CCTN Review- General
Transplantation Care Questions and
Answers Updated 2026
CholestasisM-
MAnswerMaMconditionMwhereMtheMbileMcannotMflowMfromMtheMliverMtoMtheMduodenu
mMofMtheMsmallMintestines.
IntrahepaticMbileMductM-MAnswerMpassesMthroughMandMdrainMbileMfromMtheMliver.
DiseasesMthatMaffectMtheMIntrahepaticMbileMductMare:M-MAnswerMbiliaryMatresia
PrimaryMbiliaryMcirrhosis
IatrogenicMdrugMinducedMdiseases
FamilialMcholestasis
CysticMfibrosis
BiliaryMatresiaM-
MAnswerMcommonMbileMductMbetweenMtheMliverMandMsmallMintestinesMisMblocked.
PrimaryMbiliaryMcirrhosisM-MAnswerMdiseaseMthatMdestroysMtheMbileMductsMinMtheMliver.
IatrogenicMdrugMinducedMdiseasesM-MAnswerMchlorpromazine
tolbutamide
FamilialMcholestasisM-MAnswerMByler'sMsyndrome
ArteriohepaticMdysplasia
CysticMfibrosisM-
MAnswerMstickyMbuildupMofMmucusMinMtheMintestinesMcanMleadMtoMinspissatedM(thicken
ed,Mdried)MbileMsyndromeMandMcirrhosis.
IDDMM(InsulinMDependentMDiabetesMMellitus)-MBrittleMTypeM1MDiabetes
, (noMsignsMofMadvancedMdiabeticMnephropathy)M-
MAnswerMtheMmostMcommonMdiseaseMthatMrequiresMaMpancreasMtransplant.
alcoholismMwithMliverMchangesM-
MAnswerMmostMcommonMdiseaseMthatMrequireMaMliverMtransplant
cholestasisM-MAnswerMmostMcommonMdiseaseMthatMrequireMaMliverMtransplant
chronicMhepatitisM-MAnswerMmostMcommonMdiseaseMthatMrequireMaMliverMtransplant
geneticMdiseasesM(Crigler-
NajjarMsyndrome,MhereditaryMoxalises,MfamilialMhypercholesterolemia).M-
MAnswerMmostMcommonMdiseaseMthatMrequireMaMliverMtransplant
hepatocellularMcarcinomaM(HCC)-M<5McmMaccompaniedMbyMcirrhosisM-
MAnswerMmostMcommonMdx.MthatMreq.MaMliverMtransplant.
metabolicMdiseaseM-MAnswerMmostMcommonMdx.MthatMreq.MaMliverMtransplant.
CoagulopathyMofMliverMdiseaseM-MAnswerMCirrhosis
ImpairedMhepaticMfunction
*DecreasedMsynthesisMofMclottingMfactorsMII,MV,MVII,MIXMandMfibrinogen*
FactorMVIIIMlevelsMoccasionallyM↑
PTMprolonged,MaPTTMprolongedMinMlongstandingMdisease
*UsuallyMdoesMnotMrequireMtreatmentMunlessMbleedingMcomplicationsMoccur*
FFPMifMactiveMbleedingMwithMprolongedMaPTTMandMPTT
CryoprecipitateMifMfibrinogenM<M80Mmg/dL
organMtransplant
HepaticMencephalopathyM-
MAnswerMimpairedMammoniaMmetabolismMcausesMcerebralMedema.Ms/s:MchangeMinMLOC,
MmemoryMloss,MasterixisM(flappingMtremor)MimpairedMhandwriting,MhyperventilationMw/Mr
espMalkalosis.MRx:Mlactulose,MlowMprotein,Msafety,Mrest
Transplantation Care Questions and
Answers Updated 2026
CholestasisM-
MAnswerMaMconditionMwhereMtheMbileMcannotMflowMfromMtheMliverMtoMtheMduodenu
mMofMtheMsmallMintestines.
IntrahepaticMbileMductM-MAnswerMpassesMthroughMandMdrainMbileMfromMtheMliver.
DiseasesMthatMaffectMtheMIntrahepaticMbileMductMare:M-MAnswerMbiliaryMatresia
PrimaryMbiliaryMcirrhosis
IatrogenicMdrugMinducedMdiseases
FamilialMcholestasis
CysticMfibrosis
BiliaryMatresiaM-
MAnswerMcommonMbileMductMbetweenMtheMliverMandMsmallMintestinesMisMblocked.
PrimaryMbiliaryMcirrhosisM-MAnswerMdiseaseMthatMdestroysMtheMbileMductsMinMtheMliver.
IatrogenicMdrugMinducedMdiseasesM-MAnswerMchlorpromazine
tolbutamide
FamilialMcholestasisM-MAnswerMByler'sMsyndrome
ArteriohepaticMdysplasia
CysticMfibrosisM-
MAnswerMstickyMbuildupMofMmucusMinMtheMintestinesMcanMleadMtoMinspissatedM(thicken
ed,Mdried)MbileMsyndromeMandMcirrhosis.
IDDMM(InsulinMDependentMDiabetesMMellitus)-MBrittleMTypeM1MDiabetes
, (noMsignsMofMadvancedMdiabeticMnephropathy)M-
MAnswerMtheMmostMcommonMdiseaseMthatMrequiresMaMpancreasMtransplant.
alcoholismMwithMliverMchangesM-
MAnswerMmostMcommonMdiseaseMthatMrequireMaMliverMtransplant
cholestasisM-MAnswerMmostMcommonMdiseaseMthatMrequireMaMliverMtransplant
chronicMhepatitisM-MAnswerMmostMcommonMdiseaseMthatMrequireMaMliverMtransplant
geneticMdiseasesM(Crigler-
NajjarMsyndrome,MhereditaryMoxalises,MfamilialMhypercholesterolemia).M-
MAnswerMmostMcommonMdiseaseMthatMrequireMaMliverMtransplant
hepatocellularMcarcinomaM(HCC)-M<5McmMaccompaniedMbyMcirrhosisM-
MAnswerMmostMcommonMdx.MthatMreq.MaMliverMtransplant.
metabolicMdiseaseM-MAnswerMmostMcommonMdx.MthatMreq.MaMliverMtransplant.
CoagulopathyMofMliverMdiseaseM-MAnswerMCirrhosis
ImpairedMhepaticMfunction
*DecreasedMsynthesisMofMclottingMfactorsMII,MV,MVII,MIXMandMfibrinogen*
FactorMVIIIMlevelsMoccasionallyM↑
PTMprolonged,MaPTTMprolongedMinMlongstandingMdisease
*UsuallyMdoesMnotMrequireMtreatmentMunlessMbleedingMcomplicationsMoccur*
FFPMifMactiveMbleedingMwithMprolongedMaPTTMandMPTT
CryoprecipitateMifMfibrinogenM<M80Mmg/dL
organMtransplant
HepaticMencephalopathyM-
MAnswerMimpairedMammoniaMmetabolismMcausesMcerebralMedema.Ms/s:MchangeMinMLOC,
MmemoryMloss,MasterixisM(flappingMtremor)MimpairedMhandwriting,MhyperventilationMw/Mr
espMalkalosis.MRx:Mlactulose,MlowMprotein,Msafety,Mrest