MCH Preparation
Q) Most common indication for Pediatric liver transplant (DNB SS)
A. Biliary atresia
B. Metabolic diseases
C. Alagille syndrome
D. HCV
a
Biliay atresia
MOst common cause or liver transplant in children.
Presents as persistent jaundice after birth. Etiology is not clear
Findings include absent extrahepatic ducts and gallbladder.
Biopsy is diagnostic
Q ) Most common malignancy in post-transplant individuals
A. PTLD
B. Skin- Squamous cell carcinoma
C. Kaposi sarcoma
D. CNS Lymphoma
Q) Causes of primary graft non function are A/E
a) Recipient with renal failure
b) Microsteatosis > 60%
c) Cold ischaemia time > 12hrs
d) Non heart beating donor
Discuss the causes of PNF-Primary non function of liver
Q) Banff Scoring system is for
a) Acute pyelonephritis
b) Chronic glomerulonephritis
c) Acute Rejection
d) Chronic renal graft rejection
Discuss what is banff score
What is the need of banff score
What are the components
What is the significance
Q ) False about lymphoproliferative disorders after solid organ transplant
a) Viral etiology is common
b) More common where doses of immunosuppression is more
c) Children are affected more than adults
d) T cell cycle is stimulated abnormally
a) Portal vein thrombosis is more common than Hepatic Artery thrombosis
b) Bile leak though common is not a significant problem in most
c) Any bleeding in post op period, patient should be taken to OT
d) Acute liver rejection is seen in 5-10% cases
Q) The significance of MELD Scoring in Liver transplant is :
a) Less ill patients are given more priority in liver transplant
b) Set threshold for patients who are too ill to undergo transplant.
c) To access mortality in the waiting list.
d) To list patients in cadaveric deceased donor program