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322 Cards in this Set

  • Front
  • Back
When was HIPPA enacted into law?
1996
Who supplies a Sexual Assalt Investigation Kit?
Naval Criminal Investigative Service (NCIS)
MANMED P-117
Manual of the Medical Department
What are the three major categories of primary medical records?
Health, Records, Outpatient Records, and Inpatient Records
Three types of secondary records include:
Convenience records, Temporary Records, and Ancillary Records.
Purpose of a temporary medical record
Documents a current course of treatment.
The temporary dental record must, at a minimum, contain the following forms:
Privacy Act Statement., DD 2005
Dental Health Questionarre, NAVMED 6600/3
Dental Treatment Form EZ603A
What do Ancillary Records consist of?
Original healthcare documentation withheld from a pt's primary HREC or OREC.
All treatment records are property of...
U.S. Government
Who has ultimate responsibility for all medical records
The Commanding Officer
Who is the HREC custodian for inactive reserve personnel and is responsible for records' preparation and maintenance,
The Naval Reserve Personnel Center (NRPC) New Orleans
FMP code for- Children
01-19
FMP code for-Mother, Stepmother
40-44
FMP code for-Father or Stepfather
45-49
FMP code for-all Others
99
FMP code for-Mother-in-law
50-54
FMP code for-Father-in-law
55-59
What do you enter as a FMP for foreign military personnel?
00
The Navy Medical Department uses what system to file health records?
Terminal Digit Filing System (TDFS)
Health Record- 0
orange
Health Record-5
blue
Health Record-1
green
Health Record-9
red
Health Record-7
almond
Health Record-4
tan
Health Record-2
yellow
Health Record-8
pink
Health Record-3
grey
Health Record-6
white
Charge /out Form NAVMED 6150/7 is known as :
"the pink card" Health Record Receipt
Loose forms can be retained for no longer than
one year
Adult Preventive and Chronic Care Flowsheet
DD 2766
Entries made on the SF 600 (Chron. Record of Medical Care) can be typewritten but normally are handwritten with what color ink?
blue or blue-black
Emergent admission notes may be made on the SF 600, but what form is PREFERRED?
SF 509, Medical Record-Progress Report
SF 509 is typically used for what kind of admissions?
Inpatient admissions.
Where is the specific protocol for recording anthrax immunizations outlined?
SECNAVINST 6230.4, Dept of the NAVY Anthrax Vaccination Implementation Program (AVIP)
Guidance on line-of-duty inquiries is located in the
Manual of the Judge Advocate General (JAGMAN)
Loblolly became an official rate in...
1814
First loblolly boy
John Wall
First African American loblolly
Joseph Anderson
Hospital Corps was established on
June 17,1898
First HM Medal of Honor recepient
Robert Stanley
When was the first WAVES school in Great Lakes accepted?
1944
Dental Tech rating was established....
December 12,1947
Dental Techs merged with HM when?
October 1, 2005
Key to service with distinction
professional ethics
When did the insignia change from the red cross to the caduceus?
April 2, 1948
When did Congress mandate sickbay "cockpit" on the first ship?
March 2, 1799
Temporary directives cannot be in effect for more than...
one year
1000 series
military personnel
7000 series
financial management
2000 series
telecommunications
3000 series
operations and readiness
4000 series
logistics
5000 series
general administration and management
6000 series
medicine and dentistry
8000 series
ordnance material
9000 series
ships design and material
1000 series
general material
11000 series
facilities and activities
12000 series
civilian personnel
13000 series
aeronautical and astronautical material
16000 series
coast guard missions
The process of determining the correct subject group or name-title codes under which correspondance should be filed
Classifying
Dental Class: Worldwide deployable
Class 1 & 2
Any condition that can result in an emergency condition within 12 months
Class 3
Overdue for annual exam, unknown oral condition, lost record
Class Four
Batallion Aid Station is usually comprised of how many MOs and HMs?
2 MOs and 65 HMs
Majority of FMF medical support comes from the...
MLG
Primary mission of a medical battalion is to...
casualty collection
temporary hospitalization
special surgery
emergency tx
evac.
Fleet hospitals meet requirements of whom?
