CCTC review UPDATED ACTUAL Exam
Questions and CORRECT Answers
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 -
CORRECT 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 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 - CORRECT 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.
D. The risk of recurrent hepatitis C is very low after a liver transplant. - CORRECT
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 - CORRECT ANSWER - C. 2 and 3 only
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. - CORRECT 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. - CORRECT ANSWER - B. monthly.
Patients with a PRA greater than 10% are usually retested on a regular basis, monthly, or with a
ventricular assist device (VAD) weekly.
A heart candidate is clinically deteriorating in the ICU, and the transplant team anticipates
placing a ventricular assist device within 72 hours. In the interim, a right heart catheterization
was performed and a Swan Ganz catheter and intra-aortic balloon pump (IABP) were placed.
The transplant coordinator should verify the candidate's UNOS listing as
A. 1A.
B. 1B.
C. 2.
D. 7. - CORRECT ANSWER - A. 1A.
Adult patients awaiting a heart transplant are given a status code based on how medically urgent
it is for them to receive a transplant. Status 1A candidates are medically urgent and are listed as
having: (1) mechanical circulatory support for acute homodynamic decompensation that includes
at least 1 of the following: left and/or right ventricular assist device implanted, total artificial
heart, intra-aortic balloon pump or extracorporeal membrane oxygenate; (2) mechanical
thromboembolism, device infection, mechanical failure, and/or life-threatening ventricular
arrhythmias; (3) continuous mechanical ventilation; or (4) continuous infusion of a single high-
dose intravenous isotope or multiple intravenous isotopes, in addition to continuous
Questions and CORRECT Answers
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 -
CORRECT 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 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 - CORRECT 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.
D. The risk of recurrent hepatitis C is very low after a liver transplant. - CORRECT
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 - CORRECT ANSWER - C. 2 and 3 only
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. - CORRECT 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. - CORRECT ANSWER - B. monthly.
Patients with a PRA greater than 10% are usually retested on a regular basis, monthly, or with a
ventricular assist device (VAD) weekly.
A heart candidate is clinically deteriorating in the ICU, and the transplant team anticipates
placing a ventricular assist device within 72 hours. In the interim, a right heart catheterization
was performed and a Swan Ganz catheter and intra-aortic balloon pump (IABP) were placed.
The transplant coordinator should verify the candidate's UNOS listing as
A. 1A.
B. 1B.
C. 2.
D. 7. - CORRECT ANSWER - A. 1A.
Adult patients awaiting a heart transplant are given a status code based on how medically urgent
it is for them to receive a transplant. Status 1A candidates are medically urgent and are listed as
having: (1) mechanical circulatory support for acute homodynamic decompensation that includes
at least 1 of the following: left and/or right ventricular assist device implanted, total artificial
heart, intra-aortic balloon pump or extracorporeal membrane oxygenate; (2) mechanical
thromboembolism, device infection, mechanical failure, and/or life-threatening ventricular
arrhythmias; (3) continuous mechanical ventilation; or (4) continuous infusion of a single high-
dose intravenous isotope or multiple intravenous isotopes, in addition to continuous
