ABO Flashcards

1
Q

Reacts with anti-A1, anti- A

A

A1 subgroup

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2
Q

Anti-A only

A

A2 subgroup

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3
Q

Mixed field reaction with anti - A and anti- AB

A

A3 subgroup

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4
Q

Reacts with anti- AB and No reaction with anti- A

A

Ax subgroup

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5
Q

Mixed field agglutination with anti A and anti AB with only few (<10% of cells )

A

A end subgroup

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6
Q

Weak or No reaction with anti-A and anti-AB

A

Am subgroup

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7
Q

No reaction with anti-A and anti-AB, germline mutation of an A gene

A

Ay subgroup

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8
Q

No reaction with anti-A and anti-AB

A

Ael subgroup

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9
Q

Method used to confirm Am, Ay, and Ael

A

Adsorption and Elution

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9
Q
  1. An ABO type on a patient gives the following reactions:
    Patient Cells With
    Anti-A (4+)
    Anti-B (4+)
    Patient Serum With
    A1 cells (neg)
    B cells (neg)

What is the patient’s blood type?
a. O
b. A
c. B
d. AB

A

D

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10
Q

The major immunoglobulin class(es) of anti-B in a group
A individual is (are):
a. IgM.
b. IgG.
c. IgM and IgG.
d. IgM and IgA.

A

A

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11
Q

What are the possible ABO phenotypes of the offspring
from the mating of a group A to a group B individual?
a. O, A, B
b. A, B
c. A, B, AB
d. O, A, B, AB

A

D

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12
Q

The immunodominant sugar responsible for blood group
A specificity is:
a. L-fucose.
b. N-acetyl-D-galactosamine.
c. D-galactose.
d. Uridine diphosphate-N-acetyl-D-galactose.

A

B

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13
Q

What ABH substance(s) would be found in the saliva of
a group B secretor?
a. H
b. H and A
c. H and B
d. H, A, and B

A

C

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14
Q

An ABO type on a patient gives the following reactions:
Patient cells with:
Anti-A: 4+
Anti-B: 4+

Patient serum with
Anti-A1: neg
A1 cells: 4+
Anti-B: neg

The reactions above may be seen in a patient who is:
a. A1 with acquired B.
b. A2B with anti-A1.
c. AB with increased concentrations of protein in the
serum.
d. AB with an autoantibody.

A

B

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15
Q

Which of the following ABO blood groups contains the
least amount of H substance?
a. A1B
b. A2
c. B
d. O

A

A

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16
Q

You are working on a specimen in the laboratory that

you believe to be a Bombay phenotype. Which of the fol-
lowing reactions would you expect to see?

a. Patient’s cells + Ulex europaeus = no agglutination
b. Patient’s cells + Ulex europaeus = agglutination
c. Patient’s serum + group O donor RBCs = no
agglutination
d. Patient’s serum + A1 and B cells = no agglutination

A

A

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17
Q

An example of a technical error that can result in an
ABO discrepancy is:
a. Acquired B phenomenon.
b. Missing isoagglutinins.
c. Cell suspension that is too heavy.
d. Acriflavine antibodies.

A

C

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18
Q

An ABO type on a patient gives the following reactions:
Patient cells with:
Anti-A: 4+
Anti-B: neg

Patient serum with
A1 cells: 2+
B cells: 4+
O cells: 2+
Autocontrol: Neg

These results are most likely due to:
a. ABO alloantibody.
b. Non-ABO alloantibody.
c. Rouleaux.
d. Cold autoantibody.

A

B

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19
Q

Reacts with anti-B and anti-AB

A

B subgroup

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20
Q

MF reaction with anti-B and anti-AB

A

B3 subgroup

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21
Q

Weak reaction with anti-B and anti-AB

A

Bx subgroup

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22
Q

No or weak reaction with anti-B and anti-AB, converted to B if incubated with URACIL DIPHOSPHATE

A

Bel subgroup

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23
Q

Bombay phenotype was first reported by __________ in 1952 in ___________

A

Dr. Y.M. Bhende; Mumbai, India

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24
Q

Mutation of H gene happens in Fut2 and Se gene happens in Fut1. hh genotype and O phenotype.

a. Statement 1 is true, 2 is false.
b. Statement 1 is false, 2 is true.
c. both statements are true.
d, both statements are false.

A

B

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25
Q

naturally occurring antibodies

A

ABO antibodies

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26
Q

these are plant or seed extracts that agglutinate human cells with some degree of specificity.

