14.1 Medical Terminology: Roots, Prefixes, Suffixes, Location and Movement Terms, Abbreviations & Specialties
Key Takeaways
Understanding the Language of Medical Reports is a standalone 4% domain on the Series 17-70, roughly four scored questions.
Clinical terms decompose into a word root naming the body part, an optional prefix for position or quality, and a suffix naming the condition or procedure.
The suffix usually signals the magnitude of exposure: -scopy is diagnostic, -ectomy is removal, -otomy is incision, and -plasty and -desis signal replacement or fusion.
Directional terms are read against the anatomical position, and range-of-motion terms such as flexion, abduction and external rotation supply the objective deficits behind a serious injury threshold argument.
DJD and DDD are degenerative findings that strengthen a carrier’s causation defence when they appear alongside a claimed traumatic herniation.
Medical Terminology: Roots, Prefixes, Suffixes, Location and Movement Terms, Abbreviations & Specialties
Exam Focus: Understanding the Language of Medical Reports is a discrete 4% domain on the Series 17-70 — about four scored questions, and one of the few places on the exam where rote vocabulary pays directly. New York is unusual in testing it: most state adjuster exams do not. Learn to decode an unfamiliar term from its parts rather than memorising word lists.
Why Medical Language Is on an Adjuster Exam
A New York general adjuster reads operative reports, emergency department records, independent medical examination (IME) reports, and no-fault NF-3 health service bills. The reserve you set, the serious-injury threshold analysis you perform under Insurance Law § 5102(d), and the credibility of your file all depend on reading those records accurately. An adjuster who cannot tell arthroscopy from arthroplasty, or -otomy from -ectomy, will mis-reserve a shoulder claim by five figures.
Decoding a Medical Term: Root + Prefix + Suffix
Almost every clinical term is built from a word root (the body part or system), an optional prefix (position, number, quality) and a suffix (the procedure, condition or process), joined by a combining vowel — usually o.
Common Word Roots
| Root | Meaning | Example |
|---|---|---|
| arthr/o | joint | arthritis, arthroscopy |
| oste/o | bone | osteomyelitis, osteoporosis |
| my/o | muscle | myopathy, myalgia |
| cardi/o | heart | cardiomyopathy |
| neur/o | nerve | neuropathy, neuralgia |
| encephal/o | brain | encephalopathy |
| derm/o, dermat/o | skin | dermatitis |
| gastr/o | stomach | gastritis |
| nephr/o, ren/o | kidney | nephrectomy |
| pulmon/o, pneum/o | lung, air | pneumothorax |
| hemat/o, hem/o | blood | hematoma |
| spondyl/o, vertebr/o | vertebra | spondylolisthesis |
| chondr/o | cartilage | chondromalacia |
| cost/o | rib | costochondritis |
| crani/o | skull | craniotomy |
Common Prefixes
| Prefix | Meaning | Example |
|---|---|---|
| a-, an- | without | anoxia |
| hyper- | excessive, above | hypertension |
| hypo- | deficient, below | hypoglycemia |
| brady- | slow | bradycardia |
| tachy- | fast | tachycardia |
| peri- | around | pericardium |
| inter- | between | intervertebral |
| intra- | within | intra-articular |
| sub- | under | subdural |
| poly- | many | polytrauma |
| dys- | painful, difficult | dyspnea |
| post- / pre- | after / before | postoperative |
Common Suffixes
| Suffix | Meaning | Claims significance |
|---|---|---|
| -itis | inflammation | Usually conservative care |
| -osis | abnormal condition | Often degenerative — a causation defence |
| -algia / -dynia | pain | Subjective complaint |
| -ectomy | surgical removal | Meniscectomy — tissue taken out |
| -otomy | surgical incision | Craniotomy — cut into, not removed |
| -ostomy | creation of an opening | Colostomy |
| -plasty | surgical repair/reshaping | Arthroplasty — joint replacement, high value |
| -scopy | viewing with an instrument | Arthroscopy — diagnostic/minimally invasive |
| -desis | binding, fusion | Arthrodesis, spinal fusion — high value |
| -pathy | disease | Radiculopathy |
| -emia | blood condition | Anemia |
| -oma | tumour, mass | Hematoma |
| -plegia | paralysis | Paraplegia |
Reserve Cue: the suffix often tells you the order of magnitude. -scopy is a same-day diagnostic procedure; -ectomy is a partial resection; -plasty and -desis signal joint replacement or fusion, which drive surgical, facility, hardware and long disability exposures.
