Deck 20: Sonographic Techniques in the Transplant Patient

Question 1

Select the group that maintains a centralized computer network system for all organ procurement organizations and transplant centers.

A) UNOS
B) NASH
C) PBC
D) MELD

Answer 1

A

Question 2

Identify the normal resistive index (RI) in the hepatic artery of a transplant patient.

A) ?0.20
B) ± 0.80
C) 0.30 to 0.45
D) 0.50 to 0.70

Answer 2

0.50 to 0.70

Question 3

Which of the following scoring methods helps determine the urgency of a liver transplant in children 12 and under?

A) MELD
B) PELD
C) UNOS
D) WHO

Answer 3

B

Question 4

What is the most common cause of renal transplants?

A) Chronic infection
B) Glomerulonephritis
C) Renal failure
D) Acute nephrolithiasis

Question 5

Which of the following best indicates the presence of an arteriovenous fistula (AVF)?

A) Flow aliasing
B) Absence of color flow
C) Low resistive index (RI)
D) Focal cystic areas

Question 6

Choose the indicator of a proximal stenosis in an intraparenchymal artery in the transplanted pancreas.

A) Pulsatile flow
B) High pulsatility index
C) Low resistive index (RI)
D) Normal color flow

Question 7

Which of the following is a rare complication that results from hyperacute rejection of post-transplant pancreas patient?

A) Acute pancreatitis
B) Infection and abscess
C) Pancreatic venous thrombosis
D) Thrombosis and graft loss

Question 8

Which intervention is used in hopes to cure type 1 diabetes.

A) Insulin injections
B) Islet cell grafting
C) Pancreatic transplant
D) Renal transplant

Question 9

Select the renal transplant complication that occurs within the first week of transplantation.

A) Renal vein thrombosis
B) Chronic renal failure
C) Urinary obstruction
D) Renal artery stenosis

Question 10

How would you determine stenosis in a transplanted kidney?

A) Take a blood pressure
B) Perform a resistive index
C) Do a gain study
D) Check bladder wall thickness

Question 11

What is the first step to formally become an organ donor?

A) Register as an organ donor
B) Develop an organ donation protocol
C) Perform above-average sonographic examinations
D) Talk to your family

Question 12

More than ________ of renal transplants develop an infection in the first year.

A) one third
B) 50%
C) one in five
D) 80%

Question 13

Which of the following vessels is anastomosed with the new liver during a liver transplant procedure?

A) IVC
B) Cystic artery
C) SMA
D) Aorta

Question 14

When is the baseline liver sonogram performed after a liver transplant procedure?

A) Within 1 day after surgery
B) Day 0 or immediately after surgery
C) 7 days after surgery
D) 3 days after surgery

Question 15

What is the most common cause of liver transplant failure?

A) Rejection
B) Infection
C) Abscesses
D) Vascular compromise

Question 16

Choose the normal resistive index (RI) range in the arcuate artery of a transplanted kidney.

A) 250 cm/sec
B) 3.0
C) 0.60 to 0.70
D) > 0.90

Question 17

What technique parameter helps spread out the waveform during a spectral Doppler study of a renal allograft?

A) Overall gain
B) Sweep speed
C) Angle correct
D) Scale