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Donor & Recipient Evaluation Flashcards

7 cards from real CTP practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

Read the first 7 Donor & Recipient Evaluation flashcards as text
  1. Which serological test is required to evaluate a potential organ donor for Epstein-Barr virus (EBV) status?

    Answer: EBV-VCA IgG and IgM

    EBV-VCA IgG and IgM serology determines prior exposure versus active infection in organ donors.

  2. A potential kidney donor has a creatinine of 2.8 mg/dL that fails to normalize after hydration. What is the most appropriate next step?

    Answer: Obtain a donor kidney biopsy

    A donor kidney biopsy provides histological data to guide the accept/decline decision when functional parameters are borderline.

  3. Which donor characteristic is an absolute contraindication to organ donation for transplantation?

    Answer: Active untreated bacterial sepsis with multi-organ failure

    Active untreated bacterial sepsis with multi-organ failure poses unacceptable risk of transmitting infection to an immunosuppressed recipient.

  4. The Panel Reactive Antibody (PRA) level in a recipient candidate primarily reflects:

    Answer: The degree of recipient sensitization to HLA antigens

    PRA measures the percentage of a panel of donor cells against which the recipient has pre-formed antibodies, indicating level of sensitization.

  5. Which imaging modality is most commonly used to evaluate donor liver anatomy and vascular patency prior to procurement?

    Answer: CT angiography with contrast

    CT angiography provides detailed vascular anatomy including hepatic arterial variants critical for surgical planning.

  6. In evaluating a potential heart donor, which ECG finding would most raise concern about cardiac suitability?

    Answer: New left bundle branch block with ST changes

    New LBBB with ST changes in a donor may indicate acute myocardial injury, requiring further evaluation before cardiac procurement.

  7. When assessing a recipient for liver transplantation, the MELD score incorporates which three laboratory values?

    Answer: INR, serum creatinine, and serum bilirubin

    The MELD score uses INR, serum creatinine, and total bilirubin to predict 90-day mortality in patients with liver disease.