LEC1 - INTRO TO IMMUNOHEMA Flashcards

1
Q

Immunohematology is commonly known as

A

blood banking

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2
Q

is a branch
of HEMATOLOGY which studies ANTIGEN-ANTIBODY reactions and analogous phenomena as they relate
to the pathogenesis and clinical manifestations of
blood disorders.

A

Immunohematology/blood banking

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3
Q

a study of Transfusion reactions that will lead to pathogenesis of some blood disorders

A

blood banking/immunohematology

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4
Q

Preparation of blood and blood components for transfusion as well as selection of appropriate, compatible components for transfusion.

A

Immunohematology

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5
Q

what is the main objective of immunohema

A

Main objective is to have a SAFE TRANSFUSION PRACTICES among the donor and the receiver

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6
Q

Immunohematology is a Study of antibody production by the host when exposed to ___.

A

foreign antigens

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7
Q

Blood Banking refers to the process of ___ blood and the distribution of RBCs and
blood components.

A

collecting, storing, and processing

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8
Q

how many percent is the limit of error in blood banking

A

0% error

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9
Q

blood banking processes Proper distribution to avoid having ___ blood
components and to ensure that blood
components are always available in the lab

A

expired

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10
Q

branch of medicine that is concerned with transfusion
of blood and blood components.

A

Transfusion medicine

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11
Q

Transfusion medicine is also known as

A

transfusiology

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12
Q

year when the first time a blood transfusion was recorded in history

A

1492

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13
Q

who’s pope received blood from three different individual?

A

Pope Innocent VII

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14
Q

____ during year 1492 what was the principal obstacle to overcome

A

Clotting

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15
Q

year 1492, why Clotting was the principal obstacle to overcome

A

Because there are no preservatives for a specific blood product during that time

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16
Q

in what year does an English surgeon discovered antiseptics to prevent infection during transfusion?

A

1867

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17
Q

In year 1867, English surgeon named ____ uses antiseptics to
control infection during transfusions.

A

Joseph Lister

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18
Q

In blood banking, before the donor bleeding, application of ______ must be done after alcohol.

A

povidone-iodine

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19
Q

application of povidone-iodine after alcohol is is done to avoid bacterial contamination in
blood products since this can lead to ____ when transfused.

A

sepsis

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20
Q

in what year do we able to find a non-toxic anticoagulant - the first anticoagulant

A

1869

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21
Q

who recommends sodium phosphate

A

Braxton Hicks

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22
Q

a physician ob-gynecologist that created the sodium phosphate - a first anticoagulant created

A

braxton hicks

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23
Q

Braxton Hicks recommends sodium phosphate in what year?

A

1869

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24
Q

what is the first anticoagulant created

A

sodium phosphate

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25
Q

year when the first example of blood preservation research has taken place

A

1869

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26
Q

year when US physicians transfuse milk (from cows, goats, and humans).

A

1873-1880

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27
Q

the most significant year in BB

A

1901

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28
Q

who discovered the ABO Blood Group
system

A

Karl Landsteiner

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29
Q

in what year do Karl Landsteiner discovered the ABO Blood Group system

A

1901

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30
Q

He explained the serious reactions that occur in humans as a result of incompatible transfusions. His work in the beginning of the 20th century won a Nobel
Prize.

A

Karl Landsteiner,1901

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31
Q

Landsteiner’s Law

If an agglutinogen (antigen) is present on red blood
cell membrane, the corresponding agglutinin
(antibody) must be absent in the plasma.

true or false

A

shrue

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32
Q

Landsteiner’s Law

If an agglutinogen is absent on the red blood cell
membrane, then corresponding agglutinin must be
present in the plasma.

true or false

A

true

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33
Q

In Landsteiner’s Law, what type of blood sample is used?

A

plasma

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34
Q

Natural anticoagulant in blood

A

heparin

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35
Q

they discovered the blood type AB (4th blood type to be discovered)

A

Alfred Von Decastello and Adriano Sturli

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36
Q

what is the 4th blood type to be discovered

A

AB

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37
Q

in what year is AB blood type discovered?

