CCTC Transplantation Management 5

Question 1

A pancreas transplant recipient develops hyperglycemia and elevated serum amylase/lipase at 2 weeks post-transplant. Which complication should be suspected first?

Accepted Answer

Pancreatic allograft rejection or pancreatitis

Answer

Early post-transplant hyperglycemia with elevated pancreatic enzymes suggests allograft pancreatitis or rejection requiring urgent evaluation.

Question 2

What is the primary role of the transplant coordinator during the organ offer process from UNOS?

Accepted Answer

Coordinate clinical evaluation of the offer and facilitate communication between the donor team and transplant surgeon

Answer

The coordinator serves as the critical communication hub, gathering donor information and facilitating timely physician decision-making on organ offers.

Question 3

Which parameter is used to calculate the Model for End-Stage Liver Disease (MELD) score for liver transplant prioritization?

Accepted Answer

Serum creatinine, bilirubin, INR, and serum sodium

Answer

The MELD-Na score uses creatinine, bilirubin, INR, and sodium to predict 90-day liver failure mortality and prioritize organ allocation.

Question 4

A kidney transplant recipient at 5 years post-transplant has stable graft function but develops new-onset donor-specific antibodies (DSA). What does this finding signify?

Accepted Answer

Increased risk for antibody-mediated rejection and accelerated graft loss requiring monitoring and possible treatment

Answer

De novo DSA development is strongly associated with subclinical antibody-mediated rejection and accelerated graft failure, necessitating close surveillance.

Question 5

Which live vaccine is contraindicated in solid organ transplant recipients on maintenance immunosuppression?

Accepted Answer

Measles-mumps-rubella (MMR) vaccine

Answer

Live attenuated vaccines like MMR pose a risk of vaccine-strain infection in immunocompromised transplant recipients and are contraindicated post-transplant.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC Transplantation Management 5