Pharmacy Technician
Exam Materials
Course Introduction
The Pharmacy Technician course is designed to equip students with the foundational knowledge and practical skills necessary to assist licensed pharmacists in a variety of pharmacy settings. This course covers topics such as pharmaceutical calculations, drug classifications, pharmacy law and ethics, medication preparation and dispensing, inventory management, and effective communication with patients and healthcare professionals. Students will gain hands-on experience through simulated laboratory activities, learning to accurately compound medications, process prescriptions, and manage pharmacy records. Emphasis is placed on safety, accuracy, and professionalism, preparing students for certification exams and entry-level positions as pharmacy technicians.
Recommended Textbook
The Language of Medicine 11th Edition by Davi Ellen Chabner
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35 Chapters
5402 Verified Questions
5402 Flashcards
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Page 2
Chapter 1: Basic Word Structure
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201 Verified Questions
201 Flashcards
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Sample Questions
Q1) Pertaining to the cerebrum:
A) cerebrol
B) serebral
C) cerebral
Answer: C
Q2) Abnormal condition of the mind:
A) Physchosis
B) Psychosis
C) Psychogenic
D) Encephalopathy
E) Adenoma
Answer: B
Q3) Study of women and female reproductive diseases: __________ology
Answer: gynec
Q4) Cerebral:
word parts: __________ meaning: __________
Answer: cerebr/al, pertaining to the cerebrum cerebr/al, largest part of the brain
Q5) Pertaining to the largest part of the brain: __________al
Answer: cerebr
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Chapter 2: Terms Pertaining to the Body as a Whole
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Sample Questions
Q1) A. cartiledge
B. cartilage
A or B: ____ meaning: __________.
Answer: B, flexible connective tissue between joints
Q2) Anabolism
A)backbone
B)voice box
C)skin cells
D)vertical plane dividing the body into a right and a left portion
E)throat
F)classification of chromosomes
G)lying on one's back
H)muscle dividing the thoracic and abdominal cavities
I)connective tissue at the joints
J)lying on one's belly
K)structures in a cell where food is burned to produce energy
L)building-up process in a cell; proteins are synthesized for use in the body
Answer: L
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4
Chapter 3: Suffixes
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207 Verified Questions
207 Flashcards
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Sample Questions
Q1) Flesh (malignant) tumor of muscle: __________
Answer: myosarcoma
Q2) Abdominocentesis: __________
Answer: te
Q3) Process of recording blood vessels: __________
Answer: angiography
Q4) Carcinogenesis: __________
Answer: gen
Q5) -plasty: __________
Answer: surgical repair
Q6) -penia: __________
Answer: deficiency
Q7) -cyte: __________
Answer: cell
Q8) Select the term that is spelled correctly:
A) ophthalmology
B) opthalmology
Answer: A
Q9) -cele: __________
Answer: hernia Page 5
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Chapter 4: Prefixes
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Sample Questions
Q1) pro-
A)together; with B)toward C)away from D)within E)surrounding F)below G)above H)against I)before J)between K)abnormal; near, beside L)through
Q2) Select the term that is spelled correctly:
A) symbiosis
B) symbyosis
Q3) seps/o: __________
Q4) poly-: __________
Q5) dia-: __________
Q6) eu-: __________
Page 7
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Chapter 5-1: Digestive System Part 1
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226 Verified Questions
226 Flashcards
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Sample Questions
Q1) Esophageal varices:
A) Hernias around the opening of the stomach
B) Hemorrhoids
C) Perianal fistulae
D) Polyps
E) Swollen, twisted veins
Q2) Chewing
A)mastication
B)triglycerides
C)papillae
D)pulp
E)uvula
F)pyloric sphincter
G)villi
H)rugae
Q3) Dysentery: __________
Q4) Gallbladder resection:
A) cholocystectomy
B) cholecystectomy
C) colecystectomy
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Chapter 5-2: Digestive System Part 2
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42 Flashcards
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Sample Questions
Q1) Formation of new sugar from fats and protein: gluco__________
Q2) Inflammation of the third part of the small intestine: __________itis
Q3) Loose, watery stools: __________
Q4) Inflammation of the large intestine: __________
