Midterm study Flashcards

1
Q

Which class of antibody reacts best at room temperature?

IgG
IgM
IgE
IgA

A

IgM

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2
Q

IgG antibodies are clinically significant for HDN because:

-They are too big to escape the vein
-They fix compliment
-They demonstrate dosage
-They are small enough to cross the placenta

A

They are small enough to cross the placenta

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3
Q

Hemolysis is a positive reaction that indicates you have most likely identified antibodies that:

-React at AHG
-Fix Compliment
-Cross the placenta
-Are immune stimulated

A

Fix Compliment

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4
Q

Which of the following is known as the membrane attack complex in the classical pathway?

C1
C3
C4,C2,C3
C5bC6C7C8C9

A

C5bC6C7C8C9

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5
Q

True or False: Most Antigens we have discussed are inherited autosomal dominant

A

True

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6
Q

A father is Xga+ and his wife is Xga- what will the phenotypes of his offspring be?

-His daughters will be Xga+ and Sons will be Xga-
-His daughters will be Xga- and his sons will be Xga+
-All of his children will be Xga-
-All of his children will be Xga+

A

His daughters will be Xga+ and Sons will be Xga-

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7
Q

As RBCs are stored which of the following increases?

Plasma potassium
2,3 DPG
ATP
pH

A

Plasma potassium

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8
Q

What is the longest length of time that the FDA says red cells can be stored for?

51 days
42 days
35 days
28 days

A

42 days

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9
Q

When there is a shift to the left, hemoglobin affinity for oxygen does what?

Increases
Decreases

A

Increases

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10
Q

What is the maximum time a sample may be obtained before a transfusion for pre-transfusion testing?

24 hours
8 hours
3 days
7 days

A

3 days

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11
Q

The immunodominant sugar responsible for group B specificity is:

N-acetyl galactosamine
D-Galactose
Fucose
N-acetyl glucosamine

A

D-Galactose

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12
Q

What is the most common cause of the following results:
Anti-A: 3+mf
Anti-B: 4+
A1 cell: 0
B cell: 0

Bacterial infection
Transfusion
Hemolytic disease of the newborn
Immunocompromised

A

Transfusion

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13
Q

Acquired B antigens are found in which individuals?

Bombay individuals
Group O persons
All blood groups
Group A persons

A

Group A persons
(from galactosamine being cut off)

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14
Q

Which blood type should NOT result from the union of an AB male to an O female?

A
B
O
None of these

A

O

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15
Q

A child is blood typed as A, their mother is blood type B, what blood type must the father be?

A
B
O
Bombay

A

A

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16
Q

Which of the following statements is true?

-An individual with AO genotype is homozygous for A.
-An individual with BB genotype is homozygous for B.
-An individual with OO genotype is heterozygous for O.
-An individual with AB genotype is homozygous for A and B.

A

An individual with BB genotype is homozygous for B.

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17
Q

What blood type is the following patient:
Anti-A: 0
Anti-B: 4+
A1 cell: 4+
B cell: 0

A
B
O
AB

A

B

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18
Q

Which subgroup do you suspect from the following results:
Anti-A: 0
Anti-B: 1+mf
Anti-A,B: 1+mf
A1 cell: 3+
B cell: 0

A2
A3
B3
Bel

19
Q

An ABO type on a patient gives the following results, what is your next step?
Anti-A: 4+
Anti-B: 0
A1 cell: 0
B cell: 0

-Reverse type with A2 cells
-Forward Type with Anti-A,B
-Forward Type with A1 lectin
-Incubate at 4C for 5-10 minutes

A

Incubate at 4C for 5-10 minutes

20
Q

You would use Ulex europaeus reagent to investigate what?

-A subgroup
-B subgroup
-Potential Bombay
-Cold agglutinin

A

Potential Bombay

21
Q

Which bloodtype has the most amount of H substance?

A1
B
AB
O

22
Q

If the patient with the following serological results was a secretor, what substances would that person have in their secretions?
Anti-A: 0
Anti-B: 4+
A1 cell: 4+
B cell: 0

B, Leb
Lea
Anti-A
nothing

23
Q

The Lewis gene codes for a transferase that transfers a sugar onto precursor substance, what is that sugar?

Glucose
Fucose
Galactose
N acetylglucosamine

24
Q

A patient has HH, LeLe, sese, A genes. What antigens will be expressed on their red cells?

