Certified Procurement Transplant Coordinator Exam Questions and Answers

Certified Procurement Transplant
Coordinator Exam Questions and
Answers

Afdonorfwhofhasfreceivedfmassivefbloodftransfusionfwithfsodiumfcitratefasfafpreservationfm
ayfhavef-fCORRECTfANSWER-Hypocalcemia

Afdonorfwithf10fminutesfoffCPRfandfwasflastfseenfwellf5fminutesfpriorftofstartingfCPR,fdownti
mefwouldfbefdocumentedfas:f-fCORRECTfANSWER-15fminutes

Afdonorfwithfexposureftoforftreatmentfwithfnon-
recombinantfHumanfPituitaryfDerivedfGrowthfHormonef(HPDGH)fhasfanfincreasedfriskfoffw
hat?f-fCORRECTfANSWER-Prionfdisease

AfdonorfwithfhighfriskfbehaviorfperfPHSfguidelinesfisfconsideredfatfafhighfriskfforftransmitting
fwhichf3fdisease?f-fCORRECTfANSWER-1.fHIV

2.fHCV
3.fHBV

Afhigh-PRAfrecipientfoftenfrequiresfa:f-fCORRECTfANSWER-Prospectivefcross-match

Afpositivefcross-matchfmeans:f-fCORRECTfANSWER-
thefdonorfandfrecipientfarefnotfafgoodfmatch

Afrecipientfwhofisfclassifiedfasf"sensitized"fisfdefinedfasfafrecipientfwho:f-
fCORRECTfANSWER-hasfantibodiesfwhichfmayfreactfpoorlyfwithfthefdonor'sfantigens




AfrecipientfwithfafhighfPRAfindicatesfafhighflikelihoodfoffa:f-fCORRECTfANSWER-
positivefcross-match

AbdominalfCompartmentfSyndromef(ACS)fisfcommonfinfdonorsfwithfbluntfinjuryftofthefabdo
menfandfcanfleadfto:f-fCORRECTfANSWER-Multi-organffailurefandfcardiopulmonaryfarrest

ABOf-fCORRECTfANSWER-fourfmainfbloodftypesf-fA,fB,fAB,fandfO

Afterfbrainfdeath,fthefbodyfisfunableftofsecretefadrenocorticotropicfhormonef(ACTH)fandfma
intainfbloodfpressurefbecausefdeathftofthe:f-fCORRECTfANSWER-hypothalamic-pituitary-
adrenalfaxis

,Allocationf-fCORRECTfANSWER-
Thefprocessfoffdeterminingfhowforgansfarefdistributed.fAllocationfincludesfthefsystemfoffpoli
ciesfandfguidelines,fwhichfensurefthatforgansfarefdistributedfinfanfequitable,fethicalfandfmed
icallyfsoundfmanner.

Amountfofforgansftransplantedfperfsinglefdonorf-fCORRECTfANSWER-
Organsftransplantedfperfdonor

Anfauthorizationfconversationfshouldfbeginfby:f-fCORRECTfANSWER-
Askingftheffamilyfwhatftheyfunderstandfaboutfwhatfisfgoingfon

Antibodyf-fCORRECTfANSWER-
Afproteinfmoleculefproducedfbyfthefimmunefsystemfinfresponseftofafforeignfbody,fsuchfasfaf
virusforfaftransplantedforgan.

Antigenf-fCORRECTfANSWER-
Anyfsubstancefthatfcausesfyourfimmunefsystemftofproducefantibodiesfagainstfit.fAnfantigenf
mayfbefafforeignfsubstanceffromfthefenvironmentfsuchfasfchemicals,fbacteria,fviruses,fpolle
nforfforeignftissue.

