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CLC 9
Latest notes & summaries Clc
What are Montgomery glands? 
 ANSWER: Sebaceous glands on areola that are a result of pregnancy hormones 
What do Montgomery glands do? 
 ANSWER: Allow milk to mix with sebum, makes milk sticky and anti-microbial 
Function of prolactin? 
 ANSWER: Pro-lactation. Makes milk. 
What stimulates prolactin? 
 ANSWER: Baby suckles/nipple stimulation stimulates brain to secrete prolactin into 
blood and that triggers body to respond 
Do all humans have prolactin? 
 ANSWER: Yes, everyone has prolactin al...
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What are Montgomery glands? 
 ANSWER: Sebaceous glands on areola that are a result of pregnancy hormones 
What do Montgomery glands do? 
 ANSWER: Allow milk to mix with sebum, makes milk sticky and anti-microbial 
Function of prolactin? 
 ANSWER: Pro-lactation. Makes milk. 
What stimulates prolactin? 
 ANSWER: Baby suckles/nipple stimulation stimulates brain to secrete prolactin into 
blood and that triggers body to respond 
Do all humans have prolactin? 
 ANSWER: Yes, everyone has prolactin al...
What is important in the prenatal period? 
 ANSWER: -Give information but not too much to overwhelm 
Find out if planning to breastfeed 
-Different types of learning 
-Women of silence: don't give too much information, emotionally, quietly listen 
-Receivers of knowledge: want to know the right information 
-Subjective knowers: what's in it for me, like group settings, knowledge based on 
experience 
-Procedural: invested in learning, want different opinions, change doctors often 
-Constructe...
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What is important in the prenatal period? 
 ANSWER: -Give information but not too much to overwhelm 
Find out if planning to breastfeed 
-Different types of learning 
-Women of silence: don't give too much information, emotionally, quietly listen 
-Receivers of knowledge: want to know the right information 
-Subjective knowers: what's in it for me, like group settings, knowledge based on 
experience 
-Procedural: invested in learning, want different opinions, change doctors often 
-Constructe...
The patterns of relationships that shape any society. Ex. government, law, business, 
labor, education, families. (Al these are social structures bc their existence is sustained 
and shaped by the relationships 
 ANSWER: social structures 
Social Structures that block justice 
 ANSWER: structures of sin 
the ability to overpower someone in a group , it is used as a force and a threat 
 ANSWER: power-over (domination) worldview 
Power is something to be used with and for others to bring about t...
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The patterns of relationships that shape any society. Ex. government, law, business, 
labor, education, families. (Al these are social structures bc their existence is sustained 
and shaped by the relationships 
 ANSWER: social structures 
Social Structures that block justice 
 ANSWER: structures of sin 
the ability to overpower someone in a group , it is used as a force and a threat 
 ANSWER: power-over (domination) worldview 
Power is something to be used with and for others to bring about t...
46 year-old female had a previous biopsy that indicated positive malignant margins 
anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade 
scalpel was used for full excision of an 8 cm lesion. Layered closure was performed 
after the removal. The specimen was sent for permanent histopathologic examination. 
What are the CPT® code(s) for this procedure? 
A. 11626 
B. 11626, 12004-51 
C. 11626, 12044-51 
D. 11626, 13132-51, 13133 
 ANSWER: C. 11626,12044-51 
A...
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46 year-old female had a previous biopsy that indicated positive malignant margins 
anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade 
scalpel was used for full excision of an 8 cm lesion. Layered closure was performed 
after the removal. The specimen was sent for permanent histopathologic examination. 
What are the CPT® code(s) for this procedure? 
A. 11626 
B. 11626, 12004-51 
C. 11626, 12044-51 
D. 11626, 13132-51, 13133 
 ANSWER: C. 11626,12044-51 
A...
A morbidly obese male with an unstable cervical fracture and a history of a difficult 
intubation (Mallampati class IV and mouth opening <15mm) is scheduled for a C3-4 
cervical fusion. Which intubation technique with in-line stabilization is MOST 
appropriate? 
a. Asleep Direct Laryngoscopy 
b. Awake video laryngoscopy 
c. Asleep fiberoptic bronchoscopy 
d. Awake fiberoptic bronchoscopy 
 ANSWER: D - Awake Fiberoptic Bronchoscopy 
Airway management with a supraglottic airway is CONTRAINDI...
