Download Define the Following Answers

Week 6: Chapter 16
Neurology
Instructor: Kathleen Bishop
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
What you will need for this class
– Medical Transcription Fundamentals,
Gilmore
– AAMT Book of Style for Medical
Transcription
– Any other resource books you may have
available such as medical dictionary, PDR,
Merck Manual, etc.
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
How this class will work
• This is an open book Seminar.
• Be prepared to respond to the questions on each slide.
• Be prepared to share your thoughts with the other class
participants.
• After the questions slide you will see an answer slide so
you can check to see how you did.
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Employee vs. Independent Contractor
• Employee
• Independent Contractor
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Employee
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Independent Contractor
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Independent Contractor vs. Employee
Independent Contractor at
X per 65-character line
7
8
9
10
11
12
13
14
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Independent Contractor vs. Employee
Statutory Employee at X
per 65-character line
6.46
7.39
8.31
9.24
10.16
11.08
12.01
12.93
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RateLines/hr
Lines
Each
Hours
250
dictation
per
line
per
hour
of
dict
hour of
dictatio
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to earn
$1,000
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5
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week
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3
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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
Ratelines/hr
Lines
Each
Hours
500
Dictation
per
line
per
hour
of
dict
hour of
dictatio
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of
dict
to earn
$1,000
(gross)
Hrs/
day,
5
days/
week
Hrs/
day,
4
days/
week
Hrs/
day
3
days/
week
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500
47.50
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7.02
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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
RateLines/hr
Lines
Each
Hours
600
Dictation
per
line
per
hour
of
dict
hour of
dictatio
n
earns
of
dict
to earn
$1,000
(gross)
Hrs/
day,
5
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week
Hrs/
day,
4
days/
week
Hrs/
day
3
days/
week
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4.39
5.85
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600
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16.67
3.33
4.17
5.56
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
Soundalike Word Choice
Which is the correct word in the following sentences.
• 1. The patient was involved in an motor vehicle accident
that damaged his spinal (core, cord).
• 2. This is a Hispanic female who has been previously
diagnosed with trigeminal (arthralgia, neuralgia) on the
right side.
• 3. Her CT scan showed (vesicular, ventricular) brain
abnormalities consistent with a mild stroke.
• 4. The child was admitted to the hospital where a workup
eventually diagnosed (absent, absence) seizures.
• 5. HEENT examination revealed extraocular movements
to be intact with no (nystagmus, nystatin) and no
diplopia.
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
Soundalike Word Choice Answers
• 1. The patient was involved in an motor vehicle accident
that damaged his spinal (core, cord).
• 2. This is a Hispanic female who has been previously
diagnosed with trigeminal (arthralgia, neuralgia) on the
right side.
• 3. Her CT scan showed (vesicular, ventricular) brain
abnormalities consistent with a mild stroke.
• 4. The child was admitted to the hospital where a workup
eventually diagnosed (absent, absence) seizures.
• 5. HEENT examination revealed extraocular movements
to be intact with no (nystagmus, nystatin) and no
diplopia.
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Soundalike Word Choice (cont.)
• 6. (Electroencephalogram, Electrocardiogram) revealed
background activity seen in the posterior regions of the
brain, which was responsive to eye opening and eye
closure.
• 7. Ms. Dolan was found to have a mass in the (basil,
basal) ganglia.
• 8. Unfortunately, the patient sustained a left (thalamic,
thymic) infarct after his cardiac catheterization last
month.
• 9. The bundle of nerves at the base of the spine is called
the cauda (equation, equina).
• 10. Sensations are grossly intact, and deep tendon
(reflexes, refluxes) are symmetric.
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Soundalike Word Choice Answers
• 6. (Electroencephalogram, Electrocardiogram)
revealed background activity seen in the posterior
regions of the brain, which was responsive to eye
opening and eye closure.
• 7. Ms. Dolan was found to have a mass in the (basil,
basal) ganglia.
• 8. Unfortunately, the patient sustained a left (thalamic,
thymic) infarct after his cardiac catheterization last
month.
• 9. The bundle of nerves at the base of the spine is called
the cauda (equation, equina).
• 10. Sensations are grossly intact, and deep tendon
(reflexes, refluxes) are symmetric.
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Matching
1.
CNS
A. Parkinson disease
2.
SPECT
B. peripheral nervous system
3.
MS
C. cerebrospinal fluid
4.
VP
D. central nervous system
5.
PNS
E. Glasgow Coma Scale
6.
PET
F. magnetic resonance angiography
7.
LP
G. electroencephalography
8.
MRI
H. single photon emission computed tomography
9.
