CCTC CCTC - Certified Clinical Transplant Coordinator Infection Prevention and Management Questions and Answers 3

Question 1

A transplant coordinator receives a report that a kidney transplant recipient's urine culture grew Candida. The FIRST step before initiating antifungal therapy should be:

Accepted Answer

Assess whether the Candida represents true infection or catheter-associated colonization

Answer

Candiduria frequently represents colonization (especially if a Foley catheter is present) rather than true infection; clinical context must be assessed before initiating antifungal treatment.

Question 2

Which of the following best describes the purpose of universal CMV prophylaxis versus preemptive CMV therapy in transplant recipients?

Accepted Answer

Prophylaxis gives antiviral medication to all high-risk recipients regardless of viral detection; preemptive therapy treats based on surveillance viral load testing

Answer

Universal prophylaxis (e.g., valganciclovir) is given preventively to high-risk recipients, while preemptive therapy initiates antivirals only when surveillance PCR detects rising CMV viremia before symptoms develop.

Question 3

A transplant coordinator is teaching a post-transplant recipient about pet safety. Which pet is associated with a specific infectious risk due to Toxoplasma gondii exposure?

Accepted Answer

Cats

Answer

Cat feces can contain Toxoplasma gondii oocysts; transplant recipients should avoid changing cat litter or wear gloves and wash hands thoroughly if contact is unavoidable.

Question 4

Prophylaxis against which organism is typically discontinued first (at 3 months post-transplant) in standard-risk transplant recipients?

Accepted Answer

CMV (valganciclovir)

Answer

CMV prophylaxis with valganciclovir is typically given for 3–6 months depending on donor-recipient serostatus and organ type, often stopping first as immunosuppression is tapered.

Question 5

A transplant recipient traveling internationally to a developing country should be counseled to avoid which of the following to reduce infectious risk?

Accepted Answer

Tap water, raw fruits and vegetables that cannot be peeled, and street food

Answer

Immunocompromised travelers must avoid tap water, raw produce, and street food to minimize exposure to enteric pathogens such as Cryptosporidium, Giardia, and traveler's diarrhea organisms.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC CCTC - Certified Clinical Transplant Coordinator Infection Prevention and Management Questions and Answers 3