CTP Donor & Recipient Evaluation 5

Question 1

Which laboratory finding in a potential pancreas donor is considered the most concerning for pre-existing pancreatic dysfunction?

Accepted Answer

Hemoglobin A1c greater than 6.5%

Answer

An HbA1c greater than 6.5% indicates pre-existing diabetes in the donor, which is a contraindication to pancreas procurement for islet or whole-pancreas transplantation.

Question 2

In evaluating a pediatric donor for organ donation, which anatomical consideration is most important when matching to a recipient?

Accepted Answer

Size and weight compatibility between donor and recipient

Answer

Size matching is critical for pediatric donors because organ-to-body size mismatch can lead to technical complications such as vascular thrombosis or poor engraftment.

Question 3

A donor has nucleic acid testing (NAT) positive for HCV RNA. Which recipient population may still receive organs from this donor under current UNOS policy?

Accepted Answer

HCV-negative recipients who provide informed consent under specific protocols

Answer

With effective direct-acting antiviral therapy, NAT+ HCV donor organs may be transplanted into HCV-negative recipients who provide informed consent, per evolving UNOS/OPTN policy.

Question 4

During neurological determination of death (NDD), which finding confirms the absence of brainstem reflexes as part of the clinical examination?

Accepted Answer

Absence of spontaneous respirations on apnea test with PCO2 >60 mmHg

Answer

A positive apnea test — no spontaneous respiratory effort with PaCO2 rising above 60 mmHg — confirms absence of medullary respiratory drive and supports brain death determination.

Question 5

When evaluating a recipient candidate for simultaneous liver-kidney transplantation (SLK), which criterion is used to justify the kidney addition under current UNOS policy?

Accepted Answer

Sustained AKI or CKD with GFR ≤60 mL/min for ≥90 days, or ESRD on dialysis

Answer

UNOS SLK allocation policy requires sustained renal impairment (GFR ≤60 for ≥90 days, ESRD, or prolonged AKI) to justify using a kidney with the liver.

(CTP) Certified Transplant Preservationist Practice Test

(CTP) Certified Transplant Preservationist Practice Test

CTP Donor & Recipient Evaluation 5