CCTC Waitlist Management and Allocation 5

Question 1

A lung transplant candidate's diagnosis changes from COPD to idiopathic pulmonary fibrosis (IPF). How does this affect LAS calculation?

Accepted Answer

Diagnosis group changes, typically resulting in a higher LAS due to greater waitlist mortality for IPF

Answer

LAS uses diagnosis-specific disease groups where IPF (Group D) typically produces higher scores than COPD (Group B) due to substantially higher short-term waitlist mortality.

Question 2

Which situation would require a transplant coordinator to submit a variance request to OPTN?

Accepted Answer

Implementing a program-specific protocol that deviates from standard OPTN allocation policy

Answer

OPTN variance requests are required when a transplant program wishes to operate under policies that differ from standard OPTN allocation procedures.

Question 3

A coordinator is managing a multi-organ listing (kidney-pancreas). Under allocation policy, how are multi-organ candidates prioritized compared to single-organ candidates?

Accepted Answer

Multi-organ candidates receive priority over single-organ kidney candidates for the paired organ

Answer

OPTN policy gives simultaneous pancreas-kidney candidates priority over kidney-alone candidates to ensure the pancreas is not wasted if the kidney portion is declined.

Question 4

A transplant coordinator receives a DCD (donation after circulatory death) kidney offer. What unique consideration is most important during organ evaluation?

Accepted Answer

Warm ischemia time during the withdrawal-to-procurement interval

Answer

DCD kidneys sustain warm ischemic injury during the period between circulatory arrest and cold perfusion, and prolonged warm ischemia significantly increases risk of delayed graft function.

Question 5

A pancreas transplant candidate with Type 1 diabetes has a creatinine of 1.2 and no significant nephropathy. Which listing category applies?

Accepted Answer

Pancreas transplant alone (PTA)

Answer

Pancreas transplant alone (PTA) is appropriate for Type 1 diabetics with preserved kidney function who do not require renal replacement therapy.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC Waitlist Management and Allocation 5