Exam 12: Endocrine, Nutritional, and Metabolic Diseases

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When blood sugar becomes abnormally high,this is called ____.

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A patient is admitted with diabetic gangrene of the left little toe.The toe was completely amputated.The patient has uncontrolled type 1 diabetes.

(Multiple Choice)
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Adult patient is admitted for gastric banding procedure for treatment of morbid obesity.Patient has been obese most of her adult life and has failed all attempts at supervised diet;she has a BMI of 41.3.Patient has a family history of diabetes.She hopes to see improvement in her type 2 diabetes,with expected weight loss for bariatric surgery.Patient undergoes a laparoscopic bypass with Roux-en-Y limb to jejunum and is put on the bariatric diet,which she tolerates without difficulty.She is discharged in satisfactory condition.Discharge Diagnosis: Morbid obesity.Diabetes.Procedure: Laparoscopic gastric bypass.

(Multiple Choice)
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Primary hyperparathyroidism: __________

(Short Answer)
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Myxedema is a skin or tissue disorder usually resulting from severe,prolonged hypothyroidism.

(True/False)
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TLS stands for ____________________.

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Match the following to the corresponding Z code. -Hormone replacement therapy

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Which of the following is NOT a major endocrine gland in the body?

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Patient was admitted for a total (open) thyroidectomy.Patient had been having progressive symptoms with a substernal multinodular goiter.The procedure was performed as planned.Pathology confirmed a multinodular goiter.The patient was able to tolerate a solid food diet.

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

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The coding of diabetes mellitus can be complicated because of various manifestations that can be associated with the disease.

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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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Hypothyroidism is an abnormality of the thyroid gland in which secretion of thyroid hormone is usually increased.

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A patient is admitted with hyperkalemia.What drug could be given to treat this condition?

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Diabetes mellitus without mention of complication would NOT have any additional manifestation codes.

(True/False)
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Hypothyroidism in patient who has had a previous thyroidectomy: __________

(Short Answer)
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The most common cause of a goiter is ____ deficiency.

(Multiple Choice)
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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 hypernatremia and dehydration.

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Disorders of the thyroid are located in code categories ____.

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Fluid overload: __________

(Short Answer)
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