CCTC Waitlist Management and Allocation 2

Question 1

A patient listed for liver transplant has a MELD score of 25. After a hospitalization for hepatic encephalopathy, which action is most appropriate?

Accepted Answer

Recalculate MELD using current labs and update the listing

Answer

Remove patient from waitlist until fully recovered

Answer

Maintain the previous MELD score until next scheduled update

Answer

Automatically escalate to Status 1A

Question 2

Which UNOS policy governs how transplant programs must document patient contact attempts to maintain active waitlist status?

Accepted Answer

OPTN Policy 18.1 requiring documented patient contact every 6 months

Answer

OPTN Policy requiring contact every 3 months for inactive patients

Answer

CMS Conditions of Participation for outpatient follow-up

Answer

Joint Commission standards for transplant program communication

Question 3

A kidney waitlist candidate moves from New York to Los Angeles permanently. What is the transplant coordinator's primary responsibility?

Accepted Answer

Transfer the listing to an appropriate program in Los Angeles

Answer

Keep the listing active in New York since it retains accrued wait time

Answer

Suspend the listing until the patient establishes new residency

Answer

Notify UNOS and allow automatic geographic reassignment

Question 4

Under the Kidney Allocation System (KAS), what does the Estimated Post-Transplant Survival (EPTS) score primarily reflect?

Accepted Answer

The recipient's predicted long-term graft survival

Answer

The likelihood of a candidate dying on the waitlist within 5 years

Answer

The donor's organ quality based on Kidney Donor Profile Index

Answer

The recipient's immune sensitization level

Question 5

A heart transplant candidate deteriorates and is admitted to the ICU requiring intravenous inotropes. Which status designation applies?

Accepted Answer

Status 1A

Answer

Status 2

Answer

Status 3

Answer

Status 1B

Question 6

When a deceased donor organ is offered and the transplant coordinator determines the intended recipient is temporarily unavailable (e.g., active infection), what should the coordinator do?

Accepted Answer

Decline the organ and document the reason in the waitlist record

Answer

Accept the organ and proceed regardless of the contraindication

Answer

Transfer the patient to active status and accept the organ

Answer

Contact UNOS to suspend allocation for 24 hours

Question 7

Which factor is NOT directly used to calculate the Lung Allocation Score (LAS)?

Accepted Answer

Recipient's geographic proximity to donor hospital

Answer

Predicted waitlist survival without transplant

Answer

Predicted post-transplant survival benefit

Answer

Disease diagnosis group