Question 1

It is best to avoid any dental treatment for how long a period following transplantation?

Accepted Answer

A)  7 to 10 days 
B)  2 to 4 weeks 
C)  6 months 
D)  2 years 
A)  7 to 10 days 
B)  2 to 4 weeks 
C)  6 months 
D)  2 years C

Question 2

A bone graft from a donor who is a parent would be an example of (a/an)__________ bone graft.

Accepted Answer

A)  syngeneic 
B)  autologous 
C)  allogeneic 
D)  xenograft 
A)  syngeneic 
B)  autologous 
C)  allogeneic 
D)  xenograft C

Question 3

Which of the following is the most common viral infection in the posttransplant patient?

Accepted Answer

A)  hepatitis B 
B)  hepatitis C 
C)  cytomegalovirus (CMV) 
D)  Epstein-Barr virus (EBV) 
A)  hepatitis B 
B)  hepatitis C 
C)  cytomegalovirus (CMV) 
D)  Epstein-Barr virus (EBV) C

Question 4

Which of the following types of organ transplants has the best chance for success?

Accepted Answer

A)  allogeneic 
B)  syngeneic 
C)  xenograft 
A)  allogeneic 
B)  syngeneic 
C)  xenograft

Question 5

Which of the following are oral findings that may indicate overimmunosuppression?

Accepted Answer

A)  leukoedema 
B)  aphthous ulcers 
C)  lingual varicies 
D)  ranula 
A)  leukoedema 
B)  aphthous ulcers 
C)  lingual varicies 
D)  ranula

Question 6

Which of the following is the standard immunosuppressive drug used to prevent organ graft rejection?

Accepted Answer

A)  tacrolimus 
B)  cyclosporine 
C)  cyclophosphamide 
D)  daclizumab 
A)  tacrolimus 
B)  cyclosporine 
C)  cyclophosphamide 
D)  daclizumab

Question 7

Which of the following is true of graft-versus-host disease (GVHD)as a consequence of allogenic bone marrow transplantation?

Accepted Answer

A)  It is treated by increasing the dosage of immunosuppressive agents and is rarely fatal. 
B)  Acute GVHD will appear within 7 to 10 days following the transplant. 
C)  Acute GVHD is characterized by mucosal, skin, liver, and gastrointestinal tract involvement. 
D)  Chronic GVHD occurs within the first 3 months after transplantation. 
A)  It is treated by increasing the dosage of immunosuppressive agents and is rarely fatal. 
B)  Acute GVHD will appear within 7 to 10 days following the transplant. 
C)  Acute GVHD is characterized by mucosal, skin, liver, and gastrointestinal tract involvement. 
D)  Chronic GVHD occurs within the first 3 months after transplantation.

Question 8

Overimmunosuppression increases the risk for ____________,and underimmunosuppression increases the risk for ________________ during the stable posttransplantation period.

Accepted Answer

A)  acute rejection; acute rejection 
B)  acute rejection; infection 
C)  infection; acute rejection 
D)  infection; infection 
A)  acute rejection; acute rejection 
B)  acute rejection; infection 
C)  infection; acute rejection 
D)  infection; infection

Question 9

During the immediate posttransplantation period,the patient will be started on immunosuppressive therapy to prevent which of the following types of cells from destroying the graft?

Accepted Answer

A)  plasma cells 
B)  cytotoxic T cells 
C)  polymorphonuclear leukocytes (PMNs) 
D)  monocytes 
A)  plasma cells 
B)  cytotoxic T cells 
C)  polymorphonuclear leukocytes (PMNs) 
D)  monocytes

Question 10

What test is performed following heart transplantation in order to check for signs of acute or chronic rejection?

