CTBS FINAL EXAM ACTUAL QUESTIONS AND SOLUTIONS
RATED A+
✔✔You are completing the physical assessment of a potential tissue donor authorized
for the recovery of bone from the lower extremities only. You are unable to move the
donor to complete the assessment of the posterior of the donor's body. What should you
do?
- Move forward with the recovery as no tissue is being recovered from the back and
note "unable to visualize."
- Move forward with the recovery because there are no signs of high-risk.
- Contact the donor's primary care physician to ask if there were any recent concerns.
- Defer the case as a complete physical assessment could not be completed. - ✔✔Defer
the case as a complete physical assessment could not be completed
✔✔Which of the following is NOT an acceptable reason for jaundice?
- Alcoholic hepatitis.
- Unknown etiology.
- Alcoholic cirrhosis.
- Advanced stage liver and multi-system organ failure. - ✔✔Unknown etiology
✔✔Findings on the physical assessment should not conflict with the information
provided in the
- Death referral from the hospital.
- Donor Risk Assessment Interview (DRAI).
- Hospital medical record.
- All of the above. - ✔✔All of the above
✔✔Case documentation, including the physical assessment should be documented
- within 24 hours of the case.
- in real time.
- by the medical director.
- and verified by the entire recovery team. - ✔✔in real time
✔✔Why are non-medical injection sites are a deferral for tissue?
- It raises questions about the other behaviors or actions the potential donor may have
engaged in.
- There is no way to tell what was being injected.
- There is an increased likelihood of exposure to communicable diseases.
- Because heroin is an automatic deferral. - ✔✔There is an increased likelihood of
exposure to communicable diseases
✔✔Enzyme Immunoassays, or ELISA, can test for/detect:
- The presence of a virus.
- The DNA of a virus.
- Antibody only.
,- Antibody and antigen. - ✔✔Antibody and antigen
✔✔Nucleic Acid Tests, or NAT, detect:
- PCR
- viral DNA and RNA
- Antibody and antigen
- TMA - ✔✔viral DNA and RNA
✔✔You have received the infectious disease test results for unprocessed tissue in
quarantine. The an initial screening was positive for Hepatitis C Virus (HCV) but the
confirmatory test is negative. What should be done?
- The tissue must be discarded.
- Request an additional confirmatory test.
- Approve the tissue for processing since the confirmatory test was negative.
- Keep the tissue in quarantine. - ✔✔The tissue must be discarded
✔✔CAPTIA—EIA and Rapid Plasma Reagin, or RPR, is used to test for:
- HIV/ I/II
- Hepatitis C
- COVID-19
- Syphilis - ✔✔Syphilis
✔✔Which of the following is NOT a required test for MS tissue donor?
- HBsAg
- HTLV I/II
- NAT HIV-1
- NAT HCV - ✔✔HTLV I/II
✔✔Total non-cooled/out of cooling time may not exceed:
- 15 hours
- 12 hours
- 24 hours
- 18 hours - ✔✔15 hours
✔✔If a donor is NOT cooled within 12 hours of death...
- the case must be deferred.
- the recovery must commence within 15 hours after death.
- the recovery may proceed if total intermittent non-cooling time is less than 15 hours.
- the recovery must commence within 24 hours after death. - ✔✔the recovery must
commence within 15 hours after death
✔✔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:
- You must defer the case as total time out of cooling exceeds 12 hours.
- You may only recover skin.
- You must defer the case due to it being post-autopsy.
- Recovery must commence in under 2 hours from removing the donor from your
morgue cooler. - ✔✔Recovery must commence in under 2 hours from removing the
donor from your morgue cooler
✔✔Plasma dilution algorithms are designed to:
- Verify sufficient blood for test.
- Limit case volumes.
- Evaluate when samples could be too diluted to provide accurate infectious disease
testing results.
- Assure an accurate donor body weight can be taken. - ✔✔Evaluate when samples
could be too diluted to provide accurate infectious disease testing results
✔✔Which of the following is a colloid?
- Normal saline
- Lactated ringers
- Whole blood
- Albumin - ✔✔Albumin
✔✔Which of the following products must be included in the plasmadilution calculation if
received 36 hours before the time of death?
- Normal saline
- Packed red blood cells
- Dextrose in water
- Lactated ringers - ✔✔Packed red blood cells
✔✔The document of gift/authorization shall be maintained in the:
- Donor's record at the tissue bank responsible for recovery
- Donor's record at the tissue bank whose Medical Director is responsible for the donor
eligibility determination
- Both - ✔✔Both
✔✔The document of authorization must contain the following EXCEPT
- Authorizing person's signature
- Donation coordinator's mailing address
- Documentation that the CORE Elements were used
- Donation coordinator's signature - ✔✔Donation coordinator's mailing address
✔✔The following information should be provided to an authorizing person EXCEPT:
RATED A+
✔✔You are completing the physical assessment of a potential tissue donor authorized
for the recovery of bone from the lower extremities only. You are unable to move the
donor to complete the assessment of the posterior of the donor's body. What should you
do?
