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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.

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  1. A potential living kidney donor has a BMI of 36. According to most transplant center guidelines, what is the recommended approach?

    Answer: Weight loss counseling with reassessment after achieving a lower BMI

    Obesity increases surgical and long-term renal risk; most centers counsel weight loss and reassess rather than applying automatic exclusion.

  2. Which component of the donor crossmatch specifically tests for preformed donor-specific antibodies in the recipient's serum?

    Answer: Flow cytometry crossmatch

    Flow cytometry crossmatch detects low-level preformed donor-specific antibodies in recipient serum that could cause rejection.

  3. A living donor candidate is a 58-year-old with a family history of type 2 diabetes. Which additional test is most critical in her evaluation?

    Answer: Oral glucose tolerance test (OGTT)

    An OGTT provides the most comprehensive assessment of glucose metabolism and can detect impaired glucose tolerance not captured by HbA1c alone.

  4. Which right kidney anatomical variant most commonly prompts preference for left kidney donation in living donor nephrectomy?

    Answer: Right renal vein is shorter than the left

    The shorter right renal vein makes anastomosis technically more challenging, so surgeons typically prefer to recover the left kidney with its longer vein.

  5. When obtaining informed consent from a living donor, which element is considered most essential by both ethical and OPTN standards?

    Answer: Disclosure of all known and quantifiable risks including long-term renal outcomes

    Full disclosure of risks, including long-term outcomes, is the cornerstone of valid informed consent for living donation.

  6. A potential living donor who is also a gestational carrier (surrogate) for the recipient's family requests expedited evaluation. What concern should the coordinator prioritize?

    Answer: Coercion risk given the financial and relationship dynamics with the recipient's family

    Surrogacy arrangements create complex financial and emotional ties that elevate coercion risk and require careful psychosocial scrutiny.

  7. Which OPTN-required document must a living donor sign to confirm they understand they may withdraw consent at any time without penalty?

    Answer: Living Donor Informed Consent Acknowledgment

    The Living Donor Informed Consent Acknowledgment documents the donor's understanding of voluntary participation, including the right to withdraw.