CCTC review Study Guide with Complete Solutions

CCTC review Study Guide with Complete Solutions A liver recipient, 2-month postoperative, presents to a clinic with the following complaints of 48-hour duration: temperature of 38.5°C (101.3°F), chills, and cough. He reports dark-colored urine, light-colored stools, yellow skin, and a loss of appetite. The transplant coordinator should anticipate the following course of events in what order? A. hospital admission, blood cultures, routine blood work, CXR, abdominal ultrasound, liver biopsy B. liver biopsy, blood cultures, routine blood work, CXR, abdominal ultrasound C. IV antibiotics, blood cultures, routine blood work, CXR, ERCP, abdominal ultrasound, hospital admission D. liver biopsy, blood cultures, IV antibiotics, CXR, routine blood work, hospital admission - Answer-A. hospital admission, blood cultures, routine blood work, CXR, abdominal ultrasound, liver biopsy The transplant coordinator should do less invasive test first: blood cultures are needed to rule out sepsis given the patient has a temperature of 38.5°C (101.3°F), routine blood work is needed to know what the patient's WBC, liver function test, and creatinine levels. CXR is needed EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 2/30 to rule out pneumonia because the patient has chills and a cough. Abdominal ultrasound is needed because the patient has had a liver transplant and has dark urine, light stools, and yellow skin. If infection has not been ruled out, the coordinator should check for liver rejection. When teaching a candidate about living-related donor transplantation, which of the following concepts are important to include? 1. Transplantation is a cure. 2. Less immunosuppression is typically required. 3. expected length of the operation 4. potential for graft loss A. 1 and 2 only B. 1 and 4 only C. 2 and 3 only D. 3 and 4 only - Answer-D. 3 and 4 only A transplant coordinator is educating a liver transplant recipient who is hepatitic C virus (HCV)- positive about potential complications. Which of the following should be discussed? A. Antirejection medications are usually lowered during episodes of rejection. B. Signs of rejection include fatigue and light colored stools. C. Infections after transplant can be common due to antihypertensive medications. EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 3/30 D. The risk of recurrent hepatitis C is very low after a liver transplant. - Answer-B. Signs of rejection include fatigue and light colored stools. Antirejection medications are increased, not lowered during episodes of rejection. Infections are common due to antirejection medications, not antihypertensive medications. The recipient is still HCV-positive even after the liver transplantation and treatment may be necessary A patient received a living-related donor kidney transplant 2 days ago. Urine output has abruptly stopped. A stat renal ultrasound confirmed renal vein thrombosis. The patient is rushed back to the operating room for allograft nephrectomy. Which of the following should the transplant coordinator immediately anticipate? 1. anticoagulation therapy 2. UNOS listing for retransplant 3. need for dialysis 4. ineligibility for future living donor transplant A. 1 and 3 only B. 1 and 4 only C. 2 and 3 only D. 2 and 4 only - Answer-C. 2 and 3 only EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 4/30 When renal venous thrombosis occurs, the kidney cannot be salvaged. The patient will be required to return to dialysis and retransplanted. A heart transplant recipient is being prepared for an endomyocardial biopsy. Which of the following should the transplant coordinator explain to the recipient? A. An echocardiogram is needed following the biopsy. B. Endomyocardial tissue is obtained from the atrium. C. An overnight stay at the hospital is needed for observation. D. The internal jugular vein is the most common approach. - Answer-D. The internal jugular vein is the most common approach. A right ventricular biopsy is performed to determine rejection. The most common venous access is through the right internal jugular vein. In most transplant centers, the recommended frequency of panel-reactive antibody (PRA) testing in a transplant candidate with a PRA of 15% is A. every 3 months. B. monthly. C. every 2 weeks. D. only with organ offer. - Answer-B. monthly