CCTC Living Donor Assessment Process 2

Question 1

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

Accepted Answer

Active untreated psychiatric disorder affecting decision-making

Answer

Mild anxiety about the surgery

Answer

History of resolved depression with stable medications

Answer

Moderate concern about recovery time

Question 2

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

Accepted Answer

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

Answer

To advocate for the recipient's need for a transplant

Answer

To expedite the evaluation timeline for the transplant center

Answer

To coordinate insurance coverage for the donor's surgery

Question 3

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

Accepted Answer

Consider it borderline and consult nephrology for individualized risk assessment

Answer

Automatically exclude the donor as GFR is too low

Answer

Accept the donor without further evaluation

Answer

Proceed only if the donor is under age 30

Question 4

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

Accepted Answer

CT angiography of the abdomen and pelvis

Answer

Renal ultrasound alone

Answer

MRI with gadolinium contrast

Answer

Intravenous pyelogram (IVP)

Question 5

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

Accepted Answer

30% of total liver volume

Answer

15% of total liver volume

Answer

20% of total liver volume

Answer

40% of total liver volume

Question 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?

Accepted Answer

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

Answer

Proceed with evaluation as financial arrangements are legal

Answer

Immediately exclude the candidate for financial incentive

Answer

Document the finding and continue without further action

Question 7

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

Accepted Answer

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

Answer

BP consistently above 130/80 mmHg uncontrolled

Answer

Any episode of elevated BP in the past year

Answer

BP above 120/80 mmHg on two readings