med term chapter 1

Introduction to Medical Terminology

Objectives

Upon completion of this chapter, you will be able to:

• Identify and define the four elements used to build medical words.

• Apply the basic rules to define and build medical terms.

• Define and provide examples of surgical, diagnostic, pathological, and related suffixes.

• Define and provide examples of adjective and noun endings that form medical words.

• Apply rules learned in this chapter to write singular and plural forms of medical words.

• Practice pronouncing the medical terms presented in this chapter.

• Demonstrate your knowledge by successfully completing the activities in this chapter.

The language of medicine is a specialized vocabulary used by health care providers. Many current medical word elements originated as early as the 4th century B.C., when Hippocrates practiced medicine. With technological and scientific advancements in medicine, new terms have evolved to reflect these innovations. For example, radiographic terms, such as magnetic resonance imaging (MRI) and ultrasound (US), are now used to describe current diagnostic procedures.

MEDICAL WORD ELEMENTS

A medical word consists of some or all of the following elements:

• word root

• combining form

• suffix

• prefix

How these elements are combined and whether all or some of them are present in a medical term determine the meaning of a word. To understand the meaning of medical words, it is important to learn how to divide them into their basic elements. This chapter covers the basic principles of medical word building and how to pronounce terms correctly. Pronunciations are provided with all terms. In addition, pronunciation guidelines are located on the inside back cover of this book, so you can refer to them throughout the chapters to pronounce terms correctly.

Word Roots

A word root (WR) is the foundation of a medical term and contains its primary meaning. All medical terms have at least one word root. Examine the terms tonsillitis, tonsillectomy, colitis, and colectomy listed below to determine their basic elements (roots and suffixes) and meanings. You will note that the meaning of the word changes whenever you change one of the word elements. (In the examples that follow, word roots are in boldface and suffixes are in blue.)

Word Analysis The roots tonsill and col indicate body parts, the tonsils and colon, respectively. The suffix -itis means inflammation; the suffix -ectomy means excision, removal. By adding a different suffix to the root, the meaning of the word changes, as shown in the above examples.

Combining Forms

A combining form (CF) is created when a word root is combined with a vowel. The vowel, known as a combining vowel, is usually an o, but sometimes it is an i or e. The combining vowel has no meaning of its own but enables two word elements to be connected. Like the word root, the combining form is the basic foundation to which other word elements are added to build a complete medical word. In this text, a combining form will be listed as word root/vowel (e.g., arthr/o, gastr/o, nephr/o, neur/o, and oste/o), as illustrated in the following examples. The difficulty of pronouncing certain combinations of word roots requires insertion of a vowel, usually an o. Like the word root, the combining form usually indicates a body part.

Examples of Combining Forms

Word Root + Combining Vowel = Combining Form Meaning

arthr + o = arthr/o joint

Gastr + o = gastr/o stomach

Nephr + o = nephr/o kidney

Neur + o = neur/o nerve

Oste + o = oste/o bone

Linking Suffixes

A CF links with a suffix that begins with a consonant. Examples of suffixes that begin with a consonant are -centesis and -pathy. This linking is illustrated below in the terms arthr/o/centesis and gastr/o/pathy.

A WR links with a suffix that begins with a vowel. Examples of suffixes that begin with a vowel are -itis and -ectomy. This linking is illustrated below in the terms arthr/itis and gastr/ectomy.

Word Analysis The roots gastr and arthr indicate body parts. The suffix -itis means inflammation; -centesis means puncture; -pathy means disease; and -ectomy means excision, removal.

Suffixes

A suffix is a word element placed at the end of a word that changes the meaning of the word. In the terms mast/ectomy and mast/itis, the suffixes are -ectomy (excision, removal) and -itis (inflammation). Changing the suffix changes the meaning of the word. In medical terminology, a suffix usually describes a pathology (disease or abnormality), symptom, surgical or diagnostic procedure, or part of speech.

When studying medical terminology, try to learn the combining form rather than the root because the combining form makes most words easier to pronounce. In the example arthrocentesis, the root without a connecting vowel would be written arthrcentesis (ăr-thr-sĕn-TĒ-sĭs). Spelled this way, the term is difficult to pronounce. By adding the vowel after the root, the word arthrocentesis (ăr-thrō-sĕn-TĒ-sĭs) is much easier to pronounce.

Word Analysis The root mast indicates the body part, the breast. The suffix -ectomy means excision, removal; the suffix -itis means inflammation. Adding different suffixes to the root mast changes the meaning of the word.

Prefixes

A prefix is a word element attached to the beginning of a word or word root. However, not all medical terms have a prefix. Adding or changing a prefix changes the meaning of the word. The prefix usually indicates a number, time, position, direction, or negation. Prefixes do not require adding a connecting vowel. Many prefixes in medical terms are the same as the prefixes used in the English language. Consider the following terms. (In the examples that follow, word roots are in boldface, suffixes are in blue, and prefixes are in pink.)

The prefixes pre- and post- indicate a state of time. Both prefixes are attached directly to the word root that follows. In the above examples, pre- and post- are attached to the root nat. In this text, whenever a prefix stands alone, it will be followed by a hyphen, as in pre- and post-. Whenever a suffix stands alone, it will be preceded by a hyphen, as in -al.

Word Analysis The root nat means birth; the suffix -al means pertaining to.

Review Activity 1-1

Matching Word Elements

Match the numbered list items with their definitions in the right-hand column.

1. _______________ pre- means

Choose one...

2. _______________ basic components of words

Choose one...

3. _______________ combining form

Choose one...

4. _______________ combining vowel(s)

Choose one...

5. _______________ post- means

Choose one...

6. _______________ suffix -itis

Choose one...

7. _______________ gastr means

Choose one...

8. _______________ location of prefixes

Choose one...

9. _______________ location of suffixes

Choose one...

10. _______________ word root

Choose one...

Show Answer

Competency Verification: Check your answers in Appendix B, Answer Key, page 381. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Review Activity 1-2

Understanding Medical Word Elements

Correct Response:

1. root, combining form, suffix, and prefix

2. arthr

3. False—A combining vowel is usually an “o.”

4. False—A word root links a suffix that begins with a vowel.

5. True

6. True

7. False—Whenever a prefix stands alone, it will be followed by a hyphen.

8. True

Fill in the following blanks to complete the sentences correctly:

1. The four elements used to form medical words are .

2. A root is the main part, or foundation, of a word. In the words arthritis, arthroma, and arthroscope, the root is .

Identify the following statements as true or false by circling True or False for each statement. If false, rewrite the statement correctly on the line provided.

