Certified Procurement Transplant
Coordinator Exam Questions and
Answers
Afdonorfwhofhasfreceivedfmassivefbloodftransfusionfwithfsodiumfcitratefasfafpreservationfm
ayfhavef-fCORRECTfANSWER-Hypocalcemia
Afdonorfwithf10fminutesfoffCPRfandfwasflastfseenfwellf5fminutesfpriorftofstartingfCPR,fdownti
mefwouldfbefdocumentedfas:f-fCORRECTfANSWER-15fminutes
Afdonorfwithfexposureftoforftreatmentfwithfnon-
recombinantfHumanfPituitaryfDerivedfGrowthfHormonef(HPDGH)fhasfanfincreasedfriskfoffw
hat?f-fCORRECTfANSWER-Prionfdisease
AfdonorfwithfhighfriskfbehaviorfperfPHSfguidelinesfisfconsideredfatfafhighfriskfforftransmitting
fwhichf3fdisease?f-fCORRECTfANSWER-1.fHIV
2.fHCV
3.fHBV
Afhigh-PRAfrecipientfoftenfrequiresfa:f-fCORRECTfANSWER-Prospectivefcross-match
Afpositivefcross-matchfmeans:f-fCORRECTfANSWER-
thefdonorfandfrecipientfarefnotfafgoodfmatch
Afrecipientfwhofisfclassifiedfasf"sensitized"fisfdefinedfasfafrecipientfwho:f-
fCORRECTfANSWER-hasfantibodiesfwhichfmayfreactfpoorlyfwithfthefdonor'sfantigens
AfrecipientfwithfafhighfPRAfindicatesfafhighflikelihoodfoffa:f-fCORRECTfANSWER-
positivefcross-match
AbdominalfCompartmentfSyndromef(ACS)fisfcommonfinfdonorsfwithfbluntfinjuryftofthefabdo
menfandfcanfleadfto:f-fCORRECTfANSWER-Multi-organffailurefandfcardiopulmonaryfarrest
ABOf-fCORRECTfANSWER-fourfmainfbloodftypesf-fA,fB,fAB,fandfO
Afterfbrainfdeath,fthefbodyfisfunableftofsecretefadrenocorticotropicfhormonef(ACTH)fandfma
intainfbloodfpressurefbecausefdeathftofthe:f-fCORRECTfANSWER-hypothalamic-pituitary-
adrenalfaxis
,Allocationf-fCORRECTfANSWER-
Thefprocessfoffdeterminingfhowforgansfarefdistributed.fAllocationfincludesfthefsystemfoffpoli
ciesfandfguidelines,fwhichfensurefthatforgansfarefdistributedfinfanfequitable,fethicalfandfmed
icallyfsoundfmanner.
Amountfofforgansftransplantedfperfsinglefdonorf-fCORRECTfANSWER-
Organsftransplantedfperfdonor
Anfauthorizationfconversationfshouldfbeginfby:f-fCORRECTfANSWER-
Askingftheffamilyfwhatftheyfunderstandfaboutfwhatfisfgoingfon
Antibodyf-fCORRECTfANSWER-
Afproteinfmoleculefproducedfbyfthefimmunefsystemfinfresponseftofafforeignfbody,fsuchfasfaf
virusforfaftransplantedforgan.
Antigenf-fCORRECTfANSWER-
Anyfsubstancefthatfcausesfyourfimmunefsystemftofproducefantibodiesfagainstfit.fAnfantigenf
mayfbefafforeignfsubstanceffromfthefenvironmentfsuchfasfchemicals,fbacteria,fviruses,fpolle
nforfforeignftissue.
