BUSN 2400 Ch 16 Endocrine System Exam Questions and Answers Solved Correctly Latest Update
2025-2026
Patient presents, after study, with a mass on the thyroid. It was determined that a biopsy of the thyroid
should be completed. The thyroid was located by palpation. A large, hollow percutaneous core needle
was passed through the skin into the thyroid. The needle was used to remove the tissue. The tissue was
sent to pathology for examination. The patient tolerated the procedure well and was sent to the
recovery area.
CPT code(s): - Answers60100
Preoperative diagnosis: Hyperparathyroidism, primary
Postoperative diagnosis: Same
Procedure performed: Parathyroidectomy, left side
Procedure: The patient was prepped and draped in the usual sterile fashion. We proceeded with a
transverse collar incision on the left. Dissection went through the subcutaneous tissue until the platysma
muscles were identified. A subplatysma flap was created, and strap muscles were divided along the
midline. The thyroid gland was identified and slightly rotated into position so that the parathyroid on the
left was easily identified. The parathyroid was enlarged and somewhat calcified. This calcification
allowed for easy removal of the parathyroid without damage to the thyroid gland itself. The surrounding
structures were left in good condition, and the neck wound was closed in a layered fashion. The patient
left the surgical suite in excellent condition and was taken to recovery.
CPT co - Answers60500-LT
Preoperative diagnosis: Small mass on left adrenal
Postoperative diagnosis: 5-cm malignant neoplasm, left adrenal
Procedure: Adrenalectomy, left
Patient was prepped and draped in the usual sterile fashion. A 5-mm, 30-degree scope was used in
conjunction with two more 5-mm ports and one 11-mm port. Spleen, colon, and pancreas were all
carefully checked and showed no signs of disease. The adrenal was identified, and all vessels leading to
the adrenal were taken down carefully and without incident using a Harmonic scalpel. The mass was
identified. The left adrenal was carefully dissected and dropped easily into the bag, which was removed
through the 11-mm port site. The kidney was examined, and no sign of disease was noted, so we left the
area. The port sites were closed, and the patient was taken to the recovery area in good condition.
CPT code(s): - Answers60650-LT
Preoperative diagnosis: Right thyroid nodule
Postoperative diagnosis: Same
2025-2026
Patient presents, after study, with a mass on the thyroid. It was determined that a biopsy of the thyroid
should be completed. The thyroid was located by palpation. A large, hollow percutaneous core needle
was passed through the skin into the thyroid. The needle was used to remove the tissue. The tissue was
sent to pathology for examination. The patient tolerated the procedure well and was sent to the
recovery area.
CPT code(s): - Answers60100
Preoperative diagnosis: Hyperparathyroidism, primary
Postoperative diagnosis: Same
Procedure performed: Parathyroidectomy, left side
Procedure: The patient was prepped and draped in the usual sterile fashion. We proceeded with a
transverse collar incision on the left. Dissection went through the subcutaneous tissue until the platysma
muscles were identified. A subplatysma flap was created, and strap muscles were divided along the
midline. The thyroid gland was identified and slightly rotated into position so that the parathyroid on the
left was easily identified. The parathyroid was enlarged and somewhat calcified. This calcification
allowed for easy removal of the parathyroid without damage to the thyroid gland itself. The surrounding
structures were left in good condition, and the neck wound was closed in a layered fashion. The patient
left the surgical suite in excellent condition and was taken to recovery.
CPT co - Answers60500-LT
Preoperative diagnosis: Small mass on left adrenal
Postoperative diagnosis: 5-cm malignant neoplasm, left adrenal
Procedure: Adrenalectomy, left
Patient was prepped and draped in the usual sterile fashion. A 5-mm, 30-degree scope was used in
conjunction with two more 5-mm ports and one 11-mm port. Spleen, colon, and pancreas were all
carefully checked and showed no signs of disease. The adrenal was identified, and all vessels leading to
the adrenal were taken down carefully and without incident using a Harmonic scalpel. The mass was
identified. The left adrenal was carefully dissected and dropped easily into the bag, which was removed
through the 11-mm port site. The kidney was examined, and no sign of disease was noted, so we left the
area. The port sites were closed, and the patient was taken to the recovery area in good condition.
CPT code(s): - Answers60650-LT
Preoperative diagnosis: Right thyroid nodule
Postoperative diagnosis: Same
