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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. Which criterion is considered an absolute contraindication to living kidney donation regardless of other factors?

    Answer: HIV-positive status without viral suppression

    Uncontrolled HIV infection poses unacceptable risks to the donor and potential transmission risks, making it an absolute contraindication in standard programs.

  2. During living donor evaluation, a 24-hour urine collection reveals protein excretion of 450 mg/day. What is the appropriate next step?

    Answer: Repeat the test and conduct nephrology evaluation to characterize the proteinuria

    Proteinuria above 300 mg/day is abnormal and warrants nephrology evaluation and test repetition before a final donation decision.

  3. A candidate for living liver donation undergoes volumetric analysis. The right lobe graft-to-recipient body weight ratio (GRWR) is 0.7%. What does this indicate?

    Answer: The graft may be insufficient for the recipient, raising small-for-size syndrome risk

    A GRWR below 0.8% is associated with small-for-size syndrome in the recipient, indicating the graft may be insufficient to meet metabolic demands.

  4. Which professional is primarily responsible for ensuring that a living donor's insurance coverage and financial protections are addressed before donation proceeds?

    Answer: The transplant coordinator

    The transplant coordinator is responsible for coordinating all aspects of donor care including financial counseling and insurance review.

  5. A living donor candidate has a first-degree relative with autosomal dominant polycystic kidney disease (ADPKD). What is the most important step in her evaluation?

    Answer: Perform genetic counseling and imaging to rule out early disease manifestation

    First-degree relatives of ADPKD patients are at 50% genetic risk; imaging and genetic counseling are needed to rule out early cyst development before donation.

  6. What is the recommended minimum age for a living organ donor in the United States per OPTN policy?

    Answer: 18 years of age

    OPTN policy requires living donors to be at least 18 years old to ensure legal capacity for informed consent.

  7. After completing the full medical and psychosocial evaluation, who has the final authority to approve or decline a living donor candidate?

    Answer: The multidisciplinary transplant selection committee

    The multidisciplinary selection committee reviews all evaluation data and holds collective final authority over donor approval decisions.