CCS Transplant 2020

Question 1

What are three frailty assessment tools?

Answer 1

• Fried index (3 or more)
• Deficit Index
• Edmonton Frailty Scale

Question 2

What is BMI cut off (relative CI)

Answer 2

BMI > 35

Question 3

Name 5 desensitizing agents for high PRA?

Answer 3

PLEX

IVIG

Rituximab

Bortezomib

Eculizimab

Question 4

What are the two recommended agents for immunosuppression?

Answer 4

• CNI (Tac > Cyclosporine)

- MMF

Question 5

What to do with CNI/MMF maintenance therapy when Cancer diagnosed?

Answer 5

-Reduce maintenancy therapy and add Sirolimus

Question 6

What is time frame to wean cortocosteroids post transplant?

Answer 6

Within 1 year

Question 7

How to treat 2R rejection if Asymptomatic?

Answer 7

Oral corticosteroids

Question 8

How to treat 3R or symptomatic 2R?

Answer 8

IV Pulse steroids

Question 9

When to repeat EMB after Cellular rejection treated?

Answer 9

7-14 days

Question 10

When to treat AMR?

Answer 10

pAMR 2 or more, with graft dysfunction and or symptoms

Question 11

How to treat AMR?

Answer 11

IV steroids

Or PLEX

Or IVIG

Question 12

What are the two first line agents for hypertension? (benefit for CAV)

Answer 12

• ACEi

- CCB

Question 13

What is routine screening for transplant patients?

Answer 13

• Cervical, colon, prostate, breast ca

- annual skin cancer

Question 14

Who needs CMV prophylaxis?

Answer 14

• D+/R-

- Receptor+

Question 15

What is used for CMV prophylaxis?

Answer 15

Valgan for 3-6 months

Question 16

How to monitor for CMV infection post op?

Answer 16

Weekly for 12 weeks

Question 17

How long for PJP prophylaxis?

Answer 17

Septra for 1 year

Question 18

What is post transplant screening schedule for:

Skin Cancer 
Colon Cancer 
Breast Cancer 
Cervical Cancer 
CMV

Answer 18

Skin Cancer: annual

Colon Cancer: 2 years

Breast Cancer: 2 years

Cervical Cancer: 3 years

CMV: Weekly for 12 weeks