Deck 13: Endocrine, nutritional, and Metabolic Diseases

Question 1

All of the following are possible signs of malnutrition EXCEPT ____.

A)loss of energy
B)diarrhea
C)rapid hair growth
D)skin lesion
E)none of the above are correct

Answer 1

C

Question 2

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.
a.E84.8,B96.5,E86.0,E87.0
b.E84.0,B96.5,E86.0,E87.0
c.E84.0,B96.4,E87.0
d.B96.5,E84.0,E86.0,E87.0

Answer 2

B
(CC 1Q 2014 p 7)

Question 3

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

A)K-Dur
B)Synthroid
C)Tapazole
D)Kayexalate

Answer 3

D

Question 4

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

A)Thyroid
B)Parotid
C)Pancreas
D)Ovary

Question 5

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

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

Question 6

Hypopituitarism (low levels of pituitary hormones)can be caused by ____.

A)tumor
B)stroke
C)head trauma
D)all of the above

Question 7

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

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

Question 8

The ____ regulates metabolism of glucose in body cells and maintains proper blood glucose.

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

Question 9

The most common cause of a goiter is ____ deficiency.

A)potassium
B)vitamin C
C)sodium
D)iodine

Question 10

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.

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 11

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

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

Question 12

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

A)K-Dur
B)Synthroid
C)Tapazole
D)Kayexalate

Question 13

Disorders of the thyroid are located in code categories ____.

A)E00-E07
B)E08-E013
C)E15-E16
D)E89

Question 14

A patient is admitted because of uncontrolled diabetes resulting from Cushing's syndrome.Patient is on insulin.

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 15

A 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.

A)E04.0,0GBH0ZZ
B)E04.2,0GTK0ZZ
C)E04.2,0GTK4ZZ
D)E04.1,0GBK4ZZ

Question 16

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.

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 17

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

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

Question 18

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

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

Question 19

An 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.

A)E66.01,E13.9,Z68.41,Z83.3,0D164ZA
B)E66.8,E11.9,Z68.41,0D160ZA
C)E66.1,E11.8,Z68.41,Z83.3,0D168ZA
D)E66.01,E11.9,Z68.41,Z83.3,0D164ZA

Question 20

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

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

Question 21

In ICD-10-CM there are only two category codes for diabetes mellitus.

Question 22

The correct abbreviation for diabetes mellitus is ____________________.

Question 23

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.

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 24

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.

Question 25

If a gland becomes larger,this is called ____________________,and if it becomes smaller,this is called ____________________.

Question 26

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

Question 27

A patient was admitted to the hospital with DKA.Labs showed glycosuria,ketonuria,and acidosis.Patient was admitted and was started on a sliding scale of insulin for type 1 DM.Patient's past history includes diabetic retinopathy.Patient's at-home medications include insulin.
Discharge Diagnosis: Diabetic ketoacidosis.

A)E10.11,E10.319
B)E10.319,E10.10
C)E10.10,E11.319
D)E10.10,E10.319

Question 28

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.

A)E84.11,E44.1,E84.9,0DH63UZ
B)E84.19,E44.0,E84.0,0DH63UZ,3E0G76Z
C)E84.0,E84.19,E44.0,0DH64UZ
D)E84.19,E44.1,E84.0,0DH63UZ,3E0H76Z

Question 29

Myxedema is a skin or tissue disorder usually resulting from severe,prolonged hypothyroidism.

Question 30

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

A)E10.52,E10.65,0Y6Y0Z0
B)E11.65,E11.52,0Y6X0Z0
C)E11.52,E11.65,0Y6X0Z0
D)E10.65,E10.52,0Y6Y0Z0

Question 31

A patient was seen in the clinic for management of steroid-induced diabetes,which is a sequela of long-term use of prednisone taken for rheumatoid arthritis.

A)T38.0x1S,E09.9,M06.89
B)T38.0x5S,E09.9,M06.9
C)E09.9,T38.0x5S,M06.9
D)E09.9,T38.0x5A,M06.89

Question 32

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

Question 33

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

Question 34

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.
Diabetes mellitus,type 2 on insulin.

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 35

Type 1 diabetics must use ____________________ to replace what their bodies do not produce.

Question 36

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

Question 37

TLS stands for ____________________.

Question 38

A(n)____________________ is an enlargement of the thyroid gland.

