Transplant

Question 1

Levels of Osteopenia

Answer 1

-1 to -2.5

Question 2

Levels of Osteoporosis

Answer 2

-2.5 or higher

Question 3

Calcium Channel Blockers

Answer 3

Affect tacro and cyclo

Question 4

Warrants Dexa Scan

Answer 4

chronic steroid use and chronic use diuretics

Question 5

Meds typically associated with gingival hyperplasia

Answer 5

cyclosporine, anticonvulsants, ca channel blockers

Question 6

Cyclosporine

Answer 6

Hypertension

Question 7

Antiproliferative Agent

Answer 7

Mycophenolate mofetil

Question 8

Anti-thymocyte globulin shown to reduce

Answer 8

Delayed graft function

Question 9

Medications not removed by dialysis

Answer 9

tacro, mycophenolate, antithymocyte globulin, cyclosporine

Question 10

Herbs

Answer 10

SUBtheraputic drug levels (i.e. St. John’s Wort)

Question 11

Least impact on WBC

Answer 11

Cyclosporine

Question 12

AMR

Answer 12

vascular inflammation and damge. Endothelial activation and intravascular macrophages and capillary destruction. Treat with IVIG (Rituximab)

Question 13

Release in the stomach

Answer 13

Mycophenolate

Question 14

Released in small intestine

Answer 14

Myfortic

Question 15

Can cause protein in urine

Answer 15

Sirolimus

Question 16

“Mycins”

Answer 16

Increase tacrolimus levels

Question 17

Tacrolimus

Answer 17

Lower Mag, increase K and increase lipids

Question 18

Renal Artery Stenosis

Answer 18

Uncontrolled hypertension, impaired renal function, bruit over anastomosis. Need angioplasty to dilate or surgical repair.

Question 19

Liver Rejection

Answer 19

increased LFTs, pain, jaundice, dark urine, ascites, fever

Question 20

Kidney Rejection

Answer 20

Increased BUN/Cr, decreased urine output, weight gain, pain, edema, fever

Question 21

Heart Rejection

Answer 21

Arrhythmia, tachy or brady, hypotension, SOB, weight gain, fatigue, fever

Question 22

Lung Rejection

Answer 22

SOB, fatigue, prod. cough, fever

Question 23

Pancreas Rejection

Answer 23

Hyperglycemia

Question 24

Intestinal Rejection

Answer 24

change in stool output, fatigue, pain or distention, dusky stoma, weight loss, fever

Question 25

Severity of cellular rejection

Answer 25

Based on Degree of tubilitis and arteritis

Question 26

Renal Vein Stenosis

Answer 26

Kidney cannot be salvaged; expect return to dialysis and list for retransplant

Question 27

Priority when offering deceased kidney donor

Answer 27

highly sensitized, patients who are 0mm with donor, pediatric patients

Question 28

Lung Cold ischemia times

Answer 28

6 hours

Question 29

Heart Cold Ischemia

Answer 29

4 hours

Question 30

Liver Cold Ischemia

Answer 30

12 hours

Question 31

Small Intestine Ischemia

Answer 31

6 hours

Question 32

Kidney Cold ischemia

Answer 32

24 hours