A

1902

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38
Q

Who suggested that the safety of
transfusion might be improved by crossmatching/

A

Ludvig Hektoen

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39
Q

crossmatching is also called as

A

compatibility testing

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40
Q

in what year do Ludvig Hektoen suggest that the safety of transfusion might be improved by crossmatching?

A

1907

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41
Q

French surgeon ____ devises a way to
prevent clotting by sewing the vein of the recipient directly to the artery of the donor.

A

Alexis Carrel

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42
Q

French surgeon Alexis Carrel devises a way to
prevent clotting by sewing the ___ of the recipient directly to the ___ of the donor.

A

vein; artery

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43
Q

in what year do French surgeon Alexis Carrel devises a way to
prevent clotting by sewing the vein of the recipient
directly to the artery of the donor?

A

1908

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44
Q

the sewing of vein of the recipient to the artery of the donor (vein-to-artery or direct method) is known as ___

A

anastomosis

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45
Q

the anastomosis proves unfeasible for blood
transfusions, but paves the way for successful ______,

A

organ transplantation

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46
Q

the anastomosis proves unfeasible for blood
transfusions, but paves the way for successful organ transplantation, for which Carrel receives the Nobel Prize in ___.

A

1912

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47
Q

___ describes the AHG reaction (a direct way of visualizing an Ag-Ab reaction that has taken place but is not directly visible).

A

Moreschi

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48
Q

AHG test is also known as the ___

A

Coombs test

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49
Q

in what year do group A are divided into 2 subgroups.

A

1911

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50
Q

coomb’s test or the AHG test reaction is used to detect what antibodies?

A

unknown, incomplete, weakly reactive, unidentified antibodies

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51
Q

group A subgroups that are the check
cells for the reverse blood typing of a specific
blood type

A

A1 cells and A2 cells

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52
Q

the 2sbgroups of group A was introduced by ___

A

Von Dungern and Hirszfel

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53
Q

year when Edward E. Lindemann performed and first to succeed to
perform blood transfusion.

A

1914

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54
Q

Roger Lee, a visiting physician at the Massachusetts General Hospital, along with Paul Dudley White, develops the ___

A

Lee-White clotting time

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55
Q

Test that measures the time of fibrin clot formation

A

Lee-White clotting time.

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56
Q

who studies clottingthat lead to the terms “universal donor” and “universal recipient”.

A

Roger Lee

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57
Q

packed RBCs type O rh negative

A

universal donor

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58
Q

packed RBCs type AB rh positive

A

universal recipient

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59
Q

was the first to succeed to
perform blood transfusion (vein to vein transfusion)

A

Edward E. Lindemann

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60
Q

year when Edward E. Lindemann performed and first to succeed to
perform blood transfusion.

A

1913

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61
Q

Edward E. Lindemann was the first to succeed to perform blood transfusion on year 1913, what are the instrument used?

A

multiple syringes and a special cannula

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62
Q

Albert Hustin reported the use of ____ as
an anticoagulant solution for transfusions.

A

sodium citrate

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63
Q

in what year do Albert Hustin reported the use of sodium citrate as
an anticoagulant solution for transfusions.

A

1914

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64
Q

he determined the minimum amount of citrate
needed for anticoagulation and demonstrated its nontoxicity in small amounts.

A

Lewisohn

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65
Q

in what year do Lewisohn determined the minimum amount of citrate
needed for anticoagulation and demonstrated its nontoxicity in small amounts.

A

1915

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66
Q

explain why too much amount of citrate used as an anticoagulant can cause citrate cytotoxicity

A

upon transfusion, blood will attach to citrate and will result in decrease of ionized calcium leading to hypocalcemia

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67
Q

signs of hypocalcemia caused by citrate cytotoxicity

A

tingling sensation around the mouth

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68
Q

a year when Blood transfusion became more practical and safer for the patient

A

1915

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69
Q

the year when there’s Development of preservative solutions to enhance
the metabolism of the RBC.

A

1916

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70
Q

what will happen if the rbc structure is not maintained upon blood transfusion? what will it result into?

A

PCITR - physically/chemically induced transfusion reaction

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71
Q

Francis Rous and Turner introduced ____ for the preservation of blood.