Q5) Inflammation of a salivary gland: __________
Q6) Removal of the gallbladder: __________ectomy
Q7) Study of the cause (of disease): __________
Q8) Inflammation of the gums: __________
Q9) Black, dark brown, tarry stools: mel__________
Q10) Specialist who studies the anus and rectum: __________logist
Q11) Surgical repair of roof of the mouth: __________plasty
Q12) Lack of appetite: __________
Q13) Incision of the common bile duct: __________
Q14) After meals: __________
Q16) Discharge of fat in the feces: __________ Page 9
Q15) Abnormal condition of salivary stones: __________lithiasis
Q17) Pertaining to under the tongue: sub__________
Q18) Abnormal accumulation of fluid in the abdomen: __________
Q19) Inflammation of the liver: __________
Q20) High levels of pigment in the blood (as in jaundice): hyper__________
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Chapter 6: Additional Suffixes and Digestive System
Terminology
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218 Verified Questions
218 Flashcards
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Sample Questions
Q1) Surgical puncture to remove fluid from the abdomen:
A) Cholestasis
B) Dyspepsia
C) Hemostasis
D) Ascites
E) Paracentesis
Q2) Suture:
A) -rrhapy
B) -rrhagia
C) -ectasis
D) -stasis
E) -rrhaphy
Q3) Enlargement of the liver:
A) hepatomeagaly
B) hepatomegaly
C) hepatomegely
Q4) To stop, control: __________
Q5) duoden/o: __________
Q6) -phagia: __________
Q7) -emia: __________ Page 11
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Chapter 7-1: Urinary System Part 1
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215 Verified Questions
215 Flashcards
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Sample Questions
Q1) ren/o: __________
Q2) a-, an-: __________
Q3) Blood vessel that carries blood away from the kidney
A)arteriole
B)calyx
C)hilum
D)meatus
E)nephron
F)renal tubule
G)trigone
H)renal vein
I)ureter
J)urethra
Q4) Renal abscess may lead to:
A) Diabetes mellitus
B) Pyuria
C) Nephroptosis
D) Ascites
E) Diabetes insipidus
Q5) Blood condition: __________
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Chapter 7-2: Urinary System Part 2
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Sample Questions
Q1) Trigone: __________
Q2) A. abcess
B. abscess
A or B: _____ meaning: __________
Q3) Hilum: __________
Q4) BUN: __________
Q5) A. vesicorectal
B. visicorectal
A or B: _____ meaning: __________
Q6) Urethroplasty: __________
Q7) Vesicoureteral reflux: __________
Q8) A. meatis
B. meatus
A or B: _____ meaning: __________
Q9) Edema: __________
Q10) Renal biopsy: __________
Q11) Enuresis: __________
Q12) A. urinalysis
B. urinanalysis Page 14
A or B: _____ meaning: __________
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Page 15
Chapter 8-1: Female Reproductive System Part 1
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240 Verified Questions
240 Flashcards
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Sample Questions
Q1) Fallopian tubes, ovaries, and supporting ligaments
A)adnexa uteri
B)amnion
C)areola
D)Bartholin glands
E)cervix
F)chorion
G)clitoris
H)coitus
I)corpus luteum
J)cul-de-sac
Q2) Area between the uterus and the rectum:
A) Cul-de-sac
B) Peritoneum
C) Labia minora
D) Clitoris
E) Perineum
Q3) Pertaining to newborn: __________
Q4) -rrhaphy: __________
Q5) colp/o: __________
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Chapter 8-2: Female Reproductive System Part 2
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33 Flashcards
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Sample Questions
Q1) A. oophoritis
B. oopheritis
A or B: _____ meaning: __________
Q2) Metrorrhagia: __________
Q3) metr/o and hyster/o mean: __________
Q4) Fimbriae: __________
Q5) A. menarchy
B. menarche
A or B: _____ meaning: __________
Q6) Perineum: __________
Q7) episi/o and vulv/o mean: __________
Q8) Dyspareunia: __________
Q9) Gamete: __________
Q10) Gravida: __________
Q11) Leukorrhea: __________
Q12) Areola: __________
Q13) Endometriosis: __________
17
Q15) Primipara: __________
Q16) oophor/o and ovari/o mean: __________
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Chapter 9: Male Reproductive System
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211 Verified Questions
211 Flashcards
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Sample Questions
Q1) -trophy: __________
Q2) Circumcision
A)carcinoma of the prostate gland
B)cryptorchism
C)sterilization (hormones remain)
D)benign prostatic hyperplasia
E)reversal of sterilization
F)removal of swollen, twisted veins near the testes
G)abnormal fluid collection in scrotum
H)seminoma
I)phimosis
Q3) vas/o: __________
Q4) A chancre is the primary lesion in which of the following conditions?