3. A combining vowel is usually an e.

4. A word root (WR) links a suffix that begins with a consonant .

5. A combining vowel links multiple roots to each other .

6. A combining form links a suffix that begins with a consonant .

7. Whenever a prefix stands alone, it will be preceded by a hyphen .

8. In the term intramuscular, intra- is the prefix .

Show Answer

Underline

Underline the word root in each of the following combining forms:

9. splen/o (spleen)

10. hyster/o (uterus)

11. enter/o (intestine)

12. neur/o (nerve)

13. ot/o (ear)

14. dermat/o (skin)

15. hydr/o (water)

Show Answer

Competency Verification: Check your answers in Appendix B, Answer Key, page 381. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Review Activity 1-3

Identifying Word Roots and Combining Forms

Underline

Underline the word roots in the following terms:

Medical Word Meaning

1. nephritis

inflammation of the kidneys

2. arthrodesis

fixation of a joint

3. dermatitis

inflammation of the skin

4. arthrocentesis

surgical puncture of a joint

5. gastrectomy

excision of the stomach

Underline the following elements that are combining forms:

6. nephr

kidney

7. hepat/o

liver

8. arthr

joint

9. oste/o/arthr

bone, joint

10. cholangi/o

bile vessel

Show Answer

Competency Verification: Check your answers in Appendix B, Answer Key, page 381. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

DEFINING AND BUILDING MEDICAL WORDS

Defining and building medical words are crucial skills in mastering medical terminology. Following the basic guidelines will help develop these skills.

Defining Medical Words

Here are three steps for defining medical words by using the term oste/o/arthr/itis (ŏs-tē-ō-ăr-THRĪ-tĭs) as an example.

1. Define the suffix, or last part of the word. In this case, the suffix -itis means inflammation.

2. Define the first part of the word (word root or combining form, or prefix). In this case, the combining form oste/o means bone.

3. Define the middle parts of the word (word root or combining form). In this case, arthr means joint. Table 1-1 further illustrates this process.

TABLE 1-1 Defining Osteoarthritis

This table illustrates the three steps in defining a medical word by using the example osteoarthritis.

Combining Form Middle Suffix

oste/o arthr -itis

bone joint inflammation

(rule 2) (rule 3) (rule 1)

Therefore, oste/o/arthr/itis is an inflammation of bone(s) and joint(s).

Building Medical Words

There are three rules for building medical words.

Rule #1

A word root links a suffix that begins with a vowel.

Word Root + Suffix = Medical Word Meaning

append

appendix + -ectomy

excision, removal = append/ectomy

ăp-ĕn-DĔK-tō-mē excision of the appendix

gastr

stomach + -itis

inflammation = gastr/itis

găs-TRĪ-tĭs inflammation of the stomach

Rule #2

A combining form (root + o) links a suffix that begins with a consonant.

Combining Form + Suffix = Medical Word Meaning

colon/o

colon + -scope

instrument for examining = colon/o/scope

kō-LŎN-ō-skōp instrument for examining the colon

Rule #3

A combining form (root + o) links a root to another root to form a compound word. This rule holds true even if the next root begins with a vowel, as in gastroenteritis. Keep in mind that the rules for linking multiple roots to each other are slightly different from the rules for linking roots and combining forms to suffixes. Following are several examples:

Combining Form + Word Root + Suffix = Medical Word Meaning

gastr/o

stomach + enter

intestine (usually small intestine) + -itis

inflammation = gastr/o/enter/itis

găs-trō-ĕn-tĕr-Ī-tĭs inflammation of stomach and intestine (usually small intestine)

gastr/o

stomach + col

colon + -itis

inflammation = gastr/o/col/itis

găs-trō-kō-LĪ-tĭs inflammation of stomach and colon

oste/o

(bone) + chondr

cartilage + -itis

inflammation = oste/o/chondr/itis

os-tē-ō-kŏn-DRĪ-tĭs inflammation of bone and cartilage

oste/o

(bone) + arthr

joint + -itis

inflammation = oste/o/arthr/itis

ŏs-tē-ō-ăr-THRĪ-tĭs inflammation of bone and joint

Review Activity 1-4

Defining Medical Words

Use the following table to complete the statements below. The first one is completed for you.

Combining Forms Suffixes and Prefixes Meaning

append/o appendix

arthr/o joint

col/o, colon/o colon

enter/o intestine (usually small)

gastr/o stomach

mast/o breast

oste/o bone

-centesis surgical puncture

-itis inflammation

-pathy disease

-scope instrument to view or examine

pre- before

post- after

Correct Response:

1. breast

2. inflammation

3. colon

4. bone

5. after

6. joint

7. disease

8. pre-

9. gastr/o

10. -pathy

11. mast/o

12. -scope

13. appendix

14. intestine (usually small intestine)

15. -centesis

1. Mast/ectomy is an excision of a breast .

2. Tonsill/itis is an of the tonsils.

3. A colon/o/scope is an instrument to examine the .

4. Oste/o/malacia is a softening of a (singular).

5. Post/nat/al means pertaining to (the period) birth.

6. Arthr/o/centesis is a surgical puncture of a .

7. Arthr/o/pathy is of the joints.

8. A prefix that means before is .

9. The combining form (CF) for stomach is .

10. The suffix for disease is .

11. The combining form for breast is .

12. The suffix that means instrument to examine is .

13. The combining form append/o refers to the .

14. Gastro/enter/itis is an inflammation of the stomach and the .

15. The suffix for surgical puncture is .

Show Answer

Competency Verification: Check your answers in Appendix B, Answer Key, page 381. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Review Activity 1-5

Defining and Building Medical Words

The three steps for defining medical words are:

1. Define the last part of the word, or suffix.

2. Define the first part of the word, or prefix, word root, or combining form.

3. Define the middle of the word.

Fill In The Blank

First, pronounce the term aloud. Then apply the above three steps to define the terms in the following table. If you are uncertain of a definition, refer to Appendix A of this textbook, which provides an alphabetical list of word elements and their definitions. The first one is completed for you.

Term Definition

1. col/itis

kō-LĪ-tĭs

Term Definition

2. gastr/o/scope

GĂS-trō-skōp

Term Definition

3. hepat/itis

hĕp-ă-TĪ-tĭs

Term Definition

4. pre/nat/al

prē-NĀ-tăl

Term Definition

5. tonsill/ectomy

tŏn-sĭl-ĔK-tō-mē

Term Definition

6. tonsill/itis

tŏn-sĭl-Ī-tĭs

Term Definition

1. col/itis

kō-LĪ-tĭs

Your answer :

Correct Answer : inflammation (of) colon

2. gastr/o/scope

GĂS-trō-skōp

Your answer :

Correct Answer : instrument for examining the stomach

3. hepat/itis

hĕp-ă-TĪ-tĭs

Your answer :

Correct Answer : inflammation of the liver

4. pre/nat/al

prē-NĀ-tăl

Your answer :

Correct Answer : pertaining to (the period) before birth

5. tonsill/ectomy

tŏn-sĭl-ĔK-tō-mē

Your answer :

Correct Answer : excision of the tonsils

6. tonsill/itis

tŏn-sĭl-Ī-tĭs

Your answer :

Correct Answer : inflammation of the tonsils

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Fill In The Blank

Refer to the section “Building Medical Words” on page 8 to complete this activity. Write the number for the rule that applies to each listed term and a short summary of the rule. Use the abbreviations WR to designate a word root and CF to designate a combining form. The first one is completed for you.

