WorksheetsBB 1 Quiz
Total questions: 161
Worksheet time: 1hrs 21mins
Proper blood typing procedure
Quality control testing is done rarely.
Uncalibrated centrifuge.
Cell suspension is too light.
Serum & antiserum is added first than reagent cells.
None
Find the best answer/s: It is recommended that results in blood grouping should be recorded immediately in order to:
Avoid delay in the result.
Avoid transcription errors.
Avoid the filing up of unrecorded results
Option 1 & 3
An individual who has a phenotype B is genotypically expressed as:
BB, AB, BO
AA, AB, AO
BB, BO
Option 1 & 3
In blood grouping, this will show weak reactions with Anti-B sera particularly for patients diagnosed of having carcinoma of the colon
Acquired A phenomenon
Oh
Acquired B phenomenon
None
FACTS on A1 and A2 phenotypes, EXCEPT;
Greater percentage of Group A individuals are A1.
A1 is agglutinated with certain type of lectin while A2 does not.
B. simplicifolia, a type of lectin, can be used in the differentiation between A1 and A2.
A1 results in the production of higher antigen sites on RBCs than A2
In blood typing, ________ occurs when the red cell testing does NOT agree with the serum testing result.
Agglutination
Discrepancy
Chimerism
Hemolysis
Rouleaux formation
Select whether the following is a characteristic of Anti-A and Anti-B: Requires 37°C to agglutinate
True
False
Observation of agglutination in blood grouping is initially made by gently disturbing the tube containing the cell and the serum and viewing the:
fluid above the cell.
button and the fluid above the cell.
Both
mixture readily under the microscope.
All
Hemolysis is interpreted as a positive reaction in ABO typing BECAUSE lysis represents the destruction of the RBC membrane due to antigen-antibody reaction.
The first and the second statements are true.
The first statement is false and the second statement is true.
The first and second statements are false.
The first statement is true and the second statement is false.
The sugar/s responsible for H specificity is/are:
Galactose
Fucose
Galactosamine
Glucose
RPM too high in centrifugation may result to: *
False positive result
False negative result
Either
Neither
Monoclonal antiserum is routinely used in Blood Banking because of the following reasons, EXCEPT;
Uniformly reactive
Well characterized and clear reagents
Highly specific
None
Option 1 & 3
Probable cause of false negative result in blood grouping, EXCEPT; *
Old reagents
Undercentrifugation
Over centrifugation
Cell suspension is too light
None
This comes from seed extracts that agglutinate human cells with some degree of specificity
Colloids
Latex beads
Lectins
Dolichos biflorus
Prepared RBC antigens
An immunoglobulin that is normally found in trace concentrations in serum and is important in allergic reactions.
IgG
IgA
IgM
IgD
IgE
Contaminated reagents, uncalibrated centrifuge, mix-up of samples, and failure to add the sample are just few enumerated sources of errors in ABO identification. Collectively, these are called:
Clerical errors
Typographic errors
Technical errors
Option 1 & 3
Discrepancies
Select whether the following is a characteristic of Anti-A and Anti-B: Agglutinate in saline-suspended erythrocytes
T
F
Select whether the following is a characteristic of Anti-A and Anti-B: Do not produce in vivo or in vitro hemolysis.
T
F
Infants up to 6 months of age
Low antibody titer
Anti-A titer higher than Anti-B titer
Dust, pollen, bacteria
Stimulated by foreign erythrocytes
None
Commonly used blood bank anti-sera should be routinely stored at _______ when not in use.
-20°C to -10°C
0°C to 2°C
-10°C to 0°C
2°C to 6°C
The precursor structure on which the A and B antigens are made: *
h Antigen
ABO Antigens
Se genes
H Antigen
hh Antigen
The major bond/s formed between antigens and antibodies is/are:
Hydrophobic
Hydrogen bonding
Option 3
Electrostatic forces
All
Antibodies or immunoglobulins are complex proteins with specificity to antigens. These antibodies are produced by:
Dendritic cells
B lymphocytes
Plasma cells
T cells
Advantages of washed red cells in blood bank, EXCEPT; *
Removal of plasma which interferes in the reaction.
Retention of free serum globulins which will not interfere in the reaction.
Removal of interfering proteins.
