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WorksheetsPBM Post-Test
Total questions: 30
Worksheet time: 15mins
The following tests are required as part of the procedure for allogenic donation, EXCEPT
Anti-HCV & HBsAg
Anti-HIV
Syphilis
Anti-CMV
Blood donor screening encompasses the following EXCEPT
Serological testing
Sexual habits
Medical history & Mini physical examination
Chest X-ray & Electrocardiogram (ECG)
The following statements are TRUE regarding packed red cells EXCEPT
It has a haematocrit level of 40%
It can be stored for up to 42 days
Irradiated red cells have a shorter shelf life
It must be crossmatch compatible before issued to patients
The following are TRUE regarding Fresh Frozen Plasma (FFP) EXCEPT
FFP is stored at temperatures below -40°C
FFP can be stored up to a year
It should be used immediately once thawed
The albumin content makes it as useful as a volume expander
Red cells should be transported in a container containing ice. This is to ensure temperature of
2-4°C
2-6°C
4-6°
6-8°C
Cryoprecipitate is prepared from whole blood. Each unit of cryoprecipitate contains
Platelets
Albumin
Fibrinogen
Liver plasma
Fresh Frozen Plasma (FFP) contains the following substances EXCEPT
Protein particles
Coagulation factors
White blood cells
Antibodies
Platelets are kept at
22-24°C without agitation
22-24°C with agitation
18-20°C with agitation
2-6°C with agitation
A Group Screen and Hold (GSH) encompasses the following EXCEPT
ABO group
RH group
Major serologic crossmatch
Antibody screening
A Group Screen and Hold (GSH) should be requested for which clinical scenario?
A major operation where heavy blood loss is anticipated
Patient with Hb of 12g/dL planned for below knee amputation
Patient with Hb 8g/dL with signs & symptoms of heart failure
Hypotensive patient upon arrival to A&E after an accident
A Group and Crossmatch (GXM) encompasses the following procedures EXCEPT
Virology screen
ABO Group
RH Group
Major serologic crossmatch
A Group & Crossmatch (GXM) should be requested for which clinical scenario?
A patient scheduled for an elective caesarean section
Hypotensive patient suspected of internal injury after a MVA
Asymptomatic patient with Hb 7g/dL investigated for anemia
25-years lady with Hb of 6g/dL due to iron deficiency anemia
What is the most likely transfusion reaction here?
Febrile non-haemolytic transfusion reaction
Severe allergic reaction
Haemolytic transfusion reaction
Transfusion related acute lung injury
A haemolytic transfusion reaction is suspected. What specimen should be sent for investigation?
Blood sample in EDTA & a Full Blood Picture
Urine sample
Blood product with the tubing (properly sealed)
All of the above-mentioned
The following statements are true EXCEPT
Coagulation tests correlates poorly in liver disease
PT & APTT measures procoagulant function, not anticoagulant
A prolonged APTT>100s suggests a bleeding disorder
There is no good test for haemostasis
The following are considered as significant bleeding history EXCEPT
Epistaxis not stopped by 10min compression
Cutaneous haemorrhage or bruising following trauma
Bleeding from wounds recurring spontaneously within 7days
Prolonged bleeding >15min following tooth extraction
Isolated prolonged PT is due to
Warfarin therapy
Factor VII deficiency
Liver disease
Bite from snake viper
The following causes an isolated prolonged APTT EXCEPT
Factor XI deficiency
Lupus anticoagulant
Acquired haemophilia
Factor XIII deficiency
Warfarin prolongs
PT only
APTT only
Both PT and APTT
All coagulation tests
What are the strategies to reduce or avoid allogenic blood transfusion during surgery?
Investigate and correct pre-op anemia
Lower transfusion threshold trigger
Cell salvage if estimated blood loss >1L
All of the above-mentioned
The following modalities of treatment may be used to optimize red cell mass before surgery
IV venofer (iron sucrose) and Erythropoietin
Prothrombin complex concentrate
Tranexamic acid
All of the above-mentioned
The following are TRUE regarding activation of the Massive Transfusion Protocol (MTP) EXCEPT
When blood volume loss of >30% is anticipated
When blood loss is anticipated 1500mls
Uncrossmatched blood can be supplied
4 units of platelet will be supplied immediately
This product may prevent recurrence of febrile non-haemolytic transfusion reaction
Packed red cells
Whole blood
Filtered red cells
Random platelets
A patient requires urgent reversal of warfarin effect to undergo an urgent surgical procedure
Fresh frozen plasma
Cryoprecipitate
Cryosupernatant
Prothrombin complex concentrate
If fibrinogen levels are reduced in DIVC, this product can be used to supplement the patient
Cryoprecipitate
Random platelets
Pooled plasma-derived platelets
Cryosupernatant
It is equivalent to 6-8 random platelets, best provided to patient requiring repeat transfusion
Random platelets
Apheresis platelet
Pooled plasma-derived platelets
Fresh frozen plasma
An infant is born with jaundice and requires an exchange transfusion to be done
Packed red cells
Filtered red cells
Fresh frozen plasma
Whole blood
Definition of Safe O in Malaysia
Uncrossmatched Group O RhD+ packed red cell
Uncrossmatched Group O RhD- packed red cell
Uncrossmatched Group AB RhD+ packed red cell
Uncrossmatched Group AB RhD- packed cell
What is the suitable choice for platelet transfusion in patient who is blood group O RhD-?
Blood group O RhD- platelet
Blood group O RhD+ platelet
Blood group AB RhD + platelet
Blood group AB RhD- platelet
What is the definition of emergency crossmatch?
GXM done at Immediate Spin after 5min incubation @ 37°C
Crossmatching done @ 37°C
Crossmatching done @ AHG phase
GXM done at Immediate Spin after 5 min incubation @ Room Temp
