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Free practice question 18 of 20 · Transplant

Transplantation & dialysis access: a free FRCS (Gen Surg) Section 1 question

An original single best answer question in the style of the FRCS (Gen Surg) Section 1 paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.

18Transplant·Transplantation & dialysis access
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A 48-year-old man with a kidney transplant, stable on tacrolimus, mycophenolate mofetil and prednisolone, is treated by his general practitioner for a chest infection. A week later he has a coarse tremor, potassium 6.1 mmol/L and a creatinine that has risen from 110 to 205 µmol/L.

Which antibiotic is most likely to be responsible?

How sure are you?

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Transplant: what the exam tests

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