Term Rule Summary of Rule

7. append/ectomy

ăp-ĕn-DĔK-tō-mē

Term Rule Summary of Rule

8. arthr/o/centesis

ăr-thrō-sĕn-TĒ-sĭs

Term Rule Summary of Rule

9. col/ectomy

kō-LĔK-tō-mē

Term Rule Summary of Rule

10. colon/o/scope

kō-LŎN-ō-skōp

Term Rule Summary of Rule

11. gastr/itis

găs-TRĪ-tĭs

Term Rule Summary of Rule

12. gastr/o/enter/o/col/itis

găs-trō-ĕn-tĕr-ō-kŏl-Ī-tĭs

Term Rule Summary of Rule

13. arthr/o/pathy

ăr-THRŎP-ă-thē

Term Rule Summary of Rule

14. oste/o/arthr/itis

os-tē-ō-ăr-THRĪ-tĭs

Term Rule Summary of Rule

15. oste/o/chondr/itis

ŏs-tē-ō-kŏn-DRĪ-tĭs

Term Rule Summary of Rule

7. append/ectomy

ăp-ĕn-DĔK-tō-mē

Your answer :

Correct Answer : 1

Your answer :

Correct Answer : A WR links a suffix that begins with a vowel.

8. arthr/o/centesis

ăr-thrō-sĕn-TĒ-sĭs

Your answer :

Correct Answer : 2

Your answer :

Correct Answer : A CF links a suffix that begins with a consonant.

9. col/ectomy

kō-LĔK-tō-mē

Your answer :

Correct Answer : 1

Your answer :

Correct Answer : A WR links a suffix that begins with a vowel.

10. colon/o/scope

kō-LŎN-ō-skōp

Your answer :

Correct Answer : 2

Your answer :

Correct Answer : A CF links a suffix that begins with a consonant.

11. gastr/itis

găs-TRĪ-tĭs

Your answer :

Correct Answer : 1

Your answer :

Correct Answer : A WR links a suffix that begins with a vowel.

12. gastr/o/enter/o/col/itis

găs-trō-ĕn-tĕr-ō-kŏl-Ī-tĭs

Your answer :

Correct Answer : 3, 1

Your answer :

Correct Answer : A CF links multiple roots to each other. This rule holds true even if the next word root begins with a vowel. A WR links a suffix that begins with a vowel.

13. arthr/o/pathy

ăr-THRŎP-ă-thē

Your answer :

Correct Answer : 2

Your answer :

Correct Answer : A CF links a suffix that begins with a consonant.

14. oste/o/arthr/itis

os-tē-ō-ăr-THRĪ-tĭs

Your answer :

Correct Answer : 3, 1

Your answer :

Correct Answer : A CF links multiple roots to each other. This rule holds true even if the next word root begins with a vowel. A WR links a suffix that begins with a vowel.

15. oste/o/chondr/itis

ŏs-tē-ō-kŏn-DRĪ-tĭs

Your answer :

Correct Answer : 3, 1

Your answer :

Correct Answer : A CF links multiple roots to each other. This rule holds true even if the next word root begins with a vowel. A WR links a suffix that begins with a vowel.

1 of 9

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Competency Verification: Check your answers in Appendix B, Answer Key, page 382. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

PRONUNCIATION GUIDELINES

Although pronunciation of medical words usually follows the same rules that govern pronunciation of common English words, some medical words may be difficult to pronounce when first encountered. Therefore, selected terms in this book include a phonetic pronunciation. Diacritical marks and capitalization are used to aid pronunciation of terms throughout the text and to help you understand pronunciation marks used in most dictionaries.

Pronunciation guidelines are located on the inside back cover of this book and at the end of selected tables. Use them whenever help is needed with pronunciation of medical words.

Review Activity 1-6

Understanding Pronunciations

Underline

Review the pronunciation guidelines (located inside the front cover of this book) and underline the correct answer in each of the following statements:

1. The diacritical mark ¯ is called a (breve, macron).

2. The diacritical mark ˘ is called a (breve, macron).

3. The ¯ indicates the (short, long) sound of vowels.

4. The ˘ indicates the (short, long) sound of vowels.

5. The combination ch is sometimes pronounced like (k, chiy). Examples are cholesterol, cholemia.

6. When pn is at the beginning of a word, it is pronounced only with the sound of (p, n). Examples are pneumonia, pneumotoxin.

7. When pn is in middle of a word, the p (is, is not) pronounced. Examples are orthopnea, hyperpnea.

8. When i is at the end of a word, it is pronounced like (eye, ee). Examples are bronchi, fungi, nuclei.

9. For ae and oe, only the (first, second) vowel is pronounced. Examples are bursae, pleurae.

10. When e and es form the final letter or letters of a word, they are commonly pronounced as (combined, separate) syllables. Examples are syncope, systole, nares.

Show Answer

Competency Verification: Check your answers in Appendix B, Answer Key, page 383. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Review Activity 1-7

Plural Suffixes

When a word changes from a singular form to a plural form, the suffix of the word is the part that changes. For example, the medical report may list one diagnosis or several diagnoses. The rules for forming plurals starting from the singular forms of the words are listed on the inside back cover of this book. When in doubt about singular and plural word formations, refer to these rules, or use a medical dictionary. Review the rules, and use them to complete this activity. The first word is completed for you.

Fill In The Blank

Singular Plural Rule

1. sarcoma

săr-KŌ-mă

Singular Plural Rule

2. thrombus

THRŎM-bŭs

Singular Plural Rule

3. appendix

ă-PĔN-dĭks

Singular Plural Rule

4. diverticulum

dī-vĕr-TĬK-ū-lŭm

Singular Plural Rule

5. ovary

Ō-vă-rē

Singular Plural Rule

6. diagnosis

dī-ăg-NŌ-sĭs

Singular Plural Rule

7. lumen

LŪ-mĕn

Singular Plural Rule

8. vertebra

VĔR-tĕ-bră

Singular Plural Rule

9. thorax

THŌ-răks

Singular Plural Rule

10. spermatozoon

spĕr-măt-ō-ZŌ-ŏn

Singular Plural Rule

1. sarcoma

săr-KŌ-mă

Your answer :

Correct Answer : sarcomata

Your answer :

Correct Answer : Retain the ma and add ta.