A

Lectins

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27
Q

Lectin used in Anti-A1

A

Dolichos biflorus

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28
Q

Lectin used in Anti-B

A

Bandeiraea simplicifolia

29
Q

Lectin used in Anti-H

A

Ulex europaeus

30
Q

Lectin used in Anti-N

A

Vicea graminea

31
Q

Lectin used in Anti-M

A

Iberis amara

32
Q

Lectin used in Anti-T,Th

A

Arachis hypogaea

33
Q

Lectin used in Anti-Tn

A

Salvia sclarea

34
Q

Reagent used in Forward typing

A

Anti-A (trypan blue), Anti-B (acriflavin yellow)

35
Q

Positive control ensures the ______________ of the antisera; Negative control ensures the _____________ of the antisera.

a. Specificity, Reactivity
b. Reactivity, Specificity
c. Specificity, Sensitivity
d. Sensitivity, Specificity

A

B

36
Q

Forward grouping detects antigens on patient’s serum using Antisera (anti-A and B). Reverse grouping detects ABO antibodies in the patient’s RBCs.

a. Statement 1 is true.
b. S2 is true.
c. Both are true.
d. Both are false.

A

D

37
Q

Universal RBC donor

A

type O

38
Q
A
39
Q

Universal Plasma Donor

A

type AB

39
Q

Universal RBC recipient

A

type AB

40
Q
A
41
Q

Most dangerous transfusion

A

TYPE A TO TYPE O

42
Q

universal PLASMA Recipient

A

type O

42
Q

According to Harmening, One solid agglutinate is graded as:

A

4+

43
Q

According to Harmening, several large agglutinates with clear background is graded as:

A

3+

44
Q

According to Harmening, medium sized agglutinates with clear background is graded as:

A

2+

45
Q

According to Harmening, small agglutinates with turbid background is graded as:

A

1+

46
Q

According to Harmening, tiny agglutinates with turbid background is graded as:

A

W+

47
Q
A
48
Q

According to Harmening, no agglutination is graded as:

A

0

48
Q

conditions that cause weaker reactions:

A

Leukemia
Chromosome translocations
Hemolytic diseases
Hodgkin’s diseases
Hypogammaglobinemia

49
Q

Conditions that cause pseudoantigens, Acquired A phenomenon:

A

Proteus mirabilis
T-cell inactivation

50
Q

Conditions that cause pseudoantigens, Acquired B phenomenon:

A

E. coli O86
Proteus vulgaris
Intestinal obstruction
Carcinoma of the rectum and colon
Clostridium tetanii

51
Q

How to differentitiate acquired B from B?

A

acquired B cells will not react with pH <6 or >8.5

52
Q

Most common source of ABO discrepancies

A

Incorrect labelling/ specimen/ recording of results

53
Q

Group I discrepancies (NEHAPA) Resolution

A

patient’s serum; Room temp for 15-30 mins, if neg refrigerator temp for 15 mins. Include O cell control or autocontrol.

54
Q

Group 2 problem

A

FORWARD typing, weakly reacting or missing antigen

55
Q

Group 3 problem

A

Forward and Reverse, Protein or Plasma Abnormalities

56
Q

All can cause Group 3 discrepancies except:

I. Wharton’s jelly in cord blood samples
II. Elevated fibrinogen levels
III. Plasma cell dyscrasia
IV. Plasma expanders
V. Newborns & Elderly patients
VI. ABO subgroups
VII. Multiple Myeloma

a. I,II, III, IV, VII
b. IV only
c. I, V, VI
d. V and VI

A

D

57
Q

Group IV discrepancies are caused by __________

A

miscellaneous problems

58
Q

Used in treating RBCs after incubating in Body Temperature and washing with saline (Body Temp)

A

DITHIOTHREITOL

59
Q

ISBT # of ABO blood group system

A

001

60
Q

ABO is discovered by

A

Karl Landsteiner

61
Q

discovered the theory of inheritance of ABO group

A

Bernstein

62
Q

group O phenotype is an _______________________ trait with the inheritance of 2 genes that are non-functional

A

Autosomal Recessive

63
Q

sequence of DNA that is inherited

A

Genotype

64
Q

anything that is produced by Genotype

A

Phenotype

65
Q

discovered the fundamental laws of inheritance

A

Gregor Mendel

66
Q

ABO gene chromosome

A

9q’34.2

67
Q

H and Se gene chromosome

A

19

68
Q

immunodominant sugar of the ff:
H gene, A gene, B gene

A

L-fucose; N-acetylgalactosamine, D-galactose