CSF
I. computed tomography
10. CT
J. lumbar puncture
11. PD
K. ventriculoperitoneal
12. TN
L. magnetic resonance imaging
13. GCS
M. trigeminal neuralgia
14. MRA
N. positron emission tomography
15. EEG
O. multiple sclerosis
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Matching Answers
• 1.
D
• 2.
H
• 3.
O
• 4.
K
• 5.
B
• 6.
N
• 7.
J
• 8.
L
• 9.
C
• 10.
I
• 11.
A
• 12.
M
• 13.
E
• 14.
F
• 15.
G
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Fill in the Blanks
Fill in the blanks of the following paragraph with the correct
terms from the text. Some terms may be used more than once.
1. The brain is an amazing organ. It is divided into four major
parts: The ____________, ____________, ____________,
and ____________.
2. The largest and uppermost part of the brain is called the
____________. It is divided into two parts called the
____________ and ____________ hemispheres. They are
joined by a band of fibers called the ____________. The
____________ beneath the cerebral cortex does not do any
real thinking or feeling.
3. The ____________ structures are often called the “feeling
brain” because they are involved in emotions. One of these
structures, called the ____________, serves as a relay
station for the cerebral cortex. Another structure, called the
____________, regulates automatic functions like eating and
drinking.
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Fill in the Blanks Answers
1. The brain is an amazing organ. It is divided into four major
parts: The cerebrum, limbic system, brainstem, and
cerebellum.
2. The largest and uppermost part of the brain is called the
cerebrum. It is divided into two parts called the right and
left hemispheres. They are joined by a band of fibers called
the corpus callosum. The white matter beneath the
cerebral cortex does not do any real thinking or feeling.
3. The limbic system structures are often called the “feeling
brain” because they are involved in emotions. One of these
structures, called the thalamus, serves as a relay station for
the cerebral cortex. Another structure, called the
hypothalamus, regulates automatic functions like eating and
drinking.
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Fill in the Blanks (cont.)
1. The ____________ comes from the Latin word for
little brain. Disruptions in the function of this part
of the brain results in motor problems such as an
unsteady gait, called ____________.
2. The ____________ is a tube-like column of tissue
that connects the brain to the rest of the body. The
reflexes of this part of the body can cause limbs to
move, even when a patient is comatose, a
phenomenon called the ____________.
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
Fill in the Blanks Answers
1. The cerebellum comes from the Latin word for little brain.
Disruptions in the function of this part of the brain results in
motor problems such as an unsteady gait, called ataxia.
2. The spinal cord is a tube-like column of tissue that connects
the brain to the rest of the body. The reflexes of this part of
the body can cause limbs to move, even when a patient is
comatose, a phenomenon called the Lazarus sign.
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Transcription Tip
• References to the examination of cranial nerves are
transcribed often in medical reports. They may be
transcribed using Arabic or Roman numerals, unless the
dictator specifies a preference (Gilmore, 2009).
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Define the Following
1. corpus callosum
2. bleb
3. secondary brain tumor
4. cauda equina
5. limbic system
6. Lazarus sign
7. hydrocephalus
8. trigeminal neuralgia
9. relapsing-remitting multiple Sclerosis
10.high-grade astrocytoma
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Define the Following Answers
1. A band of nerve fibers that connect the left and right
hemisphere of the cerebrum.
2. A blister-like sac filled with blood.
3. A brain tumor caused by a cancer that originates in
another part of the body.
4. A bundle of nerves that extend beyond the end of the
spinal cord.
5. A complex set of structures located in the cerebrum that
are involved in emotions, moods, and some functions of
memory.
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Define the Following Answers
6. A complex spontaneous movement by nerves in the
spinal cord without conscious effort of the patient (such
as after a patient is comatose or brain-dead).
7. A condition in which excess CSF fluid builds up in the
brain.
8. A disorder of the trigeminal nerve causing sudden
attacks of pain on one side of the face.
9. A form of multiple sclerosis characterized by periods of
flares of symptoms, followed by periods of remission of
symptoms.
10.A glioma that occurs in the brainstem.
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
Define the Following
1. demyelination
2. enterovirus
3. cerebral cortex
4. subarachnoid hemorrhage
5. hemorrhage
6. antalgic (gait)
7. spinal cord
8. brain tumor
9. microvascular decompression
10.Parkinson disease
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Define the Following Answers
1. A gradual destruction of the myelin that surrounds and
protects neurons.
2. A group of common viruses that is a common cause of
viral meningitis.
3. A layer of millions of neurons and glia on the surface of
the brain that carry out the many functions of the
cerebrum.
4. A leak of blood into the space between the brain and
the skull.
5. A leak of blood, or bleeding, from a vessel.
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Define the Following Answers
6. A limping-type gait.
7. A long, tube-like column of nervous tissue that extends
from the base of the skull to near the bottom of the
spine, which carries both incoming and outgoing
messages between the brain and the rest of the body.
