BCTXP case studies
BCTXP · Put your knowledge to work in context.
BCTXP is a certification credential for clinicians and allied professionals working in solid organ transplantation - transplant surgeons and physicians, advanced practice providers, coordinators, and pharmacists who want a formal, exam-based demonstration of their command of the field. The written exam is multiple choice and is organized around eight practice domains: clinical foundations and transplant immunology; pre-transplant evaluation and candidate selection; organ procurement, preservation, and donor management; perioperative and surgical management of the recipient; immunosuppression and rejection management; infectious disease and post-transplant complications; long-term follow-up and outcomes; and ethics, policy, and regulatory aspects of transplantation. The BCTXP case studies are 5 cases and about 2,531 words.
1Cytomegalovirus Serostatus Mismatch in a Kidney Recipient with Prior Treated Infection
A 58-year-old woman with end-stage kidney disease from hypertensive nephrosclerosis has been on hemodialysis for three years and is listed for a deceased-donor kidney transplant. Serologies obtained during evaluation show donor CMV IgG positive and recipient CMV IgG negative.
544 words, about 3 min2Deceased-Donor Offer with Acute Kidney Injury and Increased Terminal Creatinine
A 47-year-old man with polycystic kidney disease has been waitlisted for 14 months. He receives an offer of a deceased-donor kidney from a 52-year-old donor who suffered an intracranial hemorrhage and progressed to brain death.
504 words, about 3 min3Early Post-Transplant Oliguria and Rising Creatinine After Kidney Transplant
A 39-year-old woman with IgA nephropathy receives a living-related kidney transplant from her sister. The surgery is uncomplicated, with a single renal artery and vein and a ureteroneocystostomy over a double-J stent.
493 words, about 2 min4Living Kidney Donor with Impaired Glucose Tolerance and a Family History of Diabetes
A 44-year-old man volunteers to donate a kidney to his brother, who has end-stage kidney disease from diabetic nephropathy. The donor has a body mass index of 29 kg/m², a fasting glucose of 108 mg/dL, and a 2-hour oral glucose tolerance test of 156 mg/dL.
544 words, about 3 min5Non-Adherence and Late Acute Rejection in an Adolescent Transplant Recipient
A 17-year-old girl received a kidney transplant at age 12 for focal segmental glomerulosclerosis. She is now 5 years post-transplant with a baseline creatinine of 1.1 mg/dL.
446 words, about 2 min