CCTC CERTIFICATION REVIEW LATEST (2024\2025) WITH VERIFIED
QUESTIONS AND ANSWERS RATED A+
Absolute Contraindications For Liver Transplant
Severe Cardiopulmonary Disease, Uncontrolled HIV, Poorly Controlled Psych Illness,
Noncompliance, Anatomical Abnormalities Precluding Adequate Surgical
Reconstruction
Reason For Not Accepted For Liver TX
Hepatocellular Carcinoma (HCC) Outside Milan
CriteriaWhat Is NAFLD?
Nonalcoholic Fatty Liver Disease- Caused By Obesity, Hyperglycemia, Elevated Serum Lipids,
AndHigh BP
What Is NASH?
Non-Alcoholic Steatohepatitis. Can Lead To Cirrhosis 3rd Common Indication For Liver
TX.What Is The MELD Score?
MELD(Model For End Stage Liver Disease) Is A Predictive Model Of Death Within A 3 Month
Period. Ranks Your Degree Of Sickness, Shows How Much You Need A Liver Transplant. The
HigherThe Number, The More Urgent Case Is. Score Ranges From 6-40.
*Score For HCC Capped At 34.
Calculated Using:
-INR
-Bilirubin
-Creatinine
-Sodium
MELD > 14 Needed For Liver Transplant
What Can Green Drainage Post Liver TX
Indicate?
Bile Leakage
What Can A Rise In ALP Post Liver Tx Indicate?
Can Be A Sign Of Biliary Complications Or Cholestasis
Lab Changes Are Indicate Of Graft Dysfunction. Which Values Will Be Elevated For Liver Tx?
Elevated AST And ALT
, Target Levels For Immunosuppressants Are Based On A Number Of Factors Including:
Indication For Tx, Use Of Induction Therapy, Kidney Function, Overall Condition Of
Pt.What Can Lead To Metabolic Encephalopathy Post Liver Transplant?
Renal Failure Or Sepsis
What Can Lead To Hypoxic Ischemic Encephalopathy Post Liver Transplant?
Significant Peri-Operative Hypotension
De Novo Seizures Can Occur Post Liver Transplant And Can Be Caused By What?
Electrolyte Imbalances, Reaction To Cyclosporine Or Tacrolimus, Intracranial Hemorrhage
OrCerebral Infarction And Intracerebral Abscesses
What Can Cause A Post Liver Transplant Patient Whose Initial Postop Neurological Course Is
Normal ToDevelop Sudden Deterioration In Neurological Status?
Intracranial Bleed
Risk Of Primary Non-Function After Liver Transplant Is:
4-6%
Factors Related To Primary Nonfunction Of New Liver Include:
Donor Age, Prolonged Cold Ischemic Time, Prolonged Donor Hospital Stay With Periods
OfHypotension, Preservation Injury During Donor Surgery, And Donor Steatosis(Fat In
Liver)
Early Indicators Of Non Functioning Liver:
Decrease In Bile
ProductionExtreme Edema
Of Organ
Abnormal Color Of Organ Upon Reperfusion(Mottled, Gray,
Pale)Lack Of Reperfusion In OR
Urine Output <30ml/Hr
Hemodynamically
Unstable
Glucose, K, And Lactate
AbnormalitiesCoagulopathy
Clinical Presentation For Hepatic Artery Stenosis(HAT)
Increase In Lfts Due To Decreased Blood Flow Through The Hapatic Artery To New
OrganDelayed Bile Leak
Persistent Sepsis Of Unknown Cause
What Test Is The Gold Standard For HAT
Diagnosis?
Angiography
What Is Treatment For HAT?
QUESTIONS AND ANSWERS RATED A+
Absolute Contraindications For Liver Transplant
Severe Cardiopulmonary Disease, Uncontrolled HIV, Poorly Controlled Psych Illness,
Noncompliance, Anatomical Abnormalities Precluding Adequate Surgical
Reconstruction
Reason For Not Accepted For Liver TX
Hepatocellular Carcinoma (HCC) Outside Milan
CriteriaWhat Is NAFLD?
Nonalcoholic Fatty Liver Disease- Caused By Obesity, Hyperglycemia, Elevated Serum Lipids,
AndHigh BP
What Is NASH?
Non-Alcoholic Steatohepatitis. Can Lead To Cirrhosis 3rd Common Indication For Liver
TX.What Is The MELD Score?
MELD(Model For End Stage Liver Disease) Is A Predictive Model Of Death Within A 3 Month
Period. Ranks Your Degree Of Sickness, Shows How Much You Need A Liver Transplant. The
HigherThe Number, The More Urgent Case Is. Score Ranges From 6-40.
*Score For HCC Capped At 34.
Calculated Using:
-INR
-Bilirubin
-Creatinine
-Sodium
MELD > 14 Needed For Liver Transplant
What Can Green Drainage Post Liver TX
Indicate?
Bile Leakage
What Can A Rise In ALP Post Liver Tx Indicate?
Can Be A Sign Of Biliary Complications Or Cholestasis
Lab Changes Are Indicate Of Graft Dysfunction. Which Values Will Be Elevated For Liver Tx?
Elevated AST And ALT
, Target Levels For Immunosuppressants Are Based On A Number Of Factors Including:
Indication For Tx, Use Of Induction Therapy, Kidney Function, Overall Condition Of
Pt.What Can Lead To Metabolic Encephalopathy Post Liver Transplant?
Renal Failure Or Sepsis
What Can Lead To Hypoxic Ischemic Encephalopathy Post Liver Transplant?
Significant Peri-Operative Hypotension
De Novo Seizures Can Occur Post Liver Transplant And Can Be Caused By What?
Electrolyte Imbalances, Reaction To Cyclosporine Or Tacrolimus, Intracranial Hemorrhage
OrCerebral Infarction And Intracerebral Abscesses
What Can Cause A Post Liver Transplant Patient Whose Initial Postop Neurological Course Is
Normal ToDevelop Sudden Deterioration In Neurological Status?
Intracranial Bleed
Risk Of Primary Non-Function After Liver Transplant Is:
4-6%
Factors Related To Primary Nonfunction Of New Liver Include:
Donor Age, Prolonged Cold Ischemic Time, Prolonged Donor Hospital Stay With Periods
OfHypotension, Preservation Injury During Donor Surgery, And Donor Steatosis(Fat In
Liver)
Early Indicators Of Non Functioning Liver:
Decrease In Bile
ProductionExtreme Edema
Of Organ
Abnormal Color Of Organ Upon Reperfusion(Mottled, Gray,
Pale)Lack Of Reperfusion In OR
Urine Output <30ml/Hr
Hemodynamically
Unstable
Glucose, K, And Lactate
AbnormalitiesCoagulopathy
Clinical Presentation For Hepatic Artery Stenosis(HAT)
Increase In Lfts Due To Decreased Blood Flow Through The Hapatic Artery To New
OrganDelayed Bile Leak
Persistent Sepsis Of Unknown Cause
What Test Is The Gold Standard For HAT
Diagnosis?
Angiography
What Is Treatment For HAT?