8. A mass of abnormal cells growing in the brain.
9. A microsurgical displacement of a blood vessel causing
compression of the nerve root of the trigeminal nerve.
10.A motor system disorder caused by deterioration of
nerve cells in the brain that control body movement.
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Define the Following
1. pronator muscle
2. ventricles
3. single photon emission computed tomography (SPECT)
4. positron emission tomography (PET)
5. lateral ventricles
6. neurologist
7. bone flap
8. plasmapheresis
9. microvascular clipping
10.stereotactic radiosurgery
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Define the Following Answers
1. A muscle that returns a part into the prone position
from supine.
2. A network of four chambers in the brain that produce
cerebrospinal fluid (CSF).
3. A nuclear diagnostic test that obtains images of blood
flow to tissues.
4. A nuclear diagnostic test that provides images of brain
activity using radioactive isotopes injected into the
bloodstream.
5. A pair of ventricles in the brain where CSF is produced.
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Define the Following Answers
6. A physician who specializes in the field of neurology.
7. A portion of the skull temporarily removed from the
cranium but left attached to overlying muscle-fascial
blood supply during a surgical procedure.
8. A procedure of plasma exchange in patients with
sudden, severe attacks of multiple sclerosis.
9. A procedure that involves cutting off the flow of blood
supply to an aneurysm with the use of a spring-loaded
clip.
10.A procedure that involves delivering a single highly
concentrated dose of ionizing radiation to a target at
Copyright
© 2009 Wolters
Kluwer Health | Lippincott Williams & Wilkins
the trigeminal
nerve
root.
Define the Following
1. percutaneous stereotactic rhizotomy
2. deep brain stimulation (DBS)
3. shunt revision
4. debulking
5. corpus callosotomy
6. photodynamic therapy (PDT)
7. lumbar puncture (LP)
8. coil embolization
9. status epilepticus
10.cerebral aneurysm
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Define the Following Answers
1. A procedure that involves destroying the part of the
trigeminal nerve that causes pain with a heating
current.
2. A procedure that involves implanting a device to deliver
mild electrical stimulation to block the brain signals that
cause tremors in patients with Parkinson disease.
3. A procedure that involves repairing or replacing a shunt.
4. A procedure that involves surgically reducing as much
as possible the size of a tumor that cannot be
completely removed.
5. A procedure that severs the network of neural
connections between the right and left hemispheres of
the brain as a treatment for seizures.
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Define the Following Answers
6. A procedure that uses a photosensitizing agent, which is
activated by exposure to light in order to destroy cancer
cells.
7. A procedure used to evaluate the CSF from the space
surrounding the spinal cord.
8. A procedure whereby tiny platinum coils are placed
directly into an aneurysm to block blood flow and
prevent rupture.
9. A prolonged seizure, or series of seizures, that lasts for
more than 30 minutes, during which time the patient is
unconscious.
10.A sac-like outpouching that can occur in the large
arteries at the base of the brain.
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Define the Following
1. Glasgow Coma Scale (GCS)
2. proprioception
3. subpial resection
4. neurologic assessment
5. anterior communicating artery (AComA)
6. ventriculoperitoneal (VP) shunt
7. shunt
8. reflex
9. aura
10.ventriculostomy
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Define the Following Answers
1. A scoring system used to quantify a patient's level of
consciousness following a brain injury.
2. A sense or a perception, usually at a subconscious level,
of the movements and position of the body and
especially its limbs, independent of vision but by input
from sensory nerves.
3. A series of surgical cuts to help isolate the area of the
brain that is causing seizures.
4. A series of tests used to assess brain function of a
patient and to evaluate for possible neurologic damage.
5. A short artery that joins the two anterior cerebral
arteries in the brain.
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Define the Following Answers
6. A shunt that is placed inside one of the ventricles of the
brain and the other end into the abdominal cavity.
7. A silicone rubber tube used to divert CSF flow away
from the brain to elsewhere in the body.
8. A simple nerve circuit.
9. A subjective warning sign that occurs immediately
before the onset of a seizure.
10.A surgical opening made between two ventricles to
allow flow of CSF to be unobstructed.
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References
• http://www.mtdaily.com/math.html
• http://www.irs.gov/newsroom/article/0,,id=173423,00.h
tml
• Gilmore, D. (2009). Medical Transcription Fundamentals.
Lippincott, Williams & Wilkins.
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The End
• Well that’s all for tonight!
• Thanks for joining us. I hope you learned
something to help you in your
transcription career.
• See you next week! Same time—same
place!
• Bye for now!
Dr. B and her Mom
at church dinner
theater
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins