CCTC - Certified Clinical Transplant Coordinator Pre-Transplant Candidate Evaluation Questions and Answers

Question 1

A 58-year-old male with end-stage renal disease is undergoing evaluation for kidney transplantation.
Which of the following is considered an absolute contraindication to proceeding with the transplant?

Accepted Answer

An active, untreated malignancy

Answer

A body mass index (BMI) of 38 kg/m²

Answer

A history of well-controlled hypertension

Answer

A previous history of medication non-adherence

Question 2

During the pre-transplant psychosocial evaluation, which domain is assessed to determine the candidate's ability to manage the complex post-transplant medication regimen and follow-up appointments?

Accepted Answer

Health literacy and adherence potential

Answer

Social support system

Answer

Psychological health and stability

Answer

Lifestyle and substance use history

Question 3

A potential liver transplant candidate has a history of significant coronary artery disease (CAD). As part of the cardiac evaluation, which of the following is a primary goal?

Accepted Answer

To determine the patient's long-term risk for cardiac events post-transplantation.

Answer

To ensure the patient can tolerate a post-transplant exercise regimen.

Answer

To obtain a baseline electrocardiogram (ECG) for future comparison only.

Answer

To rule out any need for lifelong cardiac medications after transplant.

Question 4

Which of the following immunological tests is performed to determine a transplant candidate's sensitization to a broad panel of potential donor antigens?

Accepted Answer

Panel Reactive Antibody (PRA) screening

Answer

ABO blood typing

Answer

Human Leukocyte Antigen (HLA) typing

Answer

Cytomegalovirus (CMV) serology

Question 5

A 45-year-old female is being evaluated for a lung transplant. Her infectious disease screening comes back positive for latent tuberculosis infection (LTBI) via a PPD skin test, with a negative chest X-ray. What is the most appropriate next step?

Accepted Answer

Initiate treatment for LTBI before or after transplantation.

Answer

Immediately list her for transplant as she has no active disease.

Answer

Permanently disqualify her from transplant consideration.

Answer

Repeat the PPD test in three months to confirm the result.

Question 6

In evaluating a candidate for kidney transplantation, which of the following findings is considered a relative contraindication that requires careful assessment and management rather than an absolute one?

Accepted Answer

Morbid obesity (BMI > 40 kg/m²)

Answer

Uncontrolled sepsis

Answer

Severe, irreversible cardiac disease

Answer

Metastatic lung cancer