blue True or False? tenorrhaphy, The structure that connects bone to bone is called a ______. -ed verruca. metacarpals True or False? tenotomy micro- Pointing the toes downward is _____. above An exaggerated, abnormal reaction to an allergen is called a(n) ________ reaction. Select the combining form that means "white." True or False? A condition of having gallstones is called. thigh extension plains upper leg, The patella is ____ to the hip. In the nucleus which directly manufactures ribosomes. Medical terminology list of root words, prefixes, suffixes, abbreviations, along with dictionary meanings, course book glossary, online quiz, examples terms for body parts and diseases. The word element dia- refers to across. Which suffix refers to a doctor with a specialty practice? Which of the following diseases has the same pathologic effect on bones as rickets? -megaly While the suffixes -eal, -ary, and -ic all mean pertaining to, the medical term that means pertaining o the breast is mammary. myel/o LLQ A thin layer of tissue covering a structure or cavity is an: The cardiovascular system is composed of the: Which words refers to a condition involving blood poisoning? -ory Inflections can also be used to indicate a word's part of speech. neither treatment Morphology of medical termsMedical terms are created using root words with prefixes and suffixes that are Greek or Latin in origin. combining form ex: hyster/ectom/y (uterus/cut out/procedure of), Prohib/ition (prohibiting/process of), procedure of, process of, action of, condition of, -itis, -isy, or -icy psych/o 3, The thigh is ____ to the knee. tri- cardiac True or False? -desis Gastr is an example of a combining form. Escriba una oracin con la palabra a la que corresponde cada ilustracin. VERTICAL True or False? carcinomata asthenia Which of the following elements is the root for the word, Which of the following are the roots for the medical terms. There are a total of four different word parts, and any given medical term may contain one, some, or all of these parts. the cervical nerves are all functioning normally. abduction meta- English Language Learners Definition of -ment : the action or process of doing something. lacking, A word that means pertaining to a vein is _____. Which term describes a torn, ragged wound? LLQ True or False? smooth The term cost/o refers to _____. What are the four components of the skeletal system? cardiac groin True or False? The word element that refers to an instrument to view is _____. True or False? Which of the following words has a prefix meaning after? hypogastric thorai : the product or result of an action. flexion Most medical terms are based on Greek and Latin words. -ectases It changes a noun to a verb. Caudal refers to movement toward the feet. -sclerosis pertaining to kyphosis, The joint between the skull bones are referred to as _____. The word is spelled (only one i is used). carpals Lou Gehrig disease is also known as _____. all choices True or False? iatr/o, The combining vowel is usually _____. distal septa You add a _____ onto the end of a word to modify the core of the root/combining form and give it a new meaning. ribs A tracheostomy is an opening into the __________, used to treat______________. The prefix en-, for example, transforms the noun gulf into the verb . The source of hereditary characteristics is abbreviated__________ and is packed in densely coiled bodies called____________________. _________________ can result from overdistension or irritation of any part of the digestive tract. umbilicus The watery fluid within cells is called cytoplasm. facing forward, The ankle is located _____ to the knee. bi-, Expansion is indicated by the suffix _____. following extension increasing circulation umbilical All medical terms must have a prefix, root, and suffix. The prefix _____ means upon. The inflection -ed is often used to indicate the past tense, changing walk to walked and listen to listened. 35) Which of the following is a procedure in which synovial fluid is removed for analysis? arthroplasty, Moving the arm away from the side of the body is _____. ex: sinus/itis (cavity/infection), Pleur/isy (lung covering/inflamed), to express condition of inflammation, infection, -ium, -olus, -iole, -cule, -culus, -cle, -culum, -ellum septum -oma extension study of circulation The term dormant means that the virus is: What does the root in the word incubation mean: The type of cancer often seen in patients with AIDS is: Which of the following is an abbreviation for an immunoglobulin? at distal end The suffixes -y and -ics mean practice. It is used to precisely describe the human body components, processes, illnesses, medical procedures, and pharmacology. erythema LUQ ex: ser/ous (composed of serum/state of), -tic Professional s who prevent and treat illness by promoting healthy eating habits are called: Histal hernia occurs when a portion of the stomach protrudes through the: Hemolytic jaundice results from _____________ of red blood cells and release of excess ________________. True or False? The main purpose of these word parts is to modify the existing explanation of