1.

The neurologist has examined your patient and judges that he suffered brain death due to closed head
trauma. The mans wife pulls you aside afterward and says He was sweating and I saw him move his
hand. I think he heard and hes getting upset about the doctors plan to pull the plug. Which response
is most therapeutic to begin?
A. Your husband has suffered brain death. Would you like to talk about that?
B. Thats helpful. Maybe we better reexamine him.
C. Would you like to talk with a counselor or chaplain?
D. Sweating and random movements can occur with someone who has experienced brain death.

2. A patient in the ICU has been comatose fot some time and is thought to be brain dead, His is on
record as an organ donor. Which critical to affirm whether he is suitable for declaration of brain death
and organ harvest?
A. Careful medication review
B. The familys opinion
C. The patients religious leader
D. Absence of spinal reflexes
3. The patient is several months post-transplant (kidney) and plans to travel to Costa Rica. Which of the
following indicate the need for more education?
A. if I get a fever, ill contact the transplant center
B. Ill confine my swimming to the hotel pool
C. Its ok to eat local produce as long as I wash it first
D. Ill wear sandal when Im on the beach
4. A man with Hep C is keen to have a liver transplant because of his advancing disease. Which of the
following may require you to discuss this matter with him further?
A. He has a hx of alcoholism (2 years sober)
B. He is on medical assistance
C. He is co-infected with HIV
D. His spouse has active substance abuse
5. Post-transplant pt (liver) is 6 days post op and been doing well. Which of the following should cause
concern about graft rejection?
A. Disorientation, short term memory deficits
B. Urine output for 35 cc.hr
C. PVCs about 3 per minute
D. Protime INR of 1.1

Answers:
1. D
2. A
3. C
a. Why are they allowed to go to Costa Rica in the first place?!!?!? you are not the boss of people,
you cant control them but would want to minimize the harm that they can sustain compromise
with them.
4. C
5. A
a. Starting to experience encephalopathy