04 - Blood groups Flashcards

1
Q

Red blood cell surface antigens are a complex mix of…

A

Glycoproteins, glycolipids and proteins

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2
Q

The main blood type system is…

A

A,B,O and Rhesus D positive / negative

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3
Q

Changes in blood group may sometimes occur under which circumstances?

A
  • Infection
  • Cancer
  • Autoimmune disease
  • After bone marrow transplant (permanently)
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4
Q

The ABO system is determined according to the…

A

Terminal sugar

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5
Q

ABO genes - A and B are ( dominant / recessive )

A

Dominant

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6
Q

ABO gene - O is ( dominant / recessive)

A

Recessive

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7
Q

In blood type O, precursor in converted by FUT1 to…

A

H substance

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8
Q

In type A blood, antigen A is formed by A transferase, which adds (?) to H substance…

A

N-acetylgalactosamine

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9
Q

In type B blood, antigen B is formed by B transferase, which adds (?) to H substance…

A

Galactose

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10
Q

There are two subtypes of blood group A, A1 and A2. This ( does / does not ) affect transfusion.

A

Does not affect transfusion

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11
Q

The function of A/B substances is…

A

Unknown

There absence in those with Type O blood does not seem to be associated with any health effects.

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12
Q

Variation of blood types between populations suggests they may have…

A

Conferred selective advantage in the past (e.g. resistance to infection)

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13
Q

“Agglutination leads to the lysis of red blood cells. The complement system is activated. There is kidney failure and circulatory shock, which may be fatal.”

What is being described?

A

Haemolytic transfusion reaction

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14
Q

Anti rhesus D antibodies are not normally produced. When they are they

A) Have severe effects due to activation of complement system
B) Have mild effects due to activation of complement system
C) Have mild effects as complement system is not activated
D) Have severe effects, causing haemolytic transfusion reaction

A

C) Have mild effects as complement system is not activated

Unlike A,B,O antibodies.

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15
Q

The universal recipient blood type is…

A

AB+

As A,B and rhesus D antigens all present

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16
Q

The universal donor blood type is…

A

O -

As no A or B or rhesus D antigens present

17
Q

What is done to prevent haemolytic disease of the newborn, which affects Rh- mothers having a second Rh+ child?

A

The mother is given anti-D immunoglobulin