blood typing Flashcards

1
Q

Agglutinogens

A

refer to proteins on the surface that stimulate the immune response and the antibodies you make to those proteins that cause the cells to clump up aka agluttinate

antigens on rbc surface

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2
Q

Antibodies to blood surface proteins absent in host

A

Agglutinins

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3
Q

the break down of cells that can happen due to a RBC mismatch

A

hemolysis is

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4
Q

system for blood typing

A

O-A-B
phenotypic expression of alleles that cose for proteins on the surface of the RBC

A and B are not the only surface proteins

they are just the ones that agglutinate most aggressively

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5
Q

which surface proteins represent co-dominance

A

A and B are not the only surface proteins but these are both co-dominant

they are just the ones that agglutinate most aggressively
along with Rh factor

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6
Q

what is indicated by blood type O

A

no A or B

not actually a surface protein in itself

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7
Q

what is indicated by + or _

A

+ indicates the presence of the Rh factor

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8
Q

what does it mean if you are blood type B

A

that means red cells that type B agglutination and antibodies to type A

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9
Q

what is the easiest blood type for receiving blood

A

type AB

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10
Q

which is the easiest blood type for donating blood

A

type O

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11
Q

least common blood type

A

A- and AB-

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12
Q

describe the process of agglutination

A

clumping of cells causes entrapment in small spaces like the spleen and hemolysis occurs
Hgb get’s dumped from the lysed erythrocytes

this process can be immediate if complement activation occurs or delayed of the clumps of red cells have to circulate around to get trapped.

remember that agglutination is occurring because of multiple RBC binding to agglutenins and therefore it can casue hemolysis this way or though phagocytosis

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13
Q

effect of Rh factor

A

slower with contact of Rh factor

named for the rhesus monkey

not as big of a response unless there is a big exposure

and it represents 6 different proteins

you can have a dominant or recessive C D or E

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14
Q

mos prevelant

A

D

most antigenic

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15
Q

the 6 different combinations of alleles is known as a

A

genotype

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16
Q

maximum titer of agglutenenins is usually accrued at what age of life

A

10

agglutinin formation occurs almost entirely after birth

17
Q

how many binding sites do agglutinins typically have

A

2 for IgG
10 for IgM

Meaning that a single agglutenin can attach to multiple RBC at one time

18
Q

how does blood typing work

A

blood is introduced to anti-A and anti-B agglutenins

if it had agglutegens is will agglutinate

19
Q

what is the major difference between Rh and AB

A

A and B agglutenins happen spontaneously and RH need exposure Rh antigen exposure

there are 6 different types of these antigens

20
Q

what is the rule about Rh

A

if you have dominant C you do not have recessive c antigen

BUT if you are missing it you always have it

each person has one type of each of the three pairs with D being the most common
anyone with this is considered Rh positive

21
Q

how can eryhtroblastosis fetalis be avoided

A

Rh immunoglobulin globin, an anti-D antibody

Hall, John E.. Guyton and Hall Textbook of Medical Physiology E-Book (Guyton Physiology) (p. 480). Elsevier Health Sciences. Kindle Edition.

22
Q

why would someone become juandice after a blood transfusion

A

if someone is given the wrong blood and the liver can’t keep up with the Production of bile made from the hemolsized RBC

23
Q

autograft

A

from one part of the animal to another

low level of risk

24
Q

isograft

A

identicle twin to another

25
Q

alograft

A

transplant form one human to another

26
Q

xenograft

A

from another species to a human

27
Q

Coombs

A

two different tests that detect IgG surface proteins

Antibodies to antibodies

direct- to RBC

plamsa-to circulating antibodies

28
Q

this types of coomb’s is for compatibility

A

indirect

wash and then aff coomb’s

with agglutination you have evidence of incompatbility

used for recipients and donors as well as mother compatibility

29
Q

direct coomb’s

A

uses patients red cells (not serum)

directly add

30
Q

this type of coombs (antiglobulin) test detects the presence of antibodies or complement on the surface of erythrocytes

A

direct

used for transfusion rxn

31
Q

this type of coombs test detects antibodies in the serum that may bind to donor erythroctes

A

indirect

32
Q

type and screen

A

indirect coombs with sample red cells fo

33
Q

type and cross

A

direct