a word without changing it. diaphysis blood old age oblique pan- Compro todos los das. Melan/o means _____. Which of the following words means treatment of obesity? -stasis abscesses Which of the following words, meaning part of a cell having specialized functions, is correctly spelled? within Medical coding is dependent upon a solid understanding of medical terminology. hives, A _____ is an overgrowth of scar tissue. if the doctor orders a EKG, what part of the body is going to be examined? change the us to ies, True or False? The term ped/o refers to _____. voluntary movement tibia, The lower jawbone is referred to as the _____. distal True or False? breathing. osteosarcoma Medical Assisting|CMA (AAMA) Exam muciform Suffix definition, an affix that follows the element to which it is added, as -ly in kindly. -ar -rrhaphy -paresis refers to paralysis. Which of the following words means lack of blood supply to a tissue? RLQ. A synonym for the mitral valve is the _____ valve. 9) Which of the following terms means drainage from the nose? -tomy, The word element _____ means with. The term _____ indicates toward the back. gastrectomy before spiral none of the above, The activity of each cell is directed by the _____. -ptosis CTD Which of the following words means a condition involving vomiting of red blood? paraplegia, Movement toward the midline is _____. Hematic (hemat-ic): of or relating to blood or its properties. the root if the foundation or core of the medical term. scabies tendons LUQ -ian pronation fasciitis Test your knowledge in medical terminology by answering these questions. -plegia, The upper outer regions of the abdomen are referred to as _____ region. great cardi ac vein (a vein draining the heart muscle), coron ary artery. lateral lacking a poison cardialgia -logy, The word element _____ indicates a stone. The suffixes -algia and -dynia have the same meaning. The suffix -iatry indicates one who specializes. all choices, The endosteum is located _____ a bone. hip, A hamstring injury involves the _____ muscles. ped/o hypochondriac arthrodynia -rrhea. physical therapist Past surgical history, Social history and family history. do nothing These terms will help with your study of conditions and diseases related to the musculoskeletal system. Which of the following statements is NOT true of combining vowels? In addition to the medical terminology there are also anatomical illustrations that include body planes and directional terms. regions Initially, all prefixes were represented by lowercase symbols. lateral Cincuenta y uno + diecinueve = BLANK 43) Polydipsia, polyuria, good appetite with weight loss, and blurred vision are signs and symptoms of which of the following conditions? myodynia antifungal The word element gen/o means _____. The prefix ante- indicates before. ger/o -logy lateral ante- "She complained of general malaise, dyspnea, and a productive cough; she was expectorating purulent sputum and was febrile." A Prefix or suffix Meaning Origin language and etymology Example(s) a-, an-Denotes an absence of, without Ancient Greek -/- (a-/an-), without, not Apathy, Analgia ab-away Latin Abduction Slight paralysis on one side of the body is _____. The __________ closes so that food cannot enter the larynx and trachea. antifungal dermatitis maintenance of posture antiviral The hair sac is referred to as a _____. position does not matter eczema, The _____ is the inner layer of skin. fibroma Which of the following characteristics is used to determine how a bone is classified? excision of a nail. second degree The acronym for an increasingly common disorder of the large intestine, presenting with crampy pains, gas, and changes in bowel health is: The acronym for a group of lab test to measure liver processes is. Myasthenia gravis is a degenerative disorder that affects mainly young boys. extra- genetic disorders What is the term for a virus with an RNA core? True or False? myasthenia gravis, The study of muscular motion is _____. a condition of worms gastric atonia stomach, Inguin/o is the root for _____. medial hemiplegia Some sentences contain errors in the use of modifiers. What is the name of the bone that articulates with the tibia to form the ankle joint? Read this selection: Glossodynia is a painful burning sensation of the tongue. True or False? Prefixes. True or False? meso- Practice all cards. abduction, The inflammatory response may be treated with _____. The layers of a tooth, from the hardest to softest are: The largest internal organ in the body is the: The interior space of a tube- like structure is called a _______________. 46) Which of the following are round bacteria that grow in pairs? pelvis These muscle spasms occur suddenly and randomly. The stomach is found in the thoracic cavity. debridement 26. intra- Opuesto de quedar mal. There are seven cervical vertebrae. around A fracture of the ankle is also referred to as a Colles fracture. (Select all that apply.) 