2. thrombus

THRŎM-bŭs

Your answer :

Correct Answer : thrombi

Your answer :

Correct Answer : Drop us and add i.

3. appendix

ă-PĔN-dĭks

Your answer :

Correct Answer : appendices

Your answer :

Correct Answer : Drop ix and add ices.

4. diverticulum

dī-vĕr-TĬK-ū-lŭm

Your answer :

Correct Answer : diverticula

Your answer :

Correct Answer : Drop um and add a.

5. ovary

Ō-vă-rē

Your answer :

Correct Answer : ovaries

Your answer :

Correct Answer : Drop y and add ies.

6. diagnosis

dī-ăg-NŌ-sĭs

Your answer :

Correct Answer : diagnoses

Your answer :

Correct Answer : Drop is and add es.

7. lumen

LŪ-mĕn

Your answer :

Correct Answer : lumina

Your answer :

Correct Answer : Drop en and add ina.

8. vertebra

VĔR-tĕ-bră

Your answer :

Correct Answer : vertebrae

Your answer :

Correct Answer : Retain the a and add e.

9. thorax

THŌ-răks

Your answer :

Correct Answer : thoraces

Your answer :

Correct Answer : Drop the x and add ces.

10. spermatozoon

spĕr-măt-ō-ZŌ-ŏn

Your answer :

Correct Answer : spermatozoa

Your answer :

Correct Answer : Drop on and add a.

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Competency Verification: Check your answers in Appendix B, Answer Key, page 383. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Review Activity 1-8

Common Suffixes

In previous material, you were introduced to the principles of medical word building. You learned that a combining form is a word root + a vowel and that the combining form is the main part, or foundation, of a medical term. Examples of combining forms are gastr/o (stomach), dermat/o (skin), and nephr/o (kidney). You also learned that a suffix is an element located at the end of a word and a prefix is an element located at the beginning of a word. This section presents common suffixes and prefixes used to construct medical terms. Some of these elements have already been introduced, but they are now reinforced in the appropriate categorized tables below. Similar tables are included for each chapter in the book. The common elements in this section of the chapter will be reinforced throughout the textbook in numerous medical terms.

Surgical Suffixes

Short Answer

Common suffixes associated with surgical procedures, their meanings, and an example of a related term are listed in the following table. First, study the suffix and its meaning, and practice pronouncing the term aloud. Then use the information provided to complete the meaning of each term. You may also refer to Appendix A: Glossary of Medical Word Elements to complete this exercise. To build a working vocabulary of medical terms and understand how those terms are used in the health care industry, it is important that you complete all of these exercises. The first one is completed for you.

Suffix Term Meaning

-centesis

surgical puncture

arthr/o/centesis

ăr-thrō-sĕn-TĒ-sĭs

arthr/o: joint

Suffix Term Meaning

-clasis

to break; surgical fracture

oste/o/clasis

ŏs-tē-ŎK-lă-sĭs

oste/o: bone

Suffix Term Meaning

-desis

binding, fixation (of a bone or joint)

arth r/o/desis

ăr-thrō-DĒ-sĭs

arthr/o: joint

Suffix Term Meaning

-ectomy

excision, removal

append/ectomy

ăp-ĕn-DĔK-tō-mē

append: appendix

(See Figure 1-1.)

Suffix Term Meaning

-lysis

separation; destruction; loosening

thromb/o/lysis

thrŏm-BŎL-ĭ-sĭs

thromb/o: blood clot

Suffix Term Meaning

-pexy

fixation (of an organ)

mast/o/pexy

MĂS-tō-pĕks-ē

mast/o: breast

Suffix Term Meaning

-plasty

surgical repair

rhin/o/plasty

RĪ-nō-plăs-tē

rhin/o: nose

Suffix Term Meaning

-rrhaphy

suture

my/o/rrhaphy

mī-OR-ă-fē

my/o: muscle

Suffix Term Meaning

-stomy

forming an opening (mouth)

trache/o/stomy

trā-kē-ŎS-tō-mē

trache/o: trachea (windpipe)

Suffix Term Meaning

-tome

instrument to cut

oste/o/tome

ŎS-tē-ō-tōm

oste/o: bone

Suffix Term Meaning

-tomy

incision

trache/o/tomy

trā-kē-ŎT-ō-mē

trache/o: trachea (windpipe)

Suffix Term Meaning

-tripsy

crushing

lith/o/tripsy

LĬTH-ō-trĭp-sē

lith/o: stone, calculus

Suffix Term Meaning

-centesis

surgical puncture

arthr/o/centesis

ăr-thrō-sĕn-TĒ-sĭs

arthr/o: joint

Correct Answer : Surgical puncture of a joint

-clasis

to break; surgical fracture

oste/o/clasis

ŏs-tē-ŎK-lă-sĭs

oste/o: bone

Correct Answer : surgical breaking or fracture of a bone to correct a deformity; also called osteoclasia

-desis

binding, fixation (of a bone or joint)

arth r/o/desis

ăr-thrō-DĒ-sĭs

arthr/o: joint

Correct Answer : binding or fixation of a joint

-ectomy

excision, removal

append/ectomy

ăp-ĕn-DĔK-tō-mē

append: appendix

(See Figure 1-1.)

Correct Answer : excision or removal of the appendix

-lysis

separation; destruction; loosening

thromb/o/lysis

thrŏm-BŎL-ĭ-sĭs

thromb/o: blood clot

Correct Answer : separation, destruction, or loosening of a blood clot

-pexy

fixation (of an organ)

mast/o/pexy

MĂS-tō-pĕks-ē

mast/o: breast

Correct Answer : surgical fixation of the breast(s)

-plasty

surgical repair

rhin/o/plasty

RĪ-nō-plăs-tē

rhin/o: nose

Correct Answer : surgical repair of the nose (to change shape or size)

-rrhaphy

suture

my/o/rrhaphy

mī-OR-ă-fē

my/o: muscle

Correct Answer : suture of a muscle

-stomy

forming an opening (mouth)

trache/o/stomy

trā-kē-ŎS-tō-mē

trache/o: trachea (windpipe)

Correct Answer : forming an opening (mouth) into the trachea

-tome

instrument to cut

oste/o/tome

ŎS-tē-ō-tōm

oste/o: bone

Correct Answer : instrument to cut bone

-tomy

incision

trache/o/tomy

trā-kē-ŎT-ō-mē

trache/o: trachea (windpipe)

Correct Answer : incision of the trachea

-tripsy

crushing

lith/o/tripsy

LĬTH-ō-trĭp-sē

lith/o: stone, calculus

Correct Answer : crushing a stone or calculus

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Pronunciation Help Long sound ā in rāte ē in rēbirth ī in īsle ō in ōver ū in ūnite

Short sound ă in ălone ĕ in ĕver ĭ in ĭt ŏ in nŏt ŭ in cŭt

Competency Verification: Check your answers in Appendix B, Answer Key, pages 383–384. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Figure 1-1 Appendectomy. Minimally invasive surgery to remove the appendix through small incisions in the lower abdomen. One incision is used for video camera viewing and the other two for instruments to surgically remove the appendix. (Credit: iStock/Getty Images Plus/marina_ua.)

