Why is history major depression a counterindication to a lung transplant?

[CCOMER]

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just had a practice question on that... pt who is 50 yo has a pulmonary fibrosis and is due to a lung transplant. His IQ is 78. He as history of major depressive disorder (MDD). Which is the the strongest counterindication for lung transplant?

Correct answer: history of MDD

Any idea?

Here is a full question

51 man with pulmonary fibrosis, iq 78,history of major depressive disorder when asked about smoking he proclaimed quitting but his wife yelled at him that he didnt,during that he kept looking at his wallet to make sure all his cards r there
what s strongest contraindication not to do lung transplant

*mild mental ******ation
*marital discord
*major depression
*continued smoking
*obsessive compulsive disorder

 

[CCOMER]

MDD is apparently is astronger counterindication than countinued smoking

 

[ClockworkDoc]

It probably has something to do with compliance to therapy

 

[CCOMER]

ok, I entered full question

 

[CCOMER]

never mind.... I think correct answer is smoking

 

[TexasTriathlete]

Smoking is the one I've always heard, but I feel like MDD is in there somewhere too, and I can't remember why.

 

[tachyon34]

dude its not -_- thats what i put on my practice and i got it wrong -_-.......

the answer is smoking........ wow

 

[anumama]

no offense...but DUH! thats the same logic behind not giving a current drinker a liver transplant...

 

[tachyon34]

yea well i just wanted to put it out there so nobody else who saw the post would get it wrong like i did. There's no way i woulda put depression if I hadn't seen this post... just wanted to alert everyone that it was wrong

 

[badasshairday]

I don't get this. So misleading for no reason. 👎

 

[PokerDoc]

smoking cessation is the answer 99.999999% of the time when its an answer choice.. I base this off of a sample size of like 50 lol