- Move forward with the recovery as no tissue is being recovered from the back and
note "unable to visualize."
- Move forward with the recovery because there are no signs of high-risk.
- Contact the donor's primary care physician to ask if there were any recent concerns.
- Defer the case as a complete physical assessment could not be completed. - ✔✔Defer
the case as a complete physical assessment could not be completed
✔✔Which of the following is NOT an acceptable reason for jaundice?
- Alcoholic hepatitis.
- Unknown etiology.
- Alcoholic cirrhosis.
- Advanced stage liver and multi-system organ failure. - ✔✔Unknown etiology
✔✔Findings on the physical assessment should not conflict with the information
provided in the
- Death referral from the hospital.
- Donor Risk Assessment Interview (DRAI).
- Hospital medical record.
- All of the above. - ✔✔All of the above
✔✔Case documentation, including the physical assessment should be documented
- within 24 hours of the case.
- in real time.
- by the medical director.
- and verified by the entire recovery team. - ✔✔in real time
✔✔Why are non-medical injection sites are a deferral for tissue?
- It raises questions about the other behaviors or actions the potential donor may have
engaged in.
- There is no way to tell what was being injected.
- There is an increased likelihood of exposure to communicable diseases.
- Because heroin is an automatic deferral. - ✔✔There is an increased likelihood of
exposure to communicable diseases
✔✔Enzyme Immunoassays, or ELISA, can test for/detect:
- The presence of a virus.
- The DNA of a virus.
- Antibody only.
,- Antibody and antigen. - ✔✔Antibody and antigen
✔✔Nucleic Acid Tests, or NAT, detect:
- PCR
- viral DNA and RNA
- Antibody and antigen
- TMA - ✔✔viral DNA and RNA
✔✔You have received the infectious disease test results for unprocessed tissue in
quarantine. The an initial screening was positive for Hepatitis C Virus (HCV) but the
confirmatory test is negative. What should be done?
- The tissue must be discarded.
- Request an additional confirmatory test.
- Approve the tissue for processing since the confirmatory test was negative.
- Keep the tissue in quarantine. - ✔✔The tissue must be discarded
✔✔CAPTIA—EIA and Rapid Plasma Reagin, or RPR, is used to test for:
- HIV/ I/II
- Hepatitis C
- COVID-19
- Syphilis - ✔✔Syphilis
✔✔Which of the following is NOT a required test for MS tissue donor?
- HBsAg
- HTLV I/II
- NAT HIV-1
- NAT HCV - ✔✔HTLV I/II
✔✔Total non-cooled/out of cooling time may not exceed:
- 15 hours
- 12 hours
- 24 hours
- 18 hours - ✔✔15 hours
✔✔If a donor is NOT cooled within 12 hours of death...
- the case must be deferred.
- the recovery must commence within 15 hours after death.
- the recovery may proceed if total intermittent non-cooling time is less than 15 hours.
- the recovery must commence within 24 hours after death. - ✔✔the recovery must
commence within 15 hours after death
✔✔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:
- You must defer the case as total time out of cooling exceeds 12 hours.
- You may only recover skin.
- You must defer the case due to it being post-autopsy.
- Recovery must commence in under 2 hours from removing the donor from your
morgue cooler. - ✔✔Recovery must commence in under 2 hours from removing the
donor from your morgue cooler
✔✔Plasma dilution algorithms are designed to:
- Verify sufficient blood for test.
- Limit case volumes.
- Evaluate when samples could be too diluted to provide accurate infectious disease
testing results.
- Assure an accurate donor body weight can be taken. - ✔✔Evaluate when samples
could be too diluted to provide accurate infectious disease testing results
✔✔Which of the following is a colloid?
- Normal saline
- Lactated ringers
- Whole blood
- Albumin - ✔✔Albumin
✔✔Which of the following products must be included in the plasmadilution calculation if
received 36 hours before the time of death?
- Normal saline
- Packed red blood cells
- Dextrose in water
- Lactated ringers - ✔✔Packed red blood cells
✔✔The document of gift/authorization shall be maintained in the:
- Donor's record at the tissue bank responsible for recovery
- Donor's record at the tissue bank whose Medical Director is responsible for the donor
eligibility determination
- Both - ✔✔Both
✔✔The document of authorization must contain the following EXCEPT
- Authorizing person's signature
- Donation coordinator's mailing address
- Documentation that the CORE Elements were used
- Donation coordinator's signature - ✔✔Donation coordinator's mailing address
✔✔The following information should be provided to an authorizing person EXCEPT:
