Pediatric Liver Transplant Jeopardy Template

Candidacy	Donor and Transplant Types	Management	Complications
100 12 years old What is the age cut off for MELD/PELD scoring system?	100 Age What is the most important donor factor?	100 PT/INR, PTT, Fibrinogen What labs are obtained as an indicator of the liver's synthetic function?	100 Sepsis or rejection What is the most common reason for readmission within the first 3 months post-transplant?
200 Biliary atresia What is the most common indication for a pediatric liver transplant?	200 Primary non-function or delayed graft rejection What risk does infection in the donor pose to the recipient? (List one)	200 To check the patency of hepatic vessels What is the function of doppler ultrasound post liver transplant?	200 Aggressive treatment with immunomodulators and high dose steroids How is acute rejection usually treated? (List one)
300 Albumin What lab value is especially taken into consideration for the PELD score that MELD does not?	300 Left Lateral Segment What segment of the liver is transplanted in a pediatric patient?	300 Adequate graft perfusion What is the overarching goal of maintaining a high cardiac output?	300 Tachycardia, fever, malaise, RUQ and right flank tenderness or pain, hepatomegaly, and increased ascites What are the clinical signs of acute rejection? (List 2)
400 Status 1A What transplant status would a fulminant liver failure qualify under?	400 True True or False: Split liver transplants yield comparable results to conventional, whole liver transplant techniques.	400 Calcineurin inhibitor What category of immunosuppressant is Tacrolimus?	400 Hepatic artery thrombosis, hepatic vein thrombosis, portal vein thrombosis What is one of the the vascular complications seen in the early post-op phase?
500 Extrahepatic malignancy, irreversible/severe neurologic injury, multi system organ failure, active uncontrolled sepsis, uncorrectable life-limiting defects in other critical organs (kidney, heart, lungs, immunodeficiency) What is one of the contraindications for a liver transplant? (List one)	500 Abdominal compartment syndrome What syndrome do you risk by using a bigger graft in a whole liver transplant?	500 Mycophenolate Mofetil (MMF) Which immunosuppresant is considered teratogenic, therefore females of child bearing age that are on this drug should be on birth control?	500 Decrease immunosuppression to promote clearance What is the treatment for EBV infection after transplant?

Pediatric Liver Transplant

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