CERTIFIED TRANSPLANT PRESERVATIONIST EXAM
PREP QUESTIONS AND CORRECT ANSWERS
\Q\.What are the three TIONS of Organ Preservation? - ANSWERS✔-CannulaTION
IsolaTION
VentilaTION
\Q\.What are the goals of Organ Preservation? - ANSWERS✔-hypothermia and inhibit cellular
swelling to maintain organ viability prior to transplant
\Q\.What is the cold ischemic time range for heart preservation? - ANSWERS✔-4-6 hours
\Q\.What is the cold ischemic time range for lung preservation? - ANSWERS✔-6-8 hours
\Q\.What is the cold ischemic time range for liver preservation? - ANSWERS✔-<24 hours (8-12
hours normal)
\Q\.What is the cold ischemic time range for pancreas preservation? - ANSWERS✔-<12 hours (8-
12 hours normal)
\Q\.What is the cold ischemic time range for bowel preservation? - ANSWERS✔-<12 hours
\Q\.What is the cold ischemic time range for kidney preservation? - ANSWERS✔-average <24
hours (max:36-48 hours depending on machine perfusion vs cold storage)
,\Q\.What are the four basics of preservation? - ANSWERS✔-1. Cannula (size and shape)
2. Tubing (Y tubing vs Leur-Lock)
3. Solution (gravity, pressure, additives)
4. Direction (antegrade/retrograde)
\Q\.Definition of Antegrade - ANSWERS✔-Performed in the normal direction of flow
\Q\.Definition of Retrograde - ANSWERS✔-Moving or tending backward, opposite to the usual
order; inverted or reversed
\Q\.What are the four chambers of the heart? - ANSWERS✔-1. Left Atrium
2. Right Atrium
3. Left Ventricle
4. Right Ventricle
\Q\.What are the four valves of the heart? - ANSWERS✔-1. Tricuspid
2. Pulmonic
3. Mitral
4. Aortic
\Q\.Which lung has three lobes? - ANSWERS✔-Right (upper, middle, lower)
\Q\.Deoxygenated blood returns to the right atrium via which structures? - ANSWERS✔-
Superior Vena Cava /Inferior Vena Cava
\Q\.Deoxygenated blood is sent to the lungs via which artery? - ANSWERS✔-Pulmonary Artery
,\Q\.Oxygenated blood from the lungs returns to the heart via which vein? - ANSWERS✔-
Pulmonary Vein
\Q\.Where does the pulmonary vein empty into? - ANSWERS✔-Left atrium
\Q\.Oxygenated blood is sent to the coronary arteries and body via which structure? -
ANSWERS✔-Aorta
\Q\.Which arteries provide oxygenated blood to the myocardium? - ANSWERS✔-Coronary
Arteries
\Q\.Where do the coronary arteries originate from? - ANSWERS✔-Aorta (near the aortic valve)
\Q\.What are the two main coronary arteries? - ANSWERS✔-Left (LCA) and Right (RCA)
\Q\.What are the two branches of the left coronary artery (LCA)? - ANSWERS✔-Circumflex and
left anterior descending artery (LAD)
\Q\.What are the two branches of the right coronary artery (RCA)? - ANSWERS✔-Posterior
descending artery (PDA) and marginal artery
\Q\.Which structures return deoxygenated blood to the right atrium? - ANSWERS✔-Coronary
veins via the coronary sinus
\Q\.Where is the cannula inserted for cardioplegia? - ANSWERS✔-cannula inserted into aortic
root
, \Q\.Where is the cannula inserted for ANTEGRADE pulmonplegia? - ANSWERS✔-into the
pulmonary artery
\Q\.Where is the cannula inserted for RETROGRADE pulmonplegia? - ANSWERS✔-into the
common cuff of left atrium
\Q\.What are the three steps of Cardio-Pulmonary Isolation? - ANSWERS✔-1. Aorta is clamped
proximal to arch
2. SVC is ligated (by rommel or umbilical tape)
3. Perfusion pressure forces valves to close
\Q\.What are the two steps in Thoracic Ventilation? - ANSWERS✔-1. IVC is transected
2. Left Atrial appendage is transected
\Q\.What agent is a vasodilator that is injected into the pulmonary artery? - ANSWERS✔-
Prostaglandin (PGE)
\Q\.What is the order (1-6) of the cardoplegia route? - ANSWERS✔-1. Aorta -> 2. Coronary
Arteries -> 3 Coronary Veins -> 4. Coronary Sinus -> 5. Right Atrium -> 6. IVC
\Q\.What is the order (1-5) of the ANTEGRADE pulmonplegia route? - ANSWERS✔-1. Pulmonary
artery -> 2. Lungs -> 3. Pulmonary Veins -> 4. Left Atrium -> 5. Left Atrial Appendage
\Q\.What is the order (1-3) of the RETROGRADE pulmonplegia route? - ANSWERS✔-1.
