The suffix -ectasis means ________.
Fill in the blank with correct word.
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Q. 2) ________ is bacterial, and it primarily affects one lobe of the lung.
Fill in the blank with correct word.
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Q. 3) The prefix dys- means ________.
Fill in the blank with correct word.
(
Q. 4) Peter is a 38-year-old black male who is seen in his physician's office complaining of SOB, cough, and chest tightness. He also states he has a strange rash on my arms and shins. He says he has lost weight the past few months and has night sweats. Peter is also being treated for HTN.
Because his physician knows that several members of Peter's family have been diagnosed with sarcoidosis, he starts his physical exam with that in mind. He pays particular attention to Peter's respiratory symptoms and the rash. The rash is, in fact, erythema nodosum, a sign of sarcoidosis. His physician orders an ACE level and CXR. He asks Peter to return to the office in one week. When Peter returns, his physician tells him the ACE level was very high. He diagnoses Peter with sarcoidosis of both the lung and skin, and starts him on prednisone. Peter is cautioned to take his BP each day and if it goes above 135/90, he is to call his physician right away. BP meds will be adjusted at that point, should it become necessary. Peter is asked to return to the office in one month, or sooner, if he feels it is necessary.
Dx: Sarcoidosis
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
(
Q. 5) Margaret is a 13-year-old teenager who started menstruating at age 12. Since then, she has had excessively heavy and painful periods that can last 7 to 10 days. Today, she is in the office complaining of weakness and fatigue. She is much more pale than usual. Her eyes look sunken. She says she just finished her period. It lasted eight days and was once again very heavy. A STAT CBC shows H&H are very low. In fact, her hemoglobin is 5. She is being sent to the hospital for a transfusion. She is also being given a referral for a work-up at our gyne clinic.
Dx. Chronic blood loss anemia due to pubertal menorrhagia
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
(
Q. 6) Jacob is a 30-year-old black man with a history of sickle cell disease. He presents with a three-day history of pain in both elbows. The pain is sharp and the patient rates it as a 9 on a scale of 1-10. He has a low-grade fever.
He was started on NS IV fluids and morphine was administered for the pain.
PMHaside from the sickle cell disease, his past medical history is unremarkable.
FH/SHBoth parents are alive and well. He has no siblings. He is not married. No known relatives with a history of sickle cell disease.
Vital signsT 101.4 P 89 R 18 BP 112/66 O2 sats 90 on room air.
HEENTPERRLA; scleral icterus; remainder of exam in unremarkable. Cranial nerves grossly intact; normal sensation.
NeckNo LAD or masses; no lymph nodes appreciated.
CardiacRRR, S1 and S2 are normal.
LungsDecreased breath sounds bilaterally. Crackles and rales heard on ausulcation.
AbdomenNormal bowel sounds; no rebound tenderness or guarding. Spleen slightly enlarged.
ExtremitiesNo cyanosis or clubbing.
MusculoskeletalBoth elbows swollen, red, hot to the touch; tenderness on palpation and painful on extension. Limited ROM in both elbows.
GUNormal male.
Rectal exam deferred.
Impression: Sickle cell crisis. I am also concerned about the crackles, rales, and diminished breath sounds in the lungs. There could be a pneumonia starting.
Plan: Admit for treatment of the sickle cell crisis. Get a CXR to see what is going on in the lungs. Continue IV fluids; consider Hydrea; consider transfusion, depending on H&H.
Addendum: CXR is positive for pneumonia. Will do a forced sputum culture and start on antibiotics.
First-listed diagnosis: ________
Secondary diagnosis: ________
Fill in the blank with correct word.
(
Q. 7) Patient is a nine-year-old girl who was diagnosed with Evans syndrome two years ago. She has been in remission with a regimen of IV immunoglobin, but now presents with fatigue, weakness, and SOB. She has also been bruising very easily more so than usual. Blood work shows low platelets and a decrease in RBCs. Evans syndrome is notorious for cycles of exacerbation and remission. I fear she is now out of remission. The course of treatment will be changed, and we will initiate a regimen of immunosuppressant drugs, most likely vincristine.
Dx. Evans syndrome
First-listed diagnosis: ________
Fill in the blank with correct word.
(
Q. 8) Glenn is a 60-year-old white male who has CKD. He recently entered stage 3; his GFR is 58. Glenn was seen by his physician and was complaining of weakness, fatigue, difficulty concentrating, and occasional dizziness, especially upon standing. His physician ran a CBC and found that Glenn was extremely anemic. In addition to the CKD and anemia, Glenn has type 1 diabeteswhich is the cause of his CKD. After discussing the anemia with Glenn, and the various treatment options available to him, Glenn and his physician decided to start him on ProCrit once a month. If the anemia does not improve, the dosage will be increased. Glenn was instructed to have a CBC in one month, and then return to the office several days after that.
Dx: Anemia due to CKD
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
(
Q. 9) Myelophtisic anemia associate with TB of lung:
Select the correct code for each of the diagnoses:
a. A15.0, D61.82.
b. D61.82, A15.0.
c. D61.89, A15.0.
d. A15.0, D61.89.
(
Q. 10) Rosenthal's disease:
Select the correct code for each of the diagnoses:
a. D68.1.
b. D68.9.
c. D68.2.
d. D68.318.
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