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
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.
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.
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.
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.
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.
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.
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.