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Category: Critical Care Medicine-Renal, Electrolyte and Acid Base Disorders--->Renal Transplantation
Page: 1

Question 1#Print Question

Which of the following is the MOST appropriate initial treatment for acute rejection of a renal allograft?

A. 3.375 g piperacillin/tazobactam
B. Plasmapheresis
C. 500 mg IV methylprednisolone
D. Rabbit antithymocyte globulin


Question 2#Print Question

A 54-year-old man is 18 months post kidney transplant. He presents with headaches and oliguria. Serum creatinine is 2.5 mg/dL from a baseline of 1.32 post transplant. His blood pressure is 190/101 mm Hg. He has no focal neurological signs. On reviewing his operative note from the kidney transplant, you note that the renal allograft was deemed a “difficult procurement,” and his postoperative course was complicated by delayed graft function (DGF). Biopsy is not consistent with rejection.

Which of the following is the next best step in workup of this patient?

A. CT abdomen
B. Renal ultrasound
C. 24 hour urine catecholamines
D. Renal arteriography


Question 3#Print Question

A 63-year-old woman is 5 hours post live donor renal transplant and is complaining of abdominal pain. The nurse looking after the patient notices that the urinary catheter has not drained any urine in the last 90 minutes despite 1:1 replacement of fluids (1 mL of crystalloid infusion for every 1 mL of urine output during the previous hour). Obstruction of the catheter is ruled out.

Which of the following is the most likely cause? 

A. Postoperative hemorrhage
B. Hyperacute rejection
C. Renal artery thrombosis
D. Bladder rupture


Question 4#Print Question

Delayed graft function (DGF) after renal transplant is most commonly defined as:

A. Dialysis requirement within 7 days of transplantation
B. Failure of decrease in serum creatinine after transplantation
C. Proteinuria >1 g/d
D. Urine output <0.5 mL/kg for 1 week




Category: Critical Care Medicine-Renal, Electrolyte and Acid Base Disorders--->Renal Transplantation
Page: 1 of 1