CCTC Long-Term Recipient Management 2

Question 1

A kidney transplant recipient at 3 years post-transplant has a serum creatinine that has slowly risen from 1.2 to 2.1 mg/dL over 6 months. The most likely diagnosis is:

Accepted Answer

Chronic allograft nephropathy

Answer

Acute cellular rejection

Answer

Calcineurin inhibitor toxicity

Answer

Urinary tract infection

Question 2

Which vaccine is CONTRAINDICATED in solid organ transplant recipients on immunosuppression?

Accepted Answer

Live attenuated varicella zoster vaccine

Answer

Inactivated influenza vaccine

Answer

Pneumococcal polysaccharide vaccine

Answer

Recombinant hepatitis B vaccine

Question 3

A liver transplant recipient develops hypertension, hyperlipidemia, and new-onset diabetes 2 years post-transplant. These findings together are best described as:

Accepted Answer

Post-transplant metabolic syndrome

Answer

Calcineurin inhibitor nephrotoxicity

Answer

Chronic rejection

Answer

Opportunistic infection sequelae

Question 4

Which malignancy has the highest increased incidence in long-term transplant recipients compared to the general population?

Accepted Answer

Non-melanoma skin cancer

Answer

Breast cancer

Answer

Colon cancer

Answer

Prostate cancer

Question 5

A transplant coordinator is counseling a 5-year post-kidney-transplant recipient about sun protection. The PRIMARY reason is:

Accepted Answer

Immunosuppression increases skin cancer risk

Answer

Tacrolimus causes photosensitivity rash

Answer

Mycophenolate causes UV sensitivity

Answer

Prednisone thins the skin and increases burn risk

Question 6

A heart transplant recipient at 7 years post-transplant is found to have diffuse concentric luminal narrowing on coronary angiography. This is most consistent with:

Accepted Answer

Cardiac allograft vasculopathy

Answer

Atherosclerosis from pre-existing coronary disease

Answer

Calcineurin inhibitor-induced vasospasm

Answer

Hypertensive coronary remodeling

Question 7

When monitoring tacrolimus levels in a stable long-term transplant recipient, the coordinator should know that target trough levels are typically:

Accepted Answer

Lower than early post-transplant targets

Answer

Higher than early post-transplant targets

Answer

The same as immediate post-operative targets

Answer

Only checked annually after 2 years