COCOM; Combatant Commander
Fleet hospitals are designed to be used for more than how many days?
60 days
How many beds do fleet hospitals typically have?
500
Manual of the Medical Department
NAVMED P-117
Admin. management tool used to track medical and dental readiness for every ACTIVE DUTY and RESERVE Sailor and Marine
MRRS
What manual reflects the planned maintenance requirements for a particular work center such as medical or dental?
PMS Manual
The Navy organized the Construction Batallion or CBs during the first days of what war?
WWII
Computer based enrollment and eligibility verification system
DEERS
Family member enrollment for all seven uniformed services is accomplished by completing what form?
DD 1172
If an ID cannot be provided within ____ days, the pt will be billed as a civilian humanitarian nin indigent IAW.
30
Newborns will not be denied healthcare for how many days?
60 days
On 61st day, newborn will be enrolled in _______ if not enrolled in TRICARE prime
TRICARE standard (has to be on page 2 to be enrolled in TRICARE prime and enrolled in DEERS)
What type of dental category includes restorative, exams, and surgery?
Routine
What type of dental category includes treatment to relieve pain, acute conditions?
Emergency
What type of dental category includes orthodontics and crowns?
Elective
What program uses various sources of data to evaluate the degree of excellence and to make improvements as needed for quality care?
Quality Assurance Program
A program that strives to evaluate the channels of communication between the hospital and the patient populations
Patient Relations Program
MANED chapter that explains guidance on preparing and maintaining medical records
Chapter 16
Program that identifies and monitors spouse or child abuse/neglect
Family Advocacy Program
What instruction contains details on the Family Advocacy Program? (FAP)
SECNAVINST 1752.3
Details on DAPA are found where?
OPNAVINST 5350.4
Quality Assurance activities are highly valued by whom?
The Joint Commission (TJC) and Medical Inspector General (MED IG)
Physical Readiness Instruction
OPNAVINST 6110.1 series
Who is responsible for what?
To inform and explain info to the patient.
What controls the "substitute consent"?
The law of the state in which the hospital is located.
What Act governs the disclosure of documents maintained by the government agencies?
Freedom of Information Act (FOIA)
The official responsible for the records has how many working days to respond to the requester per the FOIA
20
HIPPA was enacted into law in what year
1996
Instruction for Sexual Assault and Rape Cases
NAVMEDCOMINST 6310.3
Health Records (HREC) are a file of continuous care given to whom?
Active Duty Members
Dental Recods (DREC) are given to whom?
Active Duty and Reserve Members and their families
Opening a secondary medical record requires the provider to write a note on what Form in the primary treatment record?
DD 2766; Adult Preventive and Chronic Care Flowsheet
What is the HREC custodian for inactive reserve personnel?
Naval Reserve Personnel Center (NRPC) New Orleans
What info goes on the inside front cover of the medical record (in pencil)
DOA, PRD, Home address and telephone number, Command UIc and telephone number
Indicates no middle name on tnhe cover of the jacket.
NMN
Always the top form of the medical record.
Summary of Care form NAVMED 6150/4
Immunization Record
SF 601
DD 771
Eyewear Prescription
What is imprinted on part II of the health record (front center page)
DD 2005 Privacy Act Statement
Chronological Record of Medical Record
SF 600
Certificate of Death
DD 2064
Narrative Summary
SF 502
SF 509
Progress Notes
SF 517
Anesthesia
Request for Administration of Anesthesia
SF 522
Abstract of Service and Medical History
NAVMED 6150/4
Record of Disclosure, Privacy Act 1974
OPNAV 5211/9
DD 2005
Privacy Act Statement
NAVMED 6150/7 (Charge out form)
Health Record Receipt "pink card"
What form should be completed if the record is going to be used for dental care
Forensic Examination Form
SF 545
Laboratory Report Display
SF 511
Vital Signs Record
How often are medical records verified by medical?
Annually
During PCS, if records are unable to be hand carried, they have to be sent via certified mail with copy of what form?
DD 877
When closing records, record a closing entry on which page?
Page 4 (NAVMED 6150)
Where should you document regarding MIA members with circumstances about the presumed diappearance of the individual
SF 600
Where should you document regarding deserters?