AOPOflistsfafmaximumfstorageftimefforfkidneysfinfcoldfstoragefsolutionfas:f-
fCORRECTfANSWER-24-36fhours




AOPOflistsfmaximumfstorageftimefforfliver,fpancreasfandfintestinefas:f-
fCORRECTfANSWER-12-18fhours




AOPOflistsfmaximumfstorageftimefforfthefheartfas:f-fCORRECTfANSWER-4-6fhours

APRVforfPeepfmaneuversfshouldfbefinitiatedfnofearlierfthenfhowfmanyfhoursfafterfthefbronc
hftofavoidfcausingfaspirationfoffthefsalineflavage?f-fCORRECTfANSWER-1fhour

AssociationfoffOrganfProcurementfOrganizationsf(AOPO)f-fCORRECTfANSWER-Thefnon-
profitforganizationfrecognizedfasfthefnationalfrepresentativefoffthef58ffederally-
designedfOPOs

Beforefbrainfdeathftestingfcanfbefperformedfthefpatient'sftoxfscreenfmustfbefnegativeffor:f-
fCORRECTfANSWER-CNSfdepressantsfincludingfETOH,fopiates,fandfbenzos




BrainfDeathf-fCORRECTfANSWER-
Irreversiblefcessationfoffcerebralfandfbrainfstemffunctions;fcharacterizedfbyfabsencefoffelec
tricalfactivityfinfthefbrain,fbloodfflowftofthefbrain,fandfbrainffunctionfasfdeterminedfbyfclinicalfa
ssessmentfoffresponses.

Brainfdeathfoccursfwhen:f-fCORRECTfANSWER-
1.fICPsfarefelevatedfcausingfthefbrainftoffindfafpathfoffleastfresistancefandfsqueezefintofthefo
peningfwherefspinalfcordfmeetsfbrainfwhichfstopsfallfflowftofthefbrainfcausingfcellfdeath

, 2.fICPsfarefelevatedfcreatingfafblockagefoffbloodfflowftofthefbrain
3.fThefbodyfcanfnotfalterfthefvolumefoffthefbrainfdueftofedemafand/forfhemorrhagefagainstfth
efenclosedfskull

Cardiacfwallfmotionfabnormalityftypicallyfrelatedftofbrainfdeathfandfnotfassociatedfwithfheart
fdiseasefisfcalled:f-fCORRECTfANSWER-Globalfakinesis




CatastrophicfBrainfInjuryfGuidelinesf(CBIGs)fhelpfachievefdonorfmanagementfgoalsfandfin
cludefordersfto:f-fCORRECTfANSWER-1.fMaintainfhemodynamicsf
2.fMaintainfnormalfsodiumflevels
3.fMaintainfnormalfglucoseflevels

CentersfforfMedicaref&fMedicaidf(CMS)f-fCORRECTfANSWER-
AfpartfoffthefDepartmentfoffHealthfandfHumanfServicesf(HHS)fwhofoffersffinancialfcoveragef
forfEndfStagefRenalfDiseasefpatientsfandffundsfkidneyfandfbyfextension,fallforganftransplan
ts.fCMSfholdsfhospitalsfaccountablefforfreferringfpotentialfdonorsfinfaftimelyffashion.

CirculatoryfDeathf-fCORRECTfANSWER-
Deathfdefinedfasfthefirreversiblefcessationfoffcirculatoryfandfrespiratoryffunctions.fDeathfisf
declaredfinfaccordancefwithfhospitalfpolicyfandfapplicablefstatefandflocalfstatutesforfregulati
ons.

ClinicalfTriggersf-fCORRECTfANSWER-
CriteriafforfimminentfdeathfmutuallyfestablishedfbyfthefhospitalfandfOPOfwhichfpromptfthefh
ospitalftofmakeftimelyfnotificationftofthefOPO.

ColdfIschemiafTimef(CIT)f-fCORRECTfANSWER-
Thefamountfofftimefanforganfspendsfbeingfpreservedfafterfrecoveryffromfthefdonor.

Commonfareasfforfimprovementfwithfthefdonationfprocessfwithinfafhospitalfprofilefinclude:f-
fCORRECTfANSWER-1.fPre-mentionsfoffdonationfbyfnon-

OPOftrainedfmembersfoffthefhealthcarefteam
2.fIssuesfdeclaringfafpatientfbrainfdead
3.fLatefreferralsfaffectingfoutcomes

Consolidationfonfchestfx-rayfindicates:f-fCORRECTfANSWER-severefpneumonia

Cross-clampfoffthefkidneysfoccursfatfwhichfvessel?f-fCORRECTfANSWER-
Supraceliacfaorta

Cushing'sfReflex/Triadf-fCORRECTfANSWER-1.fAfsignfoffincreasingfICP
2.fIncreasingfSBP
3.fBradycardiaf
4.fWideningfPulsefPressure