Transplants

Question 1

Scoring system for assessing the severity of chronic liver disease

Answer 1

MELD(Model for End-Stage Liver Disease)

Question 2

The most common cause for liver transplants in US

Answer 2

1. Chronic Hep C

2. Alcohol

Question 3

A low RI in a liver transplant can indicate a ________

Answer 3

Proximal stenosis

Question 4

A high RI in a liver transplant can indicate:

Answer 4

• rejection

- hepatic venous congestion

Question 5

The most common cause for liver transplant failure is

Answer 5

Rejection

Question 6

Liver—

• Low RI (less than 0.5)
• velocity >200 cm/s
• tardus parvus waveform

These indicate:

Answer 6

Hepatic artery stenosis

Question 7

The most common vascular complication of liver transplantation is

Answer 7

HA thrombosis

Question 8

Biliary complications typically occur within _____ after liver transplantation

Answer 8

First 3 months

Question 9

____ is the most common biliary complication after liver transplantation

Answer 9

Obstruction

Question 10

Recurrence of HCC is seen in about ___% of patients after their transplant

Answer 10

40%

Question 11

The most common site of HCC recurrence is ____

Answer 11

Lung

Question 12

Portal venous gas is (common/uncommon) during the early postoperative period.

Answer 12

Common

Question 13

TIPS is placed between:

Answer 13

RPV & RHV

Question 14

After TIPS, the RPV and LPV will demonstrate ____ flow

Answer 14

Hepatofugal

Question 15

Velocity for TIPS malfunction:

Answer 15

<50 cm/s or >190 cm/sec

Question 16

After TIPS, MPV will have _____ flow

Answer 16

Hepatopetal

Question 17

Most common cause for renal transplantation:

Answer 17

Chronic end-stage renal disease or renal failure(ESRD)/chronic renal failure

Question 18

Most common cause of disease leading to kidney transplant

Answer 18

Diabetes

Question 19

A low RI can be a strong indicator of a _______ in renal transplantation

Answer 19

Proximal stenosis

Question 20

A high RI may indicate ____ in renal transplantation

Answer 20

Rejection

Question 21

Renal velocity should be below:

Answer 21

Below 250 cm/s

Question 22

_____ occurs in 80% of renal transplant patients in the first year

Answer 22

Pyelonephritis

Question 23

The most common complications within first year of renal transplantation are:

Answer 23

• rejection

- Acute Tubular Necrosis

Question 24

The most common peri-transplant fluid collection

Answer 24

Lymphoceles

Question 25

RCC and TCC is ___ in a renal transplant

Answer 25

Rare

Question 26

The most severe complication found in solid organ as well as stem cell transplantation

Answer 26

Post-Transplant Lymphoproliferative Disorder (PTLD)

Question 27

Seromas are most common along the:

Answer 27

Vascular anatomoses sites

Question 28

Renal transplants are at a higher risk for developing:

Answer 28

Urinary calculi

Question 29

The most common site of obstruction in renal transplants is at:

Answer 29

The site of ureteral implantation in the bladder

Question 30

In the early stages following transplantation, _____ is the most common cause of HYPERTENSION

Answer 30

Acute rejection

Question 31

Most common complication of renal biopsy

Answer 31

Bleeding

Question 32

Scoring system used to assess inflammation and fibrosis of liver

Answer 32

METAVIR

Question 33

Most common cause of renal artery stenosis

Answer 33

Atherosclerosis

Question 34

Most common post renal transplant fluid collection(within 24 hours)

Answer 34

Hematoma

Question 35

Most common vascular complication of renal transplantation

Answer 35

Renal artery stenosis