CCTC CCTC - Certified Clinical Transplant Coordinator Infection Prevention and Management Questions and Answers

Question 1

Which opportunistic infection is most commonly caused by reactivation of a latent fungal infection in immunocompromised transplant recipients in the US?

Accepted Answer

Pneumocystis jirovecii (PJP)

Answer

Candida albicans

Answer

Aspergillus fumigatus

Answer

Cryptococcus neoformans

Question 2

A kidney transplant recipient on tacrolimus, mycophenolate, and prednisone presents 6 weeks post-transplant with fever, productive cough, and ground-glass opacities on chest CT. The most likely diagnosis is:

Accepted Answer

Cytomegalovirus (CMV) pneumonitis

Answer

Acute rejection

Answer

Pneumocystis jirovecii pneumonia (PJP)

Answer

Bacterial lobar pneumonia

Question 3

Standard post-transplant prophylaxis with trimethoprim-sulfamethoxazole (TMP-SMX) protects against which two pathogens simultaneously?

Accepted Answer

PJP and Toxoplasma gondii

Answer

CMV and EBV

Answer

Aspergillus and Candida

Answer

BK virus and HSV

Question 4

The donor-recipient CMV serostatus combination associated with the HIGHEST risk of CMV disease post-transplant is:

Accepted Answer

Donor positive / Recipient negative (D+/R−)

Answer

Donor negative / Recipient positive (D−/R+)

Answer

Donor positive / Recipient positive (D+/R+)

Answer

Donor negative / Recipient negative (D−/R−)

Question 5

A transplant coordinator is counseling a new kidney transplant recipient about food safety. Which of the following foods should be AVOIDED post-transplant?

Accepted Answer

Unpasteurized soft cheeses and raw shellfish

Answer

Well-cooked poultry

Answer

Pasteurized dairy products

Answer

Thoroughly cooked eggs

Question 6

BK virus nephropathy is a serious complication primarily seen in which transplant recipient population?

Accepted Answer

Kidney transplant recipients

Answer

Liver transplant recipients

Answer

Lung transplant recipients

Answer

Heart transplant recipients