CTBS EXAM PREP REVIEW QUESTIONS AND ANSWERS
SURE A+
✔✔The upper time limit from retrieval to processing of heart valves is
a. There is no time limit as long as aseptic technique is maintained during the recovery
b. Total ischemic time must not exceed 48hrs
c. Cold ischemic time must not exceed 48hrs
d. Warm ischemic time must not exceed 48hrs - ✔✔b. Total ischemic time must not
exceed 48hrs
✔✔All tissues not already transplanted, which are subject to recall, shall be located and
quarantined pending resolution of the recall (T/F)? - ✔✔True
✔✔Which of the following is not a colloid solution?
a. Fresh Frozen Plasma
b. Ringers Lactate
c. Dextran
d. Albumin - ✔✔b. Ringers Lactate
✔✔What is the most common STD in the US?
a. HIV
b. Syphilis
c. Genital Herpes
d. Gonorrhea - ✔✔c. Genital Herpes
✔✔What is the most common bloodbourne pathogen in the US today?
a. HIV
b. Hepatitis B
c. Hepatitis A
d. Hepatitis C - ✔✔b. Hepatitis B
✔✔What is the minimum classed environment needed for processing of cardiovascular
tissue?
a. Not Applicable
b. Class 10 or Cleaner
c. Class 500 or Cleaner
d. Class 100 or Cleaner - ✔✔d. Class 100 or Cleaner
✔✔What tissue transplant is most closely associated with CJD?
a. Iliac Crest
b. Femur
c. Dura Mater
d. Skin - ✔✔d. Dura Mater
,✔✔Serological testing on a potential donor reveals a positive HIV antibody screening
test. The screening test is positive on repeat testing, but the confirmatory test result is
negative. What happens to the tissue.
a. May not be used; discrepant results obtained
b. May be used; HIV antibody test is not a required test
c. May be used; confirmatory test is negative
d. May not be used; results of confirmatory test cannot override a screening test - ✔✔d.
May not be used; results of confirmatory test cannot override a screening test
✔✔Which of the following is not a cause for deferral?
a. A Positive PPD Test for TB
b. Untreated Syphilis
c. Systemic Mycosis
d. Evidence of Sepsis - ✔✔a. A Positive PPD Test for TB
✔✔Which of the following transplants is most commonly associated with spread of prion
related disease?
a. Skin
b. Dura Mater
c. Bone
d. Blood Transfusion - ✔✔b. Dura Mater
✔✔Which of the following is NOT capable of osteoinduction?
a. Demineralized Allograft
b. Demineralized Xenograft
c. Demineralized Allopast
d. Demineralized Autograft - ✔✔c. Demineralized Allopast
✔✔How long should donor records be held? (not including Dura mater)
a. 20yrs Beyond Date of Final Disposition
b. 5yrs Beyond the Date of Final Disposition
c. Not a Requirement
d. 10yrs Beyond Date of Final Disposition - ✔✔d. 10yrs Beyond Date of Final
Disposition
✔✔Name the first civilian regional tissue bank established in the US.
a. University of Miami
b. Florida State University
c. United States Navy
d. University of Florida - ✔✔a. University of Miami
✔✔Which of the following does NOT have to be included on graft package inserts?
a. Instruction for Opening the Package or Container
b. Date of Processing of the Graft
,c. A Statement Indicating That the Tissue may Transmit Infectious Agents
d. Type of Antibiotics Used in Processing - ✔✔b. Date of Processing of the Graft
✔✔During heart for valve for recovery, the aorta is cut 1 cm distal to the
a. Pulmonary Artery
b. Brachiocephalic Artery
c. Carotid Artery
d. Subclavian Artery - ✔✔d. Subclavian Artery
✔✔Which of the following would NOT be a viral hepatitis rule out?
a. Incarceration in Prison or Jail for Greater Than 72hrs in the Preceding 12 mos.
b. Close Contact With a Person Having Viral Hepatitis in the Preceding 12 mos.
c. Documented Hepatitis A, Cytomegalovirus, or Epstein Barr Virus
d. Perutaneous Exposure to Blood Thought to be High Risk for Carrying Hepatitis in the
Preceding 12mos - ✔✔c. Documented Hepatitis A, Cytomegalovirus, or Epstein Barr
Virus
✔✔If skin is to stored >96 hrs prior to processing, how often must skin storage media be
change?
a. Every 24hrs
b. Every 96hrs
c. Every 72hrs
d. Every 12hrs - ✔✔c. Every 72hrs
✔✔Wolf's Law describes
a. Fracture Repair in Long Bones
b. The Amount of Pressure a Bone can Take Before Fracture
c. The Relationship Between Form and Function in Bone.
d. Bone Regeneration - ✔✔d. Bone Regeneration
✔✔AN example of the immune response is
a. Low pH on the skin
b. Itching from a bee sting
c. Normal flora of the intestines
d. Flushing action of tears - ✔✔b. Itching from a bee sting
✔✔Which of the following would be used for an osteochondral graft?
a. Patellar Tendon
b. Tri-Cortical Iliac Wedge
c. Crushed Cancellous/Cortical Chips
d. Distal Femur - ✔✔d. Distal Femur
✔✔At what temp should hearts be transported to the processing facility?
a. 4 degree celsius
, b. 1-10 degree celsius
c. 2-10 degree celsius
d. Temp doesn't matter as long as the heart is on ice - ✔✔b. 1-10 degree celsius
✔✔Which organism, if present, requires discarding of skin grafts?
a. Staphylococcus Sicuri
b. Streptococcus Sanguis
c. Streptococcus Viridans
d. Staphylococcus Aureus - ✔✔d. Staphylococcus Aureus
✔✔Cryopreserved allograft saphenous veins are NOT used in which procedure?
a. AV Fistulas for use as Dialysis Conduits
b. Peripheral Vascular Surgery
c. Temporary Limb Revascularization in Traumatic Vessel Loss.
d. Carotid Endarterectomies - ✔✔d. Carotid Endarterectomies
✔✔Quality control is described by all of the following EXCEPT:
a. Is one Dimension of Quality Assurance
b. Provides for the Creation of Standard Operating Procedures
c. Provides Microbiological Testing of Tissue at Pre-Sterilization and at Final Packaging
Stages.
d. Provides Tests to Monitor Specific Processes - ✔✔b. Provides for the Creation of
Standard Operating Procedures
✔✔Is Albumin a crystalloid or colloid? - ✔✔Colloid
✔✔Which of the following organisms found on pre-processing culture from bone shall
be a deferral of that tissue?
a. Nuisancesis Kasprinis
b. E.Coli
c. Cornebacterium Sp.
d. Clostridium Sp.
e. Staphylococcus - ✔✔Any of these are correct:
E.Coli
Clostridium Sp
Staphlococcus
✔✔A donor has a verbal history of hepatitis. The donor is acceptable if the hepatitis was
before what age?
a. 12
b. 13
c. 14
d. 11 - ✔✔d. 11
SURE A+
✔✔The upper time limit from retrieval to processing of heart valves is
a. There is no time limit as long as aseptic technique is maintained during the recovery
b. Total ischemic time must not exceed 48hrs
c. Cold ischemic time must not exceed 48hrs
d. Warm ischemic time must not exceed 48hrs - ✔✔b. Total ischemic time must not
exceed 48hrs
✔✔All tissues not already transplanted, which are subject to recall, shall be located and
quarantined pending resolution of the recall (T/F)? - ✔✔True
✔✔Which of the following is not a colloid solution?
a. Fresh Frozen Plasma
b. Ringers Lactate
c. Dextran
d. Albumin - ✔✔b. Ringers Lactate
✔✔What is the most common STD in the US?
a. HIV
b. Syphilis
c. Genital Herpes
d. Gonorrhea - ✔✔c. Genital Herpes
✔✔What is the most common bloodbourne pathogen in the US today?
a. HIV
b. Hepatitis B
c. Hepatitis A
d. Hepatitis C - ✔✔b. Hepatitis B
✔✔What is the minimum classed environment needed for processing of cardiovascular
tissue?
a. Not Applicable
b. Class 10 or Cleaner
c. Class 500 or Cleaner
d. Class 100 or Cleaner - ✔✔d. Class 100 or Cleaner
✔✔What tissue transplant is most closely associated with CJD?
a. Iliac Crest
b. Femur
c. Dura Mater
d. Skin - ✔✔d. Dura Mater
,✔✔Serological testing on a potential donor reveals a positive HIV antibody screening
test. The screening test is positive on repeat testing, but the confirmatory test result is
negative. What happens to the tissue.
a. May not be used; discrepant results obtained
b. May be used; HIV antibody test is not a required test
c. May be used; confirmatory test is negative
d. May not be used; results of confirmatory test cannot override a screening test - ✔✔d.
