CCTC TRANSPLANT PHARMACOLOGY
STUDY GUIDE 2026 COMPREHENSIVE
QUESTIONS AND STEP BY STEP
SOLUTIONS
◉ Thirty days postoperative, a recipient presents with weakness,
diarrhea, and leukopenia. This patient should be admitted if which
of the following is observed?
A. hemoglobin 8 g/dL
B. CMV PCR 6,000 IU/mL
C. ANA 1:160
D. sedimentary rate 5.0 mm/hr
Answer: B. CMV PCR 6,000 IU/mL
◉ A heart-lung recipient has questions about infection risk post-
transplant. Which statement by the patient suggests the need for
additional teaching?
A. "I should avoid doing yard work."
B. "I will wear my mask when exposed to crowds."
C. "I can continue cleaning my cat's litter box."
,D. "I should not work as a home contractor anymore."
Answer: C. "I can continue cleaning my cat's litter box."
◉ When providing discharge instructions regarding post-operative
care, the donor must be given
A. detailed written instructions.
B. detailed online resources.
C. instructions verbally and in writing.
D. instructions with a test on discharge content.
Answer: C. instructions verbally and in writing.
◉ Postoperative day 1, a kidney transplant recipient has the
following urine outputs:
12:00 = 100 mL
1:00 = 50 mL
2:00 = 0 mL
STAT ultrasound reveals thrombosis of the renal artery. A transplant
coordinator should anticipate
, A. surgical re-exploration.
B. an interventional radiology consultation.
C. a hypercoagulable workup.
D. systemic anticoagulation.
Answer: A. surgical re-exploration.
◉ The metabolic abnormality associated with end-stage liver
disease and uremia is:
a. metabolic acidosis
b. metabolic alkalosis
c. respiratory acidosis
d. respiratory alkalosis
Answer: a. metabolic acidosis
◉ The type of insulin most commonly used to treat hyperglycemia
post-cardiac transplantation is:
a. intermediate acting NPH insulin, Humulin N, or Novolin N
b. short-acting regular insulin, such as Novolin R
c. long-acting (glargine) Lantus insulin
d. rapid-acting (lispro H) Humalog or (aspart) Novolog
Answer: b. short-acting regular insulin, such as Novolin R
STUDY GUIDE 2026 COMPREHENSIVE
QUESTIONS AND STEP BY STEP
SOLUTIONS
◉ Thirty days postoperative, a recipient presents with weakness,
diarrhea, and leukopenia. This patient should be admitted if which
of the following is observed?
A. hemoglobin 8 g/dL
B. CMV PCR 6,000 IU/mL
C. ANA 1:160
D. sedimentary rate 5.0 mm/hr
Answer: B. CMV PCR 6,000 IU/mL
◉ A heart-lung recipient has questions about infection risk post-
transplant. Which statement by the patient suggests the need for
additional teaching?
A. "I should avoid doing yard work."
B. "I will wear my mask when exposed to crowds."
C. "I can continue cleaning my cat's litter box."
,D. "I should not work as a home contractor anymore."
Answer: C. "I can continue cleaning my cat's litter box."
◉ When providing discharge instructions regarding post-operative
care, the donor must be given
A. detailed written instructions.
B. detailed online resources.
C. instructions verbally and in writing.
D. instructions with a test on discharge content.
Answer: C. instructions verbally and in writing.
◉ Postoperative day 1, a kidney transplant recipient has the
following urine outputs:
12:00 = 100 mL
1:00 = 50 mL
2:00 = 0 mL
STAT ultrasound reveals thrombosis of the renal artery. A transplant
coordinator should anticipate
, A. surgical re-exploration.
B. an interventional radiology consultation.
C. a hypercoagulable workup.
D. systemic anticoagulation.
Answer: A. surgical re-exploration.
◉ The metabolic abnormality associated with end-stage liver
disease and uremia is:
a. metabolic acidosis
b. metabolic alkalosis
c. respiratory acidosis
d. respiratory alkalosis
Answer: a. metabolic acidosis
◉ The type of insulin most commonly used to treat hyperglycemia
post-cardiac transplantation is:
a. intermediate acting NPH insulin, Humulin N, or Novolin N
b. short-acting regular insulin, such as Novolin R
c. long-acting (glargine) Lantus insulin
d. rapid-acting (lispro H) Humalog or (aspart) Novolog
Answer: b. short-acting regular insulin, such as Novolin R
