Page 1 of 139
CCTC NATCO EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
A 40-year-old male that is 6 months post liver transplant comes
into clinic with mild abdominal pain and jaundice. His labs show
and GGT = 300 and AST = 2200. His liver enzymes were normal
last week. All of the following statement are true regarding HAT
except which one statement?
A. Dramatic increase in LFTs due to decreased blood flow
through the hepatic vein to the new graft
B. Can occur in the early postoperative stage or many months
later
C. Diagnosis is by angiography as this is gold standard for
diagnosis
D. The liver depends on the hepatic artery flow, HAT can lead to
massive necrosis
E. Immediate return to the OR for revascularization of the organ -
✔✔✔ Correct Answer > A. Dramatic increase in LFTs due to decreased
blood flow through the hepatic vein to the new graft
,Page 2 of 139
Not hepatic vein. HAT = hepatic artery thrombosis. Will have
dramatic increase in LFT labs though with HAT
Four years post heart transplant, a recipient with known
coronary artery disease (CAV) calls with sudden onset of
shortness of breath, nausea, diaphoresis and fatigue. Vital signs
are: BP 160/94, HR 100, temp 36.8. The transplant coordinator
should anticipate which of the following diagnostic procedures to
be performed?
A. Chest CT
B. Echocardiogram
C. Right Heart Catheterization
D. Right and Left heart catheterization
E. V/Q scan - ✔✔✔ Correct Answer > D. Right and Left heart
catheterization
Right heart cath is for hemodynamics and left heart cath is
looking at coronaries for blockages.
An 18 year old is 1 week post liver transplant is complaining
about abdominal pain, has bilious drainage from incision/drains.
The labs are alk phos is elevated at 300, the GGT = 100, AST = 1000
,Page 3 of 139
and ALT = 1200. All of the following statements are true except
which one statement?
A. In duct to duct anastomosis, small leaks may be treated with
internal stents placed percutaneous or via ERCP.
B. Bile collections can be drained percutaneously and a pigtail
drain inserted
C. Large leaks should be surgically repaired with construction of
a Roux-en-Y choledochojejunostomy
D. A transient leak at the exit site of a T-tube site is quite
common after removal and usually resolves spontaneously
E. Bile duct complications are uncommon and are rarely seen
post liver transplant.
F. Delaying removal of T-tubes for up to 3 months post transplant
allows for the biliary tract to mature, but even after this time,
leaks can occur - ✔✔✔ Correct Answer > E. Bile duct complications are
uncommon and are rarely seen post liver transplant.
Bile duct complications are common and may be seen at any
time post liver transplant
A 50 year old 1 day post liver transplant had an INR 80. and PTT
>100. Bleeding may occur into he first 24 hours post liver
transplant due to which of the following factors?
, Page 4 of 139
A. Improperly functioning drains
B. Ascites developing from fluid management
C. Poor functioning graft with underlying coagulopathy
D. Poor renal function - ✔✔✔ Correct Answer > C. Poor functioning
graft with underlying coagulopathy
Will see INR/PTT elevated
A 21 year old liver recipient, 2 months post op, presents to clinic
with complaints after 48 hour duration: temp 39.0C, chills, cough.
She reports dark-colored urine, light colored stools, yellow skin
and loss of appetite. The transplant coordinator should anticipate
the following course of events in what order?
A. liver biopsy, blood cultures, routine blood work, CXR,
abdominal US
B. IV antibiotics, blood cultures, routine blood work, CXR, ERCP,
abdominal US, hospital admission
C. hospital admission, blood cultures, routine blood work, CXR
abdominal US, liver biopsy
D. liver biopsy, blood cultures, IV antibiotics, CXR, routine blood
work, hospital admission - ✔✔✔ Correct Answer > C. hospital
CCTC NATCO EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
A 40-year-old male that is 6 months post liver transplant comes
into clinic with mild abdominal pain and jaundice. His labs show
and GGT = 300 and AST = 2200. His liver enzymes were normal
last week. All of the following statement are true regarding HAT
except which one statement?
A. Dramatic increase in LFTs due to decreased blood flow
through the hepatic vein to the new graft
B. Can occur in the early postoperative stage or many months
later
C. Diagnosis is by angiography as this is gold standard for
diagnosis
D. The liver depends on the hepatic artery flow, HAT can lead to
massive necrosis
E. Immediate return to the OR for revascularization of the organ -
✔✔✔ Correct Answer > A. Dramatic increase in LFTs due to decreased
blood flow through the hepatic vein to the new graft
,Page 2 of 139
Not hepatic vein. HAT = hepatic artery thrombosis. Will have
dramatic increase in LFT labs though with HAT
Four years post heart transplant, a recipient with known
coronary artery disease (CAV) calls with sudden onset of
shortness of breath, nausea, diaphoresis and fatigue. Vital signs
are: BP 160/94, HR 100, temp 36.8. The transplant coordinator
should anticipate which of the following diagnostic procedures to
be performed?
A. Chest CT
B. Echocardiogram
C. Right Heart Catheterization
D. Right and Left heart catheterization
E. V/Q scan - ✔✔✔ Correct Answer > D. Right and Left heart
catheterization
Right heart cath is for hemodynamics and left heart cath is
looking at coronaries for blockages.
An 18 year old is 1 week post liver transplant is complaining
about abdominal pain, has bilious drainage from incision/drains.
The labs are alk phos is elevated at 300, the GGT = 100, AST = 1000
,Page 3 of 139
and ALT = 1200. All of the following statements are true except
which one statement?
A. In duct to duct anastomosis, small leaks may be treated with
internal stents placed percutaneous or via ERCP.
B. Bile collections can be drained percutaneously and a pigtail
drain inserted
C. Large leaks should be surgically repaired with construction of
a Roux-en-Y choledochojejunostomy
D. A transient leak at the exit site of a T-tube site is quite
common after removal and usually resolves spontaneously
E. Bile duct complications are uncommon and are rarely seen
post liver transplant.
F. Delaying removal of T-tubes for up to 3 months post transplant
allows for the biliary tract to mature, but even after this time,
leaks can occur - ✔✔✔ Correct Answer > E. Bile duct complications are
uncommon and are rarely seen post liver transplant.
Bile duct complications are common and may be seen at any
time post liver transplant
A 50 year old 1 day post liver transplant had an INR 80. and PTT
>100. Bleeding may occur into he first 24 hours post liver
transplant due to which of the following factors?
, Page 4 of 139
A. Improperly functioning drains
B. Ascites developing from fluid management
C. Poor functioning graft with underlying coagulopathy
D. Poor renal function - ✔✔✔ Correct Answer > C. Poor functioning
graft with underlying coagulopathy
Will see INR/PTT elevated
A 21 year old liver recipient, 2 months post op, presents to clinic
with complaints after 48 hour duration: temp 39.0C, chills, cough.
She reports dark-colored urine, light colored stools, yellow skin
and loss of appetite. The transplant coordinator should anticipate
the following course of events in what order?
A. liver biopsy, blood cultures, routine blood work, CXR,
abdominal US
B. IV antibiotics, blood cultures, routine blood work, CXR, ERCP,
abdominal US, hospital admission
C. hospital admission, blood cultures, routine blood work, CXR
abdominal US, liver biopsy
D. liver biopsy, blood cultures, IV antibiotics, CXR, routine blood
work, hospital admission - ✔✔✔ Correct Answer > C. hospital