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A morbidly obese male with an unstable cervical fracture and a history of a difficult 
intubation (Mallampati class IV and mouth opening <15mm) is scheduled for a C3-4 
cervical fusion. Which intubation technique with in-line stabilization is MOST 
appropriate? 
a. Asleep Direct Laryngoscopy 
b. Awake video laryngoscopy 
c. Asleep fiberoptic bronchoscopy 
d. Awake fiberoptic bronchoscopy 
 ANSWER: D - Awake Fiberoptic Bronchoscopy 
Airway management with a supraglottic airway is CONTRAINDI...
A useful definition of colic is: 
a) Any prolonged crying with no discernible reason 
b) Occurs before 3 months, lasts at least 3 hours/day, 3 times a week 
c) Crying that occurs despite the baby being full and dry 
d) Hard crying that can be soothed by breastfeeding 
 ANSWER: b) Occurs before 3 months, lasts at least 3 hours/day, 3 times a week 
Which of the following has been shown to have a negative effect on the milk production 
of a mother who is pumping long-term for her preterm infant? 
...
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A useful definition of colic is: 
a) Any prolonged crying with no discernible reason 
b) Occurs before 3 months, lasts at least 3 hours/day, 3 times a week 
c) Crying that occurs despite the baby being full and dry 
d) Hard crying that can be soothed by breastfeeding 
 ANSWER: b) Occurs before 3 months, lasts at least 3 hours/day, 3 times a week 
Which of the following has been shown to have a negative effect on the milk production 
of a mother who is pumping long-term for her preterm infant? 
...
What part of Medicare covers prescription drug services 
 ANSWER: Part D 
What is medical coding? 
 ANSWER: Translating medical documentation into codes. 
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, 
Pharmacies 
 ANSWER: Workers compensation 
What is an NCD (National Coverage Determination) interpreted at the MAC level 
considered? 
 ANSWER: LCD (Local Coverage Determinations) 
When should an ABN (Advance Beneficiary Notification) be signed? 
 ANSWER: when a s...
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What part of Medicare covers prescription drug services 
 ANSWER: Part D 
What is medical coding? 
 ANSWER: Translating medical documentation into codes. 
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, 
Pharmacies 
 ANSWER: Workers compensation 
What is an NCD (National Coverage Determination) interpreted at the MAC level 
considered? 
 ANSWER: LCD (Local Coverage Determinations) 
When should an ABN (Advance Beneficiary Notification) be signed? 
 ANSWER: when a s...
How long breastfeeding been recognized as a public health priority? 
 ANSWER: 1930s in tropical climates, 1990s in the US 
_________ and ________ are leading killers of children under 5. 
 ANSWER: Pneumonia; diarrhea 
In 2015, 1 in ___ childhood deaths were due to pneumonia. 
 ANSWER: 6 
In 2015, 1 in ___ childhood deaths were due to diarrhea. 
 ANSWER: 10 
According the 'First 1,000 Days Campaign' ___ million children die from malnutrition 
each year and ___% are stunted from chronic malnutr...
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How long breastfeeding been recognized as a public health priority? 
 ANSWER: 1930s in tropical climates, 1990s in the US 
_________ and ________ are leading killers of children under 5. 
 ANSWER: Pneumonia; diarrhea 
In 2015, 1 in ___ childhood deaths were due to pneumonia. 
 ANSWER: 6 
In 2015, 1 in ___ childhood deaths were due to diarrhea. 
 ANSWER: 10 
According the 'First 1,000 Days Campaign' ___ million children die from malnutrition 
each year and ___% are stunted from chronic malnutr...
What are green/shiny stools a sign of? 
 ANSWER: -sign of overproduction leading to less fat in milk, faster digestion 
causing not enough time for lactase to digest the lactose in milk. An improved latch 
could allow for more fat flow 
Signs of oversupply 
 ANSWER: Rapid weight gain in infant, unsettled baby after feeding, recurrent 
plugged ducts and mastitis, painful feedings, voluminous (huge volumes of) stoolsoften green & shiny 
What causes nipple pain? 
 ANSWER: Improper latch--> n...
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What are green/shiny stools a sign of? 
 ANSWER: -sign of overproduction leading to less fat in milk, faster digestion 
causing not enough time for lactase to digest the lactose in milk. An improved latch 
could allow for more fat flow 
Signs of oversupply 
 ANSWER: Rapid weight gain in infant, unsettled baby after feeding, recurrent 
plugged ducts and mastitis, painful feedings, voluminous (huge volumes of) stoolsoften green & shiny 
What causes nipple pain? 
 ANSWER: Improper latch--> n...