CCTC CERTIFICATION REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!!

CCTC CERTIFICATION REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!! Absolute Contraindications for liver transplant Severe cardiopulmonary disease, uncontrolled HIV, poorly controlled Psych illness, noncompliance, anatomical abnormalities precluding adequate surgical reconstruction Reason for not accepted for liver TX Hepatocellular Carcinoma (HCC) outside Milan Criteria What is NAFLD? Nonalcoholic Fatty Liver Disease- caused by obesity, hyperglycemia, elevated serum lipids, and high BP What is NASH? Non-alcoholic steatohepatitis. Can lead to cirrhosis 3rd common indication for liver TX. What is the MELD score? 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? Bile leakage What can a rise in ALP post liver tx indicate? Can be a sign of biliary complications or cholestasis Lab changes are indicate of graft dysfunction. Which values will be elevated for liver tx? Elevated AST and ALT Target levels for immunosuppressants are based on a number of factors including: Indication for tx, use of induction therapy, kidney function, overall condition of pt. What can lead to metabolic encephalopathy post liver transplant? Renal failure or sepsis What can lead to hypoxic ischemic encephalopathy post liver transplant? Significant peri-operative hypotension De Novo seizures can occur post liver transplant and can be caused by what? Electrolyte imbalances, reaction to cyclosporine or tacrolimus, intracranial hemorrhage or cerebral infarction and intracerebral abscesses What can cause a post liver transplant patient whose initial postop neurological course is normal to develop sudden deterioration in neurological status?