CCTC UPDATED COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔Which has lower surgical complication rates - BD OR ED Pancreas Transplant? -
✔✔BD
✔✔How often is the PRA tested in a transplant candidate with VAD? - ✔✔Weekly
✔✔High risk behavior criteria must have happened in the last how many years? - ✔✔5
✔✔Which diagnostic procedure will evaluate CAV? - ✔✔Left heart cath
✔✔Which segment is typically donated in pediatric living donor liver transplant? -
✔✔Left lateral segment
✔✔Used to diagnose if biliary tract is patent has blockage - ✔✔ERCP
✔✔Osteopenia Bone density T-Score - ✔✔1-2.5 SD below mean
✔✔Osteoporosis Bone density T-Score - ✔✔>2.5 SD below mean
✔✔Most common reported complication after liver donation surgery - ✔✔Biliary leaks
, ✔✔Signs of biliary leak - ✔✔New onset fever, leukocytosis, abdominal pain, persistent
or increased bile leakage from drain
✔✔What indicates acute early rejection in enteric-drained pancreas transplant? -
✔✔Rise in serum amylase and lipase, graft tenderness
✔✔Two or more of the following characteristics are highest risk for cardiac
complications - ✔✔1) Dialysis >3 years
2) Primary disease with atherosclerotic risk factors
3) Males > 45 years old
4) Ischemic heart disease in first degree relative
5) HTN
6) Current smoker
7) HDL < 35
8) Cholesterol > 200
✔✔Most common type of peritransplant fluid collection - ✔✔Lymphocele
✔✔MELD score range - ✔✔6-40
✔✔At what MELD score do you consider the sodium - ✔✔MELD >11
✔✔MELD score calculated from - ✔✔Serum creatinine, serium bilirubin, INR, serum
sodium
✔✔Labs that indicate nonfunction in liver - ✔✔Coags, glucose, potassium, lactate
✔✔Cholestatis symptoms - ✔✔Clay colored stool, dark urine, itching, pain in RUQ,
jaundice
✔✔T-tube draining should be colored - ✔✔golden brown
✔✔First line test for HCV - ✔✔EIA
✔✔If HCV EIA is positive, use this test next - ✔✔HCV RNA (NAT)
✔✔Liver Listing Status 1A - ✔✔Fulminant, HAT, or decompensated Wilson's Disease
✔✔Liver Listing 1B - ✔✔Hepatoblastoma, metabolic
✔✔ CMV IGG & IGM (-) - ✔✔Not previously CMV infected
✔✔CMV IgG & IgM (+) - ✔✔Recent CMV infection
QUESTIONS AND ANSWERS SURE A+
✔✔Which has lower surgical complication rates - BD OR ED Pancreas Transplant? -
✔✔BD
✔✔How often is the PRA tested in a transplant candidate with VAD? - ✔✔Weekly
✔✔High risk behavior criteria must have happened in the last how many years? - ✔✔5
✔✔Which diagnostic procedure will evaluate CAV? - ✔✔Left heart cath
✔✔Which segment is typically donated in pediatric living donor liver transplant? -
✔✔Left lateral segment
✔✔Used to diagnose if biliary tract is patent has blockage - ✔✔ERCP
✔✔Osteopenia Bone density T-Score - ✔✔1-2.5 SD below mean
✔✔Osteoporosis Bone density T-Score - ✔✔>2.5 SD below mean
✔✔Most common reported complication after liver donation surgery - ✔✔Biliary leaks
, ✔✔Signs of biliary leak - ✔✔New onset fever, leukocytosis, abdominal pain, persistent
or increased bile leakage from drain
✔✔What indicates acute early rejection in enteric-drained pancreas transplant? -
✔✔Rise in serum amylase and lipase, graft tenderness
✔✔Two or more of the following characteristics are highest risk for cardiac
complications - ✔✔1) Dialysis >3 years
2) Primary disease with atherosclerotic risk factors
3) Males > 45 years old
4) Ischemic heart disease in first degree relative
5) HTN
6) Current smoker
7) HDL < 35
8) Cholesterol > 200
✔✔Most common type of peritransplant fluid collection - ✔✔Lymphocele
✔✔MELD score range - ✔✔6-40
✔✔At what MELD score do you consider the sodium - ✔✔MELD >11
✔✔MELD score calculated from - ✔✔Serum creatinine, serium bilirubin, INR, serum
sodium
✔✔Labs that indicate nonfunction in liver - ✔✔Coags, glucose, potassium, lactate
✔✔Cholestatis symptoms - ✔✔Clay colored stool, dark urine, itching, pain in RUQ,
jaundice
✔✔T-tube draining should be colored - ✔✔golden brown
✔✔First line test for HCV - ✔✔EIA
✔✔If HCV EIA is positive, use this test next - ✔✔HCV RNA (NAT)
✔✔Liver Listing Status 1A - ✔✔Fulminant, HAT, or decompensated Wilson's Disease
✔✔Liver Listing 1B - ✔✔Hepatoblastoma, metabolic
✔✔ CMV IGG & IGM (-) - ✔✔Not previously CMV infected
✔✔CMV IgG & IgM (+) - ✔✔Recent CMV infection
