Free ABTC Certified Transplant Preservationist (CTP®) Examination Practice Questions

Sample Practice Questions

Try these 10 sample questions from the ABTC Certified Transplant Preservationist (CTP®) Examination practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1Before a deceased-donor recovery, the team cannot locate evidence that donation was authorized. Which responsibility must the host OPO fulfill before proceeding?

   1. A.Provide evidence of authorization for donation.Correct answer: A
   2. B.Substitute the recipient's consent for donor authorization.
   3. C.Treat a favorable organ-quality assessment as authorization.
   4. D.Treat completion of a match run as authorization.

   Explanation: OPTN Policy 2.2 assigns the host OPO responsibility for "Providing evidence of authorization for donation." Recipient consent, organ assessment and a match run address different decisions; none establishes the donor authorization that is missing.

   Reference: OPTN Policies — Policy 2.2, host OPO responsibilities

2. 2Which set of donor information is covered by the standard OPTN pre-recovery verification for each organ?

   1. A.Donor ID, recipient insurance and transport cost
   2. B.Donor diagnosis, recipient age and hospital address
   3. C.Donor ID, organ/laterality and donor blood type/subtype if usedCorrect answer: C
   4. D.Recipient ID, recipient diagnosis and planned incision time

   Explanation: Table 2-2 lists "Donor ID," organ/laterality and donor blood type/subtype. Administrative costs and recipient details do not replace these donor checks; intended-recipient checks are additional when that recipient is already known.

   Reference: OPTN Policies — Policy 2.14.B, Table 2-2, information column

3. 3Which layer of the donor heart is principally responsible for muscular contraction?

   1. A.Endocardium
   2. B.Epicardium
   3. C.MyocardiumCorrect answer: C
   4. D.Parietal pericardium

   Explanation: NCI SEER identifies the myocardium as "a working muscle that needs a continuous supply of oxygen and nutrients to function efficiently." It is the contractile heart wall; endocardium lines it, epicardium covers its outer surface, and parietal pericardium is the surrounding sac layer.

   Reference: NCI SEER Training: Structure of the Heart — Blood Supply to the Myocardium

4. 4Who must collaborate with the host OPO in establishing the written policy for tissue-typing specimens, media and shipping requirements?

   1. A.Only the commercial courier
   2. B.Only the organ recipient's insurer
   3. C.A histocompatibility laboratoryCorrect answer: C
   4. D.Only the donor hospital's billing department

   Explanation: OPTN states, "The host OPO must establish a written policy with a histocompatibility laboratory that includes specific details of the minimum tissue typing material, type of specimen, medium, and shipping requirements for these items." The laboratory defines the needed specimen and handling requirements with the OPO; transport and administrative services cannot substitute for that collaboration.

   Reference: OPTN Policies — Policy 2.14.D, Required Tissue Typing and Blood Type Verification Materials

5. 5Where must the OPTN internal label be attached for a deceased-donor organ in a triple sterile barrier?

   1. A.Securely to the outermost layer of the triple sterile barrierCorrect answer: A
   2. B.Only to the inner surface of the shipping-box lid
   3. C.Only to the recipient's medical record
   4. D.Directly onto the unwrapped organ tissue

   Explanation: OPTN states, "The host OPO must securely attach the completed OPTN internal label, identifying the specific contents, to the outer-most layer of the triple sterile barrier or cassette of mechanical preservation machine holding each organ." The label identifies the protected organ package at its outer sterile barrier; tissue, shipping-box or chart placement alone is not the required location.

   Reference: OPTN Policies — Policy 16.3.B, Internal Labeling of Organs

6. 6A recovery team receives a request to direct a deceased-donor organ to a particular candidate outside the allocation process. Which host-OPO action follows its allocation responsibility?

   1. A.Use the candidate named first by the recovery surgeon.
   2. B.Execute the match run and use its resulting match.Correct answer: B
   3. C.Select the candidate whose hospital requests the organ fastest.
   4. D.Let the transport carrier choose the receiving hospital.

   Explanation: Policy 2.2 requires "Executing the match run and using the resulting match for each deceased donor organ allocation." Surgeon preference, request speed and carrier preference are not substitutes for that allocation process.

   Reference: OPTN Policies — Policy 2.2, item 11

7. 7Who must jointly perform the standard donor ID, organ and blood-type pre-recovery verifications in OPTN Table 2-2?

   1. A.Two transport-company staff members
   2. B.A remote surgeon and an administrative scheduler
   3. C.Two receiving-hospital billing staff members
   4. D.The on-site recovering surgeon and a qualified healthcare professionalCorrect answer: D

   Explanation: The table specifies the "On-site recovering surgeon" and qualified healthcare professional. Remote, administrative and transport substitutes do not meet that clinical pair.

   Reference: OPTN Policies — Policy 2.14.B, Table 2-2, verifier column

8. 8When identifying the arterial supply to the donor myocardium, where do the right and left coronary arteries normally originate?

   1. A.Pulmonary trunk
   2. B.Superior vena cava
   3. C.Coronary sinus
   4. D.Ascending aortaCorrect answer: D

   Explanation: NCI SEER states, "The right and left coronary arteries, branches of the ascending aorta, supply blood to the walls of the myocardium." The coronary origins are in the ascending aorta; the pulmonary trunk and venous structures do not provide these arterial origins.

   Reference: NCI SEER Training: Structure of the Heart — Blood Supply to the Myocardium

9. 9For a deceased-donor kidney, which blood-tube provision matches OPTN Table 2-4 minimum typing materials?

   1. A.Only two EDTA lavender-top tubes
   2. B.Only one sodium-citrate blue-top tube
   3. C.One 7–10 mL clot red-top tube plus two ACD yellow-top tubesCorrect answer: C
   4. D.Only one heparin green-top tube

   Explanation: OPTN states, "One 7 to 10 mL clot red top tube Any organ Two acid-citrate-dextrose (ACD) yellow top tubes Kidney or pancreas" The kidney row supplements the any-organ clot tube with ACD tubes. The other tube sets do not match this minimum.

   Reference: OPTN Policies — Policy 2.14.D, Table 2-4: Minimum Typing Materials

10. 10A deceased-donor kidney package's label says only 'organ,' without identifying its specific contents. What is missing under OPTN internal-label requirements?

    1. A.A description identifying the package contentsCorrect answer: A
    2. B.The recipient's insurance authorization
    3. C.The donor family's home address
    4. D.The courier's vehicle registration

    Explanation: OPTN states, "The label must include a description of the contents of the package, the donor ID, and donor blood type and blood subtype, if used for allocation." The content description distinguishes the package's actual organ; the other information does not supply that identification.

    Reference: OPTN Policies — Policy 16.3.B, Internal Labeling of Organs