None
“Naturally occurring” antibodies *
Low antibody titer
Anti-A titer higher than Anti-B titer
Dust, pollen, bacteria
Stimulated by foreign erythrocytes
None
The red blood cells of these individuals are absent with the normal ABH antigens and a double dose of the "h" gene is inherited.
Ah
Bh
Oh
hh
How many drops of anti-sera is needed in blood typing? *
1 drop
3 drops
Either
Neither
Reaction of patients RBCs (A2) with Anti-A1 lectin reagent:
Presence of agglutination
No agglutination
Presence of hemolysis
No hemolysis
Factor/s that may affect antigen-antibody reaction: *
pH
Temperature
Serum to red cell ratio
Antibody type
All
The anti-sera (Anti-A & B) routinely used in blood banking have the following characteristics, EXCEPT;
Polyclonal antibodies
Anti-A (blue); Anti-B (yellow)
Clear reagents
Specific
None
Optimum proportion of antigen and antibody is met:
Postzone
Equivalence
Prozone
Zeta potential
Agglutination
Which of the following is NOT a factor that influences antigen-antibody association?
The number of antibody molecules in relation to the number of antigen sites per cell.
Ionic strength
pH
Temperature and length of time of incubation
None
Rouleaux formation is the condition to which it can produce an agglutination. This kind of problem encountered in blood grouping can be resolved by washing the patient’s red cells several times. This technique is called:
Washed red blood cells
Coomb’s test
Saline replacement
Fluid replacement
Pseudo testing
Which of the following is not a function of a blood bank?
Recruiting and collecting blood donors.
Typing, screening and preparing blood for transfusion.
Directly administer blood or blood components to patients.
Detecting and identifying antibodies in potential recipients.
None
Erythrocytes can be antigenic if their membrane contains:
Foreign antigenic determinants
Epitopes
Both
Lipid-rich surface areas
Description of 3+: *
Few, small aggregates, many free erythrocytes and turbid
Several large aggregates, some free erythrocytes and clear
Medium-sized aggregates, some free erythrocytes and clear
All the erythrocytes are combined into one solid aggregate and clear
The “O” gene is considered an amorph. This is because:
It is homozygous “O”.
It is h
The “O” gene is considered an amorph. This is because:
It is homozygous “O”.
It is heterozygous inheriting one gene from each parent.
There is no detectable antigen in response to the inherited gene.
All
It does not elicit an immune response on its own but when coupled with a carrier protein of greater molecular weight, it can produce a reaction.
Antigen
Immunogen
Hapten
Option 1 & 2
Identify the complementary antibody/ies of blood group AB.
Anti-A
Anti-B
Both
None
Routine blood typing result of Patient “Kendra”: Anti-A +4 ; Anti-B 0. What is the blood type?
Blood type AB
Blood type O
Blood type B
Blood type A
Treatment with ______ on RBCs results in the release of sialic acid from a membrane, causing the membrane to become more hydrophobic which allows RBCs to come closer together.
LISS
PEG
Proteolytic enzymes
AHG
All
Production of antibodies peaks when an individual is between:
3 and 5 years of age
4 and 8 years of age
5 and 10 years of age
6 and 12 years of age
In the primary antibody response to a foreign antigen, the type of antibody initially formed is:
IgG
IgA
IgM
IgD
IgE
Zeta potential:
The same as the ionic cloud around the RBC.
The outer edge of the ionic cloud surrounding an RBC in solution.
The difference between net charge at the cell membrane and the charge at the surface of shear.
Net surface charge density at the surface of the cell membrane.
Performing cold auto-absorption for the removal of cold autoantibody from the serum is recommended in the performance of the test to resolve a discrepancy. Identify:
Group I
Group II
Group III
Group IV
Location of ABO genes:
Chromosome 9
Chromosome 18
Chromosome 19
Chromosome 8
An example of a technical error that can result in an ABO discrepancy:
Acquired B phenomenon
Missing isoagglutinin
Cell suspension that is too heavy
Acriflavine antibodies
Rouleaux formation
pH is one of the important factors affecting Ag-Ab reaction. The recommended pH for routine laboratory testing is:
6.0
4.5
7.0
7.5
8.0
Given the following reactions of antisera with RBCs: Anti-D 0; Anti-C +; Anti-E +; anti-c +; anti-e +. What is the phenotype expression in Fisher-Race?
cDe
Cce
CcEe
CDE
CcE
Characteristics of routine reagent A and B cells used in reverse typing, EXCEPT;
Human source
Expected 2+ to 4+ reaction
Animal source
4% to 5% red cell
None
Reverse typing by itself can be definitive for ABO grouping.
T
F
Anti-e is a frequently encountered antibody.
T
F
Weakened D blood donor units for transfusion is classified as:
Weak D
Rh (-)
Rh (+)
None
Write: A = True; B = False The c antigen is the most potent immunogen of all of the Rh antigens.
A
B
Cells carrying a weak D antigen require the use of what test to demonstrate its presence?
Direct antiglobulin test (DAT)
Routine anti-D test
Indirect antiglobulin test (IAT)
Washed red cells test
The term Rh positive refers to the presence of:
Anti-D
D antigen
C antigen
E antigen
A decrease in the antibody levels in older individuals, especially in reverse ABO blood typing may result to what reaction?
Mixed field
False negative
False positive
Option 1 & 2
Major categories of ABO discrepancies are divided into:
1
2
3
4
5
A person who expresses no Rh antigens on the RBC is said to be partial D.
F
T
ABO antibodies decrease in strength as individuals grow older, THUS in elderly patients, the agglutinins may be difficult to detect.
A. Both statements are false.
B. Both statements are true and related.
C. Both statements are true but not related.
D. The first statement is true and the second statement is false.
Rh antibodies are predominantly:
IgM
IgG
IgD
IgA
Rh (+) samples when typed with Anti-D are expected to have strong positive reactivity. However, in some individuals, reactivity is weak and shows no agglutination with routine Anti-D testing.
Rh (-)
Weakened D
Altered D
Nulled D
If a group AB, Rh negative patient is admitted with massive bleeding, which of the following units of packed cells would be the least desirable to transfuse?
Group O Rh negative
Group O D negative
Group O Rh positive
Group A Rh negative
Genes that are likely to control the expression of Rh proteins on chromosome 1 of humans.
RHC and RHCE
RDe and RHCE
RHD and RHCE
RH and RHCE
Inheritance of Rh antigen is possibly a/an:
Sex-linked recessive
Codominant alleles
Sex-linked autosomal
Autosomal recessive alleles
What is the most dramatic Rh trans position effect which weakens the D antigen?
Missing/altered D
RHD mutation
C is n trans to D
All
The Rh antibody was so named on the basis of antibody production by guinea pigs and rabbits when transfused with the rhesus monkey RBCs.
T
F
Similar with the ABO blood group system, Rh antibodies also bind complement.
T
F
Rh antibodies would best react at what temperature?
25°C
20°C
35°C
37°C
Write: A = True; B = False Most Rh antibodies are stimulated by RBC antigens.
A
B
Referred to as a phenotype occurring in individuals whose RBCs possess an extremely low number of D antigen sites that most reagent anti-D are unable to detect.
Du
Del
Partial D
C in Trans to RHD
The primary function of Rh:
Immunity
Fluid balance
Maintains structural integrity of RBCs
pH stability
In the Rh blood group system, D antigen is the highly immunogenic while _____ is said to be the least.
C antigen
E antigen
c antigen
e antigen
Except in the case of newborn and very young infants, a reverse cell typing should also be performed to verify the results of forward typing.
T
F
The C antigen in Fisher-Race is equivalent in Weiner's nomenclature as:
hr'
rh'
Rho
rh''
hr
Rh terminology that has no genetic basis and assigns a number to each antigen of the system in order of its discovery or recognized relationship.
Wiener
Fisher-Race
Rosenfield
ISBT
The pre-warm technique is most useful in investigating which types of blood bank problems?
ABO discrepancies
Rh discrepancies
Warm antibodies
Cold antibodies
That the patient’s red cell group is not what it seems
Inconsistency
Discrepancy
Null Blood type
Weak Blood type
What is the phenotype expression in Fisher-Race given the following reactions of antisera with RBCs: Anti-D 0; Anti-C 0; Anti-E 0; anti-c +; anti-e +.