AOPOflistsfafmaximumfstorageftimefforfkidneysfinfcoldfstoragefsolutionfas:f-
fCORRECTfANSWER-24-36fhours
AOPOflistsfmaximumfstorageftimefforfliver,fpancreasfandfintestinefas:f-
fCORRECTfANSWER-12-18fhours
AOPOflistsfmaximumfstorageftimefforfthefheartfas:f-fCORRECTfANSWER-4-6fhours
APRVforfPeepfmaneuversfshouldfbefinitiatedfnofearlierfthenfhowfmanyfhoursfafterfthefbronc
hftofavoidfcausingfaspirationfoffthefsalineflavage?f-fCORRECTfANSWER-1fhour
AssociationfoffOrganfProcurementfOrganizationsf(AOPO)f-fCORRECTfANSWER-Thefnon-
profitforganizationfrecognizedfasfthefnationalfrepresentativefoffthef58ffederally-
designedfOPOs
Beforefbrainfdeathftestingfcanfbefperformedfthefpatient'sftoxfscreenfmustfbefnegativeffor:f-
fCORRECTfANSWER-CNSfdepressantsfincludingfETOH,fopiates,fandfbenzos
BrainfDeathf-fCORRECTfANSWER-
Irreversiblefcessationfoffcerebralfandfbrainfstemffunctions;fcharacterizedfbyfabsencefoffelec
tricalfactivityfinfthefbrain,fbloodfflowftofthefbrain,fandfbrainffunctionfasfdeterminedfbyfclinicalfa
ssessmentfoffresponses.
Brainfdeathfoccursfwhen:f-fCORRECTfANSWER-
1.fICPsfarefelevatedfcausingfthefbrainftoffindfafpathfoffleastfresistancefandfsqueezefintofthefo
peningfwherefspinalfcordfmeetsfbrainfwhichfstopsfallfflowftofthefbrainfcausingfcellfdeath
, 2.fICPsfarefelevatedfcreatingfafblockagefoffbloodfflowftofthefbrain
3.fThefbodyfcanfnotfalterfthefvolumefoffthefbrainfdueftofedemafand/forfhemorrhagefagainstfth
efenclosedfskull
Cardiacfwallfmotionfabnormalityftypicallyfrelatedftofbrainfdeathfandfnotfassociatedfwithfheart
fdiseasefisfcalled:f-fCORRECTfANSWER-Globalfakinesis
CatastrophicfBrainfInjuryfGuidelinesf(CBIGs)fhelpfachievefdonorfmanagementfgoalsfandfin
cludefordersfto:f-fCORRECTfANSWER-1.fMaintainfhemodynamicsf
2.fMaintainfnormalfsodiumflevels
3.fMaintainfnormalfglucoseflevels
CentersfforfMedicaref&fMedicaidf(CMS)f-fCORRECTfANSWER-
AfpartfoffthefDepartmentfoffHealthfandfHumanfServicesf(HHS)fwhofoffersffinancialfcoveragef
forfEndfStagefRenalfDiseasefpatientsfandffundsfkidneyfandfbyfextension,fallforganftransplan
ts.fCMSfholdsfhospitalsfaccountablefforfreferringfpotentialfdonorsfinfaftimelyffashion.
CirculatoryfDeathf-fCORRECTfANSWER-
Deathfdefinedfasfthefirreversiblefcessationfoffcirculatoryfandfrespiratoryffunctions.fDeathfisf
declaredfinfaccordancefwithfhospitalfpolicyfandfapplicablefstatefandflocalfstatutesforfregulati
ons.
ClinicalfTriggersf-fCORRECTfANSWER-
CriteriafforfimminentfdeathfmutuallyfestablishedfbyfthefhospitalfandfOPOfwhichfpromptfthefh
ospitalftofmakeftimelyfnotificationftofthefOPO.
ColdfIschemiafTimef(CIT)f-fCORRECTfANSWER-
Thefamountfofftimefanforganfspendsfbeingfpreservedfafterfrecoveryffromfthefdonor.
