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WorksheetsCYCLE 2: BLOOD BANKING & CLINICAL CHEMISTRY
Total questions: 95
Worksheet time: 48mins
Pipette with a bulb close to the delivery tip and is used for viscous fluids (blood)
Ostwald-Folin
Volumetric pipette
Mohr pipette
Etched ring in the mouth the pipette:
Blow out
Blow in
When making solutions
percent solution can be made from a volumetric solution
volumetric solution can be made from a percent solution
a triple beam balance and cylinder is necessary in preparing any type of solution
Only an analytical balance can be used in solution preparation.
A solution in which the molecules of solute and solution are in equilibrium with excess undissolved molecules is referred to as:
Saturated
Supersaturated
Unsaturated
C-peptide is formed during the conversion of proinsulin to insulin. The amount of circulating C-peptide provides reliable indicator of pancreatic and insulin secretion it is increased in:
Insulinoma
Type 2 DM
Ingestion of hypoglycemic drug
Type 1 DM
CSF glucose concentration is approx. ______ of plasma concentration.
65-85%
40-70%
50-65%
Every 1% increase in HbA1c value causes a change in the plasma glucose by
35 mg/dL
25 mg/dL
15 mg/dL
Advantage of POCT
Expense
Speed
Lack of Limitations
Ease of training
Which glucose method can employ a colorographic oxygen electrode?
Glucose oxidase
Hexokinase
Glucose dehydrogenase
O-toluidine
Hyperglycemic hormone released by the adrenal medulla.
Cortisol
Growth Hormone
Epinephrine
Thyroxine
TRUE of brittle diabeter (Type 1 DM/IDDM)
I. Ketosis prone diabetes
II. Decreased or undetectable C-peptide
III. Receptor deficient diabetes
IV. Non-insulin dependent diabetes
Both III and IV
Both I and II
I only
None of the choices
Which is true regarding insulin.
Promotes glycogenesis.
Promotes glycogen
Promotes glycolysis
Short term glucose control
Fructosamine (glycosylated/glycated albumin)
HbA1c (glycosylated/glycated haemoglobin
Long term glucose control
Fructosamine (glycosylated/glycated albumin)
HbA1c (glycosylated/glycated haemoglobin
Specific and reference method for glucose
Glucose oxidase
Hexokinase
Glucose dehydrogenase
O-toluidine
Solution of Calcium chloride (CaCl) conatins 3 g per 100 mL.
3%
15%
55%
90%
Which of the ff. is TRUE of glucose
Reabsorbed by DCT (distal convoluted tubule)
Renal threshold 200-240 mg/dL
Glucose metabolism generates pyruvic acid, acetyl coenzyme A, and lactic acid as intermediate products
Purpose of immediate spin crossmatch
Detect cold reacting unexpected antibody
Ensure survival of transfused RBCs
Meet computer crossmatch requirements
ABO compatibility
What do Coomb’s Control cells (check cells) consist of?
Type O-positive cells coated with Anti-D
Type O-negative cells coated with Anti-D
Type O+ positive cells coated with Anti-D
Type O+ negative cells coated with Anti-D
Donor: Anti-A = 0 , Anti-B = 0 – (Type O)
Patient: A-cells= 0, B-cells= 0 – (Type AB)
If crossmatched what happens.
Major crossmatch is compatible/ Minor crossmatch is incompatible
Major crossmatch is incompatible/ Minor crossmatch is incompatible
Major crossmatch is compatible/ Minor crossmatch is compatible
Major crossmatch is incompatible/ Minor crossmatch is compatible
Anti-A= 0 Anti-B= 4+
A cells= 0 B cells= 0
Elderly patient
Juvenile patient
Adult Patient
An Indirect Antiglobulin Test, DROPS (Major crossmatch), is done. The result was negative. Check cells were added but still no agglutination. What to do?
Check the AHG reagent expiration date.
Stop the procedure
Report as incomaptible
Which of the ff. will NOT correlate with positive DAT.
