CCTC NATCO Practice STUDY EXAM

CCTC NATCO Practice STUDY EXAM Pancreas - CORRECT ANSWER-Most candidates have type 1 diabetes Poor hypoglycemic control, unawareness Poor metabolic control Candidates for pancreas transplant - CORRECT ANSWER-On insulin and C-peptide less or equal to 2 ng/ml OR On insulin and C-peptide greater or equal to 2 ng/ml AND a BMI less than or equal to the maximum allowable BMI ( currently less or equal to 28 kg/m2 Pancreatic exocrine insufficiency Patients with type 2 diabetes are seldom evaluated for pancreas transplant and account for 7% of all pancreas transplant recipients in 2010 Native kidneys and pancreas are not removed during panc transplant - CORRECT ANSWER-Allows the exocrine function of the native pancreas to be preserved Two surgical approaches Exocrine secretions are generally drained into - CORRECT ANSWER-Enteric drainage OR Bladder drainage Enteric drainage bowel drainage - CORRECT ANSWER-Much of the 2 liter of exocrine enzymatic fluid and bicarbonate produced by the pancreas is reabsorbed in the bowel Enteric drainage - CORRECT ANSWER-The transplanted donor duodenal segment is attached to recipients jejunum to establish exocrine drainage Bladder drainage - CORRECT ANSWER-The systematic bladder drainage technique directs Venus outflow and insulin drainage into the iliac vein The exocrine drainage is via anastomosis of a duodenal segment to the recipients urinary bladder Benefit to bladder drainage - CORRECT ANSWER-That the rejection episodes in the pancreas can be detected more readily by measuring the exocrine enzyme amylase in the urine Bladder drainage Predispose the patient to - CORRECT ANSWER-Dehydration