CDIP Exam 1 Domain 3 question & answers 2023

CDIP Exam 1 Domain 3A physician documents pneumonia of the left lower lobe with crackles in the bases. The patient has difficulty swallowing day 2 of admission following CVA with infarct. The patient has a history of gastroesophageal reflux. It would be appropriate to query for: A. No query warranted B. Infectious pneumonia C. Aspiration pneumonia D. COPD with pneumonia - correct answer Aspiration pneumonia Physicians queries should: A. Be initiated on all admissions B. Be leading C. Be utilized to clarify ambiguous documentation D. Be performed by all heath care professionals - correct answer Be utilized to clarify ambiguous documentation A CDI program should allow concurrent documentation review to: A. educate clinical care providers B. allow providers to clarify hospital acquired conditions and present on admission indicators C. address areas of quality impact D. all of the above - correct answer all of the above A patient has a stage III pressure ulcer noted in the ED. While the patient is in the hospital for 6 days, the ulcer progresses to stage IV. The correct POA assignment would be: A. Y- yes B. N- No C. U- unknown D. None of the above - correct answer Y-yes The following query was found in a patient's health record. Which of the answers best applies to this query? Dr. Bean: this patient received IV Rocephin and Vancomycin: please document severe sepsis in the progress note to justify the drug utilization. A. This is a leading query. B. This query brings in information not documented within the chart and is appropriate C. This is a yes or no query D. This is an appropriate query - correct answer This is a leading query The following query was found in a patient's health record. Which of the answers best applies to this query? Dr. Bean: The patient was admitted with dizziness, coffee-ground emesis and severe, burning abdominal pain. The patient history of gastric ulcers with repeated admissions for alcoholism and habitual use of NSAIDS. Laboratory shows hemoglobin of 10 with transfusion of 2 units RBC's. Patient has anemia. Please document the type of anemia noted within your progress note. A. This is a leading query B. This query brings in information not documented within the chart and is inappropriate C. This is a yes or no query D. This is an appropriate query - correct answer This is an appropriate query The following query was found in a patient's health record. Which of the answers best applies to this query?