Veterinary Medicine - February 2008 - (Page 102) Managing feline kidney transplant patients PEER-REVIEWED CE You can earn two hours of Continuing Education credit from Kansas State University by answering the following questions on managing feline kidney transplant patients. Circle only the best answer for each question, and transfer your answers to the form on page 118 or take the test online at https://www.dce.ksu.edu/ce/vetmed/. This test expires March 1, 2009. Article #1 6. Which statement is true regarding cyclosporine? a. Cyclosporine dosing is monitored by measuring whole blood trough concentrations. b. Metabolism of cyclosporine is not affected by other drugs. c. Cyclosporine is gradually tapered over six to 12 months after transplantation. d. Cyclosporine has minimally increased the survival of transplant recipients. e. A presurgical serum cyclosporine concentration is not measured in transplant recipients. 1. Cats with previously documented positive urine culture results are eligible for renal transplantation: a. After an appropriate course of antibiotics is prescribed b. After a follow-up urine culture does not result in any growth c. After a trial course of cyclosporine and a negative culture result d. Depending on the bacterial species that has been isolated e. None of the above—cats with previous urinary tract infections are ineligible for transplantation. 7. Which statement is true regarding patient management during the transplantation surgery? a. Atracurium besylate is avoided because of possible renal ischemia. b. Mannitol may reduce acute tubular necrosis. c. Opioids are avoided in standard transplantation anesthetic protocols. d. Intermittent bolus dosing of dopamine is used as needed for hypotension. e. Blood gas analysis is rarely used for monitoring. 2. Which is not a contraindication for renal transplantation in cats? a. FeLV infection b. Type B blood type c. Untreated hyperthyroidism d. Urinary tract infection e. Severe cardiomyopathy 3. Which drug may be administered in select patients to decrease the cyclosporine dose? a. Enrofloxacin b. Amlodipine c. Calcitriol d. Ketoconazole e. Prednisone 8. Which vessels are the preferred site of anastomosis for the transplanted kidney? a. External iliac vessels b. Renal artery and vein c. Portal vein and mesenteric artery d. Postrenal aorta and vena cava e. Internal iliac artery and vein 4. Which is not an immediate postoperative complication in renal transplant recipients? a. Seizures b. Hypertension c. Acute graft rejection d. Heart failure e. Ureteral obstruction 9. How soon after transplantation should renal function return to normal? a. Within 24 hours b. Three to five days c. 10 to 14 days d. Over three to six months e. Up to 12 months 5. The most common infection seen in renal transplant recipients is: a. Toxoplasmosis b. Bacterial urinary tract infections c. Retroviral (FeLV and FIV) infection d. Tritrichomoniasis e. Cryptococcosis 10. Which is not a possible sign of graft rejection? a. A rising serum creatinine concentration b. Anorexia c. Isosthenuria d. Hydronephrosis e. Nonspecific signs of illness 102 February 2008 VETERINARY MEDICINE https://www.dce.ksu.edu/ce/vetmed/
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