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

MELD scores must be updated whenever a patient's clinical status changes, using current laboratory values to reflect true disease severity.

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 18.1 requires transplant programs to document attempts to contact active waitlisted candidates at least every 6 months.

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

When a candidate relocates permanently, the coordinator should facilitate transfer to a program where the patient can realistically receive a transplant and comply with follow-up.

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

EPTS predicts how long a recipient is expected to benefit from a transplanted kidney, helping match longer-surviving kidneys to candidates expected to live longest.

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 1A includes patients hospitalized with life-threatening hemodynamic compromise requiring mechanical circulatory support or continuous IV inotropes with hemodynamic monitoring.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC Waitlist Management and Allocation 2