CHT Organ & Tissue Allocation

Question 1

Which US federal agency oversees the national organ transplant system and UNOS contract?

Accepted Answer

Health Resources & Services Administration (HRSA)

Answer

Centers for Disease Control and Prevention (CDC)

Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

Food and Drug Administration (FDA)

Question 2

What is the role of an Organ Procurement Organization (OPO) in the transplant system?

Accepted Answer

Coordinates organ donation, donor evaluation, and procurement from deceased donors in a defined service area

Answer

Performs the transplant surgery in recipient hospitals

Answer

Manages the national transplant waiting list

Answer

Provides immunosuppressive drugs to transplant recipients

Question 3

In kidney allocation, what does 'CPRA' primarily determine?

Accepted Answer

Priority points that highly sensitized candidates receive, increasing their chances of receiving an organ

Answer

The immunosuppression protocol for post-transplant management

Answer

Whether the recipient needs a living versus deceased donor

Answer

The organ quality score for deceased donor kidneys

Question 4

What is the definition of 'brain death' relevant to deceased donor organ procurement?

Accepted Answer

Irreversible cessation of all functions of the entire brain, including the brainstem

Answer

Irreversible cessation of cardiac function only

Answer

Persistent vegetative state without recovery potential

Answer

Loss of cortical function with preserved brainstem reflexes

Question 5

What is a 'Donation after Circulatory Death' (DCD) donor?

Accepted Answer

A donor whose death is declared by circulatory criteria after planned withdrawal of life support

Answer

A donor whose heart is restarted after procurement

Answer

A living donor who donates after a cardiac surgery

Answer

A donor declared brain dead with cardiac complications

Question 6

Which allocation policy requires that organs be offered locally, then regionally, then nationally?

Accepted Answer

The former geographic-based UNOS allocation policy (largely replaced by continuous distribution for some organs)

Answer

The CPRA matching algorithm

Answer

The zero-mismatch allocation mandate

Answer

The emergency status allocation only