SF 600, EZ603, and page 4. deliver record to CO!!
Retired dental records should be forwarded to where?
National Personnel Records Center Military Personnel Records ST Louis, Missouri
SF 600 entries are normally handwritten using what color ink?
black or blue-black
What form is preferred for making admission notes?
SF 509; Medical Record -Progress Report
International Certificate of Vaccination
PHS-731
Unmounted radiographs in envelopes are put in the...
front
Sequential bitewing radiographs are found in the..
middle
Panographic or full-month radiographs are in the...
back
NAVMED 6600/3
Dental Health Questionarre (HQR)
Dental Treatment Form
EZ603A
What publication is the Naval Supply Procedures
NAVSUPP 485
Requisitions exceeding the competitive threshold of $3,000 must receive quotes from a minimum of how many vendors.
3
An order from an activity that's requesting material
Requisition
Toward the end of the body
Caudal
Another term for anterior
ventral
Another term for posterior
Dorsal
Skeletal muscle is called ______ muscle
Voluntary
What does skeletal (voluntary) muscle look like?
Striated, striped
Involuntary muscle is called ______ How does it look?
Smooth.
NONSTRIATED
Elongated portion of a bone
Diaphysis
Ends of a bone
Epiphyses
Small muscle responsible for "goosebumps"
Arrector
Modified sweat glands that secrete cerumen
Ceruminous glands
The physical and chemical breakdown of food into its simplest forms
Digestion
The process of absorption, storage, and use of these foods for body growth, maintenance, and repair
Metabolism
The body's self-regulated control of its internal environment
Homeostasis
The "fabric" of the body
Tissues
A process during which elements achieve equilibrium by moving from an area of higher concentration to an area of lower concentration
Diffusion
Fatty tissue
Adipose tissue
Bone tissue
Osseous Tissue
Three types of muscle tissue
skeletal, smooth, and cardiac
The skeleton is composed of how many bones?
206
The study of the structure of the bone
Osteology
What organic substance is found in bone?
Ossein
What two INORGANC substances are most prevalent in bone/
Calcium and Phosphorus
In the center of the bone is the
medullary canal
Two types of bone marrow
yellow and red
Thin, outer membrane surrounding the bone
periosteum
3 small bones of the the auditory ossicles
malleus, incus, and stapes
A hole directly behind the body of the vertebrae that forms the passage for the spinal cord
vertebral foramen
First 7 pairs of ribs are called
true ribs
remaining 5 pairs of ribs
false ribs
the last two ribs are known as
floating ribs
The glenoid fossa and pectoral girdle join to form the
shoulder joint
The hip bone is composed of three parts
ilium ischium and pubis
Innominate bone (hip bone) forms a cuplike structure called the
acetabulum
The largest foramen is between the ischium and the pubis and is called the
obturator foramen
Thigh bone
Femur
Knee Cap
Patella
Leg bones
Tibia and Fibula
Ankle Bones
Tarsals (seven bones)
Foot bones
metatarsals
Toe bones
phalanges
The tarsus is formed by how many bones. Which is the strongest?
7; Calcaneus
Muscles make up _____ of our total body weight
half
Bending the arm or leg
Flexion
Straightening or unbending
Extension
moving an extremity AWAY from the body
abduction
Bringing an extremity TOWARD the body
Adduction
Movement in which the bone moves around a central point
Rotation
The movement of the hips and shoulders
Circumduction
Turning inward
Inversion
Turning outward
Eversion
Formed by the articulation of the temporal bone and the mandible
Temporal Mandibular Joints (TMJ)
Muscles are held together by sheets of a white fibrous tissue called
Fascia
Three main functions of muscles
Providing movement
Maintaining body posture
Providing heat
The chemical action of muscle fibers consists of two stages...
Contraction and Recovery
Muscle contraction in which no movement occurs
Isometric
Muscle contraction in which movement occurs
Isotonic
Area where red mucous membrane of lips end and normal outside skin begins
Vermilion Border
The process of chewing food in preparation for swallowing and digestion
Mastication
Rough projections on the surface of the tongue that provide friction in handling food and also act as TASTE BUDS
Papillae
The salivary glands produce ________ of saliva daily
2-3 liters
The swallowing of food
Deglutition
Muscles on both sides of neck that rotate the head left and right.