A) Pelvic inflammatory disease
B) Genital herpes
C) Nongonococcal urethritis
D) Gonorrhea
E) Syphilis
Q5) -tomy: __________
Q6) Parenchymal: __________
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Chapter 10-1: Nervous System Part 1
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238 Verified Questions
238 Flashcards
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Sample Questions
Q1) Burning sensation of pain:
A) Analgesia
B) Cephalgia
C) Anesthesia
D) Causalgia
E) Dysesthesia
Q2) -sclerosis: __________
Q3) Microscopic fiber that carries the nervous impulse along a nerve cell
A)axon
B)cauda equina
C)dendrite
D)cerebral cortex
E)myelin sheath
F)meninges
G)oligodendroglial cell
H)plexus
Q4) Manner of walking:
A) gate
B) gaite
C) gait
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Chapter 10-2: Nervous System Part 2
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Angiography: __________
Q2) A. hypothalamus
B. hypothalmus
A or B: _____ meaning: __________
Q3) Syncope: __________
Q4) A. motor nerve
B. moter nerve
A or B: _____ meaning: __________
Q5) Subdural hematoma: __________
Q6) Hyperesthesia: __________
Q7) Dura mater: __________
Q8) A. neurasthenia
B. neurastenea
A or B: _____ meaning: __________
Q9) A. meningoma
B. meningioma
A or B: _____ meaning: __________
Q10) Glioma: __________
Q11) Dendrite: __________
21
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Page 22
Chapter 11-1: Cardiovascular System Part 1
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232 Verified Questions
232 Flashcards
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Sample Questions
Q1) Four separate congenital heart defects:
A) Coarctation of the aorta
B) Patent ductus arteriosus
C) Raynaud disease
D) Tetralogy of Fallot
E) Peripheral vascular disease
Q2) Drugs that lower cholesterol in the blood
A)digoxin
B)embolus
C)infarction
D)nitrates
E)occlusion
F)palpitations
G)patent
H)pericardial friction rub
I)petechiae
J)statins
K)thrill
L)vegetations
Q3) Thrombotic occlusion: __________
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Chapter 11-2: Cardiovascular System Part 2
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) Abnormal condition of blue coloration of the skin: __________osis
Q2) Inflammation of a vein with a clot: __________itis
Q3) -plasty: __________
Q4) peri-: __________
Q5) ox/o: __________
Q6) Muscle layer of the heart: __________ium
Q7) myx/o: __________
Q8) thromb/o: __________
Q9) The sac-like membrane surrounding the heart is the __________.
Q10) pulmon/o: __________
Q11) Removal of the inner lining of an artery: __________ectomy
Q12) angi/o: __________
Q13) inter-: __________
Q14) -constriction: __________
Q16) ather/o: __________ Page 24
Q15) Disease condition of heart muscle: cardio__________
Q17) Hardening of arteries: arterio__________
Q18) -sclerosis: __________
Q19) aort/o: __________
Q20) endo-: __________
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25
Chapter 12-1: Respiratory System Part 1
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240 Verified Questions
240 Flashcards
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Sample Questions
Q1) Acute viral infection in infants and children associated with laryngeal obstruction and stridor
A)asthma
B)atelectasis
C)bronchiectasis
D)chronic bronchitis
E)croup
F)cystic fibrosis
G)diphtheria
H)emphysema
I)epistaxis
J)pertussis
Q2) Dust: __________
Q3) Radioactive material is injected or inhaled and images are recorded
A)bronchoalveolar lavage
B)endotracheal intubation
C)lung scan; ventilation-perfusion (V/Q) scan
D)computed tomography (CT) pulmonary angiography
E)thoracentesis
F)tracheostomy
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Chapter 12-2: Respiratory System Part 2
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Sample Questions
Q1) Expectoration: __________
Q2) CPAP: __________
Q3) A. astmah
B. asthma
A or B: _____ meaning: __________
Q4) A. diaphrame
B. diaphragm
A or B: _____ meaning: __________
Q5) A. cilia
B. cili
A or B: _____ meaning: __________
Q6) Tachypnea: __________
Q7) Bronchoscopy: __________
Q8) RDS: __________
Q9) Auscultation: __________
Q10) Tonsillectomy: __________
Q11) RSV: __________
Q12) Anosmia: __________
Q14) Rhinoplasty: __________
