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Immunohematology
| Question | Answer |
|---|---|
| What is the maximum volume of blood that can be collected from a 110-lb donor, including samples for processing? | 525 ml |
| How often can a blood donor donate whole blood? | every 8 weeks |
| When RBCs are stored, there is a "shift to left". This means: | Hemoglobin oxygen affinity increases, owing to a decrease in 2,3 DPG |
| The majority of platelets transfused in the United States today are: | Apheresis platelets |
| What anticoagulant preservative provides a storage time of 35 days at 1 degree Celsius to 6 degrees Celsius for units of whole blood and prepared RBCs if an additive solution is added? | CPDA-1 Citrate Phosphate Dextrose Adenine 1 |
| What are the current storage time and temperature for platelet concentrates and apheresis platelet components? | 5 days at 20-24 degrees Celsius |
| What is the minimum number of platelets required in a platelet concentrate prepared from whole blood by centrifugation? (90% of sampled units) | 5.5x10 to the 10th power |
| RBCs can be frozen for | 10 years |
| What is the minimum number of platelets required in apheresis component (90% of the sampled units) | 3x10 to the power of 11 |
| Whole blood and RBC units are stored at what temperature? | 1-6 degrees Celsius |
| Additive solutions are approved for storage of RBCs for how many days? | 42 days |
| One criterion used by the FDA for approval of new preservation solutions and storage containers is an average of 24-hour post-transfusion RBC survival of more than: | 75% |
| What is the lowest allowable pH for a platelet component outdate? | 6.2 |
| Frozen and thawed RBCs processed in an open system can be stored for how many days/hours? | 24 hours |
| What is the hemoglobin source for hemoglobin-based oxygen carriers in advanced clinical setting? | Bovine and Human hemoglobin |
| What occurs during storage of RBCs? | pH decreases |
| Nucleic acid amplification testing is used to test donor blood for? | HCV HIV West Nile virus |
| It is not an FDA-approved test for quality control of platelets? | Gram Stain |
| Prestorage pooled platelets can be stored for: | 5 days |
| What is most common cause of bacterial contamination of platelet products? | Entry of skin plugs into the collection bag |
| What best describes mitosis? | Genetic material is duplicated, equally divided between two daughter cells |
| When a recessive trait is expressed, it means that: | Two genes carrying the trait were present. |
| In a pedigree, the "index case" is another name for: | Propositus |
| What are the four nitrogenous bases of DNA? | Adenine Cytosine Guanine Thymine |
| What phenotype(s) could not result from the mating of a Jk(a+b+) female and a Jk(a-b+) male? | Jk(a-b-) |
| Exon refers to: | The coding region of a gene. |
| PCR technology can be used to: | Amplify small amounts of DNA |
| Transcription can be defined as: | Synthesis of RNA using DNA as template. |
| When a male possesses a phenotypic trait that he passes to all his daughters and none of his sons, the trait is said to be: | X-linked dominant |
| When a female possesses a phenotypic trait that she passes to all of her sons and none of her daughters, the trait is said to be: | X-linked recessive |
| DNA is replicated to: | Semiconservatively from DNA |
| RNA is processed: | after RNA is copied from protein on ribosomes |
| Translation of proteins from RNA takes place: | On the ribosomes in the cytoplasm of the cell |
| Meiosis is necessary to: | Generate new DNA sequences in daughter cells |
| Proteins and peptides are composed of: | Linear arrangements of amino acids |
| Patient cells with Anti-A 4+ Anti-B 4+ A1 cells NEGATIVE B cells NEGATIVE What is the patient's blood type? | AB |
| The major immunoglobulin class of anti-B in a group A individual is: | IgM |
| What are the possible ABO phenotypes of the offspring from the mating of a group A to group B individual? | O,A,B |
| What ABH substance(s) would be found in the saliva of group B secretor? | H and A |
| What ABO blood group contains the least amount of H substance? | A1B |
| An example of a technical error that can result in an ABO discrepancy is: | Cell suspension is too heavy |
| What best describes Lewis antibodies? | IgM, naturally occuring, do not cause HDFN |
| The Le gene codes for a specific glycosyltransferase that transfers a fucose to the N-acetylglucosamine on: | Type 1 precursor chain |
| What substances would be found in the saliva of a group B secretor who also has Lele genes? | H,B,LeB |
| Transformation to Lewis B phenotype after birth may be as follows: | Le(a-b-) to Le(a+b-) to Le(a+b+) to Le(a-b+) |
| In what way do the Lewis antigens change during pregnancy? | Lewis A and B decreases |
| A type 1 chain has: | The terminal galactose in a 1-3 linkage to subterminal N-acetylglucosamine |
| What best describes Lewis antigens? | The antigens are integral membrane proteins. |
| What genotype would explain RBCs typed as group A Le (a+b-)? | A/A LeLe hh sese |
| What best describes MN antigens and antibodies? | Well developed at birth, susceptible to enzymes, generally saline reactive |
| What autoantibody specificity is found in patients with Paroxysmal Cold Hemoglubinuria? | Anti-P |
| What is the most common antibody seen in the bloodbank after ABO and Rh antibodies? | anti-K |
| What blood group system is associated with resistance to P.vivax malaria? | Duffy |
| The null K0 RBC can be artificially prepared by which treatments? | DTT and glycine-acid EDTA |
| What antibody does not fit with the others with respect to optimum phase of reactivity? | Anti-P1 |
| What Duffy phenotype is prevalent in blacks but virtually nonexistent in whites? | Fy(a-b-) |
| Antibody detection cells will not routinely detect which antibody specificity? | anti-KpA |
| Antibodies to antigens in which of the following blood groups are known for showing dosage? | Kidd |
| What antibody is most commonly associated with delayed hemolytic transfusion reactions? | Anti-JkA |
| Anti-U will not react with which RBCs? | M+N-S-s- |
| A patient with a Mycoplasma Pneumoniae infection will most likely to develop a cold autoantibody with specificity to which antigen? | I |
| What antigen is destroyed by enzymes? | FyA |
| The antibody to this high-prevalence antigen demonstrates mixed-field agglutination that appears shiny and refractile under the microscope: | SdA |
| What is associated with causing severe immediate HTRs? | Anti-Vel |
| What antibodies are more likely to be found in a black patient? | Anti-CrA Anti-Ata Anti-Hy |
| A weakly reactive antibody with a titer of 128 is neutralized by plasma. What could be the specificity? | Anti-Ch |
| An antibody reacted with untreated RBCs and DTT-treated RBCs but not with ficin-treated RBCs | Anti-KpB |
| Antibodies that are clinically insignificant because they have not been associated with causing increased destruction of RBCs, HDFN, or HTRs. |