May not be used; results of confirmatory test cannot override a screening test
✔✔Which of the following is not a cause for deferral?
a. A Positive PPD Test for TB
b. Untreated Syphilis
c. Systemic Mycosis
d. Evidence of Sepsis - ✔✔a. A Positive PPD Test for TB
✔✔Which of the following transplants is most commonly associated with spread of prion
related disease?
a. Skin
b. Dura Mater
c. Bone
d. Blood Transfusion - ✔✔b. Dura Mater
✔✔Which of the following is NOT capable of osteoinduction?
a. Demineralized Allograft
b. Demineralized Xenograft
c. Demineralized Allopast
d. Demineralized Autograft - ✔✔c. Demineralized Allopast
✔✔How long should donor records be held? (not including Dura mater)
a. 20yrs Beyond Date of Final Disposition
b. 5yrs Beyond the Date of Final Disposition
c. Not a Requirement
d. 10yrs Beyond Date of Final Disposition - ✔✔d. 10yrs Beyond Date of Final
Disposition
✔✔Name the first civilian regional tissue bank established in the US.
a. University of Miami
b. Florida State University
c. United States Navy
d. University of Florida - ✔✔a. University of Miami
✔✔Which of the following does NOT have to be included on graft package inserts?
a. Instruction for Opening the Package or Container
b. Date of Processing of the Graft
,c. A Statement Indicating That the Tissue may Transmit Infectious Agents
d. Type of Antibiotics Used in Processing - ✔✔b. Date of Processing of the Graft
✔✔During heart for valve for recovery, the aorta is cut 1 cm distal to the
a. Pulmonary Artery
b. Brachiocephalic Artery
c. Carotid Artery
d. Subclavian Artery - ✔✔d. Subclavian Artery
✔✔Which of the following would NOT be a viral hepatitis rule out?
a. Incarceration in Prison or Jail for Greater Than 72hrs in the Preceding 12 mos.
b. Close Contact With a Person Having Viral Hepatitis in the Preceding 12 mos.
c. Documented Hepatitis A, Cytomegalovirus, or Epstein Barr Virus
d. Perutaneous Exposure to Blood Thought to be High Risk for Carrying Hepatitis in the
Preceding 12mos - ✔✔c. Documented Hepatitis A, Cytomegalovirus, or Epstein Barr
Virus
✔✔If skin is to stored >96 hrs prior to processing, how often must skin storage media be
change?
a. Every 24hrs
b. Every 96hrs
c. Every 72hrs
d. Every 12hrs - ✔✔c. Every 72hrs
✔✔Wolf's Law describes
a. Fracture Repair in Long Bones
b. The Amount of Pressure a Bone can Take Before Fracture
c. The Relationship Between Form and Function in Bone.
d. Bone Regeneration - ✔✔d. Bone Regeneration
✔✔AN example of the immune response is
a. Low pH on the skin
b. Itching from a bee sting
c. Normal flora of the intestines
d. Flushing action of tears - ✔✔b. Itching from a bee sting
✔✔Which of the following would be used for an osteochondral graft?
a. Patellar Tendon
b. Tri-Cortical Iliac Wedge
c. Crushed Cancellous/Cortical Chips
d. Distal Femur - ✔✔d. Distal Femur
✔✔At what temp should hearts be transported to the processing facility?
a. 4 degree celsius
, b. 1-10 degree celsius
c. 2-10 degree celsius
d. Temp doesn't matter as long as the heart is on ice - ✔✔b. 1-10 degree celsius
✔✔Which organism, if present, requires discarding of skin grafts?
a. Staphylococcus Sicuri
b. Streptococcus Sanguis
c. Streptococcus Viridans
d. Staphylococcus Aureus - ✔✔d. Staphylococcus Aureus
✔✔Cryopreserved allograft saphenous veins are NOT used in which procedure?
a. AV Fistulas for use as Dialysis Conduits
b. Peripheral Vascular Surgery
c. Temporary Limb Revascularization in Traumatic Vessel Loss.
d. Carotid Endarterectomies - ✔✔d. Carotid Endarterectomies
✔✔Quality control is described by all of the following EXCEPT:
a. Is one Dimension of Quality Assurance
b. Provides for the Creation of Standard Operating Procedures
c. Provides Microbiological Testing of Tissue at Pre-Sterilization and at Final Packaging
Stages.
d. Provides Tests to Monitor Specific Processes - ✔✔b. Provides for the Creation of
Standard Operating Procedures
✔✔Is Albumin a crystalloid or colloid? - ✔✔Colloid
✔✔Which of the following organisms found on pre-processing culture from bone shall
be a deferral of that tissue?
a. Nuisancesis Kasprinis
b. E.Coli
c. Cornebacterium Sp.
d. Clostridium Sp.
e. Staphylococcus - ✔✔Any of these are correct:
E.Coli
Clostridium Sp
Staphlococcus
✔✔A donor has a verbal history of hepatitis. The donor is acceptable if the hepatitis was
before what age?
a. 12
b. 13
c. 14
d. 11 - ✔✔d. 11