A

citrate dextrose solution

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72
Q

year when the MNSs and P blood group system was discovered.

A

1927-1947

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73
Q

the year when the RBC membrane was better understood (metabolism,
deformability & permeability)

A

1930’s

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74
Q

The year when the first hospital-based blood depot is established
in a Leningrad hospital.

A

1932

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75
Q

director of therapeutics at the Cook
County Hospital in Chicago, establishes the first
hospital blood bank in the US.

A

Bernard Fantus

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76
Q

when was the first hospital blood bank established in the US?

A

1937

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77
Q

In creating a hospital laboratory that can preserve and store donor blood, Fantus originates the term “___.”

A

blood bank

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78
Q

who created the word “blood bank”

A

Bernard Fantus,

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79
Q

when was the stimulation of blood preservation research because the demand for blood and plasma increased happened?

A

World War II (1939-1945)

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80
Q

During the world war II what is the possible component to control the bleeding

A

plasma

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81
Q

was appointed director of the first
American Red Cross Blood Bank at Presbyterian
Hospital

A

1941: Dr. Drew

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82
Q

The Rh blood group system is discovered by ___, ____, __, and _____ and is soon recognized as the cause of the majority of transfusion reactions.

A

Karl Landsteiner, Alex Wiener, Philip Levine, and R.E. Stetson

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83
Q

a protein with powerful osmotic properties,
plus gamma globulin and fibrinogen are isolated and become available for clinical use.

A

Albumin

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84
Q

Edwin Cohn, a professor of biological chemistry at Harvard Medical School, develops ___,

A

cold ethanol fractionation

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85
Q

the process of breaking down plasma into components and products such as albumin, gamma globulin, fibrinogen, antibody etc.

A

cold ethanol

86
Q

____, a protein with powerful osmotic properties,plus gamma globulin and fibrinogen are isolated and
become available for clinical use.

A

Albumin

87
Q

develops the first blood container
(vacuum bottle/vacutainer tubes).

A

John Elliott

88
Q

year when John Elliott develops the first blood container
(vacuum bottle/vacutainer tubes).

A

1940

89
Q

the process of breaking down plasma
into components and products such as albumin, gamma globulin, fibrinogen, antibody etc

A

cold ethanol fractionation

90
Q

Loutit and Mollison of England introduced the
formula for the preservative _____

A

acid-citrate-dextrose (ACD)

91
Q

Loutit and Mollison of England introduced the
formula for the preservative acid-citrate-dextrose (ACD), on what year?

A

1943

92
Q

____ is formed to promote common goals among blood banking practitioners and the blood donating
public.

A

The American Association of Blood Banks
(AABB)

93
Q

____ of England introduced the
formula for the preservative acid phosphate dextrose

A

Loutit and Mollison

94
Q

type of bag for the Separation into red cells, platelet concentrate,
cryoprecipitate and plasma

A

QUADRUPLE BAG

95
Q

type of bag for the Separation into red cells, platelet concentrate and plasma.

A

TRIPLE BAG

96
Q

The ____ is established on year 1943, providing
a centralized system for exchanging blood among
blood banks.

A

AABB Clearinghouse

97
Q

year when Coombs, Mourant, and Race describe the use of
antihuman globulin (later known as the “Coombs
Test”) to identify “incomplete” or unknown antibodies

A

1945

98
Q

___ describe the use of antihuman globulin (later known as the “Coombs
Test”) to identify “incomplete” or unknown antibodies.

A

Coombs, Mourant, and Race

99
Q

Audrey Smith reports the use of glycerol
cryoprotectant for freezing red blood cells

o Aside from glycerol, they also used __and ___ to prevent water loss and cell damage of
the RBCs

A

glucose and urea

100
Q

year of Publication of the “Journal of Clinical
Investigation

A

1947

101
Q

the handbook used on 1947 an used as a guidelines

A

journal of clinical investigation

102
Q

The American Association of Blood Banks
(AABB) is now called as

A

association for the advancement of blood and biotherapies

103
Q

Audrey Smith reports the use of _ for freezing red blood cells

A

glycerol cryoprotectant

104
Q

The US blood collection system includes how many hospital blood banks, ____ community blood centers,
and ____ American Red Cross regional blood centers.

