CCTC TRANSPLANT PHARMACOLOGY
CERTIFICATION EVALUATION 2026 FULL
SOLUTION VIEW AHEAD QUESTIONS
◉ A liver candidate is seen in clinic and is due for MELD
recertification. Labs drawn on clinic day reveal a MELD of 15. The
patient reports that they also had labs drawn five days ago and the
MELD was 21. The coordinator should:
a. recertify with the higher MELD score
b. recertify with the most recent labs
c. discuss placing the candidate on hold
d. discuss submitting MELD exception to UNOS
Answer: b. recertify with the most recent labs
◉ A transplant recipient recently diagnosed with CMV pneumonia
presents to clinic with fatigue, temperature of 37.7 C, and WBC that
has decreased to 2.5. Which medication should be adjusted first?
a. prednisone
b. ganciclovir
c. mycophenolate
d. tacrolimus
,Answer: c. mycophenolate
◉ To ensure blood type compatibility between donors and
transplant candidates, both the host OPO and transplant center must
test at least two blood samples. This is done prior to the match run
for the donor and prior to registration on the wait list for the
candidate. Which of the following is required for testing?
a. the samples are drawn pre PRBC transfusion
b. the samples are performed with the HLA typing
c. the samples are obtained at the time of procurement
d. the samples are drawn on two separate occasions
Answer: d. the samples are drawn on two separate occasions
◉ A lung recipient is discharged home after an uncomplicated
hospital course. The coordinator should arrange for:
a. weekly chest CT
b. monthly lab work
c. resuming pulmonary rehab
d. having the recipient return to work
Answer: c. resuming pulmonary rehab
◉ A transplant coordinator instructs a lung recipient to monitor and
report signs and symptoms of rejection. Which of the following
would indicate rejection?
,a. fever and increased FEV1
b. dyspnea and decreased FEV1
c. sudden weight loss and fever
d. pleuritic chest pain and weight gain
Answer: b. dyspnea and decreased FEV1
◉ A living donor is being evaluated for kidney donation. Which of
the following is MOST concerning?
a. HBsAB positive
b. history of smoking
c. low eGFR
d. family history of diabetes
Answer: c. low eGFR
◉ A transplant patient presents to clinic after learning of a positive
pregnancy test. Which of the following should occur?
1. discontinue mycophenolate
2. decrease tacrolimus
3. discontinue steroids
4. increase tacrolimus
a. 1&2
, b. 1&4
c. 2&3
d. 3&4
Answer: b. 1 &4
◉ Which of the following diagnoses is a relative
CONTRAINDICATION to heart transplant?
a. HCVAb positive
b. sarcoidosis
c. pulmonary hypertension
d. hemochromatosis
Answer: c. pulmonary hypertension
◉ Which of the following medications can cause increased appetite,
visual changes, and decreased bone density?
a. prednisone
b. sirolimus
c. tacrolimus
d. bactrim
Answer: a. prednisone
CERTIFICATION EVALUATION 2026 FULL
SOLUTION VIEW AHEAD QUESTIONS
◉ A liver candidate is seen in clinic and is due for MELD
recertification. Labs drawn on clinic day reveal a MELD of 15. The
patient reports that they also had labs drawn five days ago and the
MELD was 21. The coordinator should:
a. recertify with the higher MELD score
b. recertify with the most recent labs
c. discuss placing the candidate on hold
d. discuss submitting MELD exception to UNOS
Answer: b. recertify with the most recent labs
◉ A transplant recipient recently diagnosed with CMV pneumonia
presents to clinic with fatigue, temperature of 37.7 C, and WBC that
has decreased to 2.5. Which medication should be adjusted first?
a. prednisone
b. ganciclovir
c. mycophenolate
d. tacrolimus
,Answer: c. mycophenolate
◉ To ensure blood type compatibility between donors and
transplant candidates, both the host OPO and transplant center must
test at least two blood samples. This is done prior to the match run
for the donor and prior to registration on the wait list for the
candidate. Which of the following is required for testing?
a. the samples are drawn pre PRBC transfusion
b. the samples are performed with the HLA typing
c. the samples are obtained at the time of procurement
d. the samples are drawn on two separate occasions
Answer: d. the samples are drawn on two separate occasions
◉ A lung recipient is discharged home after an uncomplicated
hospital course. The coordinator should arrange for:
a. weekly chest CT
b. monthly lab work
c. resuming pulmonary rehab
d. having the recipient return to work
Answer: c. resuming pulmonary rehab
◉ A transplant coordinator instructs a lung recipient to monitor and
report signs and symptoms of rejection. Which of the following
would indicate rejection?
,a. fever and increased FEV1
b. dyspnea and decreased FEV1
c. sudden weight loss and fever
d. pleuritic chest pain and weight gain
Answer: b. dyspnea and decreased FEV1
◉ A living donor is being evaluated for kidney donation. Which of
the following is MOST concerning?
a. HBsAB positive
b. history of smoking
c. low eGFR
d. family history of diabetes
Answer: c. low eGFR
◉ A transplant patient presents to clinic after learning of a positive
pregnancy test. Which of the following should occur?
1. discontinue mycophenolate
2. decrease tacrolimus
3. discontinue steroids
4. increase tacrolimus
a. 1&2
, b. 1&4
c. 2&3
d. 3&4
Answer: b. 1 &4
◉ Which of the following diagnoses is a relative
CONTRAINDICATION to heart transplant?
a. HCVAb positive
b. sarcoidosis
c. pulmonary hypertension
d. hemochromatosis
Answer: c. pulmonary hypertension
◉ Which of the following medications can cause increased appetite,
visual changes, and decreased bone density?
a. prednisone
b. sirolimus
c. tacrolimus
d. bactrim
Answer: a. prednisone
