RH BLOOD GROUP SYSTEM Flashcards

Lecture

1
Q

HDN also known as

A

Erythroblastosis Fetalis

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2
Q

Rh system refers to a specific red blood cell antigen

A

D antigen

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3
Q

Rh system genes are found on what chromosome

A

Chromosome 1

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4
Q

Rh antigens reside on

A

Proteins

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5
Q

Rh antibodies are produced after exposure to

A

Foreign red blood cells (IMMUNE ANTIBODIES)

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6
Q

In 1939, _ and _ described a hemolytic transfusion reaction in an obstetrical patient

A

Levine and Stetson

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7
Q

Syndrome in Fetus in now referred to as

A

Hemolytic Disease of the Fetus and Newborn

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8
Q

Erythroblastosis Fetalis (HDN) linked with _ by Levine in 1941

A

Anti-RH

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9
Q

Rh system IDENTIFIED by _ and _ in 1940

A

Landsteiner and Wiener

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10
Q

Landsteiner and Wiener reported on an antibody made by _ and _ when they were transfused with rhesus monkey RBCs

A

Guinea pigs and rabbits

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11
Q

Suggested that antigens are determined by 3 pairs of genes which occupy closely linked loci

A

Fisher-Race: The DCE terminology

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12
Q

Amorph gene

A

d

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13
Q

Rh phenotype in Fisher-Race is reported as

A

DCE

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14
Q

The gene d is assumed to be present when _ is absent

A

D

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15
Q

Type of inheritance in Fisher-Race

A

Codominance

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16
Q

A person expressing no Rh antigens

A

Rh null (-/-)

16
Q

A person exhibiting a deletion phenotype represented by a (-)

A

Rh deletion

17
Q

Weakened expression of all Rh antigens

A

Rh mod phenotype

18
Q

Nature of Rh antigens

A

Glycoproteins

19
Q

Suggested that Rh gene produces at least three factors within an agglutinogen (Antigen)

A

Wiener: The Rh-Hr Terminology

20
Q

Each agglutinogen has _ factors (antigens or epitopes

21
Q

Suggests a nomenclature based only on serologic (agglutination) reactions

No genetic assumptions are made

A

Rosenfield and Coworkers: Alpha/ Numeric Terminology

22
Q

Treatment for Erythroblastosis Fetalis induced Jaundice

A

Phototherapy

23
Q

Bilirubin (^) induced brain dysfunction

A

Kernicterus

24
Treatment for Delayed, Extravascular Hemolytic Transfusion Reaction
RhoGAM/ RhIVIg (or also known as anti-D immunoglobulin)
25
International organization created to standardize blood group
International Society of Blood Transfusion (ISBT)
26
ISBT for ABO
001
27
ISBT for Rh
004
27
RBCs carrying the weaker D antigen have historically been referred to as
Du Type
28
29
Testing to demonstrate the presence of the weak D antigen
Indirect Antiglobulin Test (In-vitro sensitization)
30
Weak D Variations: The D antigens expressed appear to be compete but few in number No structure defect
Genetic Weak D
31
Weak D Variations: Weakened expression of the D antigen is described as a position effect or gene interaction effect D antigen is structurally complete
C Trans Positional Effect
32
Weak D Variations: Absence of a portion or portions of the total material that comprises the D antigen
Partial D (D Mosaic)
33