20) Which of the following is the CORRECT spelling for the plural of bronchus? Common Prefixes. verbs gastritis lari, Which of the following does NOT mean "condition of"? True or False? suturing. eversion, Incision into a tendon is _____. Blood vessels are located in the epidermis. i -spasm, _____ refers to a recording device. keratin Continuing Education|Membership True or False? Medical Prefixes, Roots, and Suffixes. -stasis tinea. post-. scapula periosteum Which suffix means a surgical creation of an artificial opening? Like for example, 'able' is a suffix that can be used with the word 'comfort', and together they make 'comfortable', which qualifies the meaning of the original word. True or False? rickets Myoclonus (myo-clonus): A brief involuntary contraction of a muscle or muscle group is known as myoclonus. scabies y, The suffix in anemia means _____. If the term ends in -ix, adding -es will make it plural. none of the above, Hives are also known as _____. Which of the following terms is composed of a root, a combining form and a suffix? paraplegia neurology . none of the choices Its etiology is unknown, and there is no successful treatment. the study of worms -pathy, The prefix _____ indicates middle. virus, A scabicide is used to kill _____. Note: None of these questions will appear on the CMA (AAMA) Certification Exam and answering them correctly does not guarantee that you will pass the CMA (AAMA) exam. myospasm, The type of muscle that is responsible for maintaining posture is/are _____. neuroses, What is the correct plural form of the word larynx(the medical term for the voice box)? -emia Which of the following words means to protrude? lice arm eczema wrist, The _____ is part of the pelvic girdle. True or False? True or False? phalanges, Injury to a ligament is known as _____. Additional resources: OpenMD Medical Dictionary and word parts glossary, which provides definitions for 750 medical roots, prefixes, and suffixes. The myocardium is a smooth muscle. soft A suffix that is added to a root or combining form that produces a medical term that describes a symptom or sign of a disease process is: Which of the following terms is spelled correctly? Choose the term that means pertaining to the teeth. Which of the following singular and plural forms are both correct? rotation, Lack of muscle tone is referred to as _____. Which of the following words means stopping the flow of bile? (vividly). 10) The combining form "cephal/o" refers to which of the following? Some medical terms do not have any prefix, some do not contain any suffix and some contain neither a prefix nor a suffix. coronal, The center point for the abdominal quadrants is _____. septums third degree carcinomas The main purpose of these word parts is to modify the existing explanation of a word without changing it. True False, The adjective form of sepsis is septemia septosis septic septary. Which of the following words end in a suffix meaning enzyme? True or False? skeletal, Inflammation of the tissues of the arch of the foot is _____. -oma, The prefix _____ indicates a high rate of speed. rickets, The clavicle is also known as the _____. A laryngography is a test performed to evaluate vocal cord function. The valves in the heart and blood vessels ensure that: The plural form of the upper chamber of the heart is: The contraction of the heart muscle is called: An implanted device that regulates cardiac electrical activity is called a(n): The word which means the falling or slipping of a body part from its normal position is: The root/combining form in the word stenosis means: Chest pain brought on by exertion which subsides with rest or with a nitroglycerine tablet is: Which of the following words refers to a condition without oxygen: The human immunodeficiency virus invades a helper T(CD4) cell where it generates new DNA and can stay dormant in the cell for months or years. The suffix -metry indicates a device for measuring. _______________________________ mandible 1. So, comfort + able = comfortable. True or False? -gram 50) Which of the following is the CORRECT spelling for the focusing ability of the eye? sprain pain bleeding swelling disease and more. _______________________________, which of the following terms means drainage from the nose, the patient's complaint of painful menstrual periods will be documented in the medical record as, which of the following suffixes refers to eating, the suffix for destruction or breakdown is, which of the following suffixes means " incision into", which of the following is the term for reconstruction of the eardrum, which of the following terms describes surgical fixation of the uterus in a suspended position, which of the following is a procedure in which synovial fluid is removed for analysis, the process of producing a picture or record, the prefix ab-, in a medical context means, in the term polydipsia, the prefix poly- means, what is the prefix that means little, scanty, the word form meaning plaque or fatty substance is, which of the following is the term for an abnormally low white blood count, menarche refers to which of the following, adipose tissue is made of which of the following, which of the following terms refers to the ability to breathe comfortable only when in an upright position, the combining form "cephal/o" refers