Accepted Answer

A)  computed tomography (CT) scan 
B)  magnetic resonance imaging (MRI) 
C)  right ventricular biopsy 
D)  stress-test electrocardiogram (ECG) 
A)  computed tomography (CT) scan 
B)  magnetic resonance imaging (MRI) 
C)  right ventricular biopsy 
D)  stress-test electrocardiogram (ECG)

Question 11

Patients with ___________ have the greatest chance of success from bone marrow transplantation (BMT).

Accepted Answer

A)  aplastic anemia 
B)  chronic myelogenous leukemia 
C)  lymphoma 
D)  Hurler syndrome 
A)  aplastic anemia 
B)  chronic myelogenous leukemia 
C)  lymphoma 
D)  Hurler syndrome

Question 12

Which of the following types of transplant recipients has the highest reported 1-year patient survival rate?

Accepted Answer

A)  liver 
B)  intestine 
C)  kidney 
D)  lung 
A)  liver 
B)  intestine 
C)  kidney 
D)  lung

Question 13

If the level of anticoagulation of a transplant patient is greater than that for an international normalized ratio (INR)of ___,the dosage of medication may need to be reduced by the patient's physician.

Accepted Answer

A)  1.5 
B)  2.5 
C)  3.5 
D)  4.5 
A)  1.5 
B)  2.5 
C)  3.5 
D)  4.5

Question 14

The "implantation response" may be seen with which of the following types of transplantation?

Accepted Answer

A)  kidney 
B)  spleen 
C)  heart-lung 
D)  liver 
A)  kidney 
B)  spleen 
C)  heart-lung 
D)  liver

Exam 21: Organ and Bone Marrow Transplantation

It is best to avoid any dental treatment for how long a period following transplantation?

A bone graft from a donor who is a parent would be an example of (a/an)__________ bone graft.

Which of the following is the most common viral infection in the posttransplant patient?

Which of the following types of organ transplants has the best chance for success?

Which of the following are oral findings that may indicate overimmunosuppression?

Which of the following is the standard immunosuppressive drug used to prevent organ graft rejection?

Which of the following is true of graft-versus-host disease (GVHD)as a consequence of allogenic bone marrow transplantation?

Overimmunosuppression increases the risk for ____________,and underimmunosuppression increases the risk for ________________ during the stable posttransplantation period.

During the immediate posttransplantation period,the patient will be started on immunosuppressive therapy to prevent which of the following types of cells from destroying the graft?

What test is performed following heart transplantation in order to check for signs of acute or chronic rejection?

Patients with ___________ have the greatest chance of success from bone marrow transplantation (BMT).

Which of the following types of transplant recipients has the highest reported 1-year patient survival rate?

If the level of anticoagulation of a transplant patient is greater than that for an international normalized ratio (INR)of ___,the dosage of medication may need to be reduced by the patient's physician.

The "implantation response" may be seen with which of the following types of transplantation?

Patient Evaluation and Risk Assessment

Infective Endocarditis

Hypertension

Ischemic Heart Disease

Cardiac Arrhythmias

Heart Failure or Congestive Heart Failure

Pulmonary Disease

Smoking and Tobacco Use Cessation

Sleep-Related Breathing Disorders

Liver Disease

Gastrointestinal Disease

Chronic Kidney Disease and Dialysis

Sexually Transmitted Diseases

Diabetes Mellitus

Adrenal Insufficiency

Thyroid Diseases

Pregnancy and Breast Feeding

Aids, HIV Infection, and Related Conditions

Allergy

Rheumatologic and Connective Tissue Disorders

Disorders of Red Blood Cells

Disorders of White Blood Cells

Acquired Bleeding and Hypercoagulable Disorders

Congenital Bleeding and Hypercoagulable Disorders

Cancer and Oral Care of the Cancer Patient

Neurologic Disorders

Anxiety, eating Disorders, and Behavioral Reactions to Illness

Psychiatric Disorders

Drug and Alcohol Abuse

Filters

Overimmunosuppression increases the risk for ,and underimmunosuppression increases the risk for ____ during the stable posttransplantation period.