Diagnostic Suffixes

Short Answer

Common suffixes associated with diagnostic procedures, their meanings, and an example of a related term are listed in the following table. First, study the suffix and its meaning, and practice pronouncing the term aloud. Then use the information provided to complete the meaning of each term. You may also refer to Appendix A: Glossary of Medical Word Elements to complete this exercise. To build a working vocabulary of medical terms and understand how those terms are used in the health care field, it is important that you complete all of these exercises. The first one is completed for you.

Suffix Term Meaning

-gram

record, writing

electr/o/cardi/o/gram

ē-lĕk-trō-KĂR-dē-ō-grām

electr/o: electricity

cardi/o: heart

(See Figure 1-2.)

Suffix Term Meaning

-graph

instrument for recording

electr/o/cardi/o/graph

ē-lĕk-trō-KĂR-dē-ō-grăf

electr/o: electricity

cardi/o: heart

(See Figure 1-2.)

Suffix Term Meaning

-graphy

process of recording

electr/o/cardi/o/graphy

ē-lĕk-trō-kăr-dē-ŎG-ră-fē

electr/o: electricity

cardi/o: heart

(See Figure 1-2.)

Suffix Term Meaning

-meter

instrument for measuring

pelv/i/meter*

pĕl-VĬM-ĕ-tĕr

pelv/i: pelvis

Suffix Term Meaning

-metry

act of measuring

pelv/i/metry*

pĕl-VĬM-ĕ-trē

pelv/i: pelvis

Suffix Term Meaning

-scope

instrument for examining

endo/scope

ĔN-dō-skōp

endo-: in, within

Suffix Term Meaning

-scopy

visual examination

endo/scopy

ĕn-DŎS-kō-pē

endo-: in, within

Suffix Term Meaning

-gram

record, writing

electr/o/cardi/o/gram

ē-lĕk-trō-KĂR-dē-ō-grām

electr/o: electricity

cardi/o: heart

(See Figure 1-2.)

Correct Answer : Record of electrical activity of the heart

-graph

instrument for recording

electr/o/cardi/o/graph

ē-lĕk-trō-KĂR-dē-ō-grăf

electr/o: electricity

cardi/o: heart

(See Figure 1-2.)

Correct Answer : instrument for recording electrical activity of the heart

-graphy

process of recording

electr/o/cardi/o/graphy

ē-lĕk-trō-kăr-dē-ŎG-ră-fē

electr/o: electricity

cardi/o: heart

(See Figure 1-2.)

Correct Answer : process of recording electrical activity of the heart

-meter

instrument for measuring

pelv/i/meter*

pĕl-VĬM-ĕ-tĕr

pelv/i: pelvis

Correct Answer : instrument for measuring the pelvis

-metry

act of measuring

pelv/i/metry*

pĕl-VĬM-ĕ-trē

pelv/i: pelvis

Correct Answer : act of measuring the pelvis

-scope

instrument for examining

endo/scope

ĔN-dō-skōp

endo-: in, within

Correct Answer : instrument for examining within (instrument for examining inside a hollow organ or cavity)

-scopy

visual examination

endo/scopy

ĕn-DŎS-kō-pē

endo-: in, within

Correct Answer : visual examination within; visual examination of a cavity or canal by using a specialized lighted instrument called an endoscope

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Pronunciation Help Long sound ā in rāte ē in rēbirth ī in īsle ō in ōver ū in ūnite

Short sound ă in ălone ĕ in ĕver ĭ in ĭt ŏ in nŏt ŭ in cŭt

*The i in pelv/i/meter and pelv/i/metry are exceptions to the rule of using the connecting vowel o.

Competency Verification: Check your answers in Appendix B, Answer Key, page 384. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Figure 1-2 Electrocardiography (ECG) is the process of detecting and recording the electrical activity of the heart. (A) Electrodes are attached to the patient’s chest. (B) The electrocardiograph records the electrical impulses that move through each part of the heart to produce (C) an electrocardiogram, which is interpreted by the cardiologist to diagnose abnormalities in rate and rhythm. (Credit: Part A: iStock/Getty Images Plus/herraez. Part B: iStock/Getty Images Plus/rarrarorro. Part C: iStock/Getty Images Plus/Hydrogenn.)

Pathological Suffixes

Short Answer

Common suffixes associated with pathological (disease) conditions, their meanings, and an example of a related term are listed in the following table. First, study the suffix and its meaning, and practice pronouncing the term aloud. Then use the information provided to complete the meaning of each term. You may also refer to Appendix A: Glossary of Medical Word Elements to complete this exercise. To build a working vocabulary of medical terms and understand how those terms are used in the health care industry, it is important that you complete all of these exercises. The first one is completed for you.

Suffix Term Meaning

-algia, -dynia

pain

neur/algia

nū-RĂL-jē-ă

neur: nerve

Suffix Term Meaning

ot/o/dynia

ō-tō-DĬN-ē-ă

ot/o: ear

Suffix Term Meaning

-cele

hernia, swelling

hepat/o/cele

hĕ-PĂT-ō-sēl

hepat/o: liver

Suffix Term Meaning

-ectasis

dilation, expansion

bronchi/ectasis

brŏng-kē-ĔK-tă-sĭs

bronchi: bronchus (plural, bronchi)

Suffix Term Meaning

-edema

swelling

lymph/edema

lĭmf-ĕ-DĒ-mă

lymph: lymph

(See Figure 1-3.)

