CCTC NATCO EXAM BANK 2026/2027 | ACCURATE
REAL EXAM QUESTIONS AND ANSWERS |
CURRENTLY TESTING AND FREQUENTLY TESTED
VERSIONS | EXPERT VERIFIED FOR GUARANTEED
PASS | LATEST UPDATE
TABLE OF CONTENT
CCTC NATCO ……………………………………………………………..… 2
CCTC NATCO: Pharmacology …………………………………...… 10
CCTC NATCO: Heart …………………………………………..…..…..27
CCTC NATCO: Living Donation ………..………….…………….… 49
CCTC NATCO: Kidney Pancreas ………………………….….….. 61
CCTC NATCO: Infectious Disease ……………………………..... 91
CCTC NATCO: POst Transplant ………………………………... 125
CCTC NATCO: Waitlist Management ………………………… 138
CCTC- NATCO: Evaluation for Transplantation ………….. 146
CCTC NATCO: Immunology and rejection …………………. 157
CCTC NATCO: Lung and Heart Lung ……………………………. 172
CCTC NACTO: Liver Intestine ……………………………………… 189
Pg. 1
,CCTC NATCO
Pancreas - CORRECT ANSWER ✔✔ - Most candidates have type 1 diabetes
Poor hypoglycemic control, unawareness
Poor metabolic control
Candidates for pancreas transplant - CORRECT ANSWER ✔✔ - On insulin and C-
peptide less or equal to 2 ng/ml OR
On insulin and C-peptide greater or equal to 2 ng/ml AND a BMI less than or equal
to the maximum allowable BMI ( currently less or equal to 28 kg/m2
Pancreatic exocrine insufficiency
Patients with type 2 diabetes are seldom evaluated for pancreas transplant and
account for 7% of all pancreas transplant recipients in 2010
Native kidneys and pancreas are not removed during panc transplant - CORRECT
ANSWER ✔✔ - Allows the exocrine function of the native pancreas to be
preserved
Two surgical approaches
Exocrine secretions are generally drained into - CORRECT ANSWER ✔✔ - Enteric
drainage OR
Bladder drainage
Enteric drainage bowel drainage - CORRECT ANSWER ✔✔ - Much of the 2 liter of
exocrine enzymatic fluid and bicarbonate produced by the pancreas is reabsorbed
in the bowel
Pg. 2
,Enteric drainage - CORRECT ANSWER ✔✔ - The transplanted donor duodenal
segment is attached to recipients jejunum to establish exocrine drainage
Bladder drainage - CORRECT ANSWER ✔✔ - The systematic bladder drainage
technique directs Venus outflow and insulin drainage into the iliac vein
The exocrine drainage is via anastomosis of a duodenal segment to the recipients
urinary bladder
Benefit to bladder drainage - CORRECT ANSWER ✔✔ - That the rejection episodes
in the pancreas can be detected more readily by measuring the exocrine enzyme
amylase in the urine
Bladder drainage Predispose the patient to - CORRECT ANSWER ✔✔ -
Dehydration
Recurrent urinary tract infections especially if patient has a history of neurogenic
bladder with poor bladder emptying
Cystitis
Metabolic acidosis we're large mounds of sodium bicarbonate or emptied into the
bladder
Reflux pancreatitis
Hematuria
Approximately 10 to 25% of BD recipients undergo a surgical procedure called
enteric conversion in the first five years following Transplant due to recurrent
UTIs, large duodenal leaks, severe or recurrent hematuria, or significant cystitis -
CORRECT ANSWER ✔✔ -
Pg. 3
, When the pancreas is transplanted simultaneously with a kidney from the same
donor, the kidney conserve as early rejection detection mechanism - CORRECT
ANSWER ✔✔ -
Average length of surgical procedure - CORRECT ANSWER ✔✔ - 48 hours for
combined kidney and pancreas transplant
3 to 4 hours isolated pancreas transplant
Post transplant course for pancreas transplant - CORRECT ANSWER ✔✔ - Average
length of stay 7 to 14 days
May require 24 to 48 hours stay in ICU
Nasogastric tube in place for approximately 1 to 2 days or until bowel function
returns
Foley catch 2to 3 days
Anti-rejection medication's in pancreas transplant - CORRECT ANSWER ✔✔ - CNI's
Tacrolimus or cyclosporine
Anti-proliferative agent Mycophenolate mofetil (cellcept)
Corticoid steroid methylprednisone IV or prednisone
Sirolimus (rapamycin)It's being used for some patients in Lieu of CNI's to minimize
the nephrotoxic affects associated with CNI's - CORRECT ANSWER ✔✔ -
Most patients will remain on tacrolimus and CellCept long-term but may taper off
prednisone within the months following Transplant if they initially received
prednisone - CORRECT ANSWER ✔✔ -
