CPTC EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
CIT heart
4-6 hrs
CIT Lungs
6-8 hrs
CIT Intestines
<12 hrs
CIT panc
<12 hrs (normal 8-12)
CIT Liver
<24hrs (normal 8-12)
CIT Kidneys
<24 hrs
What is perfusate additives
added to flush in order to inhibit cellular swelling
2 examples of retrograde flush
lungs (pulmonary veins to pulmonary arteries)
Distal aorta flushing towards diaphgragm
LCA bifurcate to
LAD and circumflex
,venous blood flow from coronary veins
coronary veins; coronary sinus; R atrium
Heart procurement (flush, cannula, clamp, vent)
Flush-pressurized
Cannula-Aortic root (right above AV and coronaries),
Clamp-aorta just below arch
Vent-opening created in the IVC (SVC has been tied off)
Heart places that are dissected *
pulmonary arteries, Aortic arch, and SVC/IVC transected. Keeps anterior portion of left
atrium (no need to cut pulm veins cause lung team takes em.
*Make sure heart and liver teams agree on IVC transection site
Airway from trachea to alveoli
trachea, carina, right and left main stem, bronchi, bronchioles, alveoli
Lung procurement (flushx2, cannula, clamp, vent)
Flush-pulmonoplegia to GRAVITY
cannula-trunk of pulmonary artery
clamp-aorta just below arch
vent-left atrial appendage (SVC has been tied off)
RETROGRADE flush insitu or on back table (from pulmonary veins to pulmonary
arteries)
What is added to lung flush and why
, prostagladin a vasodilator is added to solution to reduce ischemia-reperfusion injury
following transplantation.
How many pulmonary veins are there
4 total. 2 on the right, 2 on the left
Lung-places that are dissected.
left interatrial groove identified, posterior wall of left atria is dissected free (retains cuff
for pulmonary veins during implantation), pulmonary arteries.
ETT tube pulled back and trachea stapled
Liver lobes and segments
caudate-1 (act as a point for anastamosis b/w hepatic veins and vena cava)
quadrate-4
left-2 and 3
right- 5,6,7,8
connect liver to diaphragm
falciform ligament
lining containing liver tissue
Glisson's Capsule
Two sources of blood circulation to the liver,
% and pathway
oxygenation status
HEPATIC ARTERY 25% (celiac trunk, proper hepatic, left and right hepatic, liver tissue)
OXYGENATED
COMPLETE SOLUTIONS VERIFIED
CIT heart
4-6 hrs
CIT Lungs
6-8 hrs
CIT Intestines
<12 hrs
CIT panc
<12 hrs (normal 8-12)
CIT Liver
<24hrs (normal 8-12)
CIT Kidneys
<24 hrs
What is perfusate additives
added to flush in order to inhibit cellular swelling
2 examples of retrograde flush
lungs (pulmonary veins to pulmonary arteries)
Distal aorta flushing towards diaphgragm
LCA bifurcate to
LAD and circumflex
,venous blood flow from coronary veins
coronary veins; coronary sinus; R atrium
Heart procurement (flush, cannula, clamp, vent)
Flush-pressurized
Cannula-Aortic root (right above AV and coronaries),
Clamp-aorta just below arch
Vent-opening created in the IVC (SVC has been tied off)
Heart places that are dissected *
pulmonary arteries, Aortic arch, and SVC/IVC transected. Keeps anterior portion of left
atrium (no need to cut pulm veins cause lung team takes em.
*Make sure heart and liver teams agree on IVC transection site
Airway from trachea to alveoli
trachea, carina, right and left main stem, bronchi, bronchioles, alveoli
Lung procurement (flushx2, cannula, clamp, vent)
Flush-pulmonoplegia to GRAVITY
cannula-trunk of pulmonary artery
clamp-aorta just below arch
vent-left atrial appendage (SVC has been tied off)
RETROGRADE flush insitu or on back table (from pulmonary veins to pulmonary
arteries)
What is added to lung flush and why
, prostagladin a vasodilator is added to solution to reduce ischemia-reperfusion injury
following transplantation.
How many pulmonary veins are there
4 total. 2 on the right, 2 on the left
Lung-places that are dissected.
left interatrial groove identified, posterior wall of left atria is dissected free (retains cuff
for pulmonary veins during implantation), pulmonary arteries.
ETT tube pulled back and trachea stapled
Liver lobes and segments
caudate-1 (act as a point for anastamosis b/w hepatic veins and vena cava)
quadrate-4
left-2 and 3
right- 5,6,7,8
connect liver to diaphragm
falciform ligament
lining containing liver tissue
Glisson's Capsule
Two sources of blood circulation to the liver,
% and pathway
oxygenation status
HEPATIC ARTERY 25% (celiac trunk, proper hepatic, left and right hepatic, liver tissue)
OXYGENATED
