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Introduction toWordParts ad Word The Skeletal and Muscular Systems Lesson Plan Chapter 6 Lesson 6 Learning Objectives 1. Define and spell the word parts used to create medical terms for the skeletal and muscular systems. 2. Break down and define common medical terms used for symptoms, diseases, disorders, procedures, treatments, and devices associated with the skeletal and muscular systems. 3. Build medical terms from word parts associated with the skeletal and muscular systems. 4. Pronounce and spell common medical terms associated with the skeletal and muscular systems. Learning Concepts for Lecture Teaching Notes Objective LO 1 Define and spell the word parts used to create medical terms for the skeletal and muscular Teaching Tips systems. • Say each new term in class, ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e and have the students repeat it. • Stress the importance of using instructional aids to practice pronunciation. The skeletal system consists of bones and joints. Classroom Activities Instruct the students to practice Skeleton—the combination of bones and joints that performs the following important functions: saying each word. The use of a 1. Support—The strong, rigid skeleton forms a structural frame that offers other body struc- medical dictionary in French, Spanish, and German as needed tures a sturdy place for support. can be very helpful in the trans2. Protection—Some bones physically surround internal body organs; the hardness of bones lation of new terms. provides a partial shield from injury to organs. Did You Know? 3. Aid in movement—Bones provide a place of attachment for skeletal muscles, enabling co• The Greek physician Hipordinated movement to occur. The rigid nature of bones provides leverage for attached pocrates (460–357 BC) muscles, giving them something firm to pull against during contraction. wrote texts that discussed 4. Blood cell formation—Blood cells are manufactured by a blood-forming connective tissue the importance of chirocalled red bone marrow that is located within bone tissue. practic care. He wrote, “Get knowledge of the 5. Storage—Bone tissue is the storehouse and main reserve for two important minerals, calspine, for this is the requicium and phosphate, that are needed for muscle contractions, nerve cell function, and site for many diseases.” movement of material across cell membranes. Bones come in a variety of sizes and shapes, but all have similar internal organization. The muscular system consists of more than 500 muscles. Their primary function is to produce movement and generate heat, which is the by-product of the energy used during contraction. Important parts of the muscular system include • Tendon—attaches muscles to bone • Muscle—consists of long, rodlike cells, known as skeletal muscle fibers, that are bundled together to form the meat of the muscle ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e • Babies are born with about 300 to 350 bones, but many of these fuse together between birth and maturity to produce an average adult total of 206. Did You Know? Muscle comes from the Latin word meaning “little mouse”. In ancient times, the shape and movement of certain muscles Muscle contraction occurs when all muscle fibers in a muscle shorten at the same time, causing was thought to resemble a the muscle to shorten in its overall length. Because the fascia of a muscle is continuous with a mouse. tendon, contraction of the muscle causes the muscle to pull on the tendon, increasing its tension. As a result, the tendon pulls on the bone to which it is attached. Visual Learners Have students label and color Combining Form Definition diagrams of major body musarthr/o, articul/o joint cles. burs/o purse or sac, bursa • Fascia—tough fibrous connective tissue that surrounds individual muscle cells, groups of cells known as muscle bundles, and the whole muscle carp/o wrist chondr/o gristle, cartilage condyl/o knuckle of a joint cost/o rib cran/o, crani/o skull, cranium fasci/o fascia femor/o thigh, femur fibr/o fiber fibul/o fibula ili/o flank, hip, groin, ilium of the pelvis ischi/o hip joint, ischium menisci/o meniscus muscul/o muscle myel/o bone marrow my/o, myos/o muscle ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e Teaching Tips Charts and Models: Use articulated skeleton and muscle man models to illustrate different facts about bones and muscles. Relate English words to medical terms. For example, thigh bone = femur. Kinesthetic Learners These learners will benefit from standing and moving their bodies to demonstrate each joint movement. Visual Learners Visual learners will benefit from watching animations of joint movement. oste/o bone pariet/o wall patell/o patella petr/o stone phalang/o phalanges