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Absite Topic Review General Surgery Nir Hus, MD, PhD. Mount Sinai Medical Center Miami Beach
Transplantation
Q1 – Two weeks s/p renal transplant, a pt. developes res. Insufficiency requiring adm. To ICU.  CXR shows diffuse infiltrates & BAL show cells w/ inclusion bodies.  The most appropriate therapy is: ,[object Object],[object Object],[object Object],[object Object]
Q2 – Hyperacute rejection following organ trans. Is most often due: ,[object Object],[object Object],[object Object],[object Object]
Q3 – Hyperacute rejection is an example of hypersensitivity reaction type: ,[object Object],[object Object],[object Object],[object Object]
Q4 – Successful Tx of hyperacute rejection usually involves ,[object Object],[object Object],[object Object],[object Object]
Q5 – The machanism of cyclosporin is: ,[object Object],[object Object],[object Object],[object Object]
Q6 -  The mechanism of azathioprine is: ,[object Object],[object Object],[object Object],[object Object]
Q7 – The most common malignancy following transplantation is: ,[object Object],[object Object],[object Object],[object Object]
Q8 – A positive cross-match means: ,[object Object],[object Object],[object Object],[object Object]
Q9 – A cross-match is performed by: ,[object Object],[object Object],[object Object],[object Object]
Q10 – Post-transplant lymphoproliferative disorder has been most commonly linked to: ,[object Object],[object Object],[object Object],[object Object]
Q11 -  A 35 yo man POD#6 from a cadaveric renal trans. Developes a rise in Cr. The most appropriate next step is: ,[object Object],[object Object],[object Object],[object Object]
Q12 – in the previous pt. the US shows  flow acceleration of the renal artery.  The next appropriate step is: ,[object Object],[object Object],[object Object],[object Object]
Q13 – in the previous pt. the US is normal.  The next appropriate step is: ,[object Object],[object Object],[object Object],[object Object]
Q14 - in the previous pt. the Bx. shows acute tubulitis.  This is consistent w/: ,[object Object],[object Object],[object Object],[object Object]
Q15 – New proteinnuria in a pt. following renal trans. Is most consistent w/: ,[object Object],[object Object],[object Object],[object Object]
Q16 – Most common cause of acute death in a living related renal trans. Is: ,[object Object],[object Object],[object Object],[object Object]
Q17 – Most common cause of acute death following renal trans. In a recipient is: ,[object Object],[object Object],[object Object],[object Object]

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Nir Hus MD, PhD., Absite review q11

Hinweis der Redaktion

  1. http://www.rad.washington.edu/mskbook/facialfx.html
  2. A- CMV infection – inclusion bodies in macrophages
  3. A involves preformed recipiant AB.
  4. B
  5. B
  6. B – this complex inhibits IL2,3,4, INF-gamma
  7. C – in the liver
  8. D
  9. C
  10. A
  11. C
  12. D – 1 st step
  13. B - stent
  14. D - stent
  15. A – start pulse steroids. Re Bx in 5-7 days.
  16. D
  17. A
  18. C