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Exam Elaboration | Health Care
CCTC CERTIFICATION REVIEW
SKU: CCTC CERTIFICATION REVIEW | Pages: 8 | Year: 2024
Document Brief Description
CCTC CERTIFICATION REVIEW
Absolute Contraindications for liver transplant - ✔✔Severe cardiopulmonary disease,
uncontrolled HIV, poorly controlled...
CCTC CERTIFICATION REVIEW
Absolute Contraindications for liver transplant - ✔✔Severe cardiopulmonary disease,
uncontrolled HIV, poorly controlled Psych illness, noncompliance, anatomical abnormalities
precluding adequate surgical reconstruction
Reason for not accepted for liver TX - ✔✔Hepatocellular Carcinoma (HCC) outside Milan
Criteria
What is NAFLD? - ✔✔Nonalcoholic Fatty Liver Disease- caused by obesity, hyperglycemia,
elevated serum lipids, and high BP
What is NASH? - ✔✔Non-alcoholic steatohepatitis. Can lead to cirrhosis 3rd common indication
for liver TX.
What is the MELD score? - ✔✔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 transplant
What can green drainage post liver TX indicate? - ✔✔Bile leakage
What can a rise in ALP post liver tx indicate? - ✔✔Can be a sign of biliary complications or
cholestasis
Lab changes are indicate of graft dysfunction. Which values will be elevated for liver tx? -
✔✔Elevated AST and ALT
Target levels for immunosuppressants are based on a number of factors including: -
✔✔Indication for tx, use of induction therapy, kidney function, overall condition of pt.
What can lead to metabolic encephalopathy post liver transplant? - ✔✔Renal failure or sepsis
What can lead to hypoxic ischemic encephalopathy post liver transplant? - ✔✔Significant peri-
operative hypotension
De Novo seizures can occur post liver transplant and can be caused by what? - ✔✔Electrolyte
imbalances, reaction to cyclosporine or tacrolimus, intracranial hemorrhage or cerebral infarction
and intracerebral abscesses
What can cause a post liver transplant patient whose initial postop neurological course is normal
to develop sudden deterioration
- 8-pages detailed model answer (PDF + online view)
- Clinical reasoning & medication selection justified
- NP-level explanation with key teaching points
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CCTC CERTIFICATION REVIEW
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