term
Differentiate between preicteric and icteric
Definition
Preicteric- malaise
Icteric Phase- jaundice
Term
Transmitted via blood products, needles, & other inoculation devices; sexual activities; family members; mother /infant
Definition
Hep B
Term
Which type of hepatitis are preicteric and icteric in?
Definition
Hep B
Term
What prevents Hep B?
Definition
Hep B vaccine that also prevents Hep D
Term
What happens during Hep B
Definition
Liver enzymes increase causing more bilirubin leading to jaundice
Term
Difference between Hep B and C
Definition
50-70% become chronic hepatitis, C is significantly more serious
Term
Main function of urinary system?
Definition
Rid body of nitrogenous wastes
Term
Three types of nitrogenous wastes***
Definition
urea, creatinine, and uric acid.
Term
Three types of electrolytes
Definition
sodium, potassium, chloride
Term
Urinary system maintains the balance of what three things in the body fluids
Definition
water, electrolytes and acids
Term
important in maintaining normal blood pressure
Definition
Renin
Term
stimulates red bone marrow to produce erythrocytes
Definition
Erythropoeitin
Term
Two main things urinary system secretes
Definition
Renin, erythropoeitin
Term
Three steps in formation of urine
Definition
Glomerular Filtration
Tubular Reabsorption
Tubular Secretion
Term
Know slide 6 Chapter 7
Definition
Term
9 components of urinalysis
Definition
Color, Appearance, pH, protein level, glucose, specific gravity, ketone bodies, PKU test, Bilirubin
Term
Normal pH of urine?
Definition
6.5 (acidic)
Term
Relationship between protein and urinalysis
Definition
Protein should be undetected
Term
Relationship between glucose and urinalysis
Definition
Glucose should be negative
Term
normally negative in urine, unless rigid diet, malnourished or diabetes
Definition
ketone bodies
Term
presence indicates enzyme is missing & can lead to mental deficiencies
Definition
Phenylketonuria (PKU)
Term
negative in urinalysis, present in gallbladder or liver disease or rapid hemolysis
Definition
Bilirubin
Term
What happens in severe allergic reactions to contrast media?
Definition
(Anaphylaxis) airway spasm, hives, laryngeal edema, vasodilation leading to decreased blood pressure, and tachycardia
Term
What is radiofrequency ablation?
Definition
procedure performed by interventional radiologists to destroy tumors and tissues
Term
3 reasons a radiologist may request a CT?
Definition
Bones
Chest Lesions and pneumonia
Bleeding in the brain from head trauma and ruptured arteries
Term
4 reasons a radiologist may request an MRI?
Definition
Spinal cord and Brain Tumors
Joints, tendons, and ligaments
Liver masses
Head and neck lesions
Term
Most common contrast agent for an MRI?
Definition
Gadolinium
Term
Define decubitus
Definition
lying down
Term
Define eversion
Definition
turning outward
Term
Define inversion
Definition
turning inward
Term
Define prone
Definition
lying on the belly (face down)
Term
Define recumbent
Definition
Lying down (may be prone or supine)
Term
Two types of nuclear medicine tests?
Definition
In Vitro
In Vivo
Term
7 reasons to perform a nuclear medicine test
Definition
Diagnose coronary artery disease
Measure kidney function
Identify the spread of cancer or evaluate cancer therapy
Identify a stress fracture
Diagnose a blood clot in the lung
Treat an overactive thyroid gland
Diagnosing CVA, Alzheimer's
Term
What do sphincters do?
Definition
Control openings into and leading out of certain organs
Term
Which sphincter moves food into the stomach?
Definition
Lower Esophogeal Sphincter
Term
Allows food to leave the stomach and enter the small intestine when it is ready
Definition
Pyloric sphincter
Term
What are the three parts of the small intestine? (In order from first to last in regards to food processing)
Definition
Duodenum, Jujenum, Ileum
Term
Three main parts of large intestine? (In order from first to last in regards to food processing)
Definition
Cecum, colon, rectum
Term
lies in the middle of the intestines, is a membrane that attaches to the intestines to the muscle wall at the back of the abdomen
Definition
Mesentery
Term
What type of specialist specializes in gum disease?
Definition
Periodontist
Term
What type of specialist performs root canal therapy?
Definition
Endodontist
Term
4 main functions of the kidney
Definition
Remove nitrogenous wastes
Balance water and electrolytes
Release Hormones
Degrade and Eliminate Hormones
Term
What is stenosis?
Definition
Condition of narrowing
Term
What is a nephrolithotomy?
Definition
Incision of the kidney to remove a stone
Term
What is colic?
Definition
Spasms
Term
What is a stricture?
Definition
Abnormal narrowing of an opening or passageway
Term
What is the vesicoureteral reflux?
Definition
Pertaining to the bladder to ureter reflux
Term
Define enuresis
Definition
condition of being in urine (Bed-wetting)
Term
What is diuresis?
Definition
Condition of complete urine?
Term
What are diuretics?
Definition
induce increased excretion of urine
Term
What connects the stomach to the duodenum?
Definition
Pyloric Sphincter
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