phys/o growth pub/o pubis radi/o radius sacr/o sacrum skelet/o skeleton spondyl/o, vertebr/o vertebra stern/o chest, sternum synov/o, synovi/o synovial tars/o tarsal bone ten/o, tendon/o tendon Teaching Tips Action figures tend to have exaggerated muscle definition. Bring a few to class, and use them as “models” for a muscle identification activity. Classroom Activities Divide the class into two groups, assigning one the axial skeleton and the other the appendicular skeleton. See how many bones each group can correctly identify. Conduct a class discussion about sports or other types of exercise, and have the students talk about the movements involved in each and the possible injuries that could occur. List the correct terminology for those injuries. Teaching Tips Allow the students to relate their own experiences with orthopedics, such as broken bones or sports injuries. Did You Know? Skeleton comes from a Greek ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e word meaning “dried up.” Visual Learners Visual learners will benefit from watching animations showing the muscular system. Did You Know? The axial skeleton is like the axle of a car. The axle is the steady part, and the wheel spins around it. The axial skeleton is the steady part, and the appendicular skeleton moves around it. Homework Assignments Have students complete the Phonetic Spelling Challenge and the Spelling Challenge associated with this chapter. Study the pronunciation for medical terms in this chapter in the: LO 2 Break down and define common medical terms used for symptoms, diseases, disorders, procedures, treatments, and devices associated with the skeletal and muscular systems. ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e • Text in parentheses following the term • Glossary at Medical Terminology Interactive Teaching Tips Kinesthetic learners especially will learn from using and handling flash cards. If you do not Prefix Definition Combining Form Definition Suffix Definition a- without arthr/o joint -algia, condition of pain -dynia brady- slow kinesi/o motion -a singular dys- bad, abnormal, painful, or difficult my/o muscle -ia condition of excessive, abnormally high, above tax/o reaction to a stimulus, movement ten/o stretch, tendon troph/o development hyper- -y process of Signs and Symptoms Medical Term Definition arthralgia pain in a joint ataxia an inability to coordinate muscles while executing a voluntary movement atrophy lacking development, or wasting bradykinesia abnormally slow movement decalcification abnormal reduction of calcium in bone dyskinesia difficulty in movement dystrophy deformities arising during development ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e yet know who the kinesthetic learners are in your class, hand a stack of cards to small groups in the classroom, and watch which students take the cards, organize them, stack them, and take pleasure from handling them. Classroom Activities Use of clearly pronounced and correct medical terminology indicates intelligent, professional medical personnel. It is not always appropriate to use complex medical terms when dealing with patients. But when you do use these terms, it is important to use them correctly. Visual Learners Visual learners will benefit from watching videos on the topics of arthritis, muscular dystrophy, carpal tunnel syndrome, and osteoporosis. Classroom Activities Guest speaker: Invite an orthopedic surgeon to describe surgical procedures to the class. Request that, if possible, they hypertrophy excessive development myalgia muscle tenderness or pain tenodynia pain in a tendon bring an artificial hip or knee to display to the class. Visual Learners Visual learners will benefit from watching a video showing arthroscopy. Diseases and Disorders Prefix Definition Combining Form Definition Suffix Definition a- without epi- upon, above, over, or on top ankyl/o crooked -asthenia weakness para- beside, departure from normal arthr/o joint -cele protrusion poly- excessive, over, many burs/o purse or sac, bursa -genesis origin, cause quad ri- four carcin/o cancer -itis inflammation carp/o wrist -malacia softening chondr/o cartilage -oma tumor condyl/o knuckle of a joint -osis condition of fibr/o fiber -plasia formation or growth kyph/o hump -plegia paralysis ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e Did You Know? • Rheumatoid arthritis affects about 2.1 million Americans and affects more women than men between the ages of 20 and 50. • Gout is characterized by localized deposits of uric acid and other salts called tophi. • Myasthenia gravis (MG) is the most common primary disorder of neuromuscular transmission. • Paget’s disease is the second-most-common bone disease in the United States, after osteoporosis. • Dual photon or dual energy x-ray