CCTC CERTIFICATION REVIEW
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Absolute Contraindications for liver transplant - CORRECT ANSWER - Severe
cardiopulmonary disease, uncontrolled HIV, poorly controlled Psych illness, noncompliance,
anatomical abnormalities precluding adequate surgical reconstruction
Reason for not accepted for liver TX - CORRECT ANSWER - Hepatocellular Carcinoma
(HCC) outside Milan Criteria
What is NAFLD? - CORRECT ANSWER - Nonalcoholic Fatty Liver Disease- caused by
obesity, hyperglycemia, elevated serum lipids, and high BP
What is NASH? - CORRECT ANSWER - Non-alcoholic steatohepatitis. Can lead to
cirrhosis 3rd common indication for liver TX.
What is the MELD score? - CORRECT 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? - CORRECT ANSWER - Bile leakage
What can a rise in ALP post liver tx indicate? - CORRECT ANSWER - Can be a sign of
biliary complications or cholestasis
Lab changes are indicate of graft dysfunction. Which values will be elevated for liver tx? -
CORRECT ANSWER - Elevated AST and ALT
Target levels for immunosuppressants are based on a number of factors including: - CORRECT
ANSWER - Indication for tx, use of induction therapy, kidney function, overall condition
of pt.
What can lead to metabolic encephalopathy post liver transplant? - CORRECT
ANSWER - Renal failure or sepsis
What can lead to hypoxic ischemic encephalopathy post liver transplant? - CORRECT
ANSWER - Significant peri-operative hypotension
De Novo seizures can occur post liver transplant and can be caused by what? - CORRECT
ANSWER - Electrolyte imbalances, reaction to cyclosporine or tacrolimus, intracranial
hemorrhage or cerebral infarction and intracerebral abscesses
What can cause a post liver transplant patient whose initial postop neurological course is normal
to develop sudden deterioration in neurological status? - CORRECT ANSWER -
Intracranial bleed
Risk of primary non-function after liver transplant is: - CORRECT ANSWER - 4-6%
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Absolute Contraindications for liver transplant - CORRECT ANSWER - Severe
cardiopulmonary disease, uncontrolled HIV, poorly controlled Psych illness, noncompliance,
anatomical abnormalities precluding adequate surgical reconstruction
Reason for not accepted for liver TX - CORRECT ANSWER - Hepatocellular Carcinoma
(HCC) outside Milan Criteria
What is NAFLD? - CORRECT ANSWER - Nonalcoholic Fatty Liver Disease- caused by
obesity, hyperglycemia, elevated serum lipids, and high BP
What is NASH? - CORRECT ANSWER - Non-alcoholic steatohepatitis. Can lead to
cirrhosis 3rd common indication for liver TX.
What is the MELD score? - CORRECT 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? - CORRECT ANSWER - Bile leakage
What can a rise in ALP post liver tx indicate? - CORRECT ANSWER - Can be a sign of
biliary complications or cholestasis
Lab changes are indicate of graft dysfunction. Which values will be elevated for liver tx? -
CORRECT ANSWER - Elevated AST and ALT
Target levels for immunosuppressants are based on a number of factors including: - CORRECT
ANSWER - Indication for tx, use of induction therapy, kidney function, overall condition
of pt.
What can lead to metabolic encephalopathy post liver transplant? - CORRECT
ANSWER - Renal failure or sepsis
What can lead to hypoxic ischemic encephalopathy post liver transplant? - CORRECT
ANSWER - Significant peri-operative hypotension
De Novo seizures can occur post liver transplant and can be caused by what? - CORRECT
ANSWER - Electrolyte imbalances, reaction to cyclosporine or tacrolimus, intracranial
hemorrhage or cerebral infarction and intracerebral abscesses
What can cause a post liver transplant patient whose initial postop neurological course is normal
to develop sudden deterioration in neurological status? - CORRECT ANSWER -
Intracranial bleed
Risk of primary non-function after liver transplant is: - CORRECT ANSWER - 4-6%
