ABCP BOARDS EXAM TEST VERIFIED SOLUTIONS LATEST UPDATE 2023

ABCP BOARDS EXAM TEST VERIFIED SOLUTIONS LATEST UPDATE 2023 Who was granted a federal contract in 1986 to operate the organ procurement and transplantation network? - ANSWER UNOS (United Network of Organ Sharing) In the 1980" there was an sudden increase in organ transplantation, Why? - ANSWER wide spread use of anti-rejection medications Why get a "used" heart? - ANSWER 1) NHLBI- end stage cardiac disease 2) NYHA class III and IV CHF a) refractory to max medical treatment b) continuous mechanical or inotropic support required c) Peak O2 uptake (VO2 max) 14ml/kg/min d) LVEF 20% 3) Refractory angina pectoris- inoperable CAD 4) Refractory ventricular arrhythmias- life threatening 5) Myocardial tumor- w/o metastasis Who gets new hearts? - ANSWER 1) Status 1A- 1st to get heart: critically ill, in ICU, adv life support 2) Status 1B: 2nd: Require IV inotropes, hospital or home care 3) Status 2: 3rd in line: No IV meds required, usually not hospitalized Who absolutely contraindicated to receive heart transplant? - ANSWER 1) terminal malignancy 2) severe, irreversible major organ disease- multi-organ failure 3) Active infection 4) HIV 5) current alcohol or IV drug use Who have relative contraindications for heart transplant? - ANSWER 1) old people 65 2) severe CVD or PVD 3) IDDM- insulin deppendent DM 4) Pulmonary infarction or hypertension 5) morbid obesity 6) major psychiatric disorder- won't be compliant w/ meds