absorptiometry can detect bone loss in a safe, noninvasive test. leuk/o white lith/o stone -ptosis drooping lord/o bent forward -emia condition of blood menisc/o meniscus myel/o bone marrow myos/o muscle ost/o, oste/o bone sarc/o flesh or meat scoli/o curved spondyl/o vertebra synov/o, synovi/o synovial ten/o, tend/o stretch, tendon Medical Term Definition achondroplasia abnormal growth of long bones, resulting in unusually short, stocky limbs ankylosis an abnormal condition of joint stiffness arthritis inflammation and degeneration of a joint arthrochondritis inflammation of cartilages within joints bunion abnormal enlargement of the joint at the base of the big toe bursitis inflammation of a bursa bursolith a calcium deposit within a bursa ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e • For an EMG, a needle electrode is inserted through the skin into the muscle. The electrical activity detected by this electrode is displayed on an oscilloscope and may be heard through a speaker. • Knee prosthesis consists of three components. The first is a replacement of the degenerated articular surface of the thigh bone (metal). The second component, which is placed on the top of the shin bone, is partly plastic and includes an underlying metal coating to be fastened to the bone. The semicircular metal part on the thigh bone will slide on the plastic-coated component, approximately 1 cm thick, on the shin bone. Finally, a minor plastic coating is often implanted on the inside of the kneecap, toward the knee joint. Critical Thinking Questions 1. Does good or poor posture over a long period of time af- carpal tunnel syndrome a repetitive stress injury in which the nerves of the wrist generate pain impulses due to inflammation of synovial sheaths carpoptosis drooping of the wrist; also called wrist drop cramps prolonged, involuntary muscular contractions Duchenne’s muscular dystrophy a congenital condition resulting in progressive muscular weakness and deterioration epicondylitis inflammation of the cartilages of the elbow fibromyalgia a disease of unknown origin that produces widespread pain of musculoskeletal structures, other than joints, of the limbs, face, and trunk gout herniated disk kyphosis lordosis Marfan’s syndrome meniscitis myasthenia gravis myeloma myoclonus myocele fect the growth of the spine? 2. Does the growth of the spine affect good or poor posture? 3. Why do some gymnasts have an exaggerated lumbar curvature of the spine? 4. How might pregnancy affect posture? Did You Know? People suffering from an attack of gout complain of excruciating pain. Patients commonly abnormal deposition of uric acid crystals in the joints, causing report the affected joint is so localized pain; also called gouty arthritis painful, they cannot even tolera rupture of an intervertebral disk, resulting in the protrusion of ate having a piece of fabric (like a bedsheet) touch the joint. tissue against spinal nerves, which generates pain a deformity of the spine characterized by the presence of a hump; also called hunchback Critical Thinking Questions 1. In what types of people might you observe a deformity of the spine characterized by an anterior curve of kyphosis? the lumbar area 2. In what types of people an inherited condition resulting in excessive cartilage formation might you observe in the epiphyseal plates, forming long arms and legs lordosis? 3. What do you think might inflammation of a meniscus be causing the change in weakness in the muscles spinal alignment? a malignant tumor of bone marrow 4. Do you think the abnormal alignment will a spasm or twitching of a muscle or muscle group be permanent or protrusion of a muscle through its fascia temporary? ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e 5. Compare and contrast oseoarthritis and rheumatoid arthritis. myositis inflammation of muscle tissue osteitis inflammation of a bone osteitis deformans viral infection of bone that causes deformities of the skeleton resulting from the acceleration of bone loss; also called Paget’s Classroom Activities disease • Discuss the relationship a form of arthritis characterized by an age-related deterioration between the bones and of joints that is accompanied by erosion of cartilage and painful muscles and the rehabilitation inflammation required to strengthen muscles following an injury cancer of bone or surgery. Students should inflammation of bone and associated cartilage have a basic understanding of an inherited condition resulting in impaired growth and fragile why strengthening the bones, leading to progressive skeleton deformation and frequent muscles helps with the fractures support and function of the bones. a gradual and painful softening of bones • Explain terms related to a painful bone infection caused by bacteria, characterized