Question 1

A patient is admitted because of poorly controlled diabetes resulting from Cushing syndrome. Patient is on insulin.

Accepted Answer

A) E24.9, E08.65, Z79.4 
B) E24.8, E08.65, Z79.4 
C) E08.65, E24.9 
D) E08.9, E24.8 
A) E24.9, E08.65, Z79.4 
B) E24.8, E08.65, Z79.4 
C) E08.65, E24.9 
D) E08.9, E24.8

Question 2

A patient is admitted for care of a diabetic ulcer on the left midfoot. The patient also has chronic kidney disease, stage 3.

Accepted Answer

A) E13.621, E13.22, N18.9 
B) E10.621, E10.22, N18.3 
C) E11.621, L97.429, E11.22, N18.3 
D) E11.621, L97.429, E11.22, N18.9 
A) E13.621, E13.22, N18.9 
B) E10.621, E10.22, N18.3 
C) E11.621, L97.429, E11.22, N18.3 
D) E11.621, L97.429, E11.22, N18.9

Question 3

Vitamin D deficiency: __________

Accepted Answer

The answer of Vitamin D deficiency: __________...

Question 4

The ____ system works with the nervous system to maintain body activities and homeostasis and to respond to stress.

Accepted Answer

A) musculatory 
B) circulatory 
C) endocrine 
D) skeletal 
A) musculatory 
B) circulatory 
C) endocrine 
D) skeletal

Question 5

Diabetes mellitus with hypoglycemic coma: __________

Accepted Answer

The answer of Diabetes mellitus with hypoglycemic coma: __________...

Question 6

Match each definition to one of the following items.
-Remove potassium from body with Kayexalate, diuretics, sodium bicarbonate, intravenous calcium, glucose, and insulin

Accepted Answer

A) Vitamin deficiencies 
B) Malnutrition 
C) Obesity 
D) Diabetes 
E) Hyperkalemia
F)Cystic fibrosis
G)Hypoparathyroidism 
A) Vitamin deficiencies 
B) Malnutrition 
C) Obesity 
D) Diabetes 
E) Hyperkalemia
F)Cystic fibrosis
G)Hypoparathyroidism

Question 7

The ____ is responsible for the "fight or flight" response during stress.

Accepted Answer

A) adrenal cortex 
B) thymus 
C) pineal gland 
D) adrenal medulla 
A) adrenal cortex 
B) thymus 
C) pineal gland 
D) adrenal medulla

Question 8

In ICD-10-CM there is no designation for out-of-control diabetes mellitus.

Accepted Answer

A) True 
 B)False

Question 9

A patient is admitted to the ER with DKA in type 1 diabetes and dehydration. The patient has a history of diabetic polyneuropathy. The patient is receiving insulin. The patient is treated and stable for discharge in 2 days.

Accepted Answer

A) E10.10, E86.0, E10.42 
B) E10.11, E86.0, E10.42 
C) E10.42, E10.10, E86.9 
D) E10.10, E86.1, E10.42 
A) E10.10, E86.0, E10.42 
B) E10.11, E86.0, E10.42 
C) E10.42, E10.10, E86.9 
D) E10.10, E86.1, E10.42

Question 10

DKA in patient with type 1 diabetes: __________

Accepted Answer

The answer of DKA in patient with type 1 diabetes:...

Question 11

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.

Accepted Answer

A) True 
 B)False

Question 12

Match each definition to one of the following items.
-Treat symptoms and/or underlying cause, replace missing vitamins

Accepted Answer

A) Vitamin deficiencies 
B) Malnutrition 
C) Obesity 
D) Diabetes 
E) Hyperkalemia
F)Cystic fibrosis
G)Hypoparathyroidism 
A) Vitamin deficiencies 
B) Malnutrition 
C) Obesity 
D) Diabetes 
E) Hyperkalemia
F)Cystic fibrosis
G)Hypoparathyroidism

Question 13

When blood sugar becomes abnormally low, it is called ____.

Accepted Answer

A) hyperglycemia 
B) hypoglycemia 
C) hyperpituitarism 
D) hypopituitarism 
A) hyperglycemia 
B) hypoglycemia 
C) hyperpituitarism 
D) hypopituitarism

Question 14

Patients with type 1 diabetes must use ____________________ to replace what their bodies do not produce.

Accepted Answer

The answer of Patients with type 1 diabetes must use...

Question 15

An adult patient was seen in the clinic for dietary counseling for dysmetabolic syndrome X. The patient is obese with a BMI of 35 and has hypertriglyceridemia and hypertension.

