ABSITE transplant questions and answers with solutions 2025

ABSITE transplant questions and answers
with solutions 2025
warm ischemia time -O O O



ANSWER prior to organ removal when normothermic and after cold preservation prior to reperf
O O O O O O O O O O O O O O



usion



cold ischemia time -
O O O



OANSWER period from time of cooling organ to removal from cold preservation solution
O O O O O O O O O O O O




when does injury to transplanted organ happen? - ANSWER reperfusion -
O O O O O O O O O O



after cold ischemia when the organ is revascularized - ischemia reperfusion injury
O O O O O O O O O O O O




intracellular preservation solutions (3) - ANSWER Euro-Collins solution
O O O O O O O




HTK



University of Wisconsin solution O O O




all provide electrolyes that decrease cellular swelling during preservation time
O O O O O O O O O




which solution provides extended preservation of the liver and pancreas? -
O O O O O O O O O O



ANSWER University of Wisconsin solution
O O O O O




most common aberrant anatomy during KINDNEY transplant - ANSWER - kidney -
O O O O O O O O O O O



multiple renal arteries (10%)
O O O O




- lower pole of right renal artery passing in front of IVC rather than behind
O O O O O O O O O O O O O O

,-retroaortic left renal vein O O O




most common aberrant anatomy during LIVER transplant -
O O O O O O O



ANSWER aberrant right hepatic artery arising from the SMA (rather than celiac trunk)
O O O O O O O O O O O O O




most common aberrant anatomy during PANCREAS transplant -
O O O O O O O



ANSWER preduodenal portal vein
O O O O




annular pancreas O




portal vein duplication
O O




contraindications to organ donation for LIVING donors - ANSWER absolute:
O O O O O O O O O




- HIV and Hep (unless recipient positive)
O O O O O O




-cirrhosis

-active systemic infection with + blood cultures
O O O O O O




-melanoma



contraindications to organ donation for relativeLIVING donors -
O O O O O O O



OANSWER low grade visceral malignancies
O O O O




low grade brain tumors
O O O




history of abdominal surgery
O O O




UTI

, LIVING donor hepatectomy - contraindications - ANSWER *very healthy*
O O O O O O O O




no advanced cardiopulmonary disease
O O O




no advanced liver pathology
O O O




- no cancer history
O O O




-anatomic restraints - no aberrant biliary anatomy, etc
O O O O O O O




possible living donor hepatectomy grafts - ANSWER Right lobe (5-7)
O O O O O O O O O




left (2-4) O




left lateral (2-3)
O O




complications to living donor for hepatectomy - ANSWER -infections, bile leak, hernia
O O O O O O O O O O O




-liver failure O




-IVC thrombus O




postop maintenance for living donors - ANSWER - daily labs for a few days
O O O O O O O O O O O O O




- post op hepatic duplex
O O O O




-HIDA if concern for leak
O O O O




living vs deceased donor nephrectomy outcomes -
O O O O O O



OANSWER recipient outcomes and graft survival are BETTER with living donor.
O O O O O O O O O O O




less time on waiting list as well
O O O O O O




contraindications to living donor nephrectomy - O O O O O



OANSWER active/incompletely treated malignancy or infections
O O O O O