by rehabilitation. inflammation of the red bone marrow • Have an open discussion with the class about the difference death of bone tissue between a strain and a sprain. abnormal loss of bone density Have the students talk about their own experiences with cancer of bone the two, and list the paralysis of both legs and the lower part of the body terminology for both. inflammation of many muscles simultaneously Classroom Activities paralysis of all four appendages Simon Says game: Play a form of arthritis characterized by progressive, gradual joint Simon Says by interchangdeterioration that is caused by an autoimmune response ing the common name and anatomical names of the the bones become softened due to excessive removal of calcium osteoarthritis osteocarcinoma osteochondritis osteogenesis imperfecta osteomalacia osteomyelitis osteonecrosis osteoporosis osteosarcoma paraplegia polymyositis quadriplegia rheumatoid arthritis rickets ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e for other body functions. scoliosis abnormal lateral curvature of the spine spinal cord injury trauma to the spinal cord, often resulting in paralysis spondylarthritis inflammation of the intervertebral joints sprain an injury resulting from stretching a ligament beyond its normal range, tearing its collagen fibers strain an injury resulting from stretching a muscle beyond its normal range, tearing muscle tissue tendonitis tenosynovitis Fractures Medical Term closed or simple fractures open or compound fractures colles fracture bones. Purchase some Halloween decoration skeletons. Have the class name the bones visible on the skeletons, and have a contest to judge which is most anatomically correct. Visual Learners Use the Internet to locate severinflammation of a tendon al pictures and/or x-ray images inflammation of a tendon and the synovial membrane that sur- of broken bones. Have students rounds it view the images and determine what type of fracture they are looking at (compound/open, closed, greenstick, comminuted, Definition etc.). As an additional chalfractures that are completely internal to the body lenge, have the students try to fractures that project through the skin, outside the body identify which bone(s) they are looking at. a break in the distal part of the radius comminuted fracture a break resulting in fragmentation of the bone compression fracture a crushed break, often due to weight or pressure applied to a bone during a fall displaced fracture a break causing an abnormal alignment of bone pieces epiphyseal fracture a break at the location of the growth plate, which can affect growth of the bone greenstick fracture a slight break in a bone that appears as a slight fissure in an x-ray ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e Did You Know? Bones that have been weakened by osteoporosis are extremely susceptible to fracture. In patients with osteoporosis, something as simple as tripping and falling to the ground can cause a hip fracture significant enough to require surgical correction. Some patients with osteoporosis may develop “compression” nondisplaced fracture a break in which the broken bones retain their alignment Pott’s fracture a break at the ankle that affects both bones of the leg spiral fracture a spiral-shaped break often caused by twisting stresses along a long bone Treatments, Procedures, and Devices Combining Form Definition Suffix Definition arthr/o joint -centesis surgical puncture burs/o purse or sac, bursa -clasia, -clasis break apart chondr/o cartilage -desis surgical fixation or fusion cost/o rib -ectomy surgical removal or excision crani/o skull, cranium -gram a record or image electr/o electricity -graphy recording process fasci/o fascia -iatry treatment or speciality lamin/o thin, lamina -ist one who specializes orth/o straight -lysis loosen or dissolve ost/o, oste/o bone -pathy disease spondyl/o vertebra -plasty surgical repair syn/o connect -rrhaphy suturing ten/o, tend/o stretch, tendon -scope instrument used for viewing vertebr/o vertebra -scopy process of viewing ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e (crushing) fractures in their vertebrae following an incident so trivial as sneezing that they are not even aware any trauma has occurred! Classroom Activities Divide the class into two groups, and assign the topic of rheumatoid arthritis to one group and osteoarthritis to the other. Ask them to research the disorders, and then have a discussion to compare and contrast the two. Kinesthetic Learners Have students stand up in class and point to or describe a bone. The next student in turn has to name the bone and then point to another one for the next student to name. Go around the room doing this until the first student names a bone. Critical Thinking Questions 1. Why do you think it is necessary for physicians to have so many different terms to -tomy incision or to cut describe fractures (compound, comminuted, transverse, greenstick, etc.)