Pulmonary Veins -> 2. Lungs -> 3. Pulmonary Artery
PREP QUESTIONS AND CORRECT ANSWERS
\Q\.What are the three TIONS of Organ Preservation? - ANSWERS✔-CannulaTION
IsolaTION
VentilaTION
\Q\.What are the goals of Organ Preservation? - ANSWERS✔-hypothermia and inhibit cellular
swelling to maintain organ viability prior to transplant
\Q\.What is the cold ischemic time range for heart preservation? - ANSWERS✔-4-6 hours
\Q\.What is the cold ischemic time range for lung preservation? - ANSWERS✔-6-8 hours
\Q\.What is the cold ischemic time range for liver preservation? - ANSWERS✔-<24 hours (8-12
hours normal)
\Q\.What is the cold ischemic time range for pancreas preservation? - ANSWERS✔-<12 hours (8-
12 hours normal)
\Q\.What is the cold ischemic time range for bowel preservation? - ANSWERS✔-<12 hours
\Q\.What is the cold ischemic time range for kidney preservation? - ANSWERS✔-average <24
hours (max:36-48 hours depending on machine perfusion vs cold storage)
,\Q\.What are the four basics of preservation? - ANSWERS✔-1. Cannula (size and shape)
2. Tubing (Y tubing vs Leur-Lock)
3. Solution (gravity, pressure, additives)
4. Direction (antegrade/retrograde)
\Q\.Definition of Antegrade - ANSWERS✔-Performed in the normal direction of flow
\Q\.Definition of Retrograde - ANSWERS✔-Moving or tending backward, opposite to the usual
order; inverted or reversed
\Q\.What are the four chambers of the heart? - ANSWERS✔-1. Left Atrium
2. Right Atrium
3. Left Ventricle
4. Right Ventricle
\Q\.What are the four valves of the heart? - ANSWERS✔-1. Tricuspid
2. Pulmonic
3. Mitral
4. Aortic
\Q\.Which lung has three lobes? - ANSWERS✔-Right (upper, middle, lower)
\Q\.Deoxygenated blood returns to the right atrium via which structures? - ANSWERS✔-
Superior Vena Cava /Inferior Vena Cava
\Q\.Deoxygenated blood is sent to the lungs via which artery? - ANSWERS✔-Pulmonary Artery
,\Q\.Oxygenated blood from the lungs returns to the heart via which vein? - ANSWERS✔-
Pulmonary Vein
\Q\.Where does the pulmonary vein empty into? - ANSWERS✔-Left atrium
\Q\.Oxygenated blood is sent to the coronary arteries and body via which structure? -
ANSWERS✔-Aorta
\Q\.Which arteries provide oxygenated blood to the myocardium? - ANSWERS✔-Coronary
Arteries
\Q\.Where do the coronary arteries originate from? - ANSWERS✔-Aorta (near the aortic valve)
\Q\.What are the two main coronary arteries? - ANSWERS✔-Left (LCA) and Right (RCA)
\Q\.What are the two branches of the left coronary artery (LCA)? - ANSWERS✔-Circumflex and
left anterior descending artery (LAD)
\Q\.What are the two branches of the right coronary artery (RCA)? - ANSWERS✔-Posterior
descending artery (PDA) and marginal artery
\Q\.Which structures return deoxygenated blood to the right atrium? - ANSWERS✔-Coronary
veins via the coronary sinus
\Q\.Where is the cannula inserted for cardioplegia? - ANSWERS✔-cannula inserted into aortic
root
, \Q\.Where is the cannula inserted for ANTEGRADE pulmonplegia? - ANSWERS✔-into the
pulmonary artery
\Q\.Where is the cannula inserted for RETROGRADE pulmonplegia? - ANSWERS✔-into the
common cuff of left atrium
\Q\.What are the three steps of Cardio-Pulmonary Isolation? - ANSWERS✔-1. Aorta is clamped
proximal to arch
2. SVC is ligated (by rommel or umbilical tape)
3. Perfusion pressure forces valves to close
\Q\.What are the two steps in Thoracic Ventilation? - ANSWERS✔-1. IVC is transected
2. Left Atrial appendage is transected
\Q\.What agent is a vasodilator that is injected into the pulmonary artery? - ANSWERS✔-
Prostaglandin (PGE)
\Q\.What is the order (1-6) of the cardoplegia route? - ANSWERS✔-1. Aorta -> 2. Coronary
Arteries -> 3 Coronary Veins -> 4. Coronary Sinus -> 5. Right Atrium -> 6. IVC
\Q\.What is the order (1-5) of the ANTEGRADE pulmonplegia route? - ANSWERS✔-1. Pulmonary
artery -> 2. Lungs -> 3. Pulmonary Veins -> 4. Left Atrium -> 5. Left Atrial Appendage
\Q\.What is the order (1-3) of the RETROGRADE pulmonplegia route? - ANSWERS✔-1.
Pulmonary Veins -> 2. Lungs -> 3. Pulmonary Artery
