CCTC Exam Review | 100% Correct Answers
| Verified | Latest 2024 Version
A liver recipient, 2-month postoperative, presents to a clinic with the following complaints of 48-hour
duration: temperature of 38.5°C (101.3°F), chills, and cough. He reports dark-colored urine, light-colored
stools, yellow skin, and a loss of appetite. The transplant coordinator should anticipate the following
course of events in what order?
A. hospital admission, blood cultures, routine blood work, CXR, abdominal ultrasound, liver biopsy
B. liver biopsy, blood cultures, routine blood work, CXR, abdominal ultrasound
C. IV antibiotics, blood cultures, routine blood work, CXR, ERCP, abdominal ultrasound, hospital
admission
D. liver biopsy, blood cultures, IV antibiotics, CXR, routine blood work, hospital admission - ✔✔A.
hospital admission, blood cultures, routine blood work, CXR, abdominal ultrasound, liver biopsy
The transplant coordinator should do less invasive test first: blood cultures are needed to rule out sepsis
given the patient has a temperature of 38.5°C (101.3°F), routine blood work is needed to know what the
patient's WBC, liver function test, and creatinine levels. CXR is needed to rule out pneumonia because
the patient has chills and a cough. Abdominal ultrasound is needed because the patient has had a liver
transplant and has dark urine, light stools, and yellow skin. If infection has not been ruled out, the
coordinator should check for liver rejection.
When teaching a candidate about living-related donor transplantation, which of the following concepts
are important to include?
1. Transplantation is a cure.
2. Less immunosuppression is typically required.
3. expected length of the operation
4. potential for graft loss
A. 1 and 2 only
B. 1 and 4 only
C. 2 and 3 only
D. 3 and 4 only - ✔✔D. 3 and 4 only
,A transplant coordinator is educating a liver transplant recipient who is hepatitic C virus (HCV)-positive
about potential complications. Which of the following should be discussed?
A. Antirejection medications are usually lowered during episodes of rejection.
B. Signs of rejection include fatigue and light colored stools.
C. Infections after transplant can be common due to antihypertensive medications.
D. The risk of recurrent hepatitis C is very low after a liver transplant. - ✔✔B. Signs of rejection include
fatigue and light colored stools.
Antirejection medications are increased, not lowered during episodes of rejection. Infections are
common due to antirejection medications, not antihypertensive medications. The recipient is still HCV-
positive even after the liver transplantation and treatment may be necessary
A patient received a living-related donor kidney transplant 2 days ago. Urine output has abruptly
stopped. A stat renal ultrasound confirmed renal vein thrombosis. The patient is rushed back to the
operating room for allograft nephrectomy. Which of the following should the transplant coordinator
immediately anticipate?
1. anticoagulation therapy
2. UNOS listing for retransplant
3. need for dialysis
4. ineligibility for future living donor transplant
A. 1 and 3 only
B. 1 and 4 only
C. 2 and 3 only
D. 2 and 4 only - ✔✔C. 2 and 3 only
When renal venous thrombosis occurs, the kidney cannot be salvaged. The patient will be required to
return to dialysis and retransplanted.
A heart transplant recipient is being prepared for an endomyocardial biopsy. Which of the following
should the transplant coordinator explain to the recipient?
A. An echocardiogram is needed following the biopsy.
B. Endomyocardial tissue is obtained from the atrium.
C. An overnight stay at the hospital is needed for observation.
, D. The internal jugular vein is the most common approach. - ✔✔D. The internal jugular vein is the most
common approach.
A right ventricular biopsy is performed to determine rejection. The most common venous access is
through the right internal jugular vein.
In most transplant centers, the recommended frequency of panel-reactive antibody (PRA) testing in a
transplant candidate with a PRA of 15% is
A. every 3 months.
B. monthly.
C. every 2 weeks.
D. only with organ offer. - ✔✔B. monthly.
Patients with a PRA greater than 10% are usually retested on a regular basis, monthly, or with a
ventricular assist device (VAD) weekly.
A heart candidate is clinically deteriorating in the ICU, and the transplant team anticipates placing a
ventricular assist device within 72 hours. In the interim, a right heart catheterization was performed and
a Swan Ganz catheter and intra-aortic balloon pump (IABP) were placed. The transplant coordinator
should verify the candidate's UNOS listing as
A. 1A.
B. 1B.
C. 2.
D. 7. - ✔✔A. 1A.
Adult patients awaiting a heart transplant are given a status code based on how medically urgent it is for
them to receive a transplant. Status 1A candidates are medically urgent and are listed as having: (1)
mechanical circulatory support for acute homodynamic decompensation that includes at least 1 of the
following: left and/or right ventricular assist device implanted, total artificial heart, intra-aortic balloon
pump or extracorporeal membrane oxygenate; (2) mechanical thromboembolism, device infection,
mechanical failure, and/or life-threatening ventricular arrhythmias; (3) continuous mechanical
ventilation; or (4) continuous infusion of a single high-dose intravenous isotope or multiple intravenous
isotopes, in addition to continuous hemodynamic monitoring of left ventricular filling pressures. Status
1B patients have at least 1 of the following devices or therapies in place: left and/or right ventricular
assist device implanted or continuous infusion of intravenous inotropes. Status 2 are all other patients
awaiting a heart who do not meet the criteria for status 1A or 1B. Status 7 patients are temporarily
inactive on the list.
| Verified | Latest 2024 Version
A liver recipient, 2-month postoperative, presents to a clinic with the following complaints of 48-hour
duration: temperature of 38.5°C (101.3°F), chills, and cough. He reports dark-colored urine, light-colored
stools, yellow skin, and a loss of appetite. The transplant coordinator should anticipate the following
course of events in what order?