-A, H, Lea
-Lea only
-A only
-A, H, Lea, Leb

25
What test results distinguish an A1 person from an A2 person? -A1 person is A lectin neg and A2 person is A lectin pos -A1 person’s plasma antibody is pos with A2 person’s cells -A1 person is A lectin pos and A2 person is A lectin neg -A2 person’s plasma antibody is pos with A1 person’s cells
A1 person is A lectin pos and A2 person is A lectin neg
26
Which antibody reacts with Rhesus- baby cells but not Rhesus- adult cells? Anti-D Anti-C Anti-Du Anti-LW
Anti-LW
27
Which antigens in the Rh system are greater than 20% different between Black population and Caucasian population? D C e E
C
28
A patient has developed multiple antibodies to the Rh system. Anti-D, Anti-C, and Anti-E. How many units do I have to test to find compatible blood? 33 units 15 units 3 units 1 Rh negative unit
1 Rh negative unit
29
Which genotype may demonstrate dosage with an anti-C? R0r’​ RZRZ​ R2r”​ rYr’
R0r’​
30
Which offspring is not possible from a mother who is R1R2 and a father who is R1r? DcE/DcE​ DCe/DCe​ DCe/dce​ DcE/dce
DcE/DcE​
31
An individual has the following Rh phenotype: D+ C- E+ c+ e- Using Fischer/Race terminology what is the most likely genotype if they are Asian? DcE/DcE​ DCe/DCe​ DCe/dce​ DcE/dce
DcE/DcE​
32
How are weaker than average reactions with anti-D categorized for donor’s cells? Rh positive​ Rh negative​ Rh null​ Weak D
Rh positive​
33
Which population is the Weak D test performed in? Baby​ Elderly​ Cardiac Prenatal
Baby
34
What antibodies do you expect to find in a patient’s plasma who has never been pregnant or transfused and has the following serological results: Anti-D: 4+ Anti-C: 4+ Anti-c: 0 Anti-E: 4+ Anti-e: 0 None​ Anti-D, Anti-C, Anti-E​ Anti-c, Anti-e​ Anti-D only
None​
35
Which patient would you expect to make anti-D? -Patient who is pregnant and molecularly tests as D mosaic -Patient who gives weakly reactive D results in serological testing -Patient who has already made anti-c -Patient who is immune compromised and transfused Rh positive blood
Patient who is pregnant and molecularly tests as D mosaic (D Mosaic = D variable/Partial D Just means D with mutations on outside like a mosaic)
36
How is testing for Rh antigens and antibodies different from ABO testing? -ABO antigens only require room temperature incubation for detection whereas Rh antigens require AHG for detection. -Rh antibodies are naturally occurring and are usually present in patient plasma whereas ABO antibodies are not. -ABO antibodies can be tested at room temperature whereas D antibodies require AHG for detection. -It is not different. They are the same.
ABO antigens only require room temperature incubation for detection whereas Rh antigens require AHG for detection.
37
Which genotype shows the strongest reaction with anti-D? DcE/DcE​ DCe/DCe​ D--/D--​ Dce/Dce
D--/D--​
38
Rh null cells are which of the following? Shaped like Stomatocytes Serotype as D-C-c+E-e+ RhAG positive Highly immunogenic
Shaped like Stomatocytes
39
How would you interpret the following results of an antibody screen: SC1: IS=0, 37=0, AHG=0, CC=2+ SC2: IS=0, 37=0, AHG=0, CC=2+ SC3: IS=0, 37=0, AHG=0, CC=2+ Positive​ Negative​ Not valid
Negative​
40
How would you interpret the following results of phenotype testing: Anti-A: 4+ Anti-B: 0 Anti-D: 0 A1 cell: 0 B cell: 4+ -A positive -A negative -Antibody Negative -Antibody Positive
A negative
41
Which enhancement colloid works by removal of water to concentrate antibody? LISS​ Polybrene​ Albumin​ Polyethylene glycol
Polyethylene glycol
42
Which of the following types of tests does not require the addition of check cells to verify adequate washing? LISS​ Gel​ Solid phase​ PEG
Gel​
43
Which is a lab controlled factor in AHG testing? Temperature​ Incubation time​ G-force of centrifuge​ All of the above
All of the above