to the, the word part pertaining to fingernails is, which term means the study of cells,their origin, structure, function, and pathology, which term means toward the lower part of the body, which term means a hospital-acquired infection, this medical term means a surgical incision for the removal of a stone, this word root means bone marrow or spinal cord, the medical term __________________ describes an inflammation of the stomach and small intestine, the medical term ________________ describes any abnormal condition or disease caused by a fungus, the term ______________ means the medical screening of a patient to determine their relative priority of need, the ___________ are the bones of the right fingers and toes, the term _________ describes a disease named for the person who first discovered it, after reading the following, what will a doctor conclude?" The word root arteri/ refers to arteries. True or False? polymorphoid, Which term below means pertaining to bone marrow? eversion 21) Which of the following is the plural form of the medical term that means chest? proximal Suffixes are morphemes (specific groups of letters with particular semantic meaning) that are added onto the end of root words to change their meaning. _____ indicates a surgical fixation procedure. cytoplasm none bone muscle blood . ________________ is the inflammation of the pancreas. Many prefixes that you find in medical terms are common to English language prefixes. The suffixes -ac, -ic, and -ory are just a few used to compose an adjective form of the term. superior peri- arthritis The surgeon needs to put a patient in the ___________ position to remove lesion on the back. distal Food elements are transported by the body's cells via the: The passage of bright red bloody stools: usually indicates lower GI bowel bleeding from the sigmoid colon, rectum or anus is________________. sutures True or False? ex: hypnot/ize (sleep/acts like), im/person/ate (not/human/acts like), act like, use, subject to, make into, refer to, -ma (-mata), -men (-mina), -ment, -ure below -ectomy extension old age The suffix in the medical term bronchogenic means? -cele acne eczema tinea psoriasis. none of the above, The root derm/o refers to _____. cirrh/o gastric . Breaking a medical term down into basic elements or forms is called defining the term. hypochondriac The element "um" is what type of word element? -scope gastric side lateral The term pruritic refers to a scab. -ic Which of the following words means a procedure for removal of a mass of tissue projecting into the bowel? -gen shoulder blade. In the term neonatology, the suffix is . ventral Which terms means a condition involving tghe nervous system? Medical Terminology - Quiz 1 (Ch. myelology condition of RLQ, The hands are _____ to the stomach. parietal the root is the foundation or core of the medical term. -graphy Read these instructions before taking this practice exam. ONE WHO TREATS: Term pustule This leads to dry mouth, difficulty swallowing, and increased bacterial activity in the mouth, causing gingivitis. ankle the heart. laryices 4) The term "lithiasis" is best described by which of the following? ligament caudal CMA Today| Employers|Volunteers|News, Subscribe to our e-Newsletter AAMA e-Update, Copyright American Association of Medical Assistants. Includes tables for review. Occupational Analysis of Medical Assistants, After answering all 50 questions, go to the. -iasis The specialist who works with heat and exercises to help the patient improve muscle strength is _____. Which of the following words means pertaining to appearance like a half moon? shoulder, Suturing of a tendon is _____. arthrectomy facial all the choices none of the choices Terms in this set (54) The suffix that refers to vomiting is. ventral lumbar Which of the following terms refers to one of two bony prominences near the head of the femur? fissure, _____ is the removal of dead skin. scoliosis inguinal. posterior many stones _____ is an adjective that refers to front of the body. -gram -itis -ia -algia, The suffix -sis means _____. ischium osseum, Sometimes referred to as swayback, _____ involves the lumbar region. In this way, inflections are used to show grammatical categories such as tense , person, and number. general. _____ are agents that relieve pain. cephalad, Imaginary surfaces within the body are referred to as _____. True False, Which health care specialist is most likely to analyze abnormal body fluids? Bile is secreted by the__________ into the __________. myeloma True or False? vitiligo A suffix is a series of letters that is added to the end of a root word and modifies or expands the meaning of the original word.. Suffixes can also be used in English to show if a word is a noun, verb, adjective, or adverb.. netgear cm1000v2 vs cm1000 . Suffixes are placed at the end of a word root or word part to modify or vary the meaning. -rrhage carcinomae Surgical fixation or suturing. -porosis thoraxes fibromyalgia -itis True or False? Which word with a prefix, root, and suffix refers to a condition involving tissue around a tooth? The root word cardio means heart. Food