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Chapter 13-1: Blood System Part 1
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Sample Questions
Q1) Leukocyte whose granules have an affinity for basic stain; releases histamine and heparin
A)basophil
B)eosinophil
C)erythrocyte
D)hematopoietic stem cell
E)lymphocyte
F)monocyte
G)neutrophil
H)platelet
Q2) Protein threads that form the basis of a clot:
A) Fibrinogen
B) Globulin
C) Hemoglobin
D) Thrombin
E) Fibrin
Q3) neutr/o: __________
Q4) Select the term that is spelled correctly:
A) billirubin
B) bilirubin
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Chapter 13-2: Blood System Part 2
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Sample Questions
Q1) A. myeloma
B. myleoma
A or B: _____ meaning: __________
Q2) AML: __________
Q3) A. thallassemia
B. thalassemia
A or B: _____ meaning: __________
Q4) Anticoagulant: __________
Q5) Anisocytosis: __________
Q6) A. erythropoeisis
B. erythropoiesis
A or B: _____ meaning: __________
Q7) What is a neutrophil?
Q8) Sickle cell anemia: __________
Q9) Autoimmune thrombocytopenic purpura: __________
Q10) Myelopoiesis: __________
Q11) Albumin: __________
Q12) A. heparin
B. heparine Page 30
A or B: _____ meaning: __________
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Chapter 14-1: Lymphatic and Immune Systems Part 1
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Sample Questions
Q1) inter-: __________
Q2) Select the term that is spelled correctly:
A) immunoglobulin
B) immunoglobin
Q3) Formation of lymph: __________
Q4) Tumor of the thymus gland: __________oma
Q5) Swelling of tissues due to interstitial fluid accumulation
A)AIDS
B)allergen
C)anaphylaxis
D)Hodgkin lymphoma
E)hypersplenism
F)lymphedema
G)lymphoid organs
H)thymectomy
Q6) Organ in the mediastinum that produces T cell lymphocytes: __________
Q7) Stationary lymph tissue along the path of lymph vessels: __________
Q8) Pertaining to poison: __________
Q9) Pertaining to poison: __________ic
Q10) lymphaden/o: __________ Page 32
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Chapter 14-2: Lymphatic and Immune Systems Part 2
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Sample Questions
Q1) HSV: __________
Q2) IL-1 to IL-15: __________
Q3) A. inguinal nodes
B. ingiunal nodes
A or B: _____ meaning: __________
Q4) KS: __________
Q5) Inguinal nodes: __________
Q6) A. lymphocytopenis
B. lymphocytopenia
A or B: _____ meaning: __________
Q7) HIV: __________
Q8) A. immunoglobulin
B. immunoglobin
A or B: _____ meaning: __________
Q9) Histo: __________
Q10) HIV: __________
Q11) Lymphadenitis: __________
Q12) Immunotherapy: __________
34
Q14) NK cells: __________
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Chapter 15-1: Musculoskeletal System Part 1
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Sample Questions
Q1) Thin layer of cartilage surrounding the bones in a joint space
Q2) CTS
A)the articulation between a bone on the side of the cranium and the lower jaw bone
B)a condition affecting the wrist and caused by pressure on a nerve
C)bone density test
D)medication that treats inflammatory conditions
E)autoimmune condition marked by a wolf-like facial rash and joint pain
F)bones in the back that are connected to ribs
G)process of recording muscle contractions
H)chronic inflammatory joint condition marked by damage to articular cartilage and ankylosis in smaller joints of the hands and feet
I)type of parenteral injection
J)connective tissue joining bones in the anterior portion of the knee
Q3) Heel bone:
A) calcaneus
B) calcaneous
C) calcaineus
Q4) Mineral constituent of bone
Q5) Knuckle-like process at the end of a bone near a joint
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Chapter 15-2: Musculoskeletal System Part 2
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Sample Questions
Q1) Skull: __________
Q2) perone/o: ___________________
Q3) ACL: __________
Q4) cervic/o: ___________________
Q5) T1-T12: __________
Q6) Fissure: __________
Q7) Upper arm bone: __________
Q8) Lateral curvature of the spine: __________osis
Q9) Tubercle: __________
Q10) poly-: __________
Q11) Thigh bone: __________
Q12) Suture of a tendon: ten__________
Q13) maxill/o: ___________________
Q14) A physician who treats bone, joint, and muscle diseases is a/an __________.
