CCTC EXAM QUESTIONS AND ANSWERS
1.You are training a new transplant coordinator. When teaching her about
intestinal transplant, which of the following is not true when describing
in- testinal failure?
1. Can be due to motility or absorption disorders
2. Nutrition is supplied primarily by TPN
3. Most patients also have liver disease
4. Inadequate gut mass to maintain fluid and nutritional requirements
ANS 3. Most patients also have liver disease
2.A 30 year old recipient comes to clinic 1 month post transplant. In
reviewing signs/symptoms of intestinal rejection, the transplant coordinator
should instruct the recipient/family to notify the coordinator immediately if
1. the stoma has prolapsed
2. an intermittent low-grade fever develops
3. the consistency of stoma output has thickened
4. there is high stoma output
A. 1 and 2 only
B. 1 and 3 only
C. 2 and 4 only
D. 3 and 4 only
ANS C. 2 and 4 only.
1/
138
,2. an intermittent low-grade fever develops
4. there is high stoma output
3.You are caring for a 20 year old female who is listed for a
multivisceral transplant. She is ill but stable and is hospitalized for
supportive care as she waits for an organ transplant. Which of the
following would preclude transplant when an organ is offered?
A. Positive blood culture with klebsiella
B. History of adherence issues
C. Ammonia level of 200umol/L
D. Seizure disorder controlled with phenytoin
ANS A. Positive blood culture with klebsiella
4.You are caring for a 10 year old male following isolated intestine
transplant on post-op day 2. He has become increasingly tachycardic and his
BP is 80/55. JP drainage has increased serosanguineous fluid. The abdomen
is mildly distended. His hemoglobin is 9.2. The ileostomy drainage is
40ml/kg/day and loose brown. What do you suspect?
A. Vascular thrombosis
B. Post-operative hemorrhage
C. Acute rejection
D. Leak at the anastomosis of jejunum and duodenum
ANS B. Post-operative hem- orrhage
2/
138
,5.Your patient is a 40 year old male, 3 weeks postintestinal transplant.
Enteral feeds are going through a GT at 40 cc/hr continuously. He is
complaining of nausea and just vomited. He is afebrile. What is the first
thing you do before calling your physician?
A. Decrease rate from 40 to 20cc/hr
B. Order an abdominal ultrasound
C. Stop the feeds
D. Assess the ileostomy drainage
ANS C. Stop the feeds
6.You are teaching a new coordinator about indications for pancreas or
com- bined kid-panc transplant. Indications for pancreas or combined
kidney/panc transplant include which of the following complications for type
1 diabetes?
A. Hypoglycemic unawareness
B. End- stage renal disease
C. On insulin and C-peptide is < 2 mg/ml
D. Congestive heart failure
E. A, B and C only
F. All of the above
ANS E. A, B and C only
A. Hypoglycemic unawareness
B. End- stage renal disease
3/
138
, C. On insulin and C-peptide is < 2 mg/ml
7.What is the normal value for a fasting c-peptide?
ANS 0.8 - 4.0 ng/mL
8.You are teaching a new coordinator about bladder drainage (BD).
Approx- imately 20% of BD recipients undergo enteric conversion, which is
best de- scribed as
A. Systemic- bladder drainage technique
B. Exocrine drainage through the urinary bladder
C. Damage to the organ during cold ischemia preservation
D. Movement of the duodenal segment from the bladder to the bowel
ANS D. Movement of the duodenal segment from the bladder to
the bowel
9.What is the normal value for serum amylase?
ANS 23-85 U/L
10.What is the normal value for serum lipase?
ANS 0-160 U/L
11.What is the normal value for C-peptide?
ANS 0.5 - 2 ng/Ml
4/
138
1.You are training a new transplant coordinator. When teaching her about
intestinal transplant, which of the following is not true when describing
in- testinal failure?
1. Can be due to motility or absorption disorders
2. Nutrition is supplied primarily by TPN
3. Most patients also have liver disease
4. Inadequate gut mass to maintain fluid and nutritional requirements
ANS 3. Most patients also have liver disease
2.A 30 year old recipient comes to clinic 1 month post transplant. In
reviewing signs/symptoms of intestinal rejection, the transplant coordinator
should instruct the recipient/family to notify the coordinator immediately if
1. the stoma has prolapsed
2. an intermittent low-grade fever develops
3. the consistency of stoma output has thickened
4. there is high stoma output
A. 1 and 2 only
B. 1 and 3 only
C. 2 and 4 only
D. 3 and 4 only
ANS C. 2 and 4 only.
1/
138
,2. an intermittent low-grade fever develops
4. there is high stoma output
3.You are caring for a 20 year old female who is listed for a
multivisceral transplant. She is ill but stable and is hospitalized for
supportive care as she waits for an organ transplant. Which of the
following would preclude transplant when an organ is offered?
A. Positive blood culture with klebsiella
B. History of adherence issues
C. Ammonia level of 200umol/L
D. Seizure disorder controlled with phenytoin
ANS A. Positive blood culture with klebsiella
4.You are caring for a 10 year old male following isolated intestine
transplant on post-op day 2. He has become increasingly tachycardic and his
BP is 80/55. JP drainage has increased serosanguineous fluid. The abdomen
is mildly distended. His hemoglobin is 9.2. The ileostomy drainage is
40ml/kg/day and loose brown. What do you suspect?
A. Vascular thrombosis
B. Post-operative hemorrhage
C. Acute rejection
D. Leak at the anastomosis of jejunum and duodenum
ANS B. Post-operative hem- orrhage
2/
138
,5.Your patient is a 40 year old male, 3 weeks postintestinal transplant.
Enteral feeds are going through a GT at 40 cc/hr continuously. He is
complaining of nausea and just vomited. He is afebrile. What is the first
thing you do before calling your physician?
A. Decrease rate from 40 to 20cc/hr
B. Order an abdominal ultrasound
C. Stop the feeds
D. Assess the ileostomy drainage
ANS C. Stop the feeds
6.You are teaching a new coordinator about indications for pancreas or
com- bined kid-panc transplant. Indications for pancreas or combined
kidney/panc transplant include which of the following complications for type
1 diabetes?
A. Hypoglycemic unawareness
B. End- stage renal disease
C. On insulin and C-peptide is < 2 mg/ml
D. Congestive heart failure
E. A, B and C only
F. All of the above
ANS E. A, B and C only
A. Hypoglycemic unawareness
B. End- stage renal disease
3/
138
, C. On insulin and C-peptide is < 2 mg/ml
7.What is the normal value for a fasting c-peptide?
ANS 0.8 - 4.0 ng/mL
8.You are teaching a new coordinator about bladder drainage (BD).
Approx- imately 20% of BD recipients undergo enteric conversion, which is
best de- scribed as
A. Systemic- bladder drainage technique
B. Exocrine drainage through the urinary bladder
C. Damage to the organ during cold ischemia preservation
D. Movement of the duodenal segment from the bladder to the bowel
ANS D. Movement of the duodenal segment from the bladder to
the bowel
9.What is the normal value for serum amylase?
ANS 23-85 U/L
10.What is the normal value for serum lipase?
ANS 0-160 U/L
11.What is the normal value for C-peptide?
ANS 0.5 - 2 ng/Ml
4/
138
