Supplemental Chapter 4 Assignments
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Apr 3, 2024
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Evie Pennington
a.
Combining Forms (p. 84)
b. Suffixes and Prefixes (p. 88)
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c. Medical Terminology Word Building (p. 89)
d. Medical Vocabulary Recall (p. 101)
e. Pronunciation and Spelling (p. 103)
f. Chart Notes Terminology (p. 104)
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g. Chart Note Analysis (p. 107)
h. Demonstrate What You Know! (p. 108)
Supplemental Chapter 4 Assignments
CHAPTER 4: RESPIRATORY SYSTEM
Terminology
The terms below come from the chart note Impetigo that follows. Use a medical dictionary such as
Taber’s Cyclopedic Medical Dictionary, the appendices of the textbook, or other resources to define
each term. Review the pronunciations for each term and practice by reading the chart note aloud.
1.
arterial blood gases (ăr-TĒ-rē-ăl) – measures the oxygen and carbon dioxide levels in your blood as well as your blood’s pH balance
2.
crackles (KRĂK-ĭls) – small airways suddenly snapping open
3.
dyspnea (dĭsp-NĒ-ă) – trouble breathing
4.
expiration – breathing out
5.
intravenous (ĭn-tră-VĒ-nŭs) – within a vein
6.
pneumonia (nū-MŌ-nē-ă) – lung inflammation where air sacs fill with pus
7.
pulmonary function tests (PŬL-mō-nĕ-rē) – tests to show how the lungs are working
8.
sputum culture (SPŪ-tŭm) – test to diagnose infections of the lungs
9.
stat - immediately
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10. wheezes (HWĒZ-ĕz) – high-pitched lung sound from compressed airways
Chart Note: Pneumonia
This 50-year-old female presents to the emergency department with fever, cough, dyspnea, and signs of pneumonia. On expiration, fine wheezes could be heard, which was not unusual since she suffers from asthma. She said that pulmonary function tests have shown reduced lung
capacity, but that her asthma was well controlled. Using a stethoscope, crackles could be heard.
A chest x-ray was administered and confirmed a diagnosis of pneumonia. A sputum culture was ordered to determine the causative pathogen and arterial blood gases were ordered to assess the extent of respiratory impairment. Patient was admitted to the hospital for treatment. Treatment plan included intravenous antibiotics stat, to be modified pending results of sputum culture.
Chart Note Analysis
Select the term in the above chart note that means:
1. to be done immediately: stat
2. exhalation: expiration
3. labored breathing: dyspnea
4. within a vein: intravenous
5. diagnostic laboratory test to identify and detect bacteria or fungi from expelled lung secretions: sputum culture
6. recognition of a disease: diagnosis
7. acute inflammation and infection of the alveoli in the lungs: pneumonia
8. whistling sounds due to narrowing of the lumen of a respiratory passageway: wheezing
9. tests to evaluate and measure air flow and lung volume capacity: pulmonary function tests
10. bubbling sounds heard during inspiration when fluid is present in the alveoli: crackles
Clinical Applications
Complete the clinically related sentences by selecting a medical term from the list below.
acidosis influenza thoracocentesis
bronchodilator laryngoscope tracheotomy
bronchorrhagia pneumonia
crackles PFTs
1. Patient is a 25-year-old singer who complains of hoarseness. Her physician will perform a diagnostic test and explains that he will use a ____laryngoscope____ to view her vocal cords.
2. Joan S. presents to the ED complaining of fever, chills, headache, and generalized muscle pain. The physician diagnoses her with an acute respiratory viral infection and charts her condition as _______influenza____________________ .
3. A coal miner with a hx of lung CA is admitted with bronchial hemorrhage. The physician documents this finding as __bronchorrhagia__, which is another term for bronchial hemorrhage.
4. Mrs. Jones, a 60-year-old patient, presents to the ED with fever, dehydration, and shortness of breath. A chest x-ray is ordered and reveals a right lower lobe infiltrate. The physician diagnoses ___________pneumonia______________, an acute inflammation of the lungs caused by a bacterium, virus, or chemical irritant.
5. Mr. X remains on chemotherapy with the major adverse effect of fluid accumulation in the right lung. The procedure to remove the fluid in the pleural space is known as __________thoracocentesis___________ .
6. A 12-year-old boy with a recent diagnosis of asthma sees the nurse practitioner to learn about his new medication. The nurse informs him that the medication is delivered through an inhaler and is used to dilate constricted airways. She also tells him that the medication is called a __________bronchodilator___________________.
7. Upon arrival to a severe traffic accident, the EMT finds the driver unconscious with an obstructed airway. The EMT is instructed by the physician over the emergency phone line to perform an incision into the trachea to open up the airway and restore breathing and oxygenation to the lungs. This surgical procedure is known as a(n) ___________tracheotomy__________ .
8. Mr. Chen’s presents to the pulmonology clinic with a chief complaint of SOB upon exertion. The physician orders a variety of tests to determine the capacity of the lungs to exchange oxygen and carbon dioxide efficiently, known as _______________PFTs__________________.
9. During Mr. Parson’s annual physical examination, the physician hears fine crackling and bubbling sounds during inspiration through the stethoscope. He explains to the patient that he hears abnormal breath sounds that are due to fluid in the lung. He further explains that these abnormal breath sounds may be due to pneumonia and are called _________crackles_____________.
10. Following her admission for emphysema, Mrs. V received her laboratory results that indicate excessively high levels of carbon dioxide in the body. The nurse explains that excessive carbon dioxide can cause high levels of acidity in the bloodstream, a condition called ___________acidosis_______________.
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Ch. 4 Crossword Puzzle Activity (10 points Extra Credit)
ACROSS
1. Medical term for nostrils
4. Dilation of the bronchi
8. Combining form for fungus
10. Combining form that means straight
11. Word root for air or lung is ___________.
14. The trachea divides into branches, called bronchi.
16. A physician uses a laryngoscope to visually ___________ a patient’s larynx.
18. The medical term for swallowing air is ___________.
20. Past tense of sit
21. Most broad
23. Medical term for involuntary contractions
24. Word root for mouth
25. Suffix that means disease
26. Another word for spasms
29. Suffix that means inflammation
31. The suffix –oma means ___________.
32. Medical term that means pertaining to the lobe
34. Combining form for teeth
35. 30, 31, or 28 days
37. Surgical repair of the throat
38. Combining form for blood
DOWN
1. Inflammation of the nose
2. Combining form for nose
3. The suffix –rrhaphy means ___________.
4. Slang for weak or bad; “He has a ___________ knee.”
5. New formation or growth
6. Pertaining to the chest
7. Suffix that means instrument for examining
9. Prefix that means good, normal
12. Opposite of enter
13. Postal abbreviation for Maine
15. Struggling to win a contest
17. Combining form for nose is ___________.
18. Respiratory condition marked by wheezing and labored breathing
19. Tumor in the stomach
22. Combining form for windpipe
25. Tumor with a pedicle (stem)
27. Suffix that denotes forming an opening
(mouth)
28. Or/o is the combining form for ___________.
30. In liquid, bar, or powder form, a substance used to clean
33. Shaft of light
36. Personal pronoun
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