CCTC Living Donor Assessment Process 5

Question 1

Which criterion is considered an absolute contraindication to living kidney donation regardless of other factors?

Accepted Answer

HIV-positive status without viral suppression

Answer

Uncontrolled HIV infection poses unacceptable risks to the donor and potential transmission risks, making it an absolute contraindication in standard programs.

Question 2

During living donor evaluation, a 24-hour urine collection reveals protein excretion of 450 mg/day. What is the appropriate next step?

Accepted Answer

Repeat the test and conduct nephrology evaluation to characterize the proteinuria

Answer

Proteinuria above 300 mg/day is abnormal and warrants nephrology evaluation and test repetition before a final donation decision.

Question 3

A candidate for living liver donation undergoes volumetric analysis. The right lobe graft-to-recipient body weight ratio (GRWR) is 0.7%. What does this indicate?

Accepted Answer

The graft may be insufficient for the recipient, raising small-for-size syndrome risk

Answer

A GRWR below 0.8% is associated with small-for-size syndrome in the recipient, indicating the graft may be insufficient to meet metabolic demands.

Question 4

Which professional is primarily responsible for ensuring that a living donor's insurance coverage and financial protections are addressed before donation proceeds?

Accepted Answer

The transplant coordinator

Answer

The transplant coordinator is responsible for coordinating all aspects of donor care including financial counseling and insurance review.

Question 5

A living donor candidate has a first-degree relative with autosomal dominant polycystic kidney disease (ADPKD). What is the most important step in her evaluation?

Accepted Answer

Perform genetic counseling and imaging to rule out early disease manifestation

Answer

First-degree relatives of ADPKD patients are at 50% genetic risk; imaging and genetic counseling are needed to rule out early cyst development before donation.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC Living Donor Assessment Process 5