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Cardiac transplantation Quiz

By Syed Faaz Ashraf / February 9, 2026

Cardiac transplantation Quiz

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Question 1 of 11

1. Question

Which of the following does not increase the risk of having a positive PRA test during heart transplantation:

a. Pregnancy
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b. Ischemic cardiomyopathy as the heart failure etiology
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c. Blood transfusions in the past
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d. LVAD support prior to transplantation
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Question 2 of 11

2. Question

Which of the following is an incorrect first line strategy for the treatment of a post cardiac transplant patient presenting with rejection associated with hemodynamic compromise?

a. Inotropic support
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b. Methylprednisolone
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c. Stopping of thymoglobulin or OKT3
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d. Invasive hemodynamic monitoring
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Question 3 of 11

3. Question

Which of the following is not needed during donor/recipient matching for heart transplantation:

a. ABO compatibility
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b. Size compatibility
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c. HLA matching
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d. Anti-HLA antibodies detection
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Question 4 of 11

4. Question

Which of the following is false regarding post cardiac transplant malignancies:

a. The rate of primary malignancies is the same, however, the rate of re-activation of prior malignancies is higher than the general population
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b. Some malignancies are associated with prior posttransplant infections
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c. Posttransplant lymphoproliferative disorder is related to EBV infection
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d. CNS involvement of patients with posttransplant lymphoproliferative disease is an indicator of worse outcomes.
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Question 5 of 11

5. Question

Which of the following does not increase the risk of having a positive Panel-Reactive Antibody (PRA) test during heart transplantation:

a. Pregnancy
Correct Incorrect Correct answer

b. Ischemic Cardiomyopathy as Heart Failure Etiology
Correct Incorrect Correct answer

c. Blood Transfusions in the past
Correct Incorrect Correct answer

d. LVAD support prior to transplant
Correct Incorrect Correct answer

Correct

Incorrect
Question 6 of 11

6. Question

Which of the follow is NOT a contraindication for cardiac transplantation:

a. Chronic pulmonary hypertension
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b. Very advanced recipient age
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c. Active malignancy
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d. Previous heart transplantation now with advanced CAD
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Question 7 of 11

7. Question

Which of the following is false regarding modern day post heart transplant rejection?

a. It is rare given improvements in medical therapy
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b. Most episodes of rejection are not associated with hemodynamic compromise
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c. Younger age is a risk factor for increased risk of rejection
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d. Female gender is a risk factor for increased risk of rejection
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Question 8 of 11

8. Question

Which of the following is false regarding post cardiac transplant infections:

a. Viral infections can be life threatening
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b. Bacterial infections normally present late (after 3 months)
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c. The most affected organ is normally the lung
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d. May be associated with future malignancy
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Question 9 of 11

9. Question

Which of the following parameters is not typically seen in primary graft dysfunction in the post operative period following cardiac transplantation:

a. Increased left sided filling pressures
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b. Persistent sinus tachycardia
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c. Decreased systolic function
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d. Right ventricular dilation
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Question 10 of 11

10. Question

Which of the following is not an advantage of performing a bi-caval implantation over a bi-atrial implantation during heart transplantation:

a. Shorter dissection time while preparing the recipient
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b. Decreased risk of arrhythmias after transplant
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c. Improved tricuspid valve function
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d. Improved atrial contractility
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Question 11 of 11

11. Question

After cardiac transplantation, which of the following types of rejection are associated with fibrinogen and immunoglobulins seen on endomyocardial biopsy under immunofluorescence:

a. Cellular rejection
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b. Acute rejection
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c. Chronic rejection
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d. Humoral rejection
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