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Exam (elaborations)

CCTC CERTIFICATION REVIEW 2025

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CCTC CERTIFICATION REVIEW 2025 Absolute Contraindications for liver transplant - answer-Severe cardiopulmonary disease, uncontrolled HIV, poorly controlled Psych illness, noncompliance, anatomical abnormalities precluding adequate surgical reconstruction Reason for not accepted for liver TX - answer-Hepatocellular Carcinoma (HCC) outside Milan Criteria What is NAFLD? - answer-Nonalcoholic Fatty Liver Disease- caused by obesity, hyperglycemia, elevated serum lipids, and high BP What is NASH? - answer-Non-alcoholic steatohepatitis. Can lead to cirrhosis 3rd common indication for liver TX. What is the MELD score? - answer-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 higher the 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? - answer-Bile leakage What can a rise in ALP post liver tx indicate? - answer-Can be a sign of biliary complications or cholestasis

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