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ACDIS CCDS-O Exam - Topic 1 Question 1 Discussion

Which diagnosis and treatment plan may generate a query?
D) Severe major depressive disorder and immunotherapy
A) Prostate carcinoma and luteinizing hormone-releasing hormone
B) Atrial fibrillation and amiodarone
C) Malnutrition and parenteral nutrition

ACDIS CCDS-O Exam - Topic 1 Question 1 Discussion

Actual exam question for ACDIS's CCDS-O exam
Question #: 1
Topic #: 1
[All CCDS-O Questions]

Which diagnosis and treatment plan may generate a query?

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Suggested Answer: D

Outpatient CDI queries are most commonly triggered when there is a disconnect between the documented diagnosis and the documented treatment plan, suggesting that the clinician may be managing an additional condition that is not clearly stated, or that the diagnosis is inaccurately documented. Options A and B reflect typical, clinically aligned management: luteinizing hormone-releasing hormone therapy is a standard treatment pathway for prostate carcinoma, and amiodarone is a recognized antiarrhythmic used in atrial fibrillation management in appropriate circumstances. Option C can also be clinically consistent because parenteral nutrition is often used when malnutrition is present and the patient cannot meet nutritional needs enterally. Option D is the outlier: ''immunotherapy'' is not a standard treatment for severe major depressive disorder and more commonly aligns with oncology or certain immune-mediated diseases. This mismatch would appropriately prompt a query to clarify the actual condition being treated (e.g., an active malignancy) or to confirm whether ''immunotherapy'' refers to something else (such as allergy immunotherapy) and whether depression is the correct, visit-relevant diagnosis being addressed.


Contribute your Thoughts:

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Keneth
22 days ago
C) Malnutrition and parenteral nutrition? Seems straightforward to me.
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Nadine
27 days ago
I think B) Atrial fibrillation and amiodarone is a solid choice.
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Rupert
1 month ago
A) Prostate carcinoma and luteinizing hormone-releasing hormone is pretty standard.
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Thurman
1 month ago
Wait, are we really using immunotherapy for depression now?
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Troy
1 month ago
C) Malnutrition and parenteral nutrition makes total sense!
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Elvera
2 months ago
D) Severe major depressive disorder and immunotherapy? Really?
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Brandee
2 months ago
I think B) Atrial fibrillation and amiodarone is a solid choice.
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Sherman
2 months ago
A) Prostate carcinoma and LHRH is pretty standard.
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Carin
2 months ago
I’m leaning towards option A because prostate carcinoma treatments can be complex, but I need to double-check if that’s a common query scenario.
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Terry
2 months ago
I feel like option D could be tricky; severe major depressive disorder and immunotherapy don't seem like a typical combo, which might prompt a question.
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Reyes
2 months ago
I remember practicing a question about atrial fibrillation and medications, but I can't recall if amiodarone specifically would raise any flags.
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Thurman
3 months ago
I think option C might generate a query since malnutrition and parenteral nutrition seem closely linked, but I'm not entirely sure.
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