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

An active untreated psychiatric disorder that impairs decision-making capacity disqualifies a candidate because informed consent requires intact judgment.

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

The IDA is specifically designated to protect and represent the donor's interests, independent of the transplant team's goals.

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

A GFR of 68 is borderline low for donation and requires individualized nephrology consultation to assess long-term donor risk.

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

CT angiography provides detailed visualization of vascular anatomy, collecting system, and parenchymal structure critical for surgical planning.

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

A remnant liver volume of at least 30% is generally required to ensure adequate hepatic function and safe recovery for the donor.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC Living Donor Assessment Process 2