CCTC NATCO EXAM 2026/2027 | ACCURATE REAL
EXAM 230 QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES EACH | CURRENTLY
TESTING AND FREQUENTLY TESTED QUESTIONS |
EXPERT VERIFIED FOR GUARANTEED PASS |
LATEST UPDATE
A 21 year old female kidney recipient is 5 years post kidney transplant and is seen
in your outpatient clinic. You take her blood pressure and it is 190/100 despite
her taking her antihypertension medications. Her creatinine is 2.0. There is bruit
over the anastomosis. What is most likely the patient's diagnosis?
1. Ureteral obstruction
2. Renal artery stenosis
3. Lymphocele
4. Graft thrombosis
5. Urine Leak
6. Rejection - CORRECT ANSWER ✔✔ - 2. Renal artery stenosis
Increased uncontrolled BP, increased creatinine, months-years post transplant,
bruit over kidney blood flow area
A 21 year old female kidney recipient that is 5 years post transplant comes to
clinic emergently due to anuria (no urine output). A stat renal ultrasound
confirmed renal vein thrombosis. The patient is taken to the operating room STAT
for allograft nephrectomy. All of the following should be anticipated except:
Pg. 1
,1. Anticoagulation
2. UNOS listing for transplant
3. Need for dialysis
4. Ineligibility for future living donor transplant - CORRECT ANSWER ✔✔ - 4.
Ineligibility for future living donor transplant
Renal vein thrombosis - kidney cannot be saved.
A 21 year old female kidney transplant recipient is 1 month post right iliac fossa
kidney transplant and is seen in your outpatient clinic. She reports fever of 39 for
the past 24 hours, decreased urine output and right leg swelling. Labs result with
a BUN of 60 and creatinine of 2.1. What do you suspect?
1. Acute cellular rejection
2. Thrombophlebitis
3. Lymphocele
4. Antibody mediated rejection - CORRECT ANSWER ✔✔ - 3. Lymphocele
Lymph fluid over kidney, increased creatinine, leg edema on same side as kidney
transplant, fever
A 21 year old female pancreas recipient 3 months post transplant and comes to
emergency dept with sudden severe abdominal pain over graft site. Labs show
blood glucose = 400, amylase = 500. Patient is experiencing vascular thrombosis
may present with which of the following symptoms:
Pg. 2
,1. Elevated blood glucose
2. Elevated serum amylase level
3. Acute abdominal pain
4. Acute thrombosis of the hepatic artery
A. 2, 3 and 4
B. 1, 2, and 3
C. All of the above - CORRECT ANSWER ✔✔ - B. 1, 2, and 3
1. Elevated blood glucose
2. Elevated serum amylase level
3. Acute abdominal pain
A 21 year old female underwent kidney transplant for polycystic kidney disease.
On post op day #2, your patient asked if she still had her non-functioning kidney.
You responded that her kidney was removed. With PKD, the removal of kidney
can be done for the following reasons except which statement?
1. Kidney had progressive cyst formation
2. Intractable pain
3. Hematuria
4. Infection
5. Enlargement
6. Patient preference - CORRECT ANSWER ✔✔ - 6. Patient preference
Pg. 3
, 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 admission, blood cultures, routine
blood work, CXR abdominal US, liver biopsy
** least invasive first - admission, rule out infection, then rule out rejection
A 21 year old liver transplant is 3 days post transplant. His PT is 25 sec, AST >2000
and ALT > 5000. He will be going for a liver biopsy. It is thought he has primary
graft non-function. Factors related to primary nonfunction of new liver include
which of the following
A. Prolonged ischemic time
B. Donor age
C. Prolonged donor management/hospital stay
D. A and C only
E. B and C only
F. All of the above - CORRECT ANSWER ✔✔ - F. All of the above
Pg. 4
EXAM 230 QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES EACH | CURRENTLY
TESTING AND FREQUENTLY TESTED QUESTIONS |
EXPERT VERIFIED FOR GUARANTEED PASS |
LATEST UPDATE
A 21 year old female kidney recipient is 5 years post kidney transplant and is seen
in your outpatient clinic. You take her blood pressure and it is 190/100 despite
her taking her antihypertension medications. Her creatinine is 2.0. There is bruit
over the anastomosis. What is most likely the patient's diagnosis?
1. Ureteral obstruction
2. Renal artery stenosis
3. Lymphocele
4. Graft thrombosis
5. Urine Leak
6. Rejection - CORRECT ANSWER ✔✔ - 2. Renal artery stenosis
Increased uncontrolled BP, increased creatinine, months-years post transplant,
bruit over kidney blood flow area
A 21 year old female kidney recipient that is 5 years post transplant comes to
clinic emergently due to anuria (no urine output). A stat renal ultrasound
confirmed renal vein thrombosis. The patient is taken to the operating room STAT
for allograft nephrectomy. All of the following should be anticipated except:
Pg. 1
,1. Anticoagulation
2. UNOS listing for transplant
3. Need for dialysis
4. Ineligibility for future living donor transplant - CORRECT ANSWER ✔✔ - 4.
Ineligibility for future living donor transplant
Renal vein thrombosis - kidney cannot be saved.
A 21 year old female kidney transplant recipient is 1 month post right iliac fossa
kidney transplant and is seen in your outpatient clinic. She reports fever of 39 for
the past 24 hours, decreased urine output and right leg swelling. Labs result with
a BUN of 60 and creatinine of 2.1. What do you suspect?
1. Acute cellular rejection
2. Thrombophlebitis
3. Lymphocele
4. Antibody mediated rejection - CORRECT ANSWER ✔✔ - 3. Lymphocele
Lymph fluid over kidney, increased creatinine, leg edema on same side as kidney
transplant, fever
A 21 year old female pancreas recipient 3 months post transplant and comes to
emergency dept with sudden severe abdominal pain over graft site. Labs show
blood glucose = 400, amylase = 500. Patient is experiencing vascular thrombosis
may present with which of the following symptoms:
Pg. 2
,1. Elevated blood glucose
2. Elevated serum amylase level
3. Acute abdominal pain
4. Acute thrombosis of the hepatic artery
A. 2, 3 and 4
B. 1, 2, and 3
C. All of the above - CORRECT ANSWER ✔✔ - B. 1, 2, and 3
1. Elevated blood glucose
2. Elevated serum amylase level
3. Acute abdominal pain
A 21 year old female underwent kidney transplant for polycystic kidney disease.
On post op day #2, your patient asked if she still had her non-functioning kidney.
You responded that her kidney was removed. With PKD, the removal of kidney
can be done for the following reasons except which statement?
1. Kidney had progressive cyst formation
2. Intractable pain
3. Hematuria
4. Infection
5. Enlargement
6. Patient preference - CORRECT ANSWER ✔✔ - 6. Patient preference
Pg. 3
, 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 admission, blood cultures, routine
blood work, CXR abdominal US, liver biopsy
** least invasive first - admission, rule out infection, then rule out rejection
A 21 year old liver transplant is 3 days post transplant. His PT is 25 sec, AST >2000
and ALT > 5000. He will be going for a liver biopsy. It is thought he has primary
graft non-function. Factors related to primary nonfunction of new liver include
which of the following
A. Prolonged ischemic time
B. Donor age
C. Prolonged donor management/hospital stay
D. A and C only
E. B and C only
F. All of the above - CORRECT ANSWER ✔✔ - F. All of the above
Pg. 4
