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HCV-Positive Donor Kidneys — ESENeph MCQ

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HardTransplantationHCV-Positive Donor KidneysESENeph

A patient has taken Jinarc for rapidly progressive ADPKD for 20 months with consistently normal liver tests and no hepatic symptoms. What routine biochemical surveillance remains required?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Check transaminases and bilirubin every 3 months

Explanation lettering: C = shown as A · A = shown as B · B = shown as C · E = shown as D · D = shown as E

D is correct. Transaminases and bilirubin are checked before Jinarc, monthly for the first 18 months, and at regular three-monthly intervals thereafter. Symptom surveillance continues alongside testing. Eighteen months marks a change in interval, not the end of biochemical monitoring.

Reference: Jinarc 90 mg + 30 mg tablets SmPC: https://www.medicines.org.uk/emc/product/6854/smpc