Q15) -porosis: __________
Q16) Fasciitis: __________ Page 37
Q17) Collarbone: __________
Q18) Scapula: __________
Q19) Sacrum: __________
Q20) A sac of fluid near a joint is a/an __________.
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Chapter 16-1: Skin Part 1
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Sample Questions
Q1) The deepest region of the epidermis is the _____.
A)basal layer
B)collagen
C)cuticle
D)dermis
E)keratin
F)adipocyte
G)lunula
H)melanin
I)sebum
J)stratum corneum
Q2) -plakia: __________
Q3) A combining form meaning skin:
A) Ichthy/o
B) Adip/o
C) Cutane/o
D) Pachy/o
E) Xanth/o
Q4) adip/o: __________
Q5) trich/o: __________
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Chapter 16-2: Skin Part 2
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Q1) A. subungwnal B. subungual
A or B: _____ meaning: __________
Q2) Albinism: __________
Q3) A. wheel B. wheal
A or B: _____ meaning: __________
Q4) Dermatophytosis: __________
Q5) A. tinnea B. tinea
A or B: _____ meaning: __________
Q6) A. paroncyhia B. paronychia
A or B: _____ meaning: __________
Q7) Steatoma: __________
Q8) Vitiligo: __________
Q9) Sebaceous gland: __________
Q10) A. keratosis B. carrotosis
A or B: _____ meaning: __________
Q11) A. callis B. callus
A or B: _____ meaning: __________
Q12) Erythema: __________
A or B: _____ meaning: __________
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Chapter 17-1: Sense Organs: The Eye and the Ear Part 1
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Sample Questions
Q1) Astigmatism:
A) Localized purulent infection of the eye
B) Atrophy of the retina
C) Esotropia
D) Exotropia
E) Defective curvature of the cornea or lens
Q2) First little bone of the middle ear; shaped like a hammer
A)auditory canal
B)malleus
C)auditory nerve fibers
D)auricle
E)cerumen
F)cochlea
G)endolymph
H)eustachian tube
I)incus
J)labyrinth
Q3) Select the term that is spelled correctly:
A) anisocoria
B) anisocorea
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Sample Questions
Q1) LASIK: __________
Q2) Inflammation of the conjunctiva: __________itis
Q3) Ménière disease: __________
Q4) IOP: __________
Q5) Mastoiditis: __________
Q6) A. acqueous humer B. aqueous humor
A or B: _____ meaning: __________
Q7) kerat/o: __________
Q8) Tinnitus: __________
Q9) Presbyopia: __________
Q10) Vertigo: __________
Q11) dipl/o: __________
Q12) Audiometer: __________
Q13) ossicul/o: __________
Q14) PERRLA: __________
Q15) blephar/o: __________
43
Q16) opt/o: __________
Q17) lacrim/o: __________
Q18) ENT: __________
Q19) -otia: __________
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44
Chapter 18-1: Endocrine System Part 1
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Sample Questions
Q1) Deficient sodium in the blood: hypo__________
Q2) Removal of the pancreas: __________ectomy
Q3) hyper-: __________
Q4) Thyrotoxicosis; hypersecretion of the thyroid gland:
A) Graves disease
B) Diabetes mellitus
C) Cushing syndrome
D) Acromegaly
E) Myxedema
Q5) hypo-: __________
Q6) Located behind the stomach; alpha and beta islet cells secrete hormones
A)adrenal cortex
B)adrenal medulla
C)ovaries
D)pancreas
E)parathyroid glands
F)pituitary gland
G)testes
H)thyroid gland
Q7) Estradiol: __________
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Chapter 18-2: Endocrine System Part 2
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/22634
Sample Questions
Q1) ADH: __________
Q2) Hyponatremia: __________
Q3) Ketoacidosis: __________
Q4) Type 1: __________
Q5) Exophthalmos: __________
Q6) TSH: __________
Q7) Myxedema-hyper or hypo: _____ endocrine gland involved: __________
Q8) Adenohypophysis: __________
Q9) TFT: __________
Q10) Glucagon: __________
Q11) TSH: __________
Q12) GTT: __________
Q13) Glycosuria: __________
Q14) Testosterone: __________
Q15) A. pancrease
B. pancreas A or B: _____ meaning: __________
B. hypokalemia
A or B: _____ meaning: __________
