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2018 Board Review Pre-Test:
Rejection: Cellular and Antibody Mediated
Rejection: Cellular and Antibody Mediated - Sean Pinney, MD
Please complete this brief Pre-Test to give a baseline for learning .
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1.
A 47 yo heart transplant recipient presents for routine EMB 9 months postoperatively.He is asymptomatic except for occasional fatigue. Histology shown below:
Which of the following is the next appropriate step?
(Required.)
A. Repeat EMB, the sample is non-diagnostic.
B. Order no further diagnostic test, the sample shows acute cellular rejection.
C. Proceed with IF and check serum for donor-specific antibodies.
D. Repeat EMB according to routine rejection surveillance schedule. No additional tests are needed.
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2.
Please provide your first and last name.
Pre-test questions will not be scored, your name is required solely to confirm completion.
(Required.)
First Name
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Last Name