ABSTRACT
LEVEL OF AMPUTATION 1. A patient is referred for consideration of hand transplantation and currently uses a
prosthesis. Which once of the following amputation levels is optimal for an upper limb prosthesis? A. Transmetacarpal B. Radiocarpal C. Midforearm
D. Proximal forearm E. Transhumeral
INDICATIONS AND CONTRAINDICATIONS 2. A 21-year-old right-hand-dominant patient had a left transmetacarpal amputation
following meningococcal septicemia 12 months ago. He would like a hand transplant. What is the main contraindication to hand transplant in this case? A. His age B. The level of injury C. His hand dominance
D. The mechanism of injury E. The time interval since injury
3. There are a number of medical contraindications to hand transplant. In which one of the following scenarios may transplant still be indicated? A. During early pregnancy B. Following medical treatment for hepatitis A infection C. A year after mastectomy and radiotherapy D. In a healthy patient with symbrachydactyly E. In a patient with well-controlled HIV
TRANSPLANTATION CRITERIA 4. Why is it particularly important for one of the hand transplant team to physically
meet a potential donor before embarking on a hand transplant? A. To confirm ABO blood type B. To confirm a positive crossmatch C. To meet the donor family members D. To assess donor limb integrity, size, and appearance E. To take written informed consent for limb donation
See Essentials of Plastic Surgery, second edition, pp. 881-889.
