CPTC EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Plateau pressure (Pplat)
What is measured during a breath hold maneuver during mechanical ventilation and is a
value read from the Manometer
The first successful kidney transplant occurred when...
1954
The first successful human-to-human heart transplant occurred....
In South Africa in 1967
What does the UAGA stand for?
Uniform Anatomical Gift Act
When did the UAGA do in 1972?
Made 1st person authorization legally binding
What happened with the UAGA in 2006?
The UAGA was revised to create uniformity in donor designation procedures for all
states, clarified who is able to give authorization, and strengthened the weight of first-
person auth
What is the UDDA?
the Uniform Determination of Death Act established in 1981 and revised in 1985
What is the End Stage Renal Disease Act?
,An act passed in 1972 to provide payment for kidney transplant and dialysis via CMS
and by extension, this paved the way for CMS to provide payment for all organ payment
The idea is that the cost is less to transplant an organ than provide ongoing care for a
failing organ
What is Cyclosporine?
First successful non steroidal immunosuppressive drug
What is UNOS?
United Network of Organ Sharing founded in 1984
national network to coordinate the allocation of organs and collect clinical data about
donors, candidates, and recipients
What is The Omnibus Budget Reconciliation Act?
ensures no more than one OPO operates per DSA, OPOs and transplant centers
comply with UNOS/ OPTN policies, and hospitals that participate with CMS establish
written policies// protocols for organ donation.
Referral Rate
% of the total number of referrals/ missed referrals and total referrals combined
Timely Referral Rate
how many timely referrals were made/ how many should have been made
Authorization Rate
% of families who agree to donate/ total # of families from which authorization was
requested
Conversion rate
, % of eligible donors who actually become donors **meaning the donor needs to survive
in the OR to be "converted" into a donor
whether organs are transplanted or not does not affect the conversion rate
Eligible death
legally declared BD, is 75 yrs old or younger, weighs at least 5kg, has BMI of 50 or less,
has at least one organ which meets eligibility criteria for transplant
80/20 Rule
80% of donors come from 20% of hospitals in DSA
Non-eligible Kidney Criteria
>70yrs, 50-69yrs w/ DMI, polycystic kidney disease, terminal Cr >4, chronic renal
failure, no UO >24 hrs, glomerulosclerosis >20% on biopsy
Non-eligible Liver Criteria
Cirrhosis, terminal bili >4, portal HTN, macrosteatosis >50%, fulminant hepatic failure,
terminal AST/ALT >700
Non-eligible Heart Criteria
older than 60, 45 yrs old with hx of >10 yrs HTN, DM, CABG, CAD, hx of MI,
myocarditits, endocarditis, internal defib, pacemaker, valve replacement/ repair,
congenital defects
Non-eligible Lung Criteria
>65yrs, COPD, terminal PF <250, asthma (cause of death), pulmonary fibrosis, PNA
found on CT, pulmonary contusions, previous lobectomy, multiple blebs on CT
Not medically suitable
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Plateau pressure (Pplat)
What is measured during a breath hold maneuver during mechanical ventilation and is a
value read from the Manometer
The first successful kidney transplant occurred when...
1954
The first successful human-to-human heart transplant occurred....
In South Africa in 1967
What does the UAGA stand for?
Uniform Anatomical Gift Act
When did the UAGA do in 1972?
Made 1st person authorization legally binding
What happened with the UAGA in 2006?
The UAGA was revised to create uniformity in donor designation procedures for all
states, clarified who is able to give authorization, and strengthened the weight of first-
person auth
What is the UDDA?
the Uniform Determination of Death Act established in 1981 and revised in 1985
What is the End Stage Renal Disease Act?
,An act passed in 1972 to provide payment for kidney transplant and dialysis via CMS
and by extension, this paved the way for CMS to provide payment for all organ payment
The idea is that the cost is less to transplant an organ than provide ongoing care for a
failing organ
What is Cyclosporine?
First successful non steroidal immunosuppressive drug
What is UNOS?
United Network of Organ Sharing founded in 1984
national network to coordinate the allocation of organs and collect clinical data about
donors, candidates, and recipients
What is The Omnibus Budget Reconciliation Act?
ensures no more than one OPO operates per DSA, OPOs and transplant centers
comply with UNOS/ OPTN policies, and hospitals that participate with CMS establish
written policies// protocols for organ donation.
Referral Rate
% of the total number of referrals/ missed referrals and total referrals combined
Timely Referral Rate
how many timely referrals were made/ how many should have been made
Authorization Rate
% of families who agree to donate/ total # of families from which authorization was
requested
Conversion rate
, % of eligible donors who actually become donors **meaning the donor needs to survive
in the OR to be "converted" into a donor
whether organs are transplanted or not does not affect the conversion rate
Eligible death
legally declared BD, is 75 yrs old or younger, weighs at least 5kg, has BMI of 50 or less,
has at least one organ which meets eligibility criteria for transplant
80/20 Rule
80% of donors come from 20% of hospitals in DSA
Non-eligible Kidney Criteria
>70yrs, 50-69yrs w/ DMI, polycystic kidney disease, terminal Cr >4, chronic renal
failure, no UO >24 hrs, glomerulosclerosis >20% on biopsy
Non-eligible Liver Criteria
Cirrhosis, terminal bili >4, portal HTN, macrosteatosis >50%, fulminant hepatic failure,
terminal AST/ALT >700
Non-eligible Heart Criteria
older than 60, 45 yrs old with hx of >10 yrs HTN, DM, CABG, CAD, hx of MI,
myocarditits, endocarditis, internal defib, pacemaker, valve replacement/ repair,
congenital defects
Non-eligible Lung Criteria
>65yrs, COPD, terminal PF <250, asthma (cause of death), pulmonary fibrosis, PNA
found on CT, pulmonary contusions, previous lobectomy, multiple blebs on CT
Not medically suitable
