CCTC Evaluation and Preparation for Transplant 5

Question 1

Which test is used to definitively confirm brain death in a potential deceased organ donor when clinical criteria alone are insufficient?

Accepted Answer

Cerebral blood flow study (nuclear scan or CTA)

Answer

Cerebral blood flow studies (e.g., radionuclide scan or CT angiography) confirm absence of intracranial circulation, serving as an ancillary test when full brain death exam cannot be completed.

Question 2

A transplant coordinator is informed that a liver transplant candidate has developed spontaneous bacterial peritonitis (SBP). How should this affect waitlist management?

Accepted Answer

Continue workup; SBP history warrants MELD exception consideration and prophylactic antibiotics post-transplant

Answer

SBP is a marker of advanced liver disease and may qualify for MELD exception points; patients require prophylactic antibiotics and active monitoring while listed.

Question 3

When obtaining informed consent for transplant listing, which element must be clearly communicated to the candidate and their family?

Accepted Answer

The risks, benefits, alternatives, waitlist process, and possibility of not receiving a transplant

Answer

Informed consent for transplant listing must cover surgical risks, expected benefits, alternatives (including dialysis or medical management), organ allocation processes, and uncertainty of organ availability.

Question 4

Which scoring tool is routinely used by transplant coordinators to assess a patient's functional status as part of the pretransplant evaluation?

Accepted Answer

Karnofsky Performance Status or 6-Minute Walk Test

Answer

Karnofsky Performance Status and the 6-Minute Walk Test quantify functional capacity and predict post-transplant rehabilitation potential and outcomes.

Question 5

A kidney transplant candidate has a history of oxalate nephropathy leading to ESRD. What additional organ transplant should be considered during evaluation?

Accepted Answer

Combined liver-kidney transplant, as the liver is the primary source of oxalate overproduction in primary hyperoxaluria

Answer

In primary hyperoxaluria, the metabolic defect is in the liver; combined liver-kidney transplant corrects the enzymatic defect and replaces the damaged kidney.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC Evaluation and Preparation for Transplant 5