Pre-Test: Session 6 - MCS/Transplant

Session 6 of 2017 Comprehensive Heart Failure Update & Review

Question Title

* 1. The following are options for Stage D patients:

A. Transplant

B. LVAD

C. Palliative and hospice care

D. Long-term IV inotropes

E. All of the above

Question Title

* 2. A 60 year old man 3 months after receiving a heart transplant complains of non-bloody diarrhea. He’s had one episode of asymptomatic grade 1R rejection. Which of the following is the most appropriate choice?

A. Stop mycophenolate mofetil (MMF) and start azathioprine

B. Decrease the MMF dose

C. Start cholestyramine

D. Stop MMF and start sirolimus

E. Decrease the tacrolimus dose

Question Title

* 3. A 48 year old woman with peri-partum cardiomyopathy received a continuous flow left ventricular assist device as a bridge to heart transplantation. She states compliance with anti-hypertensive medicines and anticoagulants. Six months after device implant she presents to the office for a follow up appointment. She reports the new onset of shortness of breath. She describes a change in urine color. She has not noticed any increase in pump power. Which of the following is correct?

A. She could be sent home as long as the INR is therapeutic.

B. She should be admitted to the hospital and given a thrombolytic.

C. She should have an echo ramp study performed

D. She should be taken immediately to the operating room for a device exchange.

E. She should stop taking aspirin and start taking clopidogrel.

Question Title

* 4. Please provide your first and last name.
Pre-test questions will not be scored, your name is required solely to confirm completion.

First Name & Last Name