Certified Clinical Transplant Coordinator (CCTC) Review
Questions & Answers – Kidney, Liver, Heart, Pancreas &
Intestinal Transplant – Complete Clinical and Regulatory Exam
Prep
Introduction:
This document contains comprehensive CCTC review questions and
verified answers focused on kidney, liver, heart, pancreas,
intestinal, and multivisceral transplantation. Topics include
transplant evaluation, organ allocation, PRA and HLA matching,
donor selection, post-transplant complications, rejection
management, UNOS/OPTN policies, immunosuppression, and
transplant coordinator responsibilities.
The material also covers clinical laboratory values, transplant
waitlist status criteria, patient education principles, liver and
pancreas transplant complications, and heart transplant listing
statuses. The content is structured in a question-and-answer format
designed for transplant coordinator certification preparation and
clinical practice review.
Exam Questions and Answers
What is Status 1A for heart transplant for PEDIATRICS? --- correct
precise answer ---Ventilator, mechanical assistance, ductal
dependent pulmonary or systemic circulation maintained by
stent/prostaglandins, congenital heart disease on inotropes in
hospital
,What is Status 1B for heart transplant for PEDIATRICS? --- correct
precise answer ---High dose inotropes, restrictive or hypertrophic
cardiomyopathy < 1 year at the time of listing
What is Status 2 for heart transplant for PEDIATRICS? --- correct
precise answer ---Active listing, not meeting any Status 1A or 1B
criteria
What is Status 5 for heart transplant for ADULTS? --- correct
precise answer ---On waitlist for at least one other organ at same
hospital (dual organ)
What is Status 6 for heart transplant for ADULTS? --- correct
precise answer ---All candidates that don't meet any other criteria
You have been managing a 25 year old male outpatient on your
heart transplant waitlist. He currently has been doing well with
compensated cardiac function with biventricular systolic heart
failure with NYHA class II symptoms and ACC/AHA stage D heart
failure (previously supported by ECMO). HE just has been admitted
to CICU for decompensated heart failure. His signs and symptoms
would likely include:
1. BNP 15,000, creatinine 2.0, heart rate >100, blood pressure <100
2. BNP 100, creatinine 2.0, heart rate >100, blood pressure <100
,3. BNP 1500, creatinine 2.0, peripheral edema, decreased
abdominal fullness
4. BNP 100, blood pressure <100, peripheral edema, increased
abdominal fullness --- correct precise answer ---1. BNP 15,000,
creatinine 2.0, heart rate >100, blood pressure <100
Tachycardia / Decreased BP = decompensated not getting good
squeeze
Increased BNP (rise with heart failure)
Increased creatinine (rise with end organ dysfunction)
A 21 year old male on your heart transplant wait list was admitted
to hospital. He has the diagnosis of congenital heart disease. He
was previously waiting at home without inotropes. He clinically
deteriorated in the CICU and now has been placed on ECMO. He
continues to be an appropriate transplant candidate. The transplant
coordinator should update his listing status. What was this
patient's listing status at admission and what should the
candidate's updated listing status be now?
1. Status 6 on admission, update to status 1
2. Status 4 on admission, update to status 2
3. Status 5 at admission, update to status 1
, 4. Status 4 at admission, update to status 1 --- correct precise
answer ---4. Status 4 at admission (due to CHD), update to status 1
(VA ECMO), placed on ECMO at admission.
You just completed the evaluation of a 15 month old heart
transplant candidate in the CICU. The committee agreed to move
forward with listing and you have met with the family and
completed all the necessary paperwork. You will be listing that
patient today. The patient has a history of congenital heart disease
and is on a high dose milrinone infusion. His blood type is O
(isotiters are zero). How will you list this patient?
1. ABO compatible, status 1A
2. ABO compatible, status 1B
3. ABO incompatible, status 1A
4. ABO incompatible, status 1B --- correct precise answer ---3. ABO
incompatible, status 1A
Since he is under 2, and titers are zero, can be listed as ABO
incompatible. He is status 1A as he has congenital heart disease and
on high dose milrinone infusion IN THE HOSPITAL.