Sternocleidomastoid muscles
Primary muscle of respiration
Diaphragm
Longest muscle in the body
Sartorius (Extends diagonally across the thigh)
Total amount of blood in the body
5 to 6 Liters
Worn out cells are removed from the blood stream
called the graveyard
Spleen
There is 1 white cell to every ____ red cells
600
Normal WBC count is
4800 to 11,000
Process that engulfs disease bearing bacteria and foreign matter
Phagocytosis
Thr right ventricle pumps blood past the pulmonary valve through the ____________ to the lungs where it is oxygenated.
pulmonary artery
The left atrium receives the blood from the lungs through four _______________ and pumps it to the left ventricle past the mitral valve
pulmonary veins.
What nerve controls the Sense of smell
Olfactory
What nerve is responsible for vision
Optic
Which nerve is responsible for the movement of the pupils
Oculomotor nerve
These 3 nerves control eye movements in the 6 fields and toward the tip of the nose.
Oculomotor
Trochlear
Abducens
Governs the sensation of the forehead and face and clenching of the jaw. Also supplies muscle of the ear, Tensor Tympani, for normal hearing.
Trigeminal
What nerve Controls the face muscles
Facial
What nerve Controls hearing and balance
Acoustic
Transmits sensation from the upper mouth and throat area. Gag reflex.
Glossopharyngeal
What nerve Controls the roof of the mouth, vocal cords, and tone of voice.
Vagus
What nerve Controls the turning of the head from side to side and shoulder shrug against resistance
Spinal Accessory
What verve controls the Muscle activity of the tongue.
Hypoglossal
The space which a nerve impulse passes from one neuron to another
Synapse
Responsible for coordination, balance, and movement
Cerebellum
Helps to give the cornea its curved shape
Aqueous humor
Outer layer of the eye
(White of the eye)
Sclera.
Produces tears that constantly wash the front part of the eye and the conjunctiva
Lacrimal glands
Deflection or bending of light rays results when the light passes through substances of varying densities in the eye. Deflection of light in the eye is called _______
Reflection
Eardrum
Tympanic Memebrane
Homeostasis is maintained by
The endocrine system and the nervous system
Diabetes insipidus is characterized by a deficiency of the
antidieuretic hormone
Regulates the calcium and phosphorus content of the blood and bones
Parathormone (PTH)
The largest gland in the body
Liver.
Beta cells secrete
insulin
Two main organs of the filtering system are
Kidneys and urinary bladder
The gallbladder stores
Bile
The functional unit of the kidney
Nephron
Average bladder holds up to _____mLs of urine
600
Fertilization of an ovum normally takes place in
the fallopian tubes
The largest and most superiorly positioned portion of the brain
Cerebrum
Large intestine is divided into 3 contiguous parts
duodenum
jejunum
ileum
Odontogenesis phase
tooth formation
*remember Genesis=beginning.
When teeth are in the odontogenesis phase three developmental periods happen...
Growth
Calcification
Eruption
Dental development usually begins in which weeks of prenatal life?
5th-6th weeks
Growth period of development is divided into
bud
cap
bell
Usually how many tooth buds are present in each dental arch which give rise to future primary teeth
10 tooth buds
Last period of growth
Histodifferntiation or Bell Stage
For permanent teeth, it takes about __ years from crown completion to the time the tooth emerges into the mouth.
3
Primary teeth prepare to fall out
Exfoliation
Crown is applied what part of the tooth
visible in the mouth
When teeth have more than one root, the region where the roots separate is called the
furcation
Tip of each root is called
apex
Tooth buds for the permanent teeth form between the 17th week of fetal life through the age of ___
5
Enamel is formed by what type of cells
Epithelial cells (ameloblasts)
Calcified substance that covers the entire anatomic crown of the tooth and protects the dentin.
