CCTC Pre-Transplant Candidate Evaluation 5

Question 1

A potential liver transplant candidate with alcoholic cirrhosis has been abstinent from alcohol for 4 months. Most transplant centers require a minimum of how long of documented sobriety?

Accepted Answer

6 months

Answer

The traditional '6-month rule' of sobriety is used by most programs, though evidence for this threshold is debated and individualized assessment is increasingly advocated.

Question 2

During pre-transplant evaluation, a kidney candidate's echocardiogram reveals an ejection fraction of 30% with dilated cardiomyopathy. What is the most appropriate next step?

Accepted Answer

Refer to cardiology for optimization of heart failure therapy and reassess cardiac function before finalizing listing

Answer

Reduced ejection fraction requires cardiology evaluation and optimization of heart failure treatment; listing may proceed if cardiac function improves sufficiently.

Question 3

A pre-transplant candidate has an incidental finding of a 2 cm renal mass on imaging during kidney transplant evaluation. What should occur before listing?

Accepted Answer

Obtain further characterization with CT or MRI and urology consultation to exclude malignancy

Answer

Any suspicious renal mass requires urologic evaluation and potential biopsy or resection to rule out malignancy before immunosuppression is initiated.

Question 4

What is the primary goal of recipient HLA typing performed during pre-transplant evaluation?

Accepted Answer

To identify the recipient's HLA antigens for crossmatch testing and identifying unacceptable antigens

Answer

HLA typing defines the recipient's antigen profile, enabling crossmatch testing against potential donors and identification of donor-specific antibodies to avoid.

Question 5

A transplant coordinator is reviewing a candidate's medication history and notes prolonged use of high-dose NSAIDs. Why is this particularly relevant for kidney transplant evaluation?

Accepted Answer

NSAIDs are directly nephrotoxic and may have accelerated kidney disease progression

Answer

Chronic NSAID use is nephrotoxic and may have contributed to or accelerated progression of kidney disease, which is important for understanding disease etiology.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC Pre-Transplant Candidate Evaluation 5