Suffix Term Meaning

-emesis

vomiting

hyper/emesis

hī-pĕr-ĔM-ĕ-sĭs

hyper-: excessive, above normal

Suffix Term Meaning

-emia

blood condition

an/emia

ă-NĒ-mē-ă

an-: without, not

Suffix Term Meaning

-iasis

abnormal condition (produced by something specific)

chol/e/lith/iasis*

kō-lē-lĭ-THĪ-ă-sĭs

chol/e: bile, gall

lith: stone, calculus

Suffix Term Meaning

-itis

inflammation

gastr/itis

găs-TRĪ-tĭs

gastr: stomach

Suffix Term Meaning

-lith

stone, calculus

chol/e/lith*

KŌ-lē-lĭth

chol/e: bile, gall

Suffix Term Meaning

-malacia

softening

chondr/o/malacia

kŏn-drō-mă-LĀ-shē-ă

chondr/o: cartilage

Suffix Term Meaning

-megaly

enlargement

cardi/o/megaly

kăr-dē-ō-MĔG-ă-lē

cardi/o: heart

Suffix Term Meaning

-oma

tumor

neur/oma

nū-RŌ-mă

neur: nerve

Suffix Term Meaning

-osis

abnormal condition; increase (used primarily with blood cells)

cyan/osis

sī-ă-NŌ-sĭs

cyan: blue

Suffix Term Meaning

-pathy

disease

my/o/pathy

mī-ŎP-ă-thē

my/o: muscle

Suffix Term Meaning

-penia

decrease, deficiency

erythr/o/penia

e-rĭth-rō-PĒ-nē-ă

erythr/o: red

Suffix Term Meaning

-phobia

fear

hem/o/phobia

hē-mō-FŌ-bē-ă

hem/o: blood

Suffix Term Meaning

-plegia

paralysis

hemi/plegia

hĕm-ē-PLĒ-jē-ă

hemi-: one half

Suffix Term Meaning

-rrhage, -rrhagia

bursting (of)

hem/o/rrhage

HĔM-ĕ-rĭj

hem/o: blood

Suffix Term Meaning

men/o/rrhagia

mĕn-ō-RĀ-jē-ă

men/o: menses, menstruation

Suffix Term Meaning

-rrhea

discharge, flow

dia/rrhea

dī-ă-RĒ-ă

dia-: through, across

Suffix Term Meaning

-rrhexis

rupture

arteri/o/rrhexis

ăr-tē-rē-ō-RĔK-sĭs

arteri/o: artery

Suffix Term Meaning

-stenosis

narrowing, stricture

arteri/o/stenosis

ăr-tē-rē-ō-stĕ-NŌ-sĭs

arteri/o: artery

Suffix Term Meaning

-toxic

poison

hepat/o/toxic

HĔP-ă-tō-tŏk-sĭk

hepat/o: liver

Suffix Term Meaning

-trophy

nourishment, development

dys/trophy

DĬS-trō-fē

dys-: bad; painful; difficult

(See Figure 1-4.)

Suffix Term Meaning

-algia, -dynia

pain

neur/algia

nū-RĂL-jē-ă

neur: nerve

Correct Answer : Pain in a nerve

ot/o/dynia

ō-tō-DĬN-ē-ă

ot/o: ear

Correct Answer : pain in the ear (earache)

-cele

hernia, swelling

hepat/o/cele

hĕ-PĂT-ō-sēl

hepat/o: liver

Correct Answer : hernia or swelling of the liver

-ectasis

dilation, expansion

bronchi/ectasis

brŏng-kē-ĔK-tă-sĭs

bronchi: bronchus (plural, bronchi)

Correct Answer : dilation or expansion of a bronchus or bronchi

-edema

swelling

lymph/edema

lĭmf-ĕ-DĒ-mă

lymph: lymph

(See Figure 1-3.)

Correct Answer : swelling of lymph tissue (swelling and accumulation of tissue fluid)

-emesis

vomiting

hyper/emesis

hī-pĕr-ĔM-ĕ-sĭs

hyper-: excessive, above normal

Correct Answer : excessive or above normal vomiting

-emia

blood condition

an/emia

ă-NĒ-mē-ă

an-: without, not

Correct Answer : without blood (blood condition caused by iron deficiency or a decrease in red blood cells)

-iasis

abnormal condition (produced by something specific)

chol/e/lith/iasis*

kō-lē-lĭ-THĪ-ă-sĭs

chol/e: bile, gall

lith: stone, calculus

Correct Answer : presence or formation of gallstones (in the gallbladder or common bile duct)

-itis

inflammation

gastr/itis

găs-TRĪ-tĭs

gastr: stomach

Correct Answer : inflammation of the stomach

-lith

stone, calculus

chol/e/lith*

KŌ-lē-lĭth

chol/e: bile, gall

Correct Answer : gallstone

-malacia

softening

chondr/o/malacia

kŏn-drō-mă-LĀ-shē-ă

chondr/o: cartilage

Correct Answer : softening of cartilage

-megaly

enlargement

cardi/o/megaly

kăr-dē-ō-MĔG-ă-lē

cardi/o: heart

Correct Answer : enlargement of the heart

-oma

tumor

neur/oma

nū-RŌ-mă

neur: nerve

Correct Answer : tumor composed of nerve cells

-osis

abnormal condition; increase (used primarily with blood cells)

cyan/osis

sī-ă-NŌ-sĭs

cyan: blue

Correct Answer : abnormal condition of blueness (bluish discoloration of the skin and mucous membrane)

-pathy

disease

my/o/pathy

mī-ŎP-ă-thē

my/o: muscle

Correct Answer : disease of muscle

-penia

decrease, deficiency

erythr/o/penia

e-rĭth-rō-PĒ-nē-ă

erythr/o: red

Correct Answer : abnormal decrease or deficiency in red (blood cells)

-phobia

fear

hem/o/phobia

hē-mō-FŌ-bē-ă

hem/o: blood

Correct Answer : fear of blood

-plegia

paralysis

hemi/plegia

hĕm-ē-PLĒ-jē-ă

hemi-: one half

Correct Answer : paralysis of one half (paralysis of one side of the body)

-rrhage, -rrhagia

bursting (of)

hem/o/rrhage

HĔM-ĕ-rĭj

hem/o: blood

Correct Answer : bursting forth of blood (loss of large amounts of blood within a short period, either externally or internally)

men/o/rrhagia

mĕn-ō-RĀ-jē-ă

men/o: menses, menstruation

Correct Answer : bursting forth of menses (profuse discharge of blood during menstruation)

-rrhea

discharge, flow

dia/rrhea

dī-ă-RĒ-ă

dia-: through, across

Correct Answer : discharge or flow through (frequent discharge or flow of fluid fecal matter from the bowel)

-rrhexis

rupture

arteri/o/rrhexis

ăr-tē-rē-ō-RĔK-sĭs

arteri/o: artery

Correct Answer : rupture of an artery

-stenosis

narrowing, stricture

arteri/o/stenosis

ăr-tē-rē-ō-stĕ-NŌ-sĭs

arteri/o: artery

Correct Answer : narrowing or stricture of an artery

-toxic

poison

hepat/o/toxic

HĔP-ă-tō-tŏk-sĭk

hepat/o: liver

Correct Answer : poisonous or toxic to the liver

-trophy

nourishment, development

dys/trophy

DĬS-trō-fē

dys-: bad; painful; difficult

(See Figure 1-4.)

