CCTC NATCO EXAM | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
You are training a new transplant coordinator. When teaching her about
intestinal transplant, which of the following is not true when describing
intestinal failure?
1. Can be due to motility or absorption disorders
2. Nutrition is supplied primarily by TPN
3. Most patients also have liver disease
4. Inadequate gut mass to maintain fluid and nutritional requirements -
(ANSWERS)3. Most patients also have liver disease
A 30 year old recipient comes to clinic 1 month post transplant. In
reviewing signs/symptoms of intestinal rejection, the transplant coordinator
should instruct the recipient/family to notify the coordinator immediately if:
1. The stoma has prolapsed
2. An intermittent low-grade fever develops
3. The consistency of stoma output has thickened
4. There is high stoma output
A. 1 and 2 only
B. 1 and 3 only
C. 2 and 4 only
D. 3 and 4 only - (ANSWERS)C. 2 and 4 only.
2. An intermittent low-grade fever develops
4. There is high stoma output
,CCTC NATCO EXAM | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
You are caring for a 20 year old female who is listed for a multivisceral
transplant. She is ill but stable and is hospitalized for supportive care as she
waits for an organ transplant. Which of the following would preclude
transplant when an organ is offered?
A. Positive blood culture with klebsiella
B. History of adherence issues
C. Ammonia level of 200umol/L
D. Seizure disorder controlled with phenytoin - (ANSWERS)A. Positive
blood culture with klebsiella
You are caring for a 10 year old male following isolated intestine transplant
on post-op day 2. He has become increasingly tachycardic and his BP is
80/55. JP drainage has increased serosanguineous fluid. The abdomen is
mildly distended. His hemoglobin is 9.2. The ileostomy drainage is
40ml/kg/day and loose brown. What do you suspect?
A. Vascular thrombosis
B. Post-operative hemorrhage
C. Acute rejection
D. Leak at the anastomosis of jejunum and duodenum - (ANSWERS)B.
Post-operative hemorrhage
,CCTC NATCO EXAM | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Your patient is a 40 year old male, 3 weeks postintestinal transplant. Enteral
feeds are going through a GT at 40 cc/hr continuously. He is complaining of
nausea and just vomited. He is afebrile. What is the first thing you do before
calling your physician?
A. Decrease rate from 40 to 20cc/hr
B. Order an abdominal ultrasound
C. Stop the feeds
D. Assess the ileostomy drainage - (ANSWERS)C. Stop the feeds
You are teaching a new coordinator about indications for pancreas or
combined kid-panc transplant. Indications for pancreas or combined
kidney/panc transplant include which of the following complications for
type 1 diabetes?
A. Hypoglycemic unawareness
B. End- stage renal disease
C. On insulin and C-peptide is < 2 mg/ml
D. Congestive heart failure
E. A, B and C only
F. All of the above - (ANSWERS)E. A, B and C only
A. Hypoglycemic unawareness
B. End- stage renal disease
, CCTC NATCO EXAM | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
C. On insulin and C-peptide is < 2 mg/ml
What is the normal value for a fasting c-peptide? - (ANSWERS)0.8 - 4.0
ng/ml
You are teaching a new coordinator about bladder drainage (BD).
Approximately 20% of BD recipients undergo enteric conversion, which is
best described as:
A. Systemic- bladder drainage technique
B. Exocrine drainage through the urinary bladder
C. Damage to the organ during cold ischemia preservation
D. Movement of the duodenal segment from the bladder to the bowel -
(ANSWERS)D. Movement of the duodenal segment from the bladder to the
bowel
What is the normal value for serum amylase? - (ANSWERS)23-85 U/L
What is the normal value for serum lipase? - (ANSWERS)0-160 U/L
What is the normal value for C-peptide? - (ANSWERS)0.5 - 2 ng/ml
CORRECT ANSWERS | BRAND NEW!
You are training a new transplant coordinator. When teaching her about
intestinal transplant, which of the following is not true when describing
intestinal failure?
1. Can be due to motility or absorption disorders
2. Nutrition is supplied primarily by TPN
3. Most patients also have liver disease
4. Inadequate gut mass to maintain fluid and nutritional requirements -
(ANSWERS)3. Most patients also have liver disease
A 30 year old recipient comes to clinic 1 month post transplant. In
reviewing signs/symptoms of intestinal rejection, the transplant coordinator
should instruct the recipient/family to notify the coordinator immediately if:
1. The stoma has prolapsed
2. An intermittent low-grade fever develops
3. The consistency of stoma output has thickened
4. There is high stoma output
A. 1 and 2 only
B. 1 and 3 only
C. 2 and 4 only
D. 3 and 4 only - (ANSWERS)C. 2 and 4 only.
2. An intermittent low-grade fever develops
4. There is high stoma output
,CCTC NATCO EXAM | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
You are caring for a 20 year old female who is listed for a multivisceral
transplant. She is ill but stable and is hospitalized for supportive care as she
waits for an organ transplant. Which of the following would preclude
transplant when an organ is offered?
A. Positive blood culture with klebsiella
B. History of adherence issues
C. Ammonia level of 200umol/L
D. Seizure disorder controlled with phenytoin - (ANSWERS)A. Positive
blood culture with klebsiella
You are caring for a 10 year old male following isolated intestine transplant
on post-op day 2. He has become increasingly tachycardic and his BP is
80/55. JP drainage has increased serosanguineous fluid. The abdomen is
mildly distended. His hemoglobin is 9.2. The ileostomy drainage is
40ml/kg/day and loose brown. What do you suspect?
A. Vascular thrombosis
B. Post-operative hemorrhage
C. Acute rejection
D. Leak at the anastomosis of jejunum and duodenum - (ANSWERS)B.
Post-operative hemorrhage
,CCTC NATCO EXAM | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Your patient is a 40 year old male, 3 weeks postintestinal transplant. Enteral
feeds are going through a GT at 40 cc/hr continuously. He is complaining of
nausea and just vomited. He is afebrile. What is the first thing you do before
calling your physician?
A. Decrease rate from 40 to 20cc/hr
B. Order an abdominal ultrasound
C. Stop the feeds
D. Assess the ileostomy drainage - (ANSWERS)C. Stop the feeds
You are teaching a new coordinator about indications for pancreas or
combined kid-panc transplant. Indications for pancreas or combined
kidney/panc transplant include which of the following complications for
type 1 diabetes?
A. Hypoglycemic unawareness
B. End- stage renal disease
C. On insulin and C-peptide is < 2 mg/ml
D. Congestive heart failure
E. A, B and C only
F. All of the above - (ANSWERS)E. A, B and C only
A. Hypoglycemic unawareness
B. End- stage renal disease
, CCTC NATCO EXAM | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
C. On insulin and C-peptide is < 2 mg/ml
What is the normal value for a fasting c-peptide? - (ANSWERS)0.8 - 4.0
ng/ml
You are teaching a new coordinator about bladder drainage (BD).
Approximately 20% of BD recipients undergo enteric conversion, which is
best described as:
A. Systemic- bladder drainage technique
B. Exocrine drainage through the urinary bladder
C. Damage to the organ during cold ischemia preservation
D. Movement of the duodenal segment from the bladder to the bowel -
(ANSWERS)D. Movement of the duodenal segment from the bladder to the
bowel
What is the normal value for serum amylase? - (ANSWERS)23-85 U/L
What is the normal value for serum lipase? - (ANSWERS)0-160 U/L
What is the normal value for C-peptide? - (ANSWERS)0.5 - 2 ng/ml