Enamel
Hardest tissue in the human body
Enamel
______ and ______ are enamel's main inorganic components as hydroxyapatite
Calcium and Phosphorus
Chief function of the pulp is
the formation of dentin
The cavity within the alveolar process in which the root of the tooth is held by the periodontal ligament
Alveolar Socket
Trabecular bone has what kind of appearance when viewed by radiograph
Web-like
Helps prevent food from packing between the teeth
Interdental papilla
There are _____ dental quadrants
4
# of baby teeth
20
# of adult teeth
32
Primary teeth are identified by the letters
A through T
A tooth has how many proximal surfaces
2
The anteroposterior curve is referred to by
Curve of Wilson
Salivary glands secrete about _____ mLs of saliva daily
1500
An enclosed pouch or sac containing fluid or semi-solid material
Cyst
May be caused by biting, denture irritation, toothbrush injury, viruses, or other irritants.
Ulcers
A collection of pus often caused by a bacterial infection.
Abcess
A small elevation that contains fluid
Vesicles
A localized collection of blood that escaped from blood vessels due to trauma
Hematoma
Round pin-point, non-raised, purplish-red spots caused by hemorrhage
Petechiae
Large purplish-red areas caused by blood under the skin (appears blue or yellow)
Ecchymosis
Usually appear first as white, chalky spot on enamel which indicated decalcification process
Dental caries
What bacteria is linked to tooth decay
Streptococci and other acid producing bacteria
Develop in depressions of teeth surfaces
Pit and fissure caries
Refers to pain in the dental pulp and commonly occurs after a restoration has been placed in a tooth.
Pulpagia
Inflammation of the dental pulp, caused by a bacterial infection resulting from dental caries or fractured teeth
Pulpitis
Most prevalent chronic disease of humankind
Periodontal disease
Usually starts in the Sulcus
Marginal gingivitis
Disease referred to as "trench mouth" or "Vincent's infection".
Necrotizing ulcerative gingivitis (NUG)
When periodontitis progresses the gingival tissues will appear as
bluish red
Usually results from long-continued irritation or foreign objects.
Periodontal abcess
Another name for Canker sores
Recurrent apthous stomatitis (RAS)
Recurrent HSV lesions take about _____ days to resolve
7-10
Signs of a HIV infection
Candidiasis, Hairy leukoplakia, and Kaposi's sarcoma
A fungal infection of the mouth usually red or white in color
Candidiasis
Cancerous, dark purplish-blue lesions that involve blood vessels
Kaposi's sarcoma
The loss of substance of a tooth from a wearing away process caused by teeth against teeth
Attrition
Erosion can affect pts with
bulimia
Pain in the dental pulp
commonly occurs after a restoration has been placed in a tooth
Pulpagia
Congenital disorders are present at
birth
The absence of single or multiple teeth
Anodontia
Development of one or more extra teeth
Supernumerary teeth
The maxillary and medial nasal processes fail to fuse
Cleft lip
Results when the palate shelves, right and left side do not fuse leaving a space
Cleft palate
"Secret of life"
A viscid jellylike substance that composes the cell.
Protoplasm
A small dense body that controls the chemical reactions occurring the cell
Nucleus
Every human contains _____ chromosomes
46
Outer covering of the body
Epithelial
Skeleton is composed of ____ bones
206
2 types of bone marrow
yellow and red
the pain center of the bone
periosteum
femur and humerous
long bone
What kind of bones are wrist and ankle bones
short bones
skull, sternum, and scapula
flat bones
vertebrae, mandible, hynoid and pelvic bones
irregular bones
first of the cervical vertebrae that supports the head
atlas
second cervical vertebrae and permits head to turn
axis
3 parts of the innominate bone
ischium, ilium, and pubis
When ligaments are accidentally torn
Sprain
When bones are out of place
Dislocation
Liquid part of blood
plasma
he inner heart surface is lined with a delicate serous membrane called the
endocardium
contraction of the heart
systole
relaxation of the heart
diastole
Largest and most superior portion of the brain
Cerebrum
Inferior portion of the brain that controls heart action, breathing, circulation, and blood pressure
Medulla Oblongata
Posterior to the brain stem. Brings balance, harmony, and coordination
Cerebellum
Responsible for daytime vision
Cones
Responsible for nighttime vision
Rods