Accepted Answer

A) Z71.3, E88.81, E66.9, Z68.35, E78.1, I10 
B) Z71.9, E88.81, E66.3, Z68.35, E78.1, I10 
C) E88.81, E66.9, Z68.35, E78.1, I10, Z71.3 
D) E66.9, E88.81, Z68.35, E78.1, I10, Z71.3 
A) Z71.3, E88.81, E66.9, Z68.35, E78.1, I10 
B) Z71.9, E88.81, E66.3, Z68.35, E78.1, I10 
C) E88.81, E66.9, Z68.35, E78.1, I10, Z71.3 
D) E66.9, E88.81, Z68.35, E78.1, I10, Z71.3

Question 16

____ is a condition that results in excessive circulating cortisol levels.

Accepted Answer

A) Hyperparathyroidism 
B) Addison disease 
C) Cushing syndrome 
D) Diabetes insipidus 
A) Hyperparathyroidism 
B) Addison disease 
C) Cushing syndrome 
D) Diabetes insipidus

Question 17

Hypoglycemia: __________

Accepted Answer

The answer of Hypoglycemia: __________...

Question 18

The ____ regulates daily patterns of sleep and wakefulness and inhibits hormones that affect ovaries.

Accepted Answer

A) pancreas 
B) pineal gland 
C) adrenal gland 
D) parathyroid 
A) pancreas 
B) pineal gland 
C) adrenal gland 
D) parathyroid

Question 19

A 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, idiopathic Diabetes mellitus, type 2 on insulin

Accepted Answer

A) M10.361, E11.8, Z79.4 
B) M10.061, E11.8, Z79.4 
C) M10.061, E11.9, Z79.4 
D) M10.062, E11.9, Z79.4 
A) M10.361, E11.8, Z79.4 
B) M10.061, E11.8, Z79.4 
C) M10.061, E11.9, Z79.4 
D) M10.062, E11.9, Z79.4

Question 20

Match each definition to one of the following items.
-Hormone replacement therapy

Accepted Answer

A) Z79.890 
B) Z90.411 
C) Z83.49 
D) Z86.39 
E) Z71.3 
A) Z79.890 
B) Z90.411 
C) Z83.49 
D) Z86.39 
E) Z71.3

Exam 13: Endocrine, Nutritional, and Metabolic Diseases

A patient is admitted because of poorly controlled diabetes resulting from Cushing syndrome. Patient is on insulin.

A patient is admitted for care of a diabetic ulcer on the left midfoot. The patient also has chronic kidney disease, stage 3.

Vitamin D deficiency: __________

The ____ system works with the nervous system to maintain body activities and homeostasis and to respond to stress.

Diabetes mellitus with hypoglycemic coma: __________

Match each definition to one of the following items. -Remove potassium from body with Kayexalate, diuretics, sodium bicarbonate, intravenous calcium, glucose, and insulin

The ____ is responsible for the "fight or flight" response during stress.

In ICD-10-CM there is no designation for out-of-control diabetes mellitus.

A patient is admitted to the ER with DKA in type 1 diabetes and dehydration. The patient has a history of diabetic polyneuropathy. The patient is receiving insulin. The patient is treated and stable for discharge in 2 days.

DKA in patient with type 1 diabetes: __________

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.

Match each definition to one of the following items. -Treat symptoms and/or underlying cause, replace missing vitamins

When blood sugar becomes abnormally low, it is called ____.

Patients with type 1 diabetes must use ____________________ to replace what their bodies do not produce.

An adult patient was seen in the clinic for dietary counseling for dysmetabolic syndrome X. The patient is obese with a BMI of 35 and has hypertriglyceridemia and hypertension.

____ is a condition that results in excessive circulating cortisol levels.

Hypoglycemia: __________

The ____ regulates daily patterns of sleep and wakefulness and inhibits hormones that affect ovaries.

Match each definition to one of the following items. -Hormone replacement therapy

The Rationale for and History of Coding

The Health Record As the Foundation of Coding

ICD-10-Cm Format and Conventions

Basic Steps of Coding

General Coding Guidelines for Diagnosis

Introduction to Icd-10-PCS

General Coding Guidelines for Other Medical- and Surgical-Related Procedures and Ancillary Procedures

Coding Medical and Surgical Procedures

Symptoms, Signs, and Abnormal Clinical and Laboratory Findings Not Elsewhere Classified, and Z Codes

Certain Infectious and Parasitic Diseases

Neoplasms

Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism

Mental, Behavioral, and Neurodevelopmental Disorders

Diseases of the Nervous System, Diseases of the Eye and Adnexa, and Diseases of the Ear and Mastoid Process

Diseases of the Circulatory System

Diseases of the Respiratory System

Diseases of the Digestive System

Diseases of the Skin and Subcutaneous System

Diseases of the Musculoskeletal System and Connective Tissue

Diseases of the Genitourinary System

Pregnancy, Childbirth, and the Puerperium

Certain Conditions Originating in the Perinatal Period and Congenital Malformations, Deformations, and Chromosomal Abnormalities

Injuries and Certain Other Consequences of External Cases and External Causes of Morbidity

Burns, Adverse Effects, and Poisonings

Complications of Surgical and Medical Care

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