A

1,500; 46; 31

105
Q

they introduce the plastic bag for blood collection (safe and easy
preparation of multiple blood components from a single unit of whole blood)

A

Carl Walter and W.P. Murphy, Jr.

106
Q

Designed for collection, storage and transfusion of
whole blood.

A

SINGLE BAG

107
Q

type of bag for the Separation of whole blood into red cell and plasma.

A

DOUBLE BAG

108
Q

commonly transfuse to those
patients who have coagulation disorder (Ex.
Hemophilia)

A

Cryoprecipitate

109
Q

Today, the Clearinghouse is called _

A

the National Blood Exchange.

110
Q

Development of the refrigerated centrifuge in what year further expedites blood component therapy?

A

1953

111
Q

___ introduced an improved preservative
solution, which was less acidic and eventually replaced ACD

A

Gibson

112
Q

Gibson introduced an improved preservative
solution, ___, which was less acidic and eventually replaced ACD as the standard preservative used for blood storage.

A

citrate-phosphate-dextrose (CPD)

113
Q

_____ deciphers the
molecular structure of hemoglobin, the molecule that transports oxygen and gives red blood cells their color.

A

Max Perutz of Cambridge University

114
Q

year when the The AABB forms its committee on Inspection and Accreditation to monitor the implementation of standards for blood banking.

A

1957

115
Q

In 1958, The AABB publishes its first edition of Standards for a Blood Transfusion Service (now titled _____).

A

Standards
for Blood Banks and Transfusion Services

116
Q

In 1959, ____ of Cambridge University deciphers the
molecular structure of hemoglobin, the molecule that
transports oxygen and gives red blood cells their
color.

A

Max Perutz

117
Q

thefirst American journal wholly devoted to the science
of blood banking and transfusion technology.

A

“transfusion” - 1960

118
Q

____ report
the first therapeutic plasmapheresis procedure

A

A. Solomon and J.L. Fahey

119
Q

a special collection technique wherein it deals with specific blood components

A

apheresis

120
Q

2 application of apheresis

A

collection procedure and therapeutic procedure

121
Q

therapeutic procedure of apheresis is also known as

A

therapeutic phlebotomy

122
Q

in year 1961, The role of ____ in reducing mortality
from hemorrhage in cancer patients is recognized.

A

platelet concentrates

123
Q

in 1962, The first_____concentrate
to treat coagulation disorders in hemophilia patients
is developed through fractionation.

A

antihemophilic factor (AHF)

124
Q

in 1964,____ is introduced as a means of
collecting plasma for fractionation

A

Plasmapheresis

125
Q

1965,

_____ report a
method for producing cryoprecipitated AHF for treatment of hemophilia and extend its shelf life.

A

Judith G. Pool and Angela E. Shannon

126
Q

1967,

_____ is commercially introduced to
prevent Rh disease in the newborns of Rh-negative
women.

A

Rh immune globulin

127
Q

The Rh disease in the newborns that is being talked about is the

A

HDN - hemolytic disease of a newborn

128
Q

what is administered to the 2 types if HDN

A

RH HDN - rhogam
ABO HDN - intravenous imunnoglobulin

128
Q

two types of HDN and which one is more severe

A

RH HDN and ABO HDN

RH HDN is the one that is much more severe

129
Q

they demonstrate the
feasibility of storing Platelets at room temperature,
revolutionizing platelet transfusion therapy.

A

S. Murphy and F. Gardner

129
Q

temp we store the platelets

A

only in room temperature

130
Q

aside from platelet what is the other cell type we must store only in room temp

A

granulopheresis

131
Q

storage condition of plTS

A

20-24 *Cwith continuous agitation

131
Q

granulopheresis shelf life

A

24 hrs

132
Q

year when the Blood banks move toward an all-volunteer blood
donor system.

