CCTC FINAL CERTIFICATION SCRIPT 2026
PRECISE CORRECT ANSWERS GRADED A+
⩥ Reason for not accepted for liver TX. Answer: Hepatocellular
Carcinoma (HCC) outside Milan Criteria
⩥ What is NAFLD?. Answer: Nonalcoholic Fatty Liver Disease- caused
by obesity, hyperglycemia, elevated serum lipids, and high BP
⩥ What is NASH?. Answer: Non-alcoholic steatohepatitis. Can lead to
cirrhosis 3rd common indication for liver TX.
⩥ What is the MELD score?. Answer: MELD(Model for End Stage
Liver Disease) is a predictive model of death within a 3 month period.
Ranks your degree of sickness, shows how much you need a liver
transplant. The higher the number, the more urgent case is. Score ranges
from 6-40.
*Score for HCC capped at 34.
Calculated using:
-INR
-Bilirubin
-Creatinine
, -Sodium
MELD > 14 needed for liver transplant
⩥ What can green drainage post liver TX indicate?. Answer: Bile
leakage
⩥ What can a rise in ALP post liver tx indicate?. Answer: Can be a sign
of biliary complications or cholestasis
⩥ Lab changes are indicate of graft dysfunction. Which values will be
elevated for liver tx?. Answer: Elevated AST and ALT
⩥ Target levels for immunosuppressants are based on a number of
factors including:. Answer: Indication for tx, use of induction therapy,
kidney function, overall condition of pt.
⩥ What can lead to metabolic encephalopathy post liver transplant?.
Answer: Renal failure or sepsis
⩥ What can lead to hypoxic ischemic encephalopathy post liver
transplant?. Answer: Significant peri-operative hypotension
PRECISE CORRECT ANSWERS GRADED A+
⩥ Reason for not accepted for liver TX. Answer: Hepatocellular
Carcinoma (HCC) outside Milan Criteria
⩥ What is NAFLD?. Answer: Nonalcoholic Fatty Liver Disease- caused
by obesity, hyperglycemia, elevated serum lipids, and high BP
⩥ What is NASH?. Answer: Non-alcoholic steatohepatitis. Can lead to
cirrhosis 3rd common indication for liver TX.
⩥ What is the MELD score?. Answer: MELD(Model for End Stage
Liver Disease) is a predictive model of death within a 3 month period.
Ranks your degree of sickness, shows how much you need a liver
transplant. The higher the number, the more urgent case is. Score ranges
from 6-40.
*Score for HCC capped at 34.
Calculated using:
-INR
-Bilirubin
-Creatinine
, -Sodium
MELD > 14 needed for liver transplant
⩥ What can green drainage post liver TX indicate?. Answer: Bile
leakage
⩥ What can a rise in ALP post liver tx indicate?. Answer: Can be a sign
of biliary complications or cholestasis
⩥ Lab changes are indicate of graft dysfunction. Which values will be
elevated for liver tx?. Answer: Elevated AST and ALT
⩥ Target levels for immunosuppressants are based on a number of
factors including:. Answer: Indication for tx, use of induction therapy,
kidney function, overall condition of pt.
⩥ What can lead to metabolic encephalopathy post liver transplant?.
Answer: Renal failure or sepsis
⩥ What can lead to hypoxic ischemic encephalopathy post liver
transplant?. Answer: Significant peri-operative hypotension
