BCTXP Exam: Vascularized Composite Allotransplantation Questions with correct answers
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Module
Bctxp
Institution
Bctxp
Types of VCA transplants Correct Answer-Hand
Face
Other: knee, abdominal wall, lower limb, uterus, penile
Tissue transplant, including multiple types (skin, bone, muscle, nerves, tendon, etc.)
When is face txp recommended? Correct Answer-Improves QoL, not survival, so only recommended if se...
When is face txp recommended? Correct Answer-Improves QoL, not
survival, so only recommended if severe facial disfigurement after
traditional reconstructive methods
VCA registry Correct Answer-International Registry on Hand and
Composite Tissue Transplantation (IRHCTT)
-Voluntary reporting
Complications in VCA vs SOT Correct Answer-Similar
Common indications for VCA txp Correct Answer-Upper extremity:
explosion, electrocution
Face: trauma
Considerations for listing for VCA txp Correct Answer--No absolute
inclusion/exclusion criteria established
, -Defects impairing not only appearance but also critical functions which
are difficult to restore with conventional reconstruction techniques
-May actually decrease survival - pt must understand risks
-Generally physically healthy, but many psychiatric disorders from their
trauma
Considerations for VCA txp donor Correct Answer-Skin tone
Gender
Age
Indications for face txp Correct Answer-Severe facial injury leading to
inability to perform critical functions (speech, eating, vision, breathing,
etc.)
Other injuries that can't be reconstructed
VCA pre-txp non-pharmacologic considerations Correct Answer--Psych
disorders related to injuries (trauma, chronic pain, increased risk of
estrangement and substance abuse)
-May have limited experience with chronic med use
-Support system and financial hardship after trauma
-Vision, swallowing, fine motor skill abilities
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