CCTC - Certified Clinical Transplant Coordinator Living Donor Assessment Process Questions and Answers

Question 1

A potential living kidney donor expresses significant fear and anxiety about the surgery during the psychosocial evaluation.
However, they insist on proceeding because they feel an immense obligation to their sibling, the recipient.
Which of the following is the MOST appropriate next step for the transplant coordinator?

Accepted Answer

Engage the Independent Living Donor Advocate (ILDA) to meet with the donor to explore their feelings and ensure their decision is voluntary.

Answer

Document the donor's anxiety and proceed with the evaluation as the donor has consented.

Answer

Recommend the donor and recipient attend joint counseling to resolve the issue.

Answer

Inform the recipient's team that the donor is ambivalent and suggest pausing the recipient's workup.

Question 2

Which of the following is considered an absolute contraindication for living kidney donation according to most transplant center guidelines?

Accepted Answer

A diagnosis of Type 1 Diabetes Mellitus

Answer

Body Mass Index (BMI) of 32 kg/m2

Answer

History of well-controlled hypertension on one medication in a 55-year-old

Answer

Age of 68 with excellent renal function

Question 3

During the informed consent process for a potential living donor, what must be disclosed regarding the confidentiality of their evaluation results?

Accepted Answer

The potential donor's evaluation results are kept confidential, and if they choose to withdraw or are found unsuitable, a general, non-specific reason is typically provided to the recipient.

Answer

All evaluation results will be shared with the transplant recipient to ensure full transparency.

Answer

The reason for medical or psychosocial unsuitability will be provided to the recipient's family to manage expectations.

Answer

Confidentiality is waived if the donor is a close blood relative of the recipient.

Question 4

A transplant coordinator is reviewing the lab work for a 45-year-old potential living kidney donor. Which of the following findings would require the most immediate and thorough investigation before proceeding?

Accepted Answer

Persistent microscopic hematuria on multiple urinalyses

Answer

Serum creatinine of 0.9 mg/dL

Answer

Fasting blood glucose of 95 mg/dL

Answer

Blood pressure reading of 125/80 mmHg

Question 5

The comprehensive psychosocial evaluation of a potential living donor is mandated to be performed by which of the following professionals?

Accepted Answer

A licensed clinical social worker, psychologist, or psychiatrist

Answer

The primary transplant surgeon

Answer

The recipient's primary care physician

Answer

The living donor coordinator

Question 6

A non-directed (altruistic) living donor is undergoing assessment. As part of the informed consent process, which of the following points is uniquely critical to discuss with this type of donor?

Accepted Answer

The fact that the transplant program will determine the recipient of the organ.

Answer

The possibility of surgical complications like infection or bleeding.

Answer

The requirement for post-donation follow-up care at 6, 12, and 24 months.

Answer

The potential for post-operative pain and the plan for its management.