Pg. 4
REAL EXAM QUESTIONS AND ANSWERS |
CURRENTLY TESTING AND FREQUENTLY TESTED
VERSIONS | EXPERT VERIFIED FOR GUARANTEED
PASS | LATEST UPDATE
TABLE OF CONTENT
CCTC NATCO ……………………………………………………………..… 2
CCTC NATCO: Pharmacology …………………………………...… 10
CCTC NATCO: Heart …………………………………………..…..…..27
CCTC NATCO: Living Donation ………..………….…………….… 49
CCTC NATCO: Kidney Pancreas ………………………….….….. 61
CCTC NATCO: Infectious Disease ……………………………..... 91
CCTC NATCO: POst Transplant ………………………………... 125
CCTC NATCO: Waitlist Management ………………………… 138
CCTC- NATCO: Evaluation for Transplantation ………….. 146
CCTC NATCO: Immunology and rejection …………………. 157
CCTC NATCO: Lung and Heart Lung ……………………………. 172
CCTC NACTO: Liver Intestine ……………………………………… 189
Pg. 1
,CCTC NATCO
Pancreas - CORRECT ANSWER ✔✔ - Most candidates have type 1 diabetes
Poor hypoglycemic control, unawareness
Poor metabolic control
Candidates for pancreas transplant - CORRECT ANSWER ✔✔ - On insulin and C-
peptide less or equal to 2 ng/ml OR
On insulin and C-peptide greater or equal to 2 ng/ml AND a BMI less than or equal
to the maximum allowable BMI ( currently less or equal to 28 kg/m2
Pancreatic exocrine insufficiency
Patients with type 2 diabetes are seldom evaluated for pancreas transplant and
account for 7% of all pancreas transplant recipients in 2010
Native kidneys and pancreas are not removed during panc transplant - CORRECT
ANSWER ✔✔ - Allows the exocrine function of the native pancreas to be
preserved
Two surgical approaches
Exocrine secretions are generally drained into - CORRECT ANSWER ✔✔ - Enteric
drainage OR
Bladder drainage
Enteric drainage bowel drainage - CORRECT ANSWER ✔✔ - Much of the 2 liter of
exocrine enzymatic fluid and bicarbonate produced by the pancreas is reabsorbed
in the bowel
Pg. 2
,Enteric drainage - CORRECT ANSWER ✔✔ - The transplanted donor duodenal
segment is attached to recipients jejunum to establish exocrine drainage
Bladder drainage - CORRECT ANSWER ✔✔ - The systematic bladder drainage
technique directs Venus outflow and insulin drainage into the iliac vein
The exocrine drainage is via anastomosis of a duodenal segment to the recipients
urinary bladder
Benefit to bladder drainage - CORRECT ANSWER ✔✔ - That the rejection episodes
in the pancreas can be detected more readily by measuring the exocrine enzyme
amylase in the urine
Bladder drainage Predispose the patient to - CORRECT ANSWER ✔✔ -
Dehydration
Recurrent urinary tract infections especially if patient has a history of neurogenic
bladder with poor bladder emptying
Cystitis
Metabolic acidosis we're large mounds of sodium bicarbonate or emptied into the
bladder
Reflux pancreatitis
Hematuria
Approximately 10 to 25% of BD recipients undergo a surgical procedure called
enteric conversion in the first five years following Transplant due to recurrent
UTIs, large duodenal leaks, severe or recurrent hematuria, or significant cystitis -
CORRECT ANSWER ✔✔ -
Pg. 3
, When the pancreas is transplanted simultaneously with a kidney from the same
donor, the kidney conserve as early rejection detection mechanism - CORRECT
ANSWER ✔✔ -
Average length of surgical procedure - CORRECT ANSWER ✔✔ - 48 hours for
combined kidney and pancreas transplant
3 to 4 hours isolated pancreas transplant
Post transplant course for pancreas transplant - CORRECT ANSWER ✔✔ - Average
length of stay 7 to 14 days
May require 24 to 48 hours stay in ICU
Nasogastric tube in place for approximately 1 to 2 days or until bowel function
returns
Foley catch 2to 3 days
Anti-rejection medication's in pancreas transplant - CORRECT ANSWER ✔✔ - CNI's
Tacrolimus or cyclosporine
Anti-proliferative agent Mycophenolate mofetil (cellcept)
Corticoid steroid methylprednisone IV or prednisone
Sirolimus (rapamycin)It's being used for some patients in Lieu of CNI's to minimize
the nephrotoxic affects associated with CNI's - CORRECT ANSWER ✔✔ -
Most patients will remain on tacrolimus and CellCept long-term but may taper off
prednisone within the months following Transplant if they initially received
prednisone - CORRECT ANSWER ✔✔ -
Pg. 4