A patient transfused with blood
A patient who has recently received a vaccine against hepatitis B
An Rh positive baby born by Rh mother
Patient with SLE
2+ gel technology
Agglutination throughout the gel column
No Agglutination throughout the gel column
What does it mean if no agglutination occurs during the AHG phase when adding check cells
The antiglobulin reagent was working properly
Cells were not washed thoroughly
Control cells were contaminated
Test is valid
Type AB recipient is crossmatched with type O blood.
Major crossmatch is compatible/ Minor crossmatch is incompatible
Major crossmatch is incompatible/ Minor crossmatch is incompatible
Major crossmatch is compatible/ Minor crossmatch is compatible
Major crossmatch is incompatible/ Minor crossmatch is compatible
What incompatibilities are not detected in the Antiglobulin phase of the crossmatch
I. IgM alloantibodies in the recipient serum
II. ABO incompatibilities
III. IgG alloantibodies in the recipient serum
IV. Room temp incompatibilities
I,II,III
I,II,IV
III only
None of the choices
Who discovered ABO
Alfred Nobel George E. Smith
Karl Landsteiner
Hans Gram
Source of anti-B lectin
Dolichos biflorus
Bandeiraea simplicifolia
Ulex europaeus
Blood preservatives provides energy or glucose to RBC. A substrate of ATP.
Dextrose
Mannitol
Glycogen
Sodium Citrate
Blood is considered a drug
TRUE
FALSE
Which coincides with ABO blood grouping.
A cells=0
B cells=+
Group A
Group B
Major Advantage of Gel Column Technology
Standardization
Neutralization
Identification
Purification
Purpose of AHG reagent
To agglutinate small antigen
To agglutinate big or large antigen
To agglutinate small antibodies
To agglutinate large antibodies
Blood type A patient
Anti-A=0 Anti-B=+
A cells=0 B cells=0
Group 1 discrepancy
Group 2 discrepancy
RBC lifespan
120 days
100 days
10 days
7-12 days
A. TC pipet will dispense the volume indicated
B. TD pipet holds or contains a particular volume, but does not dispense the particular volume
Which of the following are false?
A
B
Both statement are FALSE
None
I. Blowout Pipet has a continuous etched ring/two small close, continuous rings located at the top of the pipet
II. Last drop of liquid should be expelled into the receiving vessel when using a self-draining pipet
III. Blowout pipet: User allows content to be drained by gravity
Which is true?
I
II
III
All of the choices
The only pipet which the tip should remain in contact with the side of the vessel for several seconds after the liquid has been drained
Mohr
Serological
Volumetric
Ostwald-folin
Pipet for biological fluids with viscosity greater than water
Mohr
Serological
Volumetric
Ostwald-folin
Pipet with greatest degree of accuracy. Should be used when diluting standards
Mohr
Serological
Volumetric
Ostwald-folin
Designed to transfer a fixed amount/single volume of liquid
Mohr
Serological
Volumetric
Ostwald-folin
A. TC pipet dispensed indicated volume
B. TD pipet holds a particular volume but does not dispense particular volume.
Both are correct
Both are incorrect
Statement A is Correct, Statement B is Incorrect
Statement A is Correct, Statement B is Incorrect
Blowout pipet = Drain contents of pipet by gravity
TRUE
FALSE
Aspiration angle
Vertical
Diagonal
Dispensing angle
Diagonal
Vertical
Transfer pipets, except:
a. Volumetric
b. Pasteur
c. Ostwald-Folin
NOTA
Pasteur
Volumetric
Ostwald-folin
A Proper ratio of plasma to red cells is important for accuracy in antigen-antibody reaction
TRUE
FALSE
Preferred specimen for Red Cell Suspension:
Lavender top only
Red top only
A. Hemolysis of RBCs can cause false results
B. Too heavy or too light cell suspension can cause false positive/negative
Both are correct
Both are incorrect
Statement A is Correct, Statement B is Incorrect
Statement A is Correct, Statement B is Incorrect
Cells are washed using:
a. distilled water
b. isotonic saline
c. 0.9 NaCL
A
B
Both B and C
All of the Choices
Fill the tube ___full using ___when preparing RBC suspension
¾, NSS
2/4, NSS
Centrifuge minutes for RBC suspension
60 seconds
30 seconds
2 minutes
15 seconds
In preparing RBC suspension, you are required to wash completely for 3-5 times with NSS to remove traces of plasma
TRUE
FALSE
A procedure to test compatibility of donor red cells and patient serum [DROPS]
Major crossmatching
Minor crossmatching
Also known as the incubation at 38°C is Thermophase
TRUE
FALSE
Agglutination at high protein phase
Stop the procedure
Continue the procedure
Clinically significant antibodies are detected at what phase
AHG phase
Thermophase
Immediate spin
Clinically significant antibodies:
IgG
IgM
Amount of patient serum added for crossmatching
2 drops
1 drop
4 drops
Other term for Immediate spin phase
room temperature
body temperature
Most important blood group for transfusion practice
ABO
Rh
Kell
Duffy
Correct frequency of ABO blood groups:
O > A > B > AB
O < A < B < AB
ABO Antibodies include:
Anti A
Anti B
Anti AB
Anti H
Anti-A = 4+
Anti-B= 2+
A cells= 0
B cells= 4+
Acquired B Phenomenon
Acquired A Phenomenon
Positive autocontrol in antibody screening
presence of autoantibodies
presence of antibodies
Grading of crossmatching:
several large agglutinates, clear background
3+
2+
1+
4+
Crossmatching: Type B patient and Type O donor.
Which one will be incompatible?
Major crossmatching
Minor crossmatching
Using known sources of anti-sera to detect antigen
Forward typing
Reverse typing
Most frequent test performed in the blood bank:
Blood typing
Crossmatching
Blood transfusion
A. individuals normally produce antibodies against antigens absent from their RBCs
B. All other defined blood groups do not regularly have naturally occurring antibodies to antigens lacking from their RBCs
Both are correct
Both are incorrect
Statement A is Correct, Statement B is Incorrect
Statement A is Correct, Statement B is Incorrect
Reagents used in reverse typing, except:
A. Human blood
B. 3-5% RBC suspension
A
B
All of the Choices
None of the choices
What is the most serious, potentially life-threatening reaction?
TACO
TRALI
Hemolytic
Which does not require the transfusion to stop and investigation to be performed?
Urticarial
Hemolysis
Transfusion Reaction
TACO
Hemolytic transfusion reaction
mmune destruction of donor cells by the recipient antibodies
mmune destruction of donor cells by the recipient antigens
Component that carries the highest risk of bacterial contamination
Platelets
RBC
WBC
Most common transmitted viral infection
Hepatitis C
Hepatitis B
Syphillis
HIV
SG of copper sulfate solution
1.053
1.062
Minimum Hb for autologous donors
11 g/dL
10 g/dL
Improves the survival of RBCs
Adenine
Citric acid
Dextrose/Glucose
Phosphate buffer
prevents caramelization
Adenine
Citric acid
Dextrose/Glucose
Phosphate buffer
substrate for ATP
Adenine
Citric acid
Dextrose/Glucose
Phosphate buffer
maintains pH during storage
Adenine
Citric acid
Dextrose/Glucose
Phosphate buffer
Maximum allowable storage time for RBCs defind by recovery of ___% RBCs in___hours
70% ,24 hours
60% ,24 hours
70% ,48 hours
RBC solution that acts as stabilizing agent
Mannitol
Adenine
Glucose
Citric Acid
Decreased during RBC storage, except:
plasma potassium
pH
ATP
2,3-DPG
Proper procedure for preparation of platelets from whole blood
light spin then hard spin
hard spin then light spin
Granulocyte: life-threatening systemic infections not controlled by antibiotics
TRUE
FALSE
Blood processing must occur within
6-8 hours
24 hours
Minimum hemoglobin for female donor
>12.5 g/dL
>12.5 mg/dL
<12.5 g/dL
<12.5 mg/dL
Blood donor requirements except:
a. Identification card
b. 2 Tubes = used for screening
c. Donor information
A
B
C
None of the choices
Permanent deferral except:
Sexual contact with an individual with viral hepatitis
Babesiosis
Chaga’s disease/ American trypanosomiasis
Hepatitis after 11th birthday
Amount of anticoagulant in the blood bag
63 mL
60 mL
Blood should be processed within
6-8 hours
24 hours
For TA-GVHD, but not febrile transfusion reaction
Irradiated components
Irradicated components
