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CCTC CERTIFICATION REVIEW STUDY GUIDE SOLUTIONS

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CCTC CERTIFICATION REVIEW STUDY GUIDE SOLUTIONS Absolute Contraindications for liver transplant - ANSWER-Severe cardiopulmonary disease, uncontrolled HIV, poorly controlled Psych illness, noncompliance, anatomical abnormalities precluding adequate surgical reconstruction Reason for not accepte...

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  • November 18, 2024
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  • 2024/2025
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SophiaBennett
CCTC CERTIFICATION REVIEW
STUDY GUIDE SOLUTIONS

Absolute Contraindications for liver transplant - ANSWER✔✔-Severe cardiopulmonary

disease, uncontrolled HIV, poorly controlled Psych illness, noncompliance, anatomical

abnormalities precluding adequate surgical reconstruction


Reason for not accepted for liver TX - ANSWER✔✔-Hepatocellular Carcinoma (HCC)

outside Milan Criteria


What is NAFLD? - ANSWER✔✔-Nonalcoholic Fatty Liver Disease- caused by obesity,

hyperglycemia, elevated serum lipids, and high BP


What is NASH? - ANSWER✔✔-Non-alcoholic steatohepatitis. Can lead to cirrhosis 3rd

common indication for liver TX.


What is the MELD score? - 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.




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/8

, Calculated using:


-INR


-Bilirubin


-Creatinine


-Sodium




MELD > 14 needed for liver transplant


What can green drainage post liver TX indicate? - ANSWER✔✔-Bile leakage


What can a rise in ALP post liver tx indicate? - 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?

- ANSWER✔✔-Elevated AST and ALT


Target levels for immunosuppressants are based on a number of factors including: -

ANSWER✔✔-Indication for tx, use of induction therapy, kidney function, overall

condition of pt.


What can lead to metabolic encephalopathy post liver transplant? - ANSWER✔✔-Renal

failure or sepsis




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/8

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