cctc certification review 2024 questions and answe
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CCTC CERTIFICATION REVIEW 2024 QUESTIONS AND ANSWERS 100% PASS Absolute Contraindications for liver transplant - Correct Answer ✔️✔️-Severe cardiopulmonary disease, uncontrolled HIV, poorly controlled Psych illness, noncompliance, anatomical abnormalities precluding adequate surgical reconstruction Reason for not acce pted for liver TX - Correct Answer ✔️✔️-Hepatocellular Carcinoma (HCC) outside Milan Criteria What is NAFLD? - Correct Answer ✔️✔️-Nonalcoholic Fatty Liver Disease - caused by obesity, hyperglycemia, elevated serum lipids, and high BP What is NASH? - Correc t Answer ✔️✔️-Non-alcoholic steatohepatitis. Can lead to cirrhosis 3rd common indication for liver TX. What is the MELD score? - Correct 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. Calculated using: -INR -Bilirubin -Creatinine -Sodium MELD > 14 needed for liver trans plant What can green drainage post liver TX indicate? - Correct Answer ✔️✔️-Bile leakage What can a rise in ALP post liver tx indicate? - Correct Answer ✔️✔️-Can be a sign of biliary complications or cholestasis Lab changes are indicate of graft dysfunctio n. Which values will be elevated for liver tx? - Correct Answer ✔️✔️-Elevated AST and ALT Target levels for immunosuppressants are based on a number of factors including: - Correct Answer ✔️✔️-Indication for tx, use of induction therapy, kidney function, o verall condition of pt. What can lead to metabolic encephalopathy post liver transplant? - Correct Answer ✔️✔️-
Renal failure or sepsis What can lead to hypoxic ischemic encephalopathy post liver transplant? - Correct Answer ✔️✔️-Significant peri -operative hypotension De Novo seizures can occur post liver transplant and can be caused by what? - Correct Answer ✔️✔️-Electrolyte imbalances, reaction to cyclosporine or tacrolimus, intracranial hemorrhage or cerebral infarction and intracerebral abscesses What ca n cause a post liver transplant patient whose initial postop neurological course is normal to develop sudden deterioration in neurological status? - Correct Answer ✔️✔️-
Intracranial bleed
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