ICD 10 CM/PCS Chapter 12 – Flashcards
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Graves' disease is the most common form of:
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hyperthyroidism
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An enlarged gland is called:
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hyperplasia
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Type 2 diabetes is much more common than type 1 diabetes
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True
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Bariatrics is the branch of medicine concerned with the management of:
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obesity and allied diseases
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If there is unclear documentation as to whether a patient is a type 1 or type 2 diabetic, the coder should:
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code type 2 diabetes
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Diabetes coding is affected by whether the patient is a type 1 or type 2 diabetic.
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True
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Major endocrine gland(s) include:
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pituitary thyroid pancreas all of the above (correct)
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A cause-and-effect relationship is presumed with all diabetic manifestations.:
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False
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Volume depletion, dehydration, and hypovolemia all classify to the same ICD-10-CM code.
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False
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When a patient is admitted for a complication of cystic fibrosis:
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the complication is the principal diagnosis and the cystic fibrosis is secondary
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The ____ regulate(s) daily patterns of sleep and wakefulness and inhibit(s) hormones that affect ovaries.
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pineal gland
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Adult patient was seen in the clinic for dietary counseling for dysmetabolic syndrome X. Patient is obese with a BMI of 35 and has hypertriglyceridemia and hypertension.
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Z71.3, E88.81, E66.9, Z68.35, E78.1, I10
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Hypothyroidism is an abnormality of the thyroid gland in which secretion of thyroid hormone is usually increased.
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False
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All of the following are possible signs of malnutrition EXCEPT ____.
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rapid hair growth
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Patient with steroid-induced diabetes due to long-term use of prednisone taken for rheumatoid arthritis.
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E09.9, T38.0x5S, M06.9
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Diabetes mellitus without mention of complication would NOT have any additional manifestation codes.
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True
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A patient is admitted for care of a diabetic ulcer on the left midfoot. The patient also has chronic kidney disease, stage 3, resulting from diabetes.
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E11.621, L97.429, E11.22, N18.3
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Gigantism occurs when there is hypersecretion of hGH before puberty and when there is a proportional overgrowth of all body tissues, especially the long bones.
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True
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A patient is admitted because of cystic fibrosis with pulmonary exacerbation. Sputum cultures grew Pseudomonas, and antibiotics are adjusted accordingly. The patient is also treated for hypertonic dehydration.
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E84.0, B96.5, E87.0
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A 15-year-old male patient with cystic fibrosis was diagnosed at the age of 2 and has respiratory and gastrointestinal manifestations. Patient needs a PEG tube to maximize his nutritional status. A percutaneous gastrostomy tube is inserted, and feeds are initiated. The patient's mother is instructed on gastrostomy care and tube feedings. Final Diagnosis: Cystic fibrosis. Moderate malnutrition. Procedure: Percutaneous endoscopic gastrostomy placement.
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E84.19, E44.0, E84.0, 0DH63UZ, 3E0G36Z
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When blood sugar becomes abnormally low, this is called ____.
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hypoglycemia
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In ICD-10-CM there are only two category codes for diabetes mellitus.
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False
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Patient is an elderly gentleman who was admitted from the ER with pain and swelling of his right knee. The pain is throbbing in nature, and the knee feels warm and is very tender to touch. The patient has a knee x-ray, and uric acid levels are elevated. Colchicine is started, and the patient's symptoms are much improved within 48 hours. The patient has diabetes. The patient is advised to limit alcohol consumption and to avoid dietary purines. Final Diagnosis: Gouty arthropathy right knee. Diabetes mellitus, type 2 on insulin.
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M10.061, E11.9, Z79.4
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In ICD-10-CM, if the diabetes is due to an adverse effect of a drug, there is an Instructional note to assign a T36-T50 code as an additional or secondary code.
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True
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Hypopituitarism (low levels of pituitary hormones) can be caused by ____.
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tumor stroke head trauma all of the above (correct)
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Which of the following is NOT a major endocrine gland in the body?
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Parotid
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A patient is admitted because of uncontrolled diabetes resulting from Cushing's syndrome. Patient is on insulin.
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E24.9, E08.65, Z79.4
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The ____ regulates metabolism of glucose in body cells and maintains proper blood glucose
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pancreas
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A patient is admitted with hypokalemia. What drug could be given to treat this condition?
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K-Dur
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A patient is admitted with hyperkalemia. What drug could be given to treat this condition?
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Kayexalate