A

1970

132
Q

3 factors why we need to continuously agitate PLTS

A
  • facilitate oxygen within the cells
  • prevent PLTS aggregation
  • maintains pH
132
Q

the early serologic marker of hepatitis B infection

A

HbsAg - hepatities B surface antigen

133
Q

shelf life of PLTS concentrate

A

5 days

134
Q

year when Hepatitis B surface antigen (HBsAg) testing of
donated blood begins

A

1971

135
Q

1972, ____is used to extract one cellular component,
returning the rest of the blood to the donor.

A

Apheresis

135
Q

1979, A new anticoagulant preservative, CPDA-1, extends
the shelf life of whole blood and red blood cells to ______
days.

A

35

136
Q

year of the growth of component therapy,

A

early 1980s

136
Q

CPDA-1 means

A

citrate phosphate dextrose adenine 1

137
Q

First Acquired Immune Deficiency Syndrome (AIDS)
case reported.

A

1981

138
Q

year when Additive solutions extend the shelf life of red blood
cells

A

1983

139
Q

Additive solutions extend the shelf life of red blood
cells to _____ days.

A

42

140
Q

what are the 3 additive solutions of red blood cells that can extend the shelf life of 42 days

A

Adsol, nutricel, optisol

141
Q

year when the Human Immunodeficiency Virus (HIV) identified as
cause of AIDS

A

1984

142
Q

year when The first blood-screening test to detect HIV is licensed
and quickly implemented by blood banks to protect
the blood supply.

A

1985

143
Q

what are the Two tests that screen for indirect evidence of hepatitis
are developed and implemented

A

hepatitis B core antibody (anti-HBc) and the alanine aminotransferase test (ALT).

144
Q

1989, ____testing of donated blood begins.

A

Human-T-Lymphotropic-Virus-I-antibody (anti-
HTLV-I)

145
Q

year when the Introduction of first specific test for hepatitis C, the
major cause of “non-A, non-B” hepatitis.

A

1990

146
Q

year when Testing of donor blood for HIV-1 and HIV-2 antibodies
(anti-HIV-1 and anti-HIV-2) is implemented

A

1992

147
Q

HIV 1 and 2, which one is more severe

A

HIV 1 - worldwide is much more severe

HIV 2 - south africa

148
Q

a test for recently infected HIV to know if the body can make antibodies to fight against HIV

A

HIV p24 antigen testing

149
Q

a public health effort to
alert anyone who may have been exposed to the
hepatitis C virus (HCV) through blood transfusions
before July 1992 so they can receive medical
counseling and treatment if needed.

A

HCV lookback campaign

150
Q

Blood community begins implementation of ____under the FDA’s
Investigational New Drug (IND) application process.

A

Nucleic Acid Amplification Testing (NAT)

151
Q

employs a testing technology that directly
detects the genetic materials of viruses like HCV and
HIV.

A

Nucleic
Acid Amplification Testing (NAT)

152
Q

year, 2002, ____identified as transfusion
transmissible.

A

West Nile virus

153
Q

is also one of the regulatory agencies that
check the requirements and criteria in blood
banking

A

Food and Drug Administration.

154
Q

year of First-ever National Blood Foundation forum unites
leaders in blood banking and transfusion medicine

A

2003

155
Q

bacteria we can identify in blood bag s

A

yersinia enterocolitica

156
Q

2004, AABB receives_______ Million CDC grant to reduce transfusion-transmitted HIV in Africa and South America.

A

$2.4

157
Q

FDA approves the first West Nile virus (WNV) blood test to screen donors of blood, organs, cells and tissues

A

2005

158
Q

Are units of inheritance that encode for
certain traits or visible characteristics

A

Genes

159
Q

linear arrangement of genes

A

Chromosomes

160
Q

The phenotype is the physical
expression of inherited genes.

A

Phenotype

161
Q

The set of alleles for a given trait carried
by an organism

A

Genotype

162
Q

alleles are defined as alternative forms of a
gene. A portion within the chromosome that codes for the traits/genes

A

Alleles

163
Q

specific location of genes within the
chromosomes

A

Locus (loci)

164
Q

inherited on one of the 22 pairs of
autosomal chromosomes

A

Autosomal

165
Q

genes inherited on the sex
chromosomes (X chromosomes)

A

Sex linked

166
Q

always inherited by the
offspring.

