CTBS PRACTICE EXAM|ACTUAL QUESTIONS AND ANSWERS LATEST UPDATED 2025/2026 (GRADED A+
Donor eligibility criteria shall be established by the:
A. Executive leadership.
B. AOC.
C. Recovery organization's medical director.
D. The medical director responsible for the release of tissue for transplant. ✔️D
You are completing an MS tissue recovery and your donor was involved in a traumatic event resulting in multiple abrasions. Some abrasions are
noted to the medial aspect of the right lower extremity. What should you do?
A. Defer the tissues from that side.
B. Proceed as normal because there are no lacerations.
C. Recover tissues below the abrasion.
D. Prep and drape the site and modify your incision to avoid the area. ✔️D
Aseptic tissue recovery is completed in ____________ to reduce the potential for cross contamination.
A. sequence
B. quickly
C. the operating room
D. zones ✔️D
Split, or partial-partial thickness, skin is recovered using a
A. dermatome.
B. scalpel.
C. osteotome.
D. forceps. ✔️A
A container is an enclosure for one finished unit of transplantable tissue. All of the following are physical properties of a container EXCEPT:
A. withstand sterilization and storage.
B. is designed only for storage of lyophilized tissue.
C. maintain tissue quality through labeled expiration date
D. shall not produce toxic residues during storage. ✔️B
The donor risk assessment interview (DRAI) should be completed with the:
A. significant other/spouse.
B. legal next-of-kin.
C. primary care physician.
D. most knowledgeable person. ✔️D
Donation must be deferred if the potential donor was bitten by a potentially rabid animal within the last:
A. 12 months.
B. 5 years.
,C. 28 days.
D. 6 months. ✔️D
You are recovering skin from an authorized donor and note multiple tattoos covering the recovery zone. What should you do?
A. Move forward with the recovery.
B. The processor can decide if the skin is suitable.
C. Defer the skin.
D. Move forward if the tattoos are on the DRAI. Confirm tattoos were professionally done. ✔️B
Drapes used to isolate recovery sites during the tissue recovery must be
A. Aseptic
B. Opened by two people
C. Sterile
D. Antiseptic ✔️C
Which of the following tissue measurements is incorrect?
A. vascular graft diameter in centimeters.
B. heart valve internal valve annulus in millimeters.
C. length of main, left and right pulmonary arteries in millimeters (mm) or centimeters.
D. vascular segment length in centimeters. ✔️A
You are discussing with a colleague the correct procedure for documenting the recovery of MS tissue. You do not agree on the steps involved.
How would you determine the correct procedure to follow?
A. Ask another colleague.
B. Locate the relevant SOP's in the Standard Operating Procedures Manual (SOPM)
C. E-mail your manager and get their opinion
D. Proceed with you individual methods. ✔️B
You are conducting an audit and note that a final package label is missing the required information. What must be done with the packaged
tissue?
A. It must be discarded.
B. The tissue can be distributed because the packaging has not been breached.
C. It must be placed in quarantine until the issue is resolved.
D. The tissue must be repackaged. ✔️C
The DRAI:
A. Is a documented dialogue with an individual who would be knowledgeable of the donor's relevant medical history and social behavior.
B. Uses a standardized questionnaire formulated from The Standards, current federal regulations, and guidance.
C. Is a screening tool to assess a potential donor's medical and travel history.
D. All of the above ✔️D
It is 1400 on July 6 and you have been assigned to a case. Your donor was last known alive on July 5 at 2300. They were pronounced dead on
the scene at 0700 and transported to the local morgue cooler at 0800. The autopsy started at 1000 and the donor was returned to the morgue
, cooler at 1130. You arrange transport to your recovery suite and the donor is picked up by the transporter at 1600 and was placed in your
morgue cooler at 1830. Based on the cooling times, which of the following statements applies.
A. You must defer the case as total time out of cooling exceeds 12 hours.
B. You may only recover skin.
C. You must defer the case due to it being post-autopsy.
D. Recovery must commence in under 2 hours from removing the donor from your morgue cooler. ✔️D
Beyond the knee, the femoral artery becomes the
A. popliteal artery.
B. femoral vein.
C. saphenous vein.
D. saphenous artery. ✔️A
You are completing the DRAI and learn that the potential donor lived with a relative who was HCV positive at the time of death. According to
AATB Standards for Tissue Banking you must
A. Proceed with the case if there was no physical or sexual interaction between the two individuals.
B. Confirm if the potential donor had recently had an infectious panel ran.
C. Defer the case.
D. Proceed with the case if the donor was being treated with antiviral medications. ✔️C
A tissue distribution intermediary (TDI) performs which of the following services:
A. Processing and preparation of tissue.
B. The recovery and storage of tissue.
C. The processing and distribution of tissue.
D. The distribution/dispensing of processed tissue. ✔️D
The senior employee of a tissue establishment who has the authority to make changes to the tissue bank's policy and quality system is the:
A. the Medical Director
B. the President/CEO
C. Director/Manager of Tissue Operations
D. Management with Executive Responsibility ✔️D
Full-thickness grafts, or dermis, can be used in which of the following surgical applications:
A. To repair several abdominal wall defects.
B. Reconstruction post-mastectomy.
C. Rotator cuff reconstruction.
D. All of the above. ✔️D
Persons who have ____ for a non-medical reason, including intravenous, intramuscular, and subcutaneous injections are excluded from
donation.
A. Ever injected drugs
B. Injected drugs within the preceding five years
Donor eligibility criteria shall be established by the:
A. Executive leadership.
B. AOC.
C. Recovery organization's medical director.
D. The medical director responsible for the release of tissue for transplant. ✔️D
You are completing an MS tissue recovery and your donor was involved in a traumatic event resulting in multiple abrasions. Some abrasions are
noted to the medial aspect of the right lower extremity. What should you do?
A. Defer the tissues from that side.
B. Proceed as normal because there are no lacerations.
C. Recover tissues below the abrasion.
D. Prep and drape the site and modify your incision to avoid the area. ✔️D
Aseptic tissue recovery is completed in ____________ to reduce the potential for cross contamination.
A. sequence
B. quickly
C. the operating room
D. zones ✔️D
Split, or partial-partial thickness, skin is recovered using a
A. dermatome.
B. scalpel.
C. osteotome.
D. forceps. ✔️A
A container is an enclosure for one finished unit of transplantable tissue. All of the following are physical properties of a container EXCEPT:
A. withstand sterilization and storage.
B. is designed only for storage of lyophilized tissue.
C. maintain tissue quality through labeled expiration date
D. shall not produce toxic residues during storage. ✔️B
The donor risk assessment interview (DRAI) should be completed with the:
A. significant other/spouse.
B. legal next-of-kin.
C. primary care physician.
D. most knowledgeable person. ✔️D
Donation must be deferred if the potential donor was bitten by a potentially rabid animal within the last:
A. 12 months.
B. 5 years.
,C. 28 days.
D. 6 months. ✔️D
You are recovering skin from an authorized donor and note multiple tattoos covering the recovery zone. What should you do?
A. Move forward with the recovery.
B. The processor can decide if the skin is suitable.
C. Defer the skin.
D. Move forward if the tattoos are on the DRAI. Confirm tattoos were professionally done. ✔️B
Drapes used to isolate recovery sites during the tissue recovery must be
A. Aseptic
B. Opened by two people
C. Sterile
D. Antiseptic ✔️C
Which of the following tissue measurements is incorrect?
A. vascular graft diameter in centimeters.
B. heart valve internal valve annulus in millimeters.
C. length of main, left and right pulmonary arteries in millimeters (mm) or centimeters.
D. vascular segment length in centimeters. ✔️A
You are discussing with a colleague the correct procedure for documenting the recovery of MS tissue. You do not agree on the steps involved.
How would you determine the correct procedure to follow?
A. Ask another colleague.
B. Locate the relevant SOP's in the Standard Operating Procedures Manual (SOPM)
C. E-mail your manager and get their opinion
D. Proceed with you individual methods. ✔️B
You are conducting an audit and note that a final package label is missing the required information. What must be done with the packaged
tissue?
A. It must be discarded.
B. The tissue can be distributed because the packaging has not been breached.
C. It must be placed in quarantine until the issue is resolved.
D. The tissue must be repackaged. ✔️C
The DRAI:
A. Is a documented dialogue with an individual who would be knowledgeable of the donor's relevant medical history and social behavior.
B. Uses a standardized questionnaire formulated from The Standards, current federal regulations, and guidance.
C. Is a screening tool to assess a potential donor's medical and travel history.
D. All of the above ✔️D
It is 1400 on July 6 and you have been assigned to a case. Your donor was last known alive on July 5 at 2300. They were pronounced dead on
the scene at 0700 and transported to the local morgue cooler at 0800. The autopsy started at 1000 and the donor was returned to the morgue
, cooler at 1130. You arrange transport to your recovery suite and the donor is picked up by the transporter at 1600 and was placed in your
morgue cooler at 1830. Based on the cooling times, which of the following statements applies.
A. You must defer the case as total time out of cooling exceeds 12 hours.
B. You may only recover skin.
C. You must defer the case due to it being post-autopsy.
D. Recovery must commence in under 2 hours from removing the donor from your morgue cooler. ✔️D
Beyond the knee, the femoral artery becomes the
A. popliteal artery.
B. femoral vein.
C. saphenous vein.
D. saphenous artery. ✔️A
You are completing the DRAI and learn that the potential donor lived with a relative who was HCV positive at the time of death. According to
AATB Standards for Tissue Banking you must
A. Proceed with the case if there was no physical or sexual interaction between the two individuals.
B. Confirm if the potential donor had recently had an infectious panel ran.
C. Defer the case.
D. Proceed with the case if the donor was being treated with antiviral medications. ✔️C
A tissue distribution intermediary (TDI) performs which of the following services:
A. Processing and preparation of tissue.
B. The recovery and storage of tissue.
C. The processing and distribution of tissue.
D. The distribution/dispensing of processed tissue. ✔️D
The senior employee of a tissue establishment who has the authority to make changes to the tissue bank's policy and quality system is the:
A. the Medical Director
B. the President/CEO
C. Director/Manager of Tissue Operations
D. Management with Executive Responsibility ✔️D
Full-thickness grafts, or dermis, can be used in which of the following surgical applications:
A. To repair several abdominal wall defects.
B. Reconstruction post-mastectomy.
C. Rotator cuff reconstruction.
D. All of the above. ✔️D
Persons who have ____ for a non-medical reason, including intravenous, intramuscular, and subcutaneous injections are excluded from
donation.
A. Ever injected drugs
B. Injected drugs within the preceding five years
