Blood Groups Pt 2 Flashcards

1
Q

MNS system
2nd…
ags
presence?

S frequency population

A

2nd place, discovery complex

2nd most complex system next to Rh

M,N,s,S,U

Ag present at birth

S not frequent in black/asian (most likely ab)

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2
Q

MNS system rbc substance
what subtance containing on rbc
g.a

long
target for?

A

sialic containing substance on rbc, glycophorin A (N-terminal ag)

long chain passes through rbc once
influenza target/plasmodium falciparum

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3
Q

En(a-)

A

lack of GYPA/B

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4
Q

Anti-N
found?
what kind of pts?

A

not frequently found
found in dialysis pts

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5
Q

Anti-M
found? N
compliment?
rxn? (Ig)
special feature?

A

frequently found
naturally occuring
NO COMPLIMENT
cold rxn
dosage

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6
Q

Enzymatic variable on MNS
what is negatively charged on rbcs?

less…than… developed at birth

A

glycophorin B negative charge on rbcs (s/S)

less B than A chains well developed at birth

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7
Q

Anti-S
s
what may bind?
special features/significance?

A

immune stimulated
IgG may bind
dosage
HDN
warm reactive

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8
Q

Anti-U
u
ig?
clinical siginficance?
common?
an?

A

immune stim
IgG
HDN/TFXR
Rare no antethetical

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9
Q

MK-
U-
Ena-

A

Mk- null for MNS system
U- absense of glyco B
Ena - absence of glyco A

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10
Q

P system

A

P1 most common - fully functional transferases (P1/P/PK ag)

P2 lacks P1 ag still has P and Pk

p null rare makes complex ab Anti-ppIpk (spontaneous miscarages)

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11
Q

P1pk
galacto

A

galactosyltransferase

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12
Q

Pk ag
precursor
not serologically detected unless?

A

precursor to P
not serologically detected unless p =

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13
Q

P1 ag
expression?
population frequency?
deterorates with?

A

not expressed at birth
more in the black population
detereorates w storage

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14
Q

I and i ag are apart of?

A

H2 precursor for ABO

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15
Q

Glob 28

A

acetylgalactos

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16
Q

p ag
receptor for?
development?
highest ag?

A

receptor for parvo virus
well developed at birth
highest ag density to any ag

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17
Q

Lke ag
frequency?
rxn?
receptor for?
named after?

A

high frequency
variable rxn
receptor for uropath e.coli
hodgkins lymphom pt named for

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18
Q

I vs i
I
i

there is no…?
can be in?
most common rxn?

A

I branchy
i linear (fetal)

There is no I/i negative blood
can be in most fluids
cold rxn most common non-spec agglutination

19
Q

Auto-Anti-I

Auto-Anti-i

A

is in virtually all serum

auto-i: most common in lymphoprolieratives like mono, rxn strong w baby cells

20
Q

Anti-P1

A

naturally occuring Igm weak cold rxn

21
Q

Anti-p
what Ig
occurance?
what individuals
casues?

A

nat occuring pk individuals TFR not HDN IgM

22
Q

Anti-PIppk
what individuals
causes?
compliment relation?

A

naturally occuring in p (null) individuals spontaneous abortion, hemolysis
binds complimentD

23
Q

Donathan landsteiner

A

Anti-P associated w Cold prox hemoglobin in children

24
Q

Describe not as usual suspects

A

ag occurs so infrequently encounter is low
clinically insignificant or unknown significance

25
Q

Diego
ags? (d/w)

population

why is it not significant?

A

Dia
Dib (high freq)
wra
wrb (high freq)

dia south american indians
chemical/enzyme resistant

high freq/low freq pair

26
Q

Cartwright
what is the ags?
y
population?

why is it not clincially significant?

A

Yta (High freq)
Ytb

Ytb in isralies
sensitive to DTT
ACHE

high freq/low freq pair

27
Q

X linked

A

Xga Cd99
not clinically sign some cold
more common in females
sensitive to DTT

28
Q

Scianna

A

Sc1 (more)
Sc2
Sc3 null

unknown signiicance

29
Q

Dombrock
ags?

immunogenicity?

what population matches duffy?

A

Doa
Dob
gya

poor immunogenicity
caucasion population matches duffy

30
Q

Landsteiner weiner

A

lwa more
lwb
weak on D-

31
Q

Colton
ags?

significance?
transfer?
pair?

A

coa (more)
cob
co3 null

clin insignificant
HDN
high freq/low freq pair
water transfer

32
Q

Chido/rhogers
ags?

sigificance?
neutralized?

A

CH 1-6
rg 1-2

clin insign
compliment absorbed
neutralized by plasma

33
Q

Gerbich
ag
significant?
population?

A

Gel 4
clin sign
leach type in papua new guinea

34
Q

Cromer
high freq ags? (c/t/d)

destoryed by?

A

Cra Tca Dra (high freq)
tcb/tcc

Cra black
Dra japanese
destroyed by alpha-chymotrypsin

35
Q

Knops
ags? (k/mc/sl/v)

A

Kna mcCa sla/vii
not clin significant

36
Q

Ok

A

Oka
plasmodium falciparum
not immunogenic

37
Q

Indian
non clinical ..

A

Inb
sensitive to enzymes
high incidence/low incidence
HTR non clinical HDN

38
Q

Mer-z/RAPH

A

HTR
on plts/reduced in mature rbcs
8% mer neg

39
Q

JMH

A

clin insign old people

40
Q

Vel-VEL

A

variable expression
severe HDN
compliment

41
Q

JRa

A

common in japan
severe HDFN

42
Q

SDA

A

clinically insignificant
tamms-horsfall
not in newborn cells/in saliva
NEUTRALIZED BY URINE

43
Q

AnJW
auto?
receptor for
population

A

haemophilus influenza receptor
autoab
isreali women

44
Q

HLA

A

Bga/Bgb/Bgc
no HDN some HTR
resist to enzymes/DTT
neutralized by plt concentration