CCTC Evaluation and Preparation for Transplant 2

Question 1

Which pulmonary function test value below the threshold typically contraindicates lung transplant evaluation?

Accepted Answer

DLCO < 20% predicted

Answer

FEV1 < 20% predicted

Answer

FVC < 50% predicted

Answer

RV/TLC > 70%

Question 2

During pretransplant cardiac evaluation for a kidney transplant candidate, which finding would most likely EXCLUDE the patient from listing?

Accepted Answer

Ejection fraction of 35% unresponsive to optimization

Answer

Mild mitral regurgitation

Answer

Controlled atrial fibrillation

Answer

First-degree AV block

Question 3

A liver transplant candidate has a MELD-Na score of 28. What does this primarily indicate?

Accepted Answer

Higher 90-day mortality risk and greater urgency for transplant

Answer

The patient is too healthy for transplant

Answer

The patient should be removed from the waitlist

Answer

The patient requires simultaneous kidney transplant

Question 4

Which immunological test is performed to detect preformed antibodies against HLA antigens in a transplant candidate?

Accepted Answer

Panel Reactive Antibody (PRA) testing

Answer

ABO blood typing

Answer

Mixed lymphocyte culture

Answer

Complement fixation test

Question 5

What is the primary purpose of a virtual crossmatch in transplant evaluation?

Accepted Answer

To compare donor HLA typing against recipient antibody profiles without mixing actual cells

Answer

To simulate surgical outcomes using computer modeling

Answer

To predict graft survival at 5 years

Answer

To allocate organs based on geographic distance

Question 6

A kidney transplant candidate is found to have significant peripheral vascular disease on evaluation. What is the most important implication for surgical planning?

Accepted Answer

Vascular surgeons must assess iliac vessel patency before listing

Answer

The patient needs a simultaneous pancreas transplant

Answer

The patient should undergo carotid endarterectomy first

Answer

Laparoscopic donor surgery is preferred

Question 7

Which nutritional parameter is most commonly assessed and optimized before listing a patient for liver transplant?

Accepted Answer

Sarcopenia assessment via CT or muscle function testing

Answer

Serum cholesterol

Answer

Vitamin D levels alone

Answer

Body mass index only