CCTC CERTIFICATION REVIEW TEST PAPER
2026 FULL SOLUTIONS 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
2026 FULL SOLUTIONS 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