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Chapter 19-1: Cancer Medicine (Oncology) Part 1
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218 Verified Questions
218 Flashcards
Source URL: https://quizplus.com/quiz/22633
Sample Questions
Q1) XRT
A)promotes the growth of red blood cells
B)microscopic examination of living tissue for diagnosis of disease
C)unit of radiation equal to 1/100 of a rad
D)secreted by tumors to stimulate formation of new blood vessels
E)a biologic response modifier used in cancer treatment
F)spread of malignant cells to a distant site
G)infusion of undifferentiated blood cells into a patient to repopulate the bone marrow
H)protein factor that promotes growth of white blood cells
I)brachytherapy and teletherapy are examples
J)staging system for evaluating malignancies
Q2) cauter/o: __________
Q3) Example of genetic material that causes cancer:
A) Vinyl chloride
B) Hydrocarbons
C) Alkylating agents
D) Oncogenes
Q4) brachy-: __________
Q5) Extending beyond normal boundaries; local invasion of tissue: in__________
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Chapter 19-2: Cancer Medicine (Oncology) Part 2
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) EPO: __________
Q2) Papillary: __________
Q3) morbidity: __________
Q4) benign: __________
Q5) Exenteration: __________
Q6) A. oncology
B. onkocology
A or B: _____ meaning: __________
Q7) Laparoscopy: __________
Q8) XRT: __________
Q9) A. hyperplasia
B. hyperplayzea
A or B: _____ meaning: __________
Q10) relapse: __________
Q11) Antimetabolites: __________
Q12) A. chemotherapy
B. chemotheraphy
A or B: _____ meaning: __________ Page 49
Q14) mets: __________
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Chapter 20: Radiology and Nuclear Medicine
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170 Flashcards
Source URL: https://quizplus.com/quiz/22628
Sample Questions
Q1) X-ray of the renal pelvis and urinary tract after injecting dye into a vein:
A) Venogram
B) IVP
C) RP
D) Intravenous cholangiogram
Q2) Ionization: __________
Q3) Cholangiography
A)bile vessels (ducts)
B)spinal cord
C)uterus and fallopian tubes
D)blood vessels
E)esophagus, stomach, and small intestine
F)lower gastrointestinal tract
G)renal pelvis of kidney and urinary tract
H)lymphatic system
Q4) What is the meaning of adduction?
A) Bending a part of the body
B) Moving the part of the body toward the midline of the body
C) Moving the part away from the midline
D) Turning inward
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Chapter 21: Pharmacology
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229 Flashcards
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Sample Questions
Q1) Commercial name for a drug; trademark or trade name
A)addiction
B)additive action
C)aerosol
D)anaphylaxis
E)antagonistic action
F)antidote
G)brand name
H)chemical name
I)generic name
J)contraindication
Q2) Estrogen:
A) Endocrine drug
B) Cardiovascular drug
C) Analgesic drug
D) Stimulant drug
E) Anticoagulant drug
Q3) Aerosol: __________
Q4) tox/o: __________
Q5) Beta-blocker: __________
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Chapter 22: Psychiatry
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160 Verified Questions
160 Flashcards
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Sample Questions
Q1) Preoccupation with oneself combined with lack of responsiveness to others is a characteristic of:
A) Dissociation
B) Dysphoria
C) Delusion
D) Apathy
E) Autism
Q2) Emotionally cold, aloof, indifferent to praise or criticism or feelings of others:
Q3) Severe dysphoric mood with psychotic features:
A) Major depression
B) Cyclothymic disorder
C) Bipolar disorder
D) Hypomania
E) Dysthymic disorder
Q4) Severe lack of response to other people:
A) autism
B) aughtism
C) autoism
Q5) Pertaining to exhibiting cycles of depression and exhilaration: cyclo__________
Page 53
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