CCTC Pre-Transplant Candidate Evaluation 4

Question 1

A candidate for kidney-pancreas transplant has Type 1 diabetes with a hemoglobin A1c of 11.2%. What does this finding suggest about transplant candidacy?

Accepted Answer

Poor glycemic control may indicate need for optimization and assessment of end-organ complications

Answer

Markedly elevated A1c suggests poor glycemic control and prompts further evaluation of diabetes-related complications that affect surgical risk and outcomes.

Question 2

During pre-transplant evaluation, serologic testing reveals the candidate is HCV antibody positive. After direct-acting antiviral treatment, HCV RNA is undetectable. How does this affect listing?

Accepted Answer

Sustained virologic response (SVR) after antiviral treatment generally does not preclude transplant listing

Answer

Achieving SVR with current direct-acting antivirals effectively cures HCV, and cured patients are generally eligible for transplant listing under standard criteria.

Question 3

A transplant candidate being evaluated for kidney transplant has a documented history of multiple episodes of medical non-compliance resulting in hospitalizations. How should the transplant team approach this?

Accepted Answer

Conduct thorough psychosocial assessment, identify barriers to adherence, and develop a plan before listing

Answer

Non-adherence is a modifiable risk factor; a thorough psychosocial workup to understand barriers and develop support plans is the standard approach before a listing decision.

Question 4

What is the purpose of the 6-minute walk test (6MWT) in pre-transplant evaluation for heart or lung transplant candidates?

Accepted Answer

To objectively assess functional capacity and predict perioperative risk and post-transplant outcomes

Answer

The 6MWT provides an objective measure of functional exercise capacity that correlates with disease severity, waitlist mortality, and post-transplant rehabilitation potential.

Question 5

A 65-year-old kidney transplant candidate has no history of colon cancer but has never had a colonoscopy. What is the standard recommendation before listing?

Accepted Answer

Age-appropriate cancer screening including colonoscopy should be completed prior to transplant listing

Answer

Pre-transplant evaluation requires completion of all age-appropriate cancer screenings, including colonoscopy, because immunosuppression after transplant can accelerate undetected malignancies.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC Pre-Transplant Candidate Evaluation 4