BMT
BMT 2, Electric Boogaloo
Abdominal Solid Organ Transplant
Abdominal Solid Organ Transplant (Again)
Thoracic Solid Organ Transplant
100

This 1 of the 3 purposes that HSCT can be used for and is usually done after massive doses of myeloablative chemotherapy

What is rescue HSCT?

100

This medication often used in conditioning regimens, requires seizure prophylaxis

What is busulfan? 

100

This is the purpose of using several immunosuppressants in combination for solid organ transplant

What are lower doses of several agents=less toxicity + better efficacy 

100

Calcineurin inhibitors have many drug interactions due to this commonly utilized CYP enzyme

What is CYP 3A4?

100

Some people call it an unregulated rapidly dividing group of cells, but you would call it an absolute contraindication of transplant

What is recent malignancy? 

200

The historical standard of stem cell collection was from bone marrow. Now we commonly use stem cells harvested from this source

What is peripheral blood?

200

These are the two complications of HSCT that cause us to use immunosuppression as a preventive measure

What are HVGD and GVHD?

200

This is the most dangerous short-term risk associated with induction therapy

What are opportunistic infections?

200

This is the most common adverse effect associated with MMF use

What are GI disturbances?

200

This anti CD-20 monoclonal antibody is used in combination with plasmapheresis to lower the cPRA and "desensitize" the body before transplant

What is rituximab?

300

This method of stem cell collection comes with the highest risk of GVHD

What is peripheral blood? 

300

This two-drug regimen is considered the “gold standard” for GVHD prophylaxis

What is calcineurin inhibitor and MTX?

300

This is the dose of ATG commonly given for induction therapy

What is 6mg/kg total given in several doses of 1-2mg/kg/day

300

This drug (that inhibits xanthine oxidase) causes a potentially dangerous drug interaction with azathioprine causing severe myelosuppression and eventually death if not caught quickly

What is allopurinol (or febuxostat)?

300

These two mediations are typically used to prevent CAV after cardiac transplant

What are aspirin and statins?

400

A patient with Hodgkin’s lymphoma would be most likely to get this type of HSCT

What is an autologous transplant? 

400

Paliferamin is a keratinocyte growth factor used in the treatment of this complication of HSCT

What is mucositis? 

400

A PRA of greater than this percentage would be indicative of higher immunologic risk after transplant

What is 20%?

400

These two symptoms are common signs of kidney transplant rejection

What are increase in SCr and decrease in urine output?

400

Antimicrobial prophylaxis is generally very similar across BMT and solid organ transplants except for this detail in solid organ transplant, which is generally extended

What is duration of treatment?

500

This “bright” chemotherapy regimen is composed of four different medications and is often used as conditioning before HSCT

What is the BEAM regimen?

500

This oral antibiotic is generally given 3x/week and used to prevent PJP(PCP) in allogenic transplants

What is Bactrim?

500

This 3-drug class regimen is considered the gold standard for maintenance therapy in solid organ transplant

What are CNI + adjuvant + Steroid

500

This antihypertensive drug class is preferred in transplant due to counteracting the vasoconstriction of afferent arterioles by CNIs

What are CCBs?

500

Due to denervation of the transplanted heart, patients may have significantly higher and variable rates of this

What is heart rate?

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