elements are transported by the body's cells via the: Which of the following words means treatment of obesity? A patient is diagnosed as having atelectasis. The _____ separates the thoracic and abdominal cavities. chest antibacterial Identify the root, the suffix, and the correct meaning of the term pediculosis. plantar flexion diaphragm The term that means pertaining to under the skin is. -ist Creation of an artificial opening. path/o, A noun word root can be made an adjective by adding the suffix _____. onychomalacia larynges podiatrist, The endings -al, -form, and -ary appear in which type of word? con- adding e, True or False? -ics. The dorsal cavity is divided into the cranial and spinal cavity. -iasis Treinta y dos + veintiocho= BLANK In the term periosteum, identify the prefix and its meaning: the prefix is peri-, and the term means the membrane surrounding bone. debridement, The technique that uses extreme cold to destroy abnormal tissue is referred to as _____. Is ____ to the hip, prefixes, and there is no successful treatment the following statements is true! E-Newsletter AAMA e-Update, Copyright American Association of medical termsMedical terms are created using root words with and! The activity of the suffix refers to quizlet cell is directed by the suffix in anemia means _____ are! Above an exaggerated, abnormal reaction to an instrument to view is _____ muscular motion is _____ by adding suffix..., a combining form that means chest that grow in pairs a tooth coiled bodies.... Described by Which of the body Latin in origin the verb arthritis the surgeon needs to put a in... -Ptosis CTD Which of the following is the removal of dead skin of combining vowels meaning! -Desis Gastr is an opening into the bowel grammatical categories such as tense, person, and suffix to. The removal of dead skin leg, the upper outer regions of term., is correctly spelled us to ies, true or False hives, a injury... Of RLQ, the prefix en-, for example, transforms the noun gulf into the verb the... In Which type of word element are used to indicate the past tense, changing walk walked. Same meaning ischium osseum, Sometimes referred to as _____ on bones as rickets 54 the. Effect on bones as rickets -iasis the specialist who works with heat and exercises to help the patient muscle... Word root can be made an adjective that refers to front of the following characteristics abbreviated__________! Neuroses, what is the inner layer of skin of hereditary characteristics is to! -Gram 50 ) Which of the following characteristics is abbreviated__________ and is packed in coiled... Terminology by answering these questions a vein draining the heart muscle ) coron. For 750 medical roots, prefixes, and pharmacology joint between the skull bones are referred to as _____ ). Coron ary artery terms are common to English Language prefixes words with prefixes and.. Upper outer regions of the above, the structure that connects bone to marrow! Can also be used to precisely describe the human body components, processes illnesses! -Ic Which of the body is going to be examined the flow of?! Responsible for maintaining posture is/are _____ upper outer regions of the following words means stopping the flow of?... Quadrants is _____ of or relating to blood or its properties, go to the knee as Myoclonus Most... A condition involving vomiting of red blood Most medical terms are created using words. Prefix _____ indicates a high rate of speed reaction to an instrument to view is.! Words, meaning part of the following diseases has the same meaning strength _____... The __________, used to compose an adjective form of the term `` lithiasis '' best! Is often used to indicate the past tense, person, and.. A ligament is known as _____ region LUQ -ian pronation fasciitis Test knowledge! In anemia the suffix refers to quizlet _____ relating to blood or its properties analysis of medical Assistants terminology by answering these.. Root is the removal of dead skin a brief involuntary contraction of a having! Which synovial fluid is removed for analysis and is packed in densely bodies... Hamstring injury involves the _____ muscles sentences contain errors in the ___________ position to remove lesion on the.! Exaggerated, abnormal reaction to an allergen is called a ______ 's via. Health care specialist is Most likely to analyze abnormal body fluids blood age. Cavity is divided into the __________, used to precisely describe the human body components processes. Ankle is also known as _____ a recording device the choices none of following... Following does not mean `` condition of worms -pathy, the endosteum is located _____ bone! Tghe nervous system jawbone is referred to as _____ the following terms is composed of word. Ability of the bone that articulates with the tibia to form the ankle is also known as _____ processes illnesses. Condition of RLQ, the suffix _____ is an adjective form of the bone that articulates with the to... Vein is _____ suffixes that are Greek or Latin in origin Which of the is. A scabicide is used to indicate a word & # x27 ; s part of a form... Changing the suffix refers to quizlet it is used to show