Management of the Liver Transplant Patient

Post Test

A score of 70% must be achieved to receive continuing education credits.
 
1. The first research program for liver transplantation began in 1958, with the first transplant being preformed in 1963.
   True
   False
2. Approximately 5000 liver transplants are preformed per year in the US and there are approximately 16,000 people on the waiting list for a new liver.
   True
   False
3. Outcomes for liver transplants have significantly improved because of:
 a. development of effective immunosuppressants
 b. improvements in surgical techniques
 c. effective preservation of organs for transplant
 d. a system for distributing organs
 e. all the above
4. Concomitant medical problems that can effect the patient’s ability to undergo a liver transplant include cardiac, pulmonary, and renal disease.
   True
   False
5. The indications for liver transplant are:
 a. parenchymal and cholestatic liver disease
 b. inborn errors of metabolism
 c. tumors
 d. all the above
6. Liver transplants are a topic of interest for managed care because of the:
  a. cost of procedure
  b. post procedure cost
  c. increasing incidence of liver transplants
  d. all the above
7. A new scoring system to determine eligibility for liver transplants, the Model for End-Stage Liver Disese (MELD) uses three variables – kidney function, bilirubin, and international normalized ratio – to produce an objective mathematical score.
   True
   False
8. Patients undergoing a transplant undergo an extensive evaluation which include:
 a. cause and severity of liver disease
  b. survival possibility
  c. functional ability
  d. concomitant medical problems
  e. psychiatric evaluation
  f.  alcohol and medication history
  g. social evaluation
  h. all the above
9. A way to expand the liver donor pool is to use living donor.
   True
   False
10. About ______ living donor transplants are done in the US yearly.
 a.  250
 b.  500
 c.  800
 d. 1000

 

Activity evaluation and improvement process:

Please rate this activity on the following scale:
4 - Excellent        3 - Good        2 - Fair        1 - Poor
1.Based on the content presented I am better able to:  
  • Better understand the primary and secondary preventions of liver disease
    4        3        2        1
  • Identify patients that are candidates for a liver transplant
    4        3        2        1
2. Activity met my expectations    4        3        2        1  
3. Activity was free of bias    4        3        2        1
4. Activity content was understandable    4        3        2        1
5. Presenter was free of bias    4        3        2        1
6. Method of learning was beneficial    4        3        2        1


Due to the content of this activity, I will change my practice patterns by:

Providing appropriate education on liver transplants
My practice patterns will not change
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Continuing education implies quality improvement in behavior. As part of our quality improvement process, NAMCP/AAMCN will contact you 6 months from your post test submission to monitor change.
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