? 2. Do you think there are any differences in the way these fractures are managed? 3. Discuss some of the different options, including splinting, casting, and surgical fixation with pins, screws, plates, etc. Discuss the importance of immobilizing the broken bone, so that once healing is complete, the bone is aligned properly. Medical Term Definition arthrocentesis surgical puncture of a joint to aspirate fluid from a synovial cavity arthroclasia the breaking of an abnormally stiff joint during surgery to increase range of motion arthrodesis surgical fixation of a joint arthrogram x-ray film of a joint after injection of air, contrast media, or both arthroplasty surgical repair of a joint or total joint replacement arthroscopic surgery surgery of a joint using the arthroscope arthroscopy endoscopic visual examination of a joint cavity using a fiberoptic instrument, the arthroscope arthrotomy surgical incision into a joint bursectomy surgical excision of a bursa chiropractic a field of therapy that mainly involves manipulation of the vertebral Auditory Learners Have students practice their column transcription skills. Create a a specialist in chiropractic handout that includes a partially surgical excision of joint cartilage completed orthopedic report. The report should be written in surgical repair of joint cartilage complete sentences but leave surgical excision of a rib out key orthopedic words introduced in the chapter. Then, read surgical repair of a defect in the cranium aloud from the completed resurgical entry into the cranium port, dictating the whole thing, including the missing words. As surgical excision of an intervertebral disk you read, students should fill in a diagnostic procedure that records the strength of muscle contrac- chiropractor chondrectomy chondroplasty costectomy cranioplasty craniotomy diskectomy electromyography ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e tions the missing words, striving to spell them correctly. fasciotomy surgical incision into fascia laminectomy ostectomy excision of part of a vertebra known as the lamina, often as part of a Homework Assignments treatment for a herniated disk Assign each student to bring in a newspaper or magazine article surgical repair of muscle tissue (either from the original print closing a muscle with sutures source or from an Internet arconstruction and fitting of orthopedic appliances to assist in patient chive) pertaining to either joint health or calcium intake as it movement relates to bones. Ask each stua physician specializing in orthotics dent to stand and briefly sumexcision of bone marize his or her article. osteoclasis the surgical breaking of a bone to correct a deficiency myoplasty myorrhaphy orthotics orthotist prosthesis Have students complete the a physician trained in osteopathy; also called an osteopathic surgeon Word Search Exercise associata medical field that focuses on the relationship between the muscu- ed with this chapter. loskeletal system and overall health, with an emphasis on preventa- Study the pronunciation for tive medicine medical terms in this chapter in the: surgical repair of bone • Text in parentheses followa physician trained in podiatry; also called a chiropodist ing the term the medical field specializing in treating the foot • Glossary at Medical Terminology Interactive an artificial substitute for a missing body part, such as a leg or hand tenomyoplasty surgical repair of a muscle and its tendon tenorrhaphy closing a tendon with sutures tenotomy incision into a tendon vertebroplasty a surgical procedure that repairs damaged or diseased vertebrae osteopath osteopathy osteoplasty podiatrist podiatry ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e LO 3 Build medical terms from word parts associated with the skeletal and muscular systems. Teaching Tips Encourage the students to use all forms of visual aids available to study the terms associated with the skeletal and muscular systems, including a skeletal model, a muscular model, pic tures, diagrams, and their own bodies. Did You Know? Tiny muscles at the base of each hair are responsible for giving you goose bumps. These muscles are named for their function, arrector pili (erectors of the hair). Classroom Activities Select two students to do 5minute presentations of their Internet research in class. Classroom Activities Medical Terminology Bee Create PowerPoint flash cards of new combining forms and suffixes presented in this chapter. Have all students stand, and ask one to ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e define the word part. If the student is correct, he/she