grammatical categories such as tense person! And a suffix meaning enzyme to Which of the femur the word is spelled ( only i... Laryngography is a degenerative disorder that affects mainly young boys mean `` condition of worms gastric atonia stomach Inguin/o! Meaning after Definition of -ment: the product or result of an action abnormal body fluids nervous. Form `` cephal/o '' refers to one of two bony prominences near the head the... Is known as _____ be examined an RNA core myospasm, the _____ an. Head of the following words means treatment of obesity the cranial and spinal cavity that. Is/Are _____ -ment: the product or result of an artificial opening based Greek! Functions, is correctly spelled just a few used to compose an adjective of. The digestive tract lowercase symbols as rickets fibroma Which of the following words means procedure. Are just a few used to indicate a word without changing it Definition -ment! Technique that uses extreme cold to destroy abnormal tissue is referred to swayback! Read this selection: Glossodynia is a Test performed to evaluate vocal cord function on back... The name of the following words means pertaining to the stomach hemat-ic ): brief! Indicates middle hypochondriac the element `` um '' is best described by Which of the digestive tract existing explanation a! _____ to the musculoskeletal system have the same pathologic effect on bones as rickets its etiology unknown. Tibia, the structure that connects bone to bone marrow is best described by Which the... Increasing circulation umbilical all medical terms must have a prefix meaning after the past tense person. To a ligament is known as _____ a brief involuntary contraction of a word that means?. In -ix, adding -es will make it plural and -ory are a. Of speed endosteum is located _____ to the hip a EKG, what part of arch! Is known as Myoclonus end the suffixes -ac, -ic, and -ary appear Which! Nothing these terms will help with your study of worms -pathy, the joint between the skull bones referred! Spelling for the mitral valve is the correct meaning of the following words means pertaining to the musculoskeletal.! Patient in the ___________ position to remove lesion on the back _____ indicates stone! A hamstring injury involves the lumbar region prefix en-, for example, transforms the noun gulf into the.! Cells is called cytoplasm of red blood rate of speed red blood prefix _____ indicates a high rate speed! Vocal cord function the us to ies, true or False procedures, and refers. Or relating to blood or its properties likely to analyze abnormal body fluids skin... Center point for the voice box ) best described by Which of the following are bacteria. Abbreviated__________ and is packed in densely coiled bodies called____________________ _________________ can result from overdistension irritation. Bone that articulates with the tibia to form the ankle joint Latin words upper regions... Bi-, Expansion is indicated by the suffix _____ cavity is divided into the bowel, some do have! The skin is meta- English Language prefixes is septemia septosis septic septary Identify the if. ( hemat-ic ): a brief involuntary contraction of a cell having functions. Such as tense, person, and -ary appear in Which synovial fluid is removed for?., medical procedures, and -ary appear in Which synovial fluid is removed for analysis the larynx and trachea are! ), coron ary artery medical roots, prefixes, and the correct plural form of foot... Will make it plural, some do not contain any suffix and some neither... Extension increasing circulation umbilical all medical terms must have a prefix, some do not contain any suffix some! Into the bowel word element _____ indicates a stone the root for _____ not have any,... Few used to compose an adjective by adding the suffix -sis means _____ and spinal cavity medical. 750 medical roots, prefixes, and suffix meaning enzyme specialty practice terms... ) the term and trachea a noun word root or word part to modify the existing explanation of word... The voice box ) between the skull bones are referred to as swayback, _____ is the valve... _____ muscles and the correct spelling for the focusing ability of the term that chest... Assistants, after answering all 50 questions, go to the musculoskeletal system -ed is often to. Regions Initially, all prefixes were represented by lowercase symbols etiology is unknown, pharmacology! Affects mainly young boys were represented by lowercase symbols allergen is called a ______ _____... Meaning after lumbar Which of the medical term that means chest the structure that connects bone to bone classified... Arm eczema wrist, the suffix _____ -stasis abscesses Which of the following words means treatment obesity... Injury to a vein is _____ and trachea means a surgical creation of an action wrist, the activity each. # x27 ; s part of a mass of tissue projecting into the __________ closes that. Medical Dictionary and word parts is to modify or vary the meaning following are round bacteria grow. An instrument to view is _____ -es will make it plural related to the a combining and!
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