Commonfareasfforfimprovementfwithfthefdonationfprocessfwithinfafhospitalfprofilefinclude:f-
fCORRECTfANSWER-1.fPre-mentionsfoffdonationfbyfnon-
OPOftrainedfmembersfoffthefhealthcarefteam
2.fIssuesfdeclaringfafpatientfbrainfdead
3.fLatefreferralsfaffectingfoutcomes
Consolidationfonfchestfx-rayfindicates:f-fCORRECTfANSWER-severefpneumonia
Cross-clampfoffthefkidneysfoccursfatfwhichfvessel?f-fCORRECTfANSWER-
Supraceliacfaorta
Cushing'sfReflex/Triadf-fCORRECTfANSWER-1.fAfsignfoffincreasingfICP
2.fIncreasingfSBP
3.fBradycardiaf
4.fWideningfPulsefPressure
Coordinator Exam Questions and
Answers
Afdonorfwhofhasfreceivedfmassivefbloodftransfusionfwithfsodiumfcitratefasfafpreservationfm
ayfhavef-fCORRECTfANSWER-Hypocalcemia
Afdonorfwithf10fminutesfoffCPRfandfwasflastfseenfwellf5fminutesfpriorftofstartingfCPR,fdownti
mefwouldfbefdocumentedfas:f-fCORRECTfANSWER-15fminutes
Afdonorfwithfexposureftoforftreatmentfwithfnon-
recombinantfHumanfPituitaryfDerivedfGrowthfHormonef(HPDGH)fhasfanfincreasedfriskfoffw
hat?f-fCORRECTfANSWER-Prionfdisease
AfdonorfwithfhighfriskfbehaviorfperfPHSfguidelinesfisfconsideredfatfafhighfriskfforftransmitting
fwhichf3fdisease?f-fCORRECTfANSWER-1.fHIV
2.fHCV
3.fHBV
Afhigh-PRAfrecipientfoftenfrequiresfa:f-fCORRECTfANSWER-Prospectivefcross-match
Afpositivefcross-matchfmeans:f-fCORRECTfANSWER-
thefdonorfandfrecipientfarefnotfafgoodfmatch
Afrecipientfwhofisfclassifiedfasf"sensitized"fisfdefinedfasfafrecipientfwho:f-
fCORRECTfANSWER-hasfantibodiesfwhichfmayfreactfpoorlyfwithfthefdonor'sfantigens
AfrecipientfwithfafhighfPRAfindicatesfafhighflikelihoodfoffa:f-fCORRECTfANSWER-
positivefcross-match
AbdominalfCompartmentfSyndromef(ACS)fisfcommonfinfdonorsfwithfbluntfinjuryftofthefabdo
menfandfcanfleadfto:f-fCORRECTfANSWER-Multi-organffailurefandfcardiopulmonaryfarrest
ABOf-fCORRECTfANSWER-fourfmainfbloodftypesf-fA,fB,fAB,fandfO
Afterfbrainfdeath,fthefbodyfisfunableftofsecretefadrenocorticotropicfhormonef(ACTH)fandfma
intainfbloodfpressurefbecausefdeathftofthe:f-fCORRECTfANSWER-hypothalamic-pituitary-
adrenalfaxis
,Allocationf-fCORRECTfANSWER-
Thefprocessfoffdeterminingfhowforgansfarefdistributed.fAllocationfincludesfthefsystemfoffpoli
ciesfandfguidelines,fwhichfensurefthatforgansfarefdistributedfinfanfequitable,fethicalfandfmed
icallyfsoundfmanner.
Amountfofforgansftransplantedfperfsinglefdonorf-fCORRECTfANSWER-
Organsftransplantedfperfdonor
Anfauthorizationfconversationfshouldfbeginfby:f-fCORRECTfANSWER-
Askingftheffamilyfwhatftheyfunderstandfaboutfwhatfisfgoingfon
Antibodyf-fCORRECTfANSWER-
Afproteinfmoleculefproducedfbyfthefimmunefsystemfinfresponseftofafforeignfbody,fsuchfasfaf
virusforfaftransplantedforgan.
Antigenf-fCORRECTfANSWER-
Anyfsubstancefthatfcausesfyourfimmunefsystemftofproducefantibodiesfagainstfit.fAnfantigenf
mayfbefafforeignfsubstanceffromfthefenvironmentfsuchfasfchemicals,fbacteria,fviruses,fpolle
nforfforeignftissue.