You are caring for 25 year old male patient who is on heart
transplant waitlist. He is clinically deteriorating and went to the
cath lab. His hemodynamics are as follows:
Questions & Answers – Kidney, Liver, Heart, Pancreas &
Intestinal Transplant – Complete Clinical and Regulatory Exam
Prep
Introduction:
This document contains comprehensive CCTC review questions and
verified answers focused on kidney, liver, heart, pancreas,
intestinal, and multivisceral transplantation. Topics include
transplant evaluation, organ allocation, PRA and HLA matching,
donor selection, post-transplant complications, rejection
management, UNOS/OPTN policies, immunosuppression, and
transplant coordinator responsibilities.
The material also covers clinical laboratory values, transplant
waitlist status criteria, patient education principles, liver and
pancreas transplant complications, and heart transplant listing
statuses. The content is structured in a question-and-answer format
designed for transplant coordinator certification preparation and
clinical practice review.
Exam Questions and Answers
What is Status 1A for heart transplant for PEDIATRICS? --- correct
precise answer ---Ventilator, mechanical assistance, ductal
dependent pulmonary or systemic circulation maintained by
stent/prostaglandins, congenital heart disease on inotropes in
hospital
,What is Status 1B for heart transplant for PEDIATRICS? --- correct
precise answer ---High dose inotropes, restrictive or hypertrophic
cardiomyopathy < 1 year at the time of listing
What is Status 2 for heart transplant for PEDIATRICS? --- correct
precise answer ---Active listing, not meeting any Status 1A or 1B
criteria
What is Status 5 for heart transplant for ADULTS? --- correct
precise answer ---On waitlist for at least one other organ at same
hospital (dual organ)
What is Status 6 for heart transplant for ADULTS? --- correct
precise answer ---All candidates that don't meet any other criteria
You have been managing a 25 year old male outpatient on your
heart transplant waitlist. He currently has been doing well with
compensated cardiac function with biventricular systolic heart
failure with NYHA class II symptoms and ACC/AHA stage D heart
failure (previously supported by ECMO). HE just has been admitted
to CICU for decompensated heart failure. His signs and symptoms
would likely include:
1. BNP 15,000, creatinine 2.0, heart rate >100, blood pressure <100
2. BNP 100, creatinine 2.0, heart rate >100, blood pressure <100
,3. BNP 1500, creatinine 2.0, peripheral edema, decreased
abdominal fullness
4. BNP 100, blood pressure <100, peripheral edema, increased
abdominal fullness --- correct precise answer ---1. BNP 15,000,
creatinine 2.0, heart rate >100, blood pressure <100
Tachycardia / Decreased BP = decompensated not getting good
squeeze
Increased BNP (rise with heart failure)
Increased creatinine (rise with end organ dysfunction)
A 21 year old male on your heart transplant wait list was admitted
to hospital. He has the diagnosis of congenital heart disease. He
was previously waiting at home without inotropes. He clinically
deteriorated in the CICU and now has been placed on ECMO. He
continues to be an appropriate transplant candidate. The transplant
coordinator should update his listing status. What was this
patient's listing status at admission and what should the
candidate's updated listing status be now?
1. Status 6 on admission, update to status 1
2. Status 4 on admission, update to status 2
3. Status 5 at admission, update to status 1
, 4. Status 4 at admission, update to status 1 --- correct precise
answer ---4. Status 4 at admission (due to CHD), update to status 1
(VA ECMO), placed on ECMO at admission.
You just completed the evaluation of a 15 month old heart
transplant candidate in the CICU. The committee agreed to move
forward with listing and you have met with the family and
completed all the necessary paperwork. You will be listing that
patient today. The patient has a history of congenital heart disease
and is on a high dose milrinone infusion. His blood type is O
(isotiters are zero). How will you list this patient?
1. ABO compatible, status 1A
2. ABO compatible, status 1B
3. ABO incompatible, status 1A
4. ABO incompatible, status 1B --- correct precise answer ---3. ABO
incompatible, status 1A
Since he is under 2, and titers are zero, can be listed as ABO
incompatible. He is status 1A as he has congenital heart disease and
on high dose milrinone infusion IN THE HOSPITAL.
You are caring for 25 year old male patient who is on heart
transplant waitlist. He is clinically deteriorating and went to the
cath lab. His hemodynamics are as follows:
