Question Correct Explanation
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Diabetic macular edema: Swelling of the retina in
diabetes mellitus due to leaking of fluid
from blood
vessels within the macula. The macula is the central portion of the retina, a
small
area
rich in cones, the specialized nerve endings that detect color and upon which
daytime
vision depends.
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Diabetic retinopathy is defined as retinal
changes occurring in long-term diabetes and
characterized
by punctate hemorrhages, microaneurysms, and sharply defined waxy
exudates.
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ICD-9 code 327.53*, Sleep related bruxism,
involves the grinding or clenching of teeth
during
sleep.
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REM is the acronym for Rapid Eye Movement, the
periodic jerky movement of the eyes
during
certain stages of the sleep cycle when dreaming takes place. (And, yes, there is
a
band called
REM - Jeff).
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What three codes are used to report
polysomnography?
CPT codes
95808, 95810 or 95811 to report these tests.
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Suspected seizure disorders as possible causes of
the parasomnia are appropriately
evaluated by
standard or prolonged sleep EEG studies.
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Parasomnia may include:
Sleepwalking
Sleep
terrors
REM sleep
behavior disorders.
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Parasomnias are a group of conditions that
represent undesirable or unpleasant
occurrences
during sleep. Behavior during these times can often lead to damage to the
surroundings
and injury to the patient or to others.
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Delayed sleep-phase syndrome (DSPS) 327.31, is a
chronic sleep disorder in which the
patient's
internal body clock is not in sync with the morning-rise / evening-sleep pattern
of
the majority
of adults. A growing body of evidence suggests that the problem is genetic.
DSPS
patients may have a severely reduced reaction to the re-setting effect of light
on the
body clock.
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Circadian rhythm sleep disorder, jet lag type:
327.35