AOPOflistsfafmaximumfstorageftimefforfkidneysfinfcoldfstoragefsolutionfas:f-
fCORRECTfANSWER-24-36fhours
AOPOflistsfmaximumfstorageftimefforfliver,fpancreasfandfintestinefas:f-
fCORRECTfANSWER-12-18fhours
AOPOflistsfmaximumfstorageftimefforfthefheartfas:f-fCORRECTfANSWER-4-6fhours
APRVforfPeepfmaneuversfshouldfbefinitiatedfnofearlierfthenfhowfmanyfhoursfafterfthefbronc
hftofavoidfcausingfaspirationfoffthefsalineflavage?f-fCORRECTfANSWER-1fhour
AssociationfoffOrganfProcurementfOrganizationsf(AOPO)f-fCORRECTfANSWER-Thefnon-
profitforganizationfrecognizedfasfthefnationalfrepresentativefoffthef58ffederally-
designedfOPOs
Beforefbrainfdeathftestingfcanfbefperformedfthefpatient'sftoxfscreenfmustfbefnegativeffor:f-
fCORRECTfANSWER-CNSfdepressantsfincludingfETOH,fopiates,fandfbenzos
BrainfDeathf-fCORRECTfANSWER-
Irreversiblefcessationfoffcerebralfandfbrainfstemffunctions;fcharacterizedfbyfabsencefoffelec
tricalfactivityfinfthefbrain,fbloodfflowftofthefbrain,fandfbrainffunctionfasfdeterminedfbyfclinicalfa
ssessmentfoffresponses.
Brainfdeathfoccursfwhen:f-fCORRECTfANSWER-
1.fICPsfarefelevatedfcausingfthefbrainftoffindfafpathfoffleastfresistancefandfsqueezefintofthefo
peningfwherefspinalfcordfmeetsfbrainfwhichfstopsfallfflowftofthefbrainfcausingfcellfdeath
, 2.fICPsfarefelevatedfcreatingfafblockagefoffbloodfflowftofthefbrain
3.fThefbodyfcanfnotfalterfthefvolumefoffthefbrainfdueftofedemafand/forfhemorrhagefagainstfth
efenclosedfskull
Cardiacfwallfmotionfabnormalityftypicallyfrelatedftofbrainfdeathfandfnotfassociatedfwithfheart
fdiseasefisfcalled:f-fCORRECTfANSWER-Globalfakinesis
CatastrophicfBrainfInjuryfGuidelinesf(CBIGs)fhelpfachievefdonorfmanagementfgoalsfandfin
cludefordersfto:f-fCORRECTfANSWER-1.fMaintainfhemodynamicsf
2.fMaintainfnormalfsodiumflevels
3.fMaintainfnormalfglucoseflevels
CentersfforfMedicaref&fMedicaidf(CMS)f-fCORRECTfANSWER-
AfpartfoffthefDepartmentfoffHealthfandfHumanfServicesf(HHS)fwhofoffersffinancialfcoveragef
forfEndfStagefRenalfDiseasefpatientsfandffundsfkidneyfandfbyfextension,fallforganftransplan
ts.fCMSfholdsfhospitalsfaccountablefforfreferringfpotentialfdonorsfinfaftimelyffashion.
CirculatoryfDeathf-fCORRECTfANSWER-
Deathfdefinedfasfthefirreversiblefcessationfoffcirculatoryfandfrespiratoryffunctions.fDeathfisf
declaredfinfaccordancefwithfhospitalfpolicyfandfapplicablefstatefandflocalfstatutesforfregulati
ons.
ClinicalfTriggersf-fCORRECTfANSWER-
CriteriafforfimminentfdeathfmutuallyfestablishedfbyfthefhospitalfandfOPOfwhichfpromptfthefh
ospitalftofmakeftimelyfnotificationftofthefOPO.
ColdfIschemiafTimef(CIT)f-fCORRECTfANSWER-
Thefamountfofftimefanforganfspendsfbeingfpreservedfafterfrecoveryffromfthefdonor.
Commonfareasfforfimprovementfwithfthefdonationfprocessfwithinfafhospitalfprofilefinclude:f-
fCORRECTfANSWER-1.fPre-mentionsfoffdonationfbyfnon-
OPOftrainedfmembersfoffthefhealthcarefteam
2.fIssuesfdeclaringfafpatientfbrainfdead
3.fLatefreferralsfaffectingfoutcomes
Consolidationfonfchestfx-rayfindicates:f-fCORRECTfANSWER-severefpneumonia
Cross-clampfoffthefkidneysfoccursfatfwhichfvessel?f-fCORRECTfANSWER-
Supraceliacfaorta
Cushing'sfReflex/Triadf-fCORRECTfANSWER-1.fAfsignfoffincreasingfICP
2.fIncreasingfSBP
3.fBradycardiaf
4.fWideningfPulsefPressure