A. hospital admission, blood cultures, routine blood work, CXR, abdominal ultrasound, liver biopsy
B. liver biopsy, blood cultures, routine blood work, CXR, abdominal ultrasound
C. IV antibiotics, blood cultures, routine blood work, CXR, ERCP, abdominal ultrasound, hospital
admission
D. liver biopsy, blood cultures, IV antibiotics, CXR, routine blood work, hospital admission - ✔✔A.
hospital admission, blood cultures, routine blood work, CXR, abdominal ultrasound, liver biopsy
The transplant coordinator should do less invasive test first: blood cultures are needed to rule out sepsis
given the patient has a temperature of 38.5°C (101.3°F), routine blood work is needed to know what the
patient's WBC, liver function test, and creatinine levels. CXR is needed to rule out pneumonia because
the patient has chills and a cough. Abdominal ultrasound is needed because the patient has had a liver
transplant and has dark urine, light stools, and yellow skin. If infection has not been ruled out, the
coordinator should check for liver rejection.
When teaching a candidate about living-related donor transplantation, which of the following concepts
are important to include?
1. Transplantation is a cure.
2. Less immunosuppression is typically required.
3. expected length of the operation
4. potential for graft loss
A. 1 and 2 only
B. 1 and 4 only
C. 2 and 3 only
D. 3 and 4 only - ✔✔D. 3 and 4 only
,A transplant coordinator is educating a liver transplant recipient who is hepatitic C virus (HCV)-positive
about potential complications. Which of the following should be discussed?
A. Antirejection medications are usually lowered during episodes of rejection.
B. Signs of rejection include fatigue and light colored stools.
C. Infections after transplant can be common due to antihypertensive medications.
D. The risk of recurrent hepatitis C is very low after a liver transplant. - ✔✔B. Signs of rejection include
fatigue and light colored stools.
Antirejection medications are increased, not lowered during episodes of rejection. Infections are
common due to antirejection medications, not antihypertensive medications. The recipient is still HCV-
positive even after the liver transplantation and treatment may be necessary
A patient received a living-related donor kidney transplant 2 days ago. Urine output has abruptly
stopped. A stat renal ultrasound confirmed renal vein thrombosis. The patient is rushed back to the
operating room for allograft nephrectomy. Which of the following should the transplant coordinator
immediately anticipate?
1. anticoagulation therapy
2. UNOS listing for retransplant
3. need for dialysis
4. ineligibility for future living donor transplant
A. 1 and 3 only
B. 1 and 4 only
C. 2 and 3 only
D. 2 and 4 only - ✔✔C. 2 and 3 only
When renal venous thrombosis occurs, the kidney cannot be salvaged. The patient will be required to
return to dialysis and retransplanted.
A heart transplant recipient is being prepared for an endomyocardial biopsy. Which of the following
should the transplant coordinator explain to the recipient?
A. An echocardiogram is needed following the biopsy.
B. Endomyocardial tissue is obtained from the atrium.
C. An overnight stay at the hospital is needed for observation.
, D. The internal jugular vein is the most common approach. - ✔✔D. The internal jugular vein is the most
common approach.
A right ventricular biopsy is performed to determine rejection. The most common venous access is
through the right internal jugular vein.
In most transplant centers, the recommended frequency of panel-reactive antibody (PRA) testing in a
transplant candidate with a PRA of 15% is
A. every 3 months.
B. monthly.
C. every 2 weeks.
D. only with organ offer. - ✔✔B. monthly.
Patients with a PRA greater than 10% are usually retested on a regular basis, monthly, or with a
ventricular assist device (VAD) weekly.
A heart candidate is clinically deteriorating in the ICU, and the transplant team anticipates placing a
ventricular assist device within 72 hours. In the interim, a right heart catheterization was performed and
a Swan Ganz catheter and intra-aortic balloon pump (IABP) were placed. The transplant coordinator
should verify the candidate's UNOS listing as
A. 1A.
B. 1B.
C. 2.
D. 7. - ✔✔A. 1A.
Adult patients awaiting a heart transplant are given a status code based on how medically urgent it is for
them to receive a transplant. Status 1A candidates are medically urgent and are listed as having: (1)
mechanical circulatory support for acute homodynamic decompensation that includes at least 1 of the
following: left and/or right ventricular assist device implanted, total artificial heart, intra-aortic balloon
pump or extracorporeal membrane oxygenate; (2) mechanical thromboembolism, device infection,
mechanical failure, and/or life-threatening ventricular arrhythmias; (3) continuous mechanical
ventilation; or (4) continuous infusion of a single high-dose intravenous isotope or multiple intravenous
isotopes, in addition to continuous hemodynamic monitoring of left ventricular filling pressures. Status
1B patients have at least 1 of the following devices or therapies in place: left and/or right ventricular
assist device implanted or continuous infusion of intravenous inotropes. Status 2 are all other patients
awaiting a heart who do not meet the criteria for status 1A or 1B. Status 7 patients are temporarily
inactive on the list.
