CCTC Exam with complete solutions
2024/2025
CMV IGG & IGM (-) - ANSWER-Not previously CMV infected
CMV IgG & IgM (+) - ANSWER-Recent CMV infection
CMV IgG (+) & IgM (-) - ANSWER-Past CMV infection, not recent
Blood Type O - ANSWER-Universal Donor - Can receive subtype A2
Blood Type AB - ANSWER-Universal Recipient
Kidney Priority Listing Criteria - ANSWER-1) If candidate is prior living kidney
donor
2) If there are 0 HLA-mismatches
Common causes of HLA Antibody production - ANSWER-1) Transfusions
2) Pregnancy
3) Previous transplants
Hep C Ab - ANSWER-Exposure to Hepatitis C
Hep B sAg - ANSWER-Infection with hepatitis B
Hep B sAb - ANSWER-Immune to hepatitis B
Hep B Core Antibody - ANSWER-Previous hepatitis B infection or exposure
HLA Haplotypes - ANSWER-A, B, DR
, Rejection - Recognition step - ANSWER-AP Cells
Rejection - Stimulation step - ANSWER-T-Cells
Rejection - Defense step - ANSWER-CD8 and B Cells
Immunosuppression balances 3 key factors - ANSWER-1) Prevent rejection
2) Protect against infection and cancer
3) Guarantee efficacy
What organ is not allocated based on urgency? - ANSWER-Kidney
How does UNOS prioritize? - ANSWER-1) Medical urgency
2) Biological matching
Liver 1A Criteria includes - ANSWER-1) Life expectancy <7 days
2) Hepatic artery thrombus
Heart 1A Criteria includes - ANSWER-Mechanical circulatory support for acute
hemodynamic decompensation
Lung Allocation Score (LAS) accounts for - ANSWER-1) Formula estimating
urgency and probability of long term survival
2) Pulmonary artery systolic pressure
3) O2 requirement
4) Need for continues mechanical ventilation
Long term risk of kidney donation - ANSWER-HTN
Pre-transplant education should include - ANSWER-1) Treatment options
2) Costs, and immunosuppression
3) Deceased donor criteria
What type of rejection is in first 6 months - likely to respond to increased
immunosuppression? - ANSWER-Acute cellular rejection
What urinary symptom is related to kidney transplant rejection? - ANSWER-
Decreased UOP
All pre-transplant kidney evals should obtain - ANSWER-Hepatitis serologies
2024/2025
CMV IGG & IGM (-) - ANSWER-Not previously CMV infected
CMV IgG & IgM (+) - ANSWER-Recent CMV infection
CMV IgG (+) & IgM (-) - ANSWER-Past CMV infection, not recent
Blood Type O - ANSWER-Universal Donor - Can receive subtype A2
Blood Type AB - ANSWER-Universal Recipient
Kidney Priority Listing Criteria - ANSWER-1) If candidate is prior living kidney
donor
2) If there are 0 HLA-mismatches
Common causes of HLA Antibody production - ANSWER-1) Transfusions
2) Pregnancy
3) Previous transplants
Hep C Ab - ANSWER-Exposure to Hepatitis C
Hep B sAg - ANSWER-Infection with hepatitis B
Hep B sAb - ANSWER-Immune to hepatitis B
Hep B Core Antibody - ANSWER-Previous hepatitis B infection or exposure
HLA Haplotypes - ANSWER-A, B, DR
, Rejection - Recognition step - ANSWER-AP Cells
Rejection - Stimulation step - ANSWER-T-Cells
Rejection - Defense step - ANSWER-CD8 and B Cells
Immunosuppression balances 3 key factors - ANSWER-1) Prevent rejection
2) Protect against infection and cancer
3) Guarantee efficacy
What organ is not allocated based on urgency? - ANSWER-Kidney
How does UNOS prioritize? - ANSWER-1) Medical urgency
2) Biological matching
Liver 1A Criteria includes - ANSWER-1) Life expectancy <7 days
2) Hepatic artery thrombus
Heart 1A Criteria includes - ANSWER-Mechanical circulatory support for acute
hemodynamic decompensation
Lung Allocation Score (LAS) accounts for - ANSWER-1) Formula estimating
urgency and probability of long term survival
2) Pulmonary artery systolic pressure
3) O2 requirement
4) Need for continues mechanical ventilation
Long term risk of kidney donation - ANSWER-HTN
Pre-transplant education should include - ANSWER-1) Treatment options
2) Costs, and immunosuppression
3) Deceased donor criteria
What type of rejection is in first 6 months - likely to respond to increased
immunosuppression? - ANSWER-Acute cellular rejection
What urinary symptom is related to kidney transplant rejection? - ANSWER-
Decreased UOP
All pre-transplant kidney evals should obtain - ANSWER-Hepatitis serologies