Correct Answer : bad development or nourishment (abnormal condition caused by defective nutrition or metabolism)

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Pronunciation Help Long sound ā in rāte ē in rēbirth ī in īsle ō in ōver ū in ūnite

Short sound ă in ălone ĕ in ĕver ĭ in ĭt ŏ in nŏt ŭ in cŭt

*The e in chol/e/lithiasis and chol/e/lith are exceptions to the rule of using the connecting vowel o.

Figure 1-3 Lymphedema of the left foot. (Credit: iStock/Getty Images Plus/Amawasri.)

Competency Verification: Check your answers in Appendix B, Answer Key, pages 384-385. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Figure 1-4 Muscular dystrophy. (Credit: iStock/Getty Images Plus/VectorMine.) Review Activity 1-9

Review Activity 1-9

Grammatical Suffixes

Common suffixes denoting grammar endings are attached to word roots to create terms with adjective or noun endings in medical words. These same suffixes are used in the common English language.

In the following table, adjective suffixes that mean pertaining to are attached to word roots to form a medical term. Examples of common noun suffixes are also included in the table below. First, practice pronouncing the term aloud. Then use the information provided to complete the meaning of each term. You may also refer to Appendix A: Glossary of Medical Word Elements to complete this exercise. To understand how these terms are used in the health care industry, it is important that you complete all of these exercises. The first one is completed for you.

Short Answer

Suffix Meaning Medical Word Meaning

Adjective endings

-ac, -al, -ar, -ic, -ous, -tic

pertaining to

cardi/ac

KĂR-dē-ăk

cardi: heart

Suffix Meaning Medical Word Meaning

nas/al

NĀ-zl

nas: nose

Suffix Meaning Medical Word Meaning

muscul/ar

MŬS-kū-lăr

muscul: muscle

Suffix Meaning Medical Word Meaning

tox/ic

TŎKS-ĭk

tox: poison

Suffix Meaning Medical Word Meaning

muc/ous

MŪ-kŭs

muc: mucus

Suffix Meaning Medical Word Meaning

necr/o/tic

nĕ-KRŌT-ĭk

necr/o: death, necrosis

Suffix Meaning Medical Word Meaning

Noun endings

-ia, -ism

condition

leuk/o/pen/ia

lū-kō-PĒ-nē-ă

leuk/o: white

-penia: decrease; deficiency

Suffix Meaning Medical Word Meaning

thyroid/ism

THĪ-rŏy-dĭzm

thyroid: thyroid gland

Suffix Meaning Medical Word Meaning

-iatry

medicine, treatment

psych/iatry

sī-KĪ-ă-trē

psych: mind

Suffix Meaning Medical Word Meaning

-ist

specialist

cardi/o/log/ist

kăr-dē-ŎL-ō-jĭst

cardi/o: heart

Suffix Meaning Medical Word Meaning

-y

condition, process

neur/o/path/y

nū-RŎP-ă-thē

neur/o: nerve

path: disease

Suffix Meaning Medical Word Meaning

Adjective endings

-ac, -al, -ar, -ic, -ous, -tic

pertaining to

cardi/ac

KĂR-dē-ăk

cardi: heart

Correct Answer : pertaining to the heart

nas/al

NĀ-zl

nas: nose

Correct Answer : pertaining to the nose

muscul/ar

MŬS-kū-lăr

muscul: muscle

Correct Answer : pertaining to muscle(s)

tox/ic

TŎKS-ĭk

tox: poison

Correct Answer : pertaining to poison

muc/ous

MŪ-kŭs

muc: mucus

Correct Answer : pertaining to mucus

necr/o/tic

nĕ-KRŌT-ĭk

necr/o: death, necrosis

Correct Answer : pertaining to death or necrosis

Noun endings

-ia, -ism

condition

leuk/o/pen/ia

lū-kō-PĒ-nē-ă

leuk/o: white

-penia: decrease; deficiency

Correct Answer : condition of white blood cell deficiency

thyroid/ism

THĪ-rŏy-dĭzm

thyroid: thyroid gland

Correct Answer : condition of the thyroid gland

-iatry

medicine, treatment

psych/iatry

sī-KĪ-ă-trē

psych: mind

Correct Answer : treatment of the mind

-ist

specialist

cardi/o/log/ist

kăr-dē-ŎL-ō-jĭst

cardi/o: heart

Correct Answer : specialist in the study of the heart

-y

condition, process

neur/o/path/y

nū-RŎP-ă-thē

neur/o: nerve

path: disease

Correct Answer : condition of a nerve disease

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Pronunciation Help Long sound ā in rāte ē in rēbirth ī in īsle ō in ōver ū in ūnite

Short sound ă in ălone ĕ in ĕver ĭ in ĭt ŏ in nŏt ŭ in cŭt

Competency Verification: Check your answers in Appendix B, Answer Key, pages 385–386. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Review Activity 1-10

Common Prefixes

Short Answer

Common prefixes, their meanings, and an example of a related term are listed in the following table. First, study the prefix and its meaning, and practice pronouncing the term aloud. Then use the information in the following table to complete the meaning of the terms. You may also refer to Appendix A: Glossary of Medical Word Elements to complete this exercise. To understand the meaning of medical terms, it is important to engage actively in activities of this type. Complete all of the exercises, and you will master medical terminology. The first one is completed for you.

Prefix Term Meaning

a-,* an-†

without, not

a/mast/ia

ă-MĂS-tē-ă

mast: breast

-ia: condition

Prefix Term Meaning

an/esthesia

ăn-ĕs-THĒ-zē-ă

-esthesia: feeling

Prefix Term Meaning

circum-, peri-

around

circum/duction

sĕr-kŭm-DŬK-shŭn

-duction: act of leading, bringing, conducting

Prefix Term Meaning

peri/odont/al

pĕr-ē-ō-DŎN-tăl

odont: teeth

-al: pertaining to

(See Figure 1-5.)

Prefix Term Meaning

dia-, trans-

through, across

dia/therm/y

DĪ-ă-thĕr-mē

therm: heat

-y: condition, process

Prefix Term Meaning

trans/vagin/al

trăns-VĂJ-ĭn-ăl

vagin: vagina

-al: pertaining to

Prefix Term Meaning

dipl-, diplo-

double

dipl/opia

dĭp-LŌ-pē-ă

-opia: vision

Prefix Term Meaning

diplo/bacteri/al

dĭp-lō-băk-TĒR-ē-ăl

bacteri: bacteria

-al: pertaining to

Prefix Term Meaning

dys-

bad, painful, difficult

dys/phonia

dĭs-FŌ-nē-ă

-phonia: voice

Prefix Term Meaning

endo-, intrain, within

endo/crine

ĔN-dō-krĭn

-crine: secrete

Prefix Term Meaning

intra/muscul/ar

ĭn-tră-MŬS-kū-lăr

muscul: muscle

-ar: pertaining to

Prefix Term Meaning

homo-, homeo-

same

homo/graft

HŌ-mō-grăft

-graft: transplantation

Prefix Term Meaning

homeo/plasia

hō-mē-ō-PLĀ-zē-ă

-plasia: formation, growth

Prefix Term Meaning

hypo-

under, below, deficient

hypo/derm/ic

hī-pō-DĔR-mĭk

derm: skin

-ic: pertaining to

(See Figure 1-6.)

