CPTC EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
A medical examiner continues to restrict pediatric donation opportunities from a
particular hospital. Which of the following should a procurement coordinator
pursue as a donor champion to help improve the situation?
A. nurse manager
B. PICU intensivist
C. hospital pathologist
D. hospital administration
B. PICU intensivist
EXPLANATION: The ideal choice for donor champion in this situation would be another
physician who is able to provide evidence on current findings and to facilitate further
diagnostic testing to help with the investigation.
2. During a multi-organ recovery, a donor's arterial line tracing goes flat, but the
heart continues to beat in the open chest. A procurement coordinator should
suspect that
A. the patient's IV is dislodged.
B. the arterial line is obstructed.
,C. vasopressor administration is necessary.
D. the donor is in pulseless electrical activity.
B. the arterial line is obstructed
EXPLANATION: If direct observation shows a still beating heart, it is most likely that an
obstruction is preventing detection of pressure changes within the artery.
3. A procurement coordinator is notified by the local surgeon that vessels
procured from a donor are being transplanted into a different liver recipient at the
physician's institution. Which of the following is responsible for reporting final
organ disposition to the OPTN?
A. recovering surgeon
B. hospital staff member
C. implanting physician
D. procurement coordinator
C. implanting physician
EXPLANATION: To validate appropriate transplantation of recovered vessel tissue,
regardless of the recipient, UNOS Policy requires that the implanting physician give
notification of organ disposition. This process ensures the ability to track the organ for
subsequent follow-up.
4. While receiving fluid replacement therapy, lack of antidiuretic hormone would
lead to elevated serum
,A. sodium.
B. calcium.
C. potassium.
D. magnesium.
A. sodium
EXPLANATION: Lack of antidiuretic hormone is likely to result in increased free-water
urinary content. As a result of the electrolytes in IV fluids and thickening of the patient's
blood, serum sodium will increase. This effect is likely the result of diabetes insipidus.
5. A medical record review of potential donors should include patients who
A. were over age 70.
B. died on a ventilator.
C. died of tuberculosis.
D. were receiving chemotherapy.
B. died on a ventilator
EXPLANATION: The receipt of ventilatory support is the only option that is not
contraindicated for consideration as a donor according to AOPO and OPTN Standards.
A 55-year-old male donor is admitted following a CVA. Patient data are:
Type: Past 3 hours: Current:
, HR 80/min 123/min
BP 120/70 mmHg 80/40
RR 16/min 16/min
CVP 8 mmHg 4 mmHg
SaO2 98% 98%
Hgb 16 12
Hct 38% 26%
WBC 7000 7000
UOP 300 ml/hr 50 ml/hr
A procurement coordinator should treat the patient for:
A. sepsis
B. hypovolemia
C. internal bleeding
D. third-spacing of fluids
B. Hypovolemia
EXPLANATION: The acute drop in central venous pressure, along with decreased urine
output and abnormal laboratory values, is indicative of hypovolemia.
7. An attending physician has determined a family is too grief stricken to be
approached for organ donation and wants to remove life support from a potential
donor. A procurement coordinator should
COMPLETE SOLUTIONS VERIFIED
A medical examiner continues to restrict pediatric donation opportunities from a
particular hospital. Which of the following should a procurement coordinator
pursue as a donor champion to help improve the situation?
A. nurse manager
B. PICU intensivist
C. hospital pathologist
D. hospital administration
B. PICU intensivist
EXPLANATION: The ideal choice for donor champion in this situation would be another
physician who is able to provide evidence on current findings and to facilitate further
diagnostic testing to help with the investigation.
2. During a multi-organ recovery, a donor's arterial line tracing goes flat, but the
heart continues to beat in the open chest. A procurement coordinator should
suspect that
A. the patient's IV is dislodged.
B. the arterial line is obstructed.
,C. vasopressor administration is necessary.
D. the donor is in pulseless electrical activity.
B. the arterial line is obstructed
EXPLANATION: If direct observation shows a still beating heart, it is most likely that an
obstruction is preventing detection of pressure changes within the artery.
3. A procurement coordinator is notified by the local surgeon that vessels
procured from a donor are being transplanted into a different liver recipient at the
physician's institution. Which of the following is responsible for reporting final
organ disposition to the OPTN?
A. recovering surgeon
B. hospital staff member
C. implanting physician
D. procurement coordinator
C. implanting physician
EXPLANATION: To validate appropriate transplantation of recovered vessel tissue,
regardless of the recipient, UNOS Policy requires that the implanting physician give
notification of organ disposition. This process ensures the ability to track the organ for
subsequent follow-up.
4. While receiving fluid replacement therapy, lack of antidiuretic hormone would
lead to elevated serum
,A. sodium.
B. calcium.
C. potassium.
D. magnesium.
A. sodium
EXPLANATION: Lack of antidiuretic hormone is likely to result in increased free-water
urinary content. As a result of the electrolytes in IV fluids and thickening of the patient's
blood, serum sodium will increase. This effect is likely the result of diabetes insipidus.
5. A medical record review of potential donors should include patients who
A. were over age 70.
B. died on a ventilator.
C. died of tuberculosis.
D. were receiving chemotherapy.
B. died on a ventilator
EXPLANATION: The receipt of ventilatory support is the only option that is not
contraindicated for consideration as a donor according to AOPO and OPTN Standards.
A 55-year-old male donor is admitted following a CVA. Patient data are:
Type: Past 3 hours: Current:
, HR 80/min 123/min
BP 120/70 mmHg 80/40
RR 16/min 16/min
CVP 8 mmHg 4 mmHg
SaO2 98% 98%
Hgb 16 12
Hct 38% 26%
WBC 7000 7000
UOP 300 ml/hr 50 ml/hr
A procurement coordinator should treat the patient for:
A. sepsis
B. hypovolemia
C. internal bleeding
D. third-spacing of fluids
B. Hypovolemia
EXPLANATION: The acute drop in central venous pressure, along with decreased urine
output and abnormal laboratory values, is indicative of hypovolemia.
7. An attending physician has determined a family is too grief stricken to be
approached for organ donation and wants to remove life support from a potential
donor. A procurement coordinator should