Location Terms (Directional Anatomy)
Reports describe findings relative to the anatomical position — standing erect, facing forward, arms at the sides, palms forward.
| Term | Meaning |
|---|---|
| Anterior (ventral) | Toward the front |
| Posterior (dorsal) | Toward the back |
| Superior (cephalad) | Toward the head |
| Inferior (caudad) | Toward the feet |
| Medial | Toward the midline |
| Lateral | Away from the midline |
| Proximal | Nearer the point of attachment or trunk |
| Distal | Farther from the point of attachment |
| Superficial | Nearer the surface |
| Deep | Farther from the surface |
| Bilateral / Unilateral | Both sides / one side |
| Ipsilateral / Contralateral | Same side / opposite side |
| Supine / Prone | Lying face up / face down |
Movement Terms (Range of Motion)
Range-of-motion (ROM) deficits are the backbone of a permanent consequential limitation or significant limitation of use argument under the New York serious injury threshold, so an adjuster must read ROM tables fluently.
- Flexion / Extension — decreasing / increasing the angle of a joint.
- Abduction / Adduction — moving away from / toward the midline.
- Rotation — turning about an axis; internal (medial) and external (lateral).
- Pronation / Supination — palm down / palm up.
- Inversion / Eversion — sole turned inward / outward.
- Dorsiflexion / Plantar flexion — toes toward the shin / toes pointed down.
- Circumduction — circular movement combining the above.
A report reading “right shoulder abduction 90° (normal 180°), external rotation 30° (normal 90°)” documents a quantified, objective deficit — far stronger evidence than a narrative complaint of pain.
Abbreviations Used in Medical Reports
| Abbreviation | Meaning | Abbreviation | Meaning |
|---|---|---|---|
| Hx / Dx / Tx / Rx / Px | History / diagnosis / treatment / prescription / prognosis | c/o | complains of |
| SOB | shortness of breath | HNP | herniated nucleus pulposus |
| ROM | range of motion | DJD | degenerative joint disease |
| WNL | within normal limits | DDD | degenerative disc disease |
| NAD | no acute distress | LOC | loss of consciousness |
| ADL | activities of daily living | TBI | traumatic brain injury |
| PT / OT | physical / occupational therapy | ORIF | open reduction internal fixation |
| ED / ER | emergency department | IME | independent medical examination |
| s/p | status post (after) | q.d. / b.i.d. / t.i.d. | once / twice / three times daily |
| p.r.n. | as needed | NPO | nothing by mouth |
Causation Cue: DJD and DDD are degenerative findings. When an MRI report pairs a disc herniation with extensive DDD, the carrier's causation argument — that the finding pre-dated the accident — gets materially stronger, and an IME or a records review should be considered before reserving to a surgical value.
Medical Specialties
| Specialty | Scope | When you see it on a file |
|---|---|---|
| Orthopedics | Musculoskeletal system | Fractures, joint injury, spine surgery |
| Neurology / Neurosurgery | Nervous system | TBI, radiculopathy, spinal cord |
| Physiatry (PM&R) | Physical medicine & rehabilitation | Long-term ROM and impairment ratings |
| Radiology | Imaging | X-ray, MRI, CT interpretation |
| Anesthesiology / Pain Management | Anesthesia, pain | Epidural steroid injections, blocks |
| Cardiology | Heart and vessels | Cardiac events, exertion claims |
| Pulmonology | Lungs | Inhalation, occupational lung disease |
| Psychiatry / Psychology | Mental health | Emotional distress, PTSD claims |
| Chiropractic | Spinal manipulation | High-frequency no-fault treatment |
| Podiatry | Foot and ankle | Lower-extremity trauma |
| Ophthalmology / Otolaryngology (ENT) | Eye / ear, nose, throat | Vision and hearing loss claims |
An operative report is captioned “right knee arthroplasty.” Breaking the term into its parts, what procedure was performed, and what does that imply for reserving?
Viewing the inside of the joint with a scope — a low-cost diagnostic procedure
Surgical repair or replacement of the joint — a high-value surgical exposure
Surgical removal of the joint cartilage — a moderate outpatient exposure
Surgical fusion of the joint — a procedure that eliminates future treatment exposure
A treating physician records “right shoulder abduction 90° (normal 180°)” and the MRI impression notes extensive DDD at the cervical levels. What do these two entries respectively supply to the file?
A subjective complaint and a confirmation of traumatic causation
An objective quantified range-of-motion deficit and a degenerative finding supporting a causation defence
A degenerative finding and an objective quantified range-of-motion deficit
A prescription notation and a prognosis notation
Sections you finish are checked off in the contents.