Prefix Term Meaning

macro-

large

macro/cyte

MĂK-rō-sīt

-cyte: cell

Prefix Term Meaning

micro-

small

micro/scope

MĪ-krō-skōp

-scope: instrument for examining

Prefix Term Meaning

mono-, uni-

one

mono/therapy

MŎN-ō-thĕr-ă-pē

-therapy: treatment

Prefix Term Meaning

uni/nucle/ar

ū-nĭ-NŪ-klē-ăr

nucle: nucleus

-ar: pertaining to

Prefix Term Meaning

post-

after, behind

post/nat/al

pōst-NĀ-tăl

nat: birth

-al: pertaining to

Prefix Term Meaning

pre-, pro-

before, in front of

pre/nat/al

prē-NĀ-tăl

nat: birth

-al: pertaining to

Prefix Term Meaning

pro/gnosis

prŏg-NŌ-sĭs

-gnosis: knowing

Prefix Term Meaning

primi

-first

primi/gravida

prī-mĭ-GRĂV-ĭ-dă

-gravida: pregnant woman

Prefix Term Meaning

retro-

backward, behind

retro/version

rĕt-rō-VĔR-zhŭn

-version: turning

Prefix Term Meaning

super-

upper, above

super/ior

soo-PĒ-rē-or

-ior: pertaining to

Prefix Term Meaning

a-,* an-†

without, not

a/mast/ia

ă-MĂS-tē-ă

mast: breast

-ia: condition

Correct Answer : without a breast

an/esthesia

ăn-ĕs-THĒ-zē-ă

-esthesia: feeling

Correct Answer : without feeling (partial or complete loss of sensation with or without loss of consciousness)

circum-, peri-

around

circum/duction

sĕr-kŭm-DŬK-shŭn

-duction: act of leading, bringing, conducting

Correct Answer : act of leading around (movement of a part, such as an extremity, in a circular direction)

peri/odont/al

pĕr-ē-ō-DŎN-tăl

odont: teeth

-al: pertaining to

(See Figure 1-5.)

Correct Answer : pertaining to around a tooth

dia-, trans-

through, across

dia/therm/y

DĪ-ă-thĕr-mē

therm: heat

-y: condition, process

Correct Answer : process of generating heat through (some part of the body)

trans/vagin/al

trăns-VĂJ-ĭn-ăl

vagin: vagina

-al: pertaining to

Correct Answer : pertaining to through or across the vagina

dipl-, diplo-

double

dipl/opia

dĭp-LŌ-pē-ă

-opia: vision

Correct Answer : double vision

diplo/bacteri/al

dĭp-lō-băk-TĒR-ē-ăl

bacteri: bacteria

-al: pertaining to

Correct Answer : pertaining to paired bacteria

dys-

bad, painful, difficult

dys/phonia

dĭs-FŌ-nē-ă

-phonia: voice

Correct Answer : difficulty speaking

endo-, intrain, within

endo/crine

ĔN-dō-krĭn

-crine: secrete

Correct Answer : secrete within (gland that secretes hormones directly into the bloodstream)

intra/muscul/ar

ĭn-tră-MŬS-kū-lăr

muscul: muscle

-ar: pertaining to

Correct Answer : pertaining to within the muscle

homo-, homeo-

same

homo/graft

HŌ-mō-grăft

-graft: transplantation

Correct Answer : transplantation of same (transplantation of tissue between the same species)

homeo/plasia

hō-mē-ō-PLĀ-zē-ă

-plasia: formation, growth

Correct Answer : formation or growth of new tissue similar to the tissue already existing in a part

hypo-

under, below, deficient

hypo/derm/ic

hī-pō-DĔR-mĭk

derm: skin

-ic: pertaining to

(See Figure 1-6.)

Correct Answer : pertaining to under the skin (under, or inserted under, the skin, as in a hypodermic injection)

macro-

large

macro/cyte

MĂK-rō-sīt

-cyte: cell

Correct Answer : abnormally large erythrocyte, such as those found in pernicious anemia

micro-

small

micro/scope

MĪ-krō-skōp

-scope: instrument for examining

Correct Answer : instrument for examining small (minute) objects

mono-, uni-

one

mono/therapy

MŎN-ō-thĕr-ă-pē

-therapy: treatment

Correct Answer : one treatment

uni/nucle/ar

ū-nĭ-NŪ-klē-ăr

nucle: nucleus

-ar: pertaining to

Correct Answer : pertaining to one nucleus

post-

after, behind

post/nat/al

pōst-NĀ-tăl

nat: birth

-al: pertaining to

Correct Answer : pertaining to (the period) after birth

pre-, pro-

before, in front of

pre/nat/al

prē-NĀ-tăl

nat: birth

-al: pertaining to

Correct Answer : pertaining to (the period) before birth

pro/gnosis

prŏg-NŌ-sĭs

-gnosis: knowing

Correct Answer : before knowing (prediction of the course and end of a disease and the estimated chance of recovery)

primifirst

primi/gravida

prī-mĭ-GRĂV-ĭ-dă

-gravida: pregnant woman

Correct Answer : woman pregnant for the first time

retro-

backward, behind

retro/version

rĕt-rō-VĔR-zhŭn

-version: turning

Correct Answer : turning backward (tipping backward of an organ, such as the uterus, from its normal position)

super-

upper, above

super/ior

soo-PĒ-rē-or

-ior: pertaining to

Correct Answer : pertaining to upper or above (toward the head or upper portion of a structure)

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Pronunciation Help Long sound ā in rāte ē in rēbirth ī in īsle ō in ōver ū in ūnite

Short sound ă in ălone ĕ in ĕver ĭ in ĭt ŏ in nŏt ŭ in cŭt

*The prefix a- is usually used before a consonant.

†The prefix an- is usually used before a vowel.

Competency Verification: Check your answers in Appendix B, Answer Key, pages 386–387. If you are not satisfied with your level of comprehension, review the terms in the table, and retake the review.

Figure 1-5 Periodontal pocket. (Credit: iStock/Getty Images Plus/laymul.)