CCTC Living Donor Assessment Process 4

Question 1

A potential living kidney donor has a BMI of 36. According to most transplant center guidelines, what is the recommended approach?

Accepted Answer

Weight loss counseling with reassessment after achieving a lower BMI

Answer

Obesity increases surgical and long-term renal risk; most centers counsel weight loss and reassess rather than applying automatic exclusion.

Question 2

Which component of the donor crossmatch specifically tests for preformed donor-specific antibodies in the recipient's serum?

Accepted Answer

Flow cytometry crossmatch

Answer

Flow cytometry crossmatch detects low-level preformed donor-specific antibodies in recipient serum that could cause rejection.

Question 3

A living donor candidate is a 58-year-old with a family history of type 2 diabetes. Which additional test is most critical in her evaluation?

Accepted Answer

Oral glucose tolerance test (OGTT)

Answer

An OGTT provides the most comprehensive assessment of glucose metabolism and can detect impaired glucose tolerance not captured by HbA1c alone.

Question 4

Which right kidney anatomical variant most commonly prompts preference for left kidney donation in living donor nephrectomy?

Accepted Answer

Right renal vein is shorter than the left

Answer

The shorter right renal vein makes anastomosis technically more challenging, so surgeons typically prefer to recover the left kidney with its longer vein.

Question 5

When obtaining informed consent from a living donor, which element is considered most essential by both ethical and OPTN standards?

Accepted Answer

Disclosure of all known and quantifiable risks including long-term renal outcomes

Answer

Full disclosure of risks, including long-term outcomes, is the cornerstone of valid informed consent for living donation.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC Living Donor Assessment Process 4