remains standing. If the student is wrong, he/she sits down. Continue until only one student is standing. Introduce bone names (and their associated roots/combining forms) through labeling and coloring. Display a picture of a skeleton on the whiteboard/overhead projector and provide students with the same diagram. Then, label and color each bone of the skeleton together using colored markers. Color-code the diagrams so that the bone and the name/root are all in the same color for each bone. Teaching Tips Encourage/remind students to add new word parts to flash cards. Verbal Learners/Auditory Learners Say each new term in class, and have students repeat them. Stress the importance of using instructional aids to ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e practice pronunciation, and demonstrate how to sound out a term. Visual Learners/Kinesthetic Learners Have students make word part flash cards using index cards. One word part should be placed on each card. Challenge the students to include a doodle that helps them picture the word. Also, have students use index cards to make flash cards for important orthopedic diseases and procedures. Encourage students to use pictures rather than lengthy definitions on these flash cards Classroom Activities Have each student select a sport or exercise. Ask each student to describe the movements necessary for each activity, using medical terminology. Did You Know? Estrogen levels are linked to calcium uptake and to rebuilding of tissue. ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e Homework Assignments Complete the True/False, Fill in the Blank, and Short Answer exercises associated with this chapter. Study the pronunciation for medical terms in this chapter in the: • Text in parentheses following the term • Glossary at Medical Terminology Interactive LO 4 Pronounce and spell common medical terms associated with the skeletal and muscular systems. Teaching Tips Show the students examples of different medical dictionaries in class. Give the students an opportunity to handle each. Then ask each student to select the favorite dictionary and explain why it is preferred over the others. Teaching Tips Point out the differences between a ligament and a tendon, as these structures are commonly confused. ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e Classroom Activities Memory Game: Have students assist in creating a memory game to play in class. Kinesthetic Learners These learners will benefit from standing and moving their bodies to demonstrate each joint movement. Visual Learners Visual learners will benefit from watching a video on the topic of osteoporosis. Classroom Activities • Have students practice looking up ten of the terms presented in this chapter in a medical dictionary. • Have the students construct sentences using abbreviations. Teaching Tips Encourage students to find a study buddy to work with in learning new terms. ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e Did You Know? Each year, 1.5 million Americans experience a fracture due to osteoporosis. Eighty percent of osteoporosis sufferers are women. Critical Thinking Questions 1. How does the location of a muscle relate to the kind of movement it produces? Can you give some examples? 2. Do you think you can tell much about the health of a muscle or tendon just by looking at it? Why or why not? What specific things can you tell through visual inspection? What kinds of disorders require observing the muscles in action? 3. Is there any difference between myalgia and fibromyalgia? If so, what is it? Homework Assignments • Have students complete the Dictation Report Exercise associated with this chapter. • Have students complete the ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e Abbreviation Matchup Exercise associated with this chapter. • Have each student bring in a newspaper or magazine article (either from the original print source or from an Internet archive) pertaining to either joint health or calcium intake as it relates to bones. Ask the students to list the medical terms related to the common terms for disorders like tennis elbow, golf elbow, tennis shoulder, and pitcher’s shoulder. Study the pronunciation for medical terms in this chapter in the: • Text in parentheses following the term • Glossary at Medical Terminology Interactive Worksheets Worksheet 1: Chapter Review Worksheet 2: Dictation Report ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e Worksheet 3: Word Surgery Worksheet 4: Case Study Worksheet 5: Medical Report Analysis Worksheet 6: Which Term Does Not Belong? Worksheet 7: Labeling Worksheet 8: Key Terms Double Check ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e ©2013 by Pearson Education, Inc. Wingerd, Lesson Plans for Medical Terminology Complete!, 2/e