Question 39

The correct abbreviation for phenylketonuria is ____________________.

Question 40

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.

Question 41

Diabetes mellitus with hypoglycemic coma: __________

Question 42

MATCHING
Match the following conditions with the correct treatment/medication.
a.Vitamin deficiencies
b.Malnutrition
c.Obesity
d.Diabetes
e.Hyperkalemia
f.Cystic fibrosis
g.Hypoparathyroidism
Treat symptoms and/or underlying cause,replace missing vitamins

Question 43

Fluid overload: __________

Question 44

MATCHING
Match the following conditions with the correct treatment/medication.
a.Vitamin deficiencies
b.Malnutrition
c.Obesity
d.Diabetes
e.Hyperkalemia
f.Cystic fibrosis
g.Hypoparathyroidism
Postural drainage and chest percussion treatments,pancreatic enzymes and vitamins,antibiotics for infections,and possibly lung transplant

Question 45

Match the following to the corresponding Z code.
a.Z79.890
b.Z90.411
c.Z83.49
d.Z86.39
e.Z71.3
Hormone replacement therapy

Question 46

Match the following to the corresponding Z code.
a.Z79.890
b.Z90.411
c.Z83.49
d.Z86.39
e.Z71.3
Family history of other endocrine,nutritional,and metabolic diseases

Question 47

Match the following to the corresponding Z code.
a.Z79.890
b.Z90.411
c.Z83.49
d.Z86.39
e.Z71.3
Dietary surveillance and counseling

Question 48

Iritis right eye due to diabetes,type 2,out of control: __________

Question 49

MATCHING
Match the following conditions with the correct treatment/medication.
a.Vitamin deficiencies
b.Malnutrition
c.Obesity
d.Diabetes
e.Hyperkalemia
f.Cystic fibrosis
g.Hypoparathyroidism
Remove potassium from body with Kayexalate,diuretics,sodium bicarbonate,intravenous calcium,glucose,and insulin

Question 50

MATCHING
Match the following conditions with the correct treatment/medication.
a.Vitamin deficiencies
b.Malnutrition
c.Obesity
d.Diabetes
e.Hyperkalemia
f.Cystic fibrosis
g.Hypoparathyroidism
Diet,exercise,behavior modification,and bariatric surgery

Question 51

Graves disease with thyrotoxic storm: __________

Question 52

Match the following to the corresponding Z code.
a.Z79.890
b.Z90.411
c.Z83.49
d.Z86.39
e.Z71.3
Personal history of nutritional deficiency

Question 53

Match the following to the corresponding Z code.
a.Z79.890
b.Z90.411
c.Z83.49
d.Z86.39
e.Z71.3
Acquired absence of pancreas,partial

Question 54

What is exophthalmos?

Question 55

MATCHING
Match the following conditions with the correct treatment/medication.
a.Vitamin deficiencies
b.Malnutrition
c.Obesity
d.Diabetes
e.Hyperkalemia
f.Cystic fibrosis
g.Hypoparathyroidism
Treat symptoms and/or underlying cause,use nutritional supplements,replace missing nutrients,possibly with total parenteral nutrition

Question 56

MATCHING
Match the following conditions with the correct treatment/medication.
a.Vitamin deficiencies
b.Malnutrition
c.Obesity
d.Diabetes
e.Hyperkalemia
f.Cystic fibrosis
g.Hypoparathyroidism
Replacement therapy with calcium and vitamin D

Question 57

When there is hypersecretion of hGH after puberty,a condition called acromegaly,where does the overgrowth occur?

Question 58

What does NIDDM stand for?

Question 59

Marasmus: __________

Question 60

MATCHING
Match the following conditions with the correct treatment/medication.
a.Vitamin deficiencies
b.Malnutrition
c.Obesity
d.Diabetes
e.Hyperkalemia
f.Cystic fibrosis
g.Hypoparathyroidism
Diet,monitoring blood sugars,and insulin or oral medications such as glyburide

Question 61

Familial hypercholesterolemia: __________

Question 62

Hypothyroidism in patient who has had a previous thyroidectomy: __________

Question 63

Primary hyperparathyroidism: __________

Question 64

Lactic acidosis: __________

Question 65

Vitamin D deficiency: __________

Question 66

DKA in patient with uncontrolled type 1 diabetes: __________

Question 67

Hypoglycemia: __________

Question 68

Diabetic cataract: __________