Lecture 2: Introduction to blood group serology Flashcards

1
Q

What are blood group antigens?

A
  • Glycoproteins and glycolipids present on the surface of RBCs
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2
Q

What is the functional significance of the Duffy blood group system?

A
  • Entry point to red cell fo rmalarial parasite
  • Individuals with Fya- fyb- phenotype have malarial resistance
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3
Q

What is the functional significance of the Mcleoud blood group phenotype?

A
  • Kx null phenotype associated with Chrnoic Granulomatous disease and acanthocytosis
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4
Q

What is the mechanism of naturally occurring blood group antibodies?

A
  • Antibodies not present at birth but develop later on in life
  • Due to exposure to bacteria with similar antigens
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5
Q

IgM/IgG component is more significant in naturally occurring blood group antibodies

A
  • IgM (some IgG may be present)
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6
Q

Immune stimulated blood group antibodies are usually IgM/IgG in nature

A
  • IgG
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7
Q

Which type of blood group antibodies causes complement activation?

A
  • Naturally occurring
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8
Q

Which enzyme is significant in determining ABO phenotype?

A
  • Glycosyltransferase
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9
Q

Which CHO is present on: A blood cells B blood cells O blood cells

A
  • A = N Acetyl Galactosamine
  • B = D galactose
  • O = Nil
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10
Q

What blood type is the: a) universal donor b) universal recipient

A
  • a) O
  • b) AB
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11
Q

Anti-D is an ___ antibody that causes ___ red cell destruction

A
  • IgG
  • Extravascular
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12
Q

What are the 3 important minor blood group systems:

A
  • Kell
  • Kidd
  • Duffy
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13
Q

Which technique is most commonly used in routine blood testing?

A
  • Agglutination
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14
Q

What is zeta potential?

A
  • The negative charge on a red blood cell
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15
Q

Why do IgG molecules require a potentiator to produce agglutination?

A
  • Molecule is too small to produce cross linking
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16
Q

Why does Rh(D) haemolytic disease of the newborn usually occur in the second pregnancy?

A
  • Mother is sensitised to RhD antigen during birth of first RhD+ infant in first pregnancy
17
Q

What is the most common manifestation of HDN?

A
  • Kernicterus (brain damage caused by jaundice)
  • Due to bilirubin crossing the blood brain barrier and irritating CNS
18
Q

What is the most severe manifestation of HDN?

A
  • Hydrops fetalis
  • Fetus with severe congestive cardiac failure
19
Q

What kind of events might sensitise a woman to RhD?

A
  • Abortion
  • Termination
  • Amniocentesis
20
Q

Why is significant ABO haemolytic disease rare?

A
  • AB antigens weakly expressed in fetus and newborn
  • AB antigens widely distributed in placental tissue and absorb antibody before reaching fetus