CTP Donor & Recipient Evaluation 2

Question 1

Which serological test is required to evaluate a potential organ donor for Epstein-Barr virus (EBV) status?

Accepted Answer

EBV-VCA IgG and IgM

Answer

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

Question 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?

Accepted Answer

Obtain a donor kidney biopsy

Answer

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

Question 3

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

Accepted Answer

Active untreated bacterial sepsis with multi-organ failure

Answer

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

Question 4

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

Accepted Answer

The degree of recipient sensitization to HLA antigens

Answer

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

Question 5

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

Accepted Answer

CT angiography with contrast

Answer

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

(CTP) Certified Transplant Preservationist Practice Test