CE
DCE
ce
cDe
Rh terminologies that are based on postulated genetic theories of Rh inheritance:
Wiener
Fisher-Race
Rosenfield ISBT
Option 1 & 2
One or more D epitopes within the D protein is either missing or altered:
Weak D
Partial D
Del
Steric arrangement
This represents the absence of a D antigen according to Fisher-Race terminology.
Rh negative
Rh positive
d antigen
e antigen
Choose the correct order of antigens that are highly immunogenic to the least.
D, c, E, C, e
D, e C, E, c
D, c, e, E, C
D, C, c e, E
When D antigen expression is weakened because one or more D epitopes within the entire D protein is either missing or altered. This called:
C in Trans to RHD
Steric hindrance
Weak D
Partial D
Blood donor units for transfusion are considered Rh positive if either the D or weak D test is positive.
T
F
FACTS on Rh blood group system, EXCEPT;
Highly immunogenic
Rh Abs are produced only after exposure to foreign RBCs.
Rh positive individual has the D antigen on their RBCs.
Rh reverse typing validates an individual’s Rh blood group.
None
Rh antibodies are mostly IgM and can therefore cross the placenta.
T
F
When no Rh antigens are expressed on the RBC membrane, the term ____ is used to express the phenotype.
Rh mod
Rh null
Weak D
None
Phenotypically, erythrocytes of the partial D type react similarly to:
Low grade weak D
High grade weak D
D positive RBCs
Weak D negative RBCs
Production of antibodies peaks when an individual is between:
3 and 5 years of age
4 and 8 years of age
5 and 10 years of age
6 and 12 years of age
Inconsistent results of forward and reverse grouping must be resolved. Pertinent information on patients are necessary, EXCEPT;
History of pregnancy
Medications
Record of multiple sex partners
Age
None
Rh antibodies are usually produced following exposure of the individual’s immune system to foreign red cells either through.
Transfusion or Autoimmune disease
Hemolytic transfusion reaction or hemolytic disease T
transfusion reaction or pregnancy
Hemolytic transfusion reaction or HDNF
Rh negative individuals can arise from different mutations and are common among the following ethnic background, EXCEPT;
Asian
African
Whites
European
None
A pregnant woman produces an antibody directed at an antigen present on fetal cells but absent from maternal cells usually at the second pregnancy.
HDFN
TRALI
IgG cross-over
TRIM
Antibodies present before 3 to 6 months of age are:
IgM maternal antibodies
IgG maternal antibodies
Newborn’s own antibodies
Option 1 & 2
The Rh antigen on the RBC is normal but the steric arrangement of the C antigen in relationship with the D antigen appears to interfere with the execution of the D antigen thus resulting in its weakened expression.
Inheritance of RHD genes
Partial D phenomenon
Position effect
Extreme low number of D Ag sites
In the Rosenfield alpha/numeric terminology, a number is assigned to each antigen of the Rh system in order of its discovery.
T
F
The D phenotype does not code for the production of ____ antigen/s.
D
C
E
Option 2 & 3
Cord blood cells from newborn infants are readily tested for:
Forward and reverse blood typing
Forward typing alone
Forward typing but reverse typing can be done upon request
None
Prevention of susceptible D negative mothers from forming anti-D during pregnancy can be possible through the introduction of:
HBIG
Rh globulin
Rh immune globulin
All
Rh incompatibility can be a major cause of what complications in pregnancy?
Miscarriage
HDFN
Stillbirth
Anemia
All
D antigen is highly immunogenic that an exposure to _______ of Rh-positive RBCs can stimulate antibody production in a Rh-negative individual.
1 mL
0.1 mL
2 mL
0.2 mL
It is hypothesized that the gene for Rh produces an agglutinogen that contains blood factors to which each of the factor is an antigen acknowledged by an antibody.
Rosenfield alpha/numeric
Fisher-Race
Wiener
ISBTC
The major crossmatch consists of a mixture of:
Donor serum and patient erythrocytes
Donor serum and donor erythrocytes
Patient serum and donor erythrocytes
Patient serum and patient erythrocytes
The primary purpose(s) of the immediate spin phase major crossmatch is (are) to:
Avoid transfusion of ABO incompatible blood.
Avoid transfusion of Rh-positive blood to an RH negative person.
Demonstrate previously undetected autoantibodies.
Detect a drug-induced hemolytic anemia.
Match the type of transfusion reaction with the condition: URTICARIA.
