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Living Donor Assessment Process Flashcards

7 cards from real CCTC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Living Donor Assessment Process flashcards as text

  1. During the psychosocial evaluation of a living donor candidate, which finding would most likely result in exclusion from donation?

    Answer: Active untreated psychiatric disorder affecting decision-making

    An active untreated psychiatric disorder that impairs decision-making capacity disqualifies a candidate because informed consent requires intact judgment.

  2. What is the primary purpose of the independent donor advocate (IDA) in the living donor evaluation process?

    Answer: To ensure the donor's interests are represented separately from the transplant team

    The IDA is specifically designated to protect and represent the donor's interests, independent of the transplant team's goals.

  3. A potential living kidney donor has a GFR of 68 mL/min/1.73m². How should the transplant coordinator interpret this finding?

    Answer: Consider it borderline and consult nephrology for individualized risk assessment

    A GFR of 68 is borderline low for donation and requires individualized nephrology consultation to assess long-term donor risk.

  4. Which imaging study is most commonly used to evaluate living donor kidney anatomy prior to nephrectomy?

    Answer: CT angiography of the abdomen and pelvis

    CT angiography provides detailed visualization of vascular anatomy, collecting system, and parenchymal structure critical for surgical planning.

  5. When assessing a living liver donor, which remnant liver volume is generally considered the minimum safe threshold for the donor?

    Answer: 30% of total liver volume

    A remnant liver volume of at least 30% is generally required to ensure adequate hepatic function and safe recovery for the donor.

  6. A living donor candidate discloses she is in a financial relationship where the recipient's family is paying her rent. What is the appropriate next step?

    Answer: Report the arrangement to the ethics committee and conduct further assessment for coercion

    Financial arrangements between donor and recipient raise coercion concerns and must be reviewed by the ethics committee before proceeding.

  7. Which blood pressure threshold is most widely used as a contraindication to living kidney donation in an otherwise healthy candidate?

    Answer: BP consistently above 140/90 mmHg despite optimal treatment with multiple agents

    Uncontrolled hypertension requiring multiple medications raises long-term renal risk for the donor and is generally considered a contraindication.