A

X chromosome

167
Q

a gene that is when expressed whenever
the allele is present

A

Dominant

168
Q

a gene that is not expressed even the
allele is present.

A

Recessive

169
Q

a pair of genes in which neither is
dominant over the other.

A

Codominant

170
Q

____ can only be expressed if
two identical genes are present

A

Silent gene/amorph/recessive

171
Q

Two different genes that are
inherited at the same loci on a pair of chromosomes
(50% from the mother and 50% from the father)

A

Codominant

172
Q

having two identical genes for a
given trait

A

Homozygous

173
Q

having two unidentical genes for a
given trait

A

Heterozygous

174
Q
A
175
Q

Father of genetics

A

Gregor Mendel

176
Q

Australian monk and mathematician who used sweet pea plants growing in a monastery garden to study physical traits in organisms and how they are
inherited.

A

Gregor Mendel

177
Q

He studied the inheritance of several readily
observable pea plant characteristics, notably flower
color, seed color, and seed shape and based his first
law of inheritance.

A

Gregor Mendel

178
Q

2 law of gregor mendel

A

mendel’s law of independent segregation
mendel’s law of independent assortement

179
Q

1st Generation is also called as

A

pure generation and parental generation

180
Q

First-filial generation is also called as

A

(2nd generation)

181
Q

Second-filial generation is also called as

A

3rd generation

182
Q

which generation will give us the % of the dominant and recessive alleles

A

second-filial generation/ 3rd generation

183
Q

States that “genes for different traits are inherited
separately from each other.”

A

Law of Independent Assortment

184
Q

Law of Independent Assortment

A

Members of one gene pair separate from one another
independently of the member of other gene pairs.

185
Q

This allows for all possible combinations of genes
to occur in the offspring.

A

Law of Independent Assortment

186
Q

The ____generation consists of plants whose
phenotype is the same as that of the dominant
parent.

A

F1

187
Q

The interpretation of pedigree analysis requires the
understanding of various standard conventions in the
representation of data figures.

A

Inheritance Patterns

188
Q

in pedigree analysis, Males are always represented by ___and
females by ____.

A

squares ; circles

189
Q

in pedigree analysis, A line joining a male and female indicates a ___ between the two, and

A

mating

190
Q

in pedigree analysis, offspring are indicated by a ____.

A

vertical line

191
Q

in inheritance pattern in pedigree analysis, A double line between a male and female indicates a

A

consanguineous mating.

192
Q

A stillbirth or abortion is indicated by a ___

A

small black circle.

193
Q

Deceased family members have a ____

A

line crossed
through them.

194
Q

The ___in the pedigree is indicated by an
arrow pointing to it and indicates the most
interesting or important member of the pedigree.

A

propositus

195
Q

“____” refers to traits that are not carried on the
sex chromosomes.

A

Autosomal

196
Q

A recessive trait is carried by either parent or both
parents but is not generally seen at the phenotypic
level unless both parents carry the trait.

A

Autosomal Recessive Inheritance

197
Q

All the members of a family that carry the allele show
the physical characteristic.

A

Autosomal Dominant Inheritance

198
Q

Generally, each individual with the trait has at least
one parent with the trait

A

Autosomal Dominant Inheritance

199
Q

Unlike X-linked traits, autosomal traits usually do not
show a difference in the distribution between males
and females, and this can be a helpful clue in their
evaluation.

true or false

A

true

200
Q

The father always expresses the trait but never passes it on to his sons.

A

X-linked Recessive Inheritance

201
Q

The father always expresses the trait but never
passes it on to his sons.

A

X-linked Recessive Inheritance

202
Q

The father always passes the trait to all his daughters,
who are then carriers of the trait.

A

X-linked Recessive Inheritance

203
Q

Father always passes his Y chromosome to his son
and X chromosome to his daughter

A

X-linked Dominant Inheritance

204
Q

The ____ is one of the few blood
group systems that follow an X-linked inheritance
pattern

A

Xga blood group system

205
Q

If the father carries the trait on his X chromosome, he
has no sons with the trait, but all his daughters will
have the trait.

A

X-linked Dominant Inheritance