Immediate hemolytic
Immediate nonhemolytic
Delayed hemolytic
Delayed nonhemolytic
Match the type of transfusion reaction with the condition: Hemolysis of erythrocytes during or immediately after blood infusion.
Immediate hemolytic
Immediate nonhemolytic
Delayed hemolytic
Delayed nonhemolytic
The prompt thing to do if there is occurrence of a transfusion reaction:
Notify the patient’s physician.
Call the laboratory.
Stop transfusion immediately.
Maintain IV access open.
Call the immediate family member.
A transfusion reaction can include:
Incompatibility between red cells and corresponding antibodies.
Shortened post-transfusion survival of RBCs.
An allergic response.
All
The usual consequence/s of a delayed hemolytic transfusion reaction is/are:
Shortened RBC survival in vivo.
Intravascular destruction of RBCs.
Extravascular destruction of RBCs.
Option 1 & 3
The type of cell most frequently responsible for febrile transfusion reactions is the:
Erythrocyte
Lymphocyte
Granulocyte
Platelet
Non antibody cause/s of acute hemolytic reaction/s include/s:
Leukocytes
Bacterial contamination
Infusion of hemolyzed RBCs
Option 2 & 3
Performing ____ with the patient's sample and donor's red cell is a vital consideration before conducting a crossmatch.
Hepatitis testing
ABO grouping
AHG testing
Unexpected Ab testing
Match the type of transfusion reaction with the condition: Infectious diseases.
Immediate hemolytic
Immediate nonhemolytic
Delayed hemolytic
Delayed nonhemolytic
To prevent delayed transfusion reactions, blood specimens used for compatibility testing should be no more than ____ old, if a patient has been recently transfused.
1 day
2 days
3 days
5 days
The most severe form of a transfusion reaction is:
Intravascular hemolysis
E
no more than ____ old, if a patient has been recently transfused.
1 day
2 days
3 days
5 days
The most severe form of a transfusion reaction is:
Intravascular hemolysis
Extravascular hemolysis
Iron overload
Urticaria
The following causes false positive compatibility test results, EXCEPT;
Bacterial contamination
Fibrin clots
Contaminated NSS
Dirty glasswares
None
The time allowed for the incubation of the microtube at 37°C and done after the addition of the patient's sample is:
10 minutes
15 minutes
20 minutes
30 minutes
This technology is based on the controlled centrifugation of RBCs using gel for trapping the agglutinates and is performed in a specially designed microtube.
Traditional tube method
Gel test
Slide test
Solid Phase ELISA
If a patient is group AB and donor blood of the recipient’s own group is not available, what other type can be used as packed RBCs?
A or B
A
B
A1
If a patient is group A and donor blood of the recipient’s own group is not available, what other type can be used as packed RBCs?
A
B
AB
O
If a patient is group O and donor blood of the recipient’s own type is not available, what other type/s can be used as packed RBCs?
Group A
Group AB
Group B
None
Reagents to boost antigen-antibody reactions:
Enhancement media
AHG reagent
LISS
PEG
The most frequent cause of febrile transfusion reaction is the presence of ____ in the recipient:
Erythrocyte antigen
Erythrocyte antibodies
Leukocyte antibodies
Leukocyte antigens
Tests mandatory before blood can be released for transfusion, EXCEPT;
ABO grouping
Rh grouping
Compatible crossmatch
Test for hepatitis
None
GEL test card: The appearance of a solid band of RBCs formed at top of the gel is interpreted as:
Negative
1+
2+
3+
4+
What is the recommended length of time for centrifugation in gel card crossmatch?
5 minutes
10 minutes
15 minutes
20 minutes
30 minutes
Recommended patient's sample for pre-transfusion testing:
Whole blood
Packed RBC
Serum
Citrated blood
The most common initial symptoms of an acute hemolytic reaction is:
Shock and urticaria
Fever with or without chills
Pain in the lower back
Urticaria
A febrile transfusion reaction is defined as a rise in body temperature of ___ occurring in association with the transfusion of blood or components and without any other explanation.
1°F or more
5° C or more
1 °C or more
5° F or more
The factor/s that determine/s whether a transfusion reaction will be acute or delayed and intravascular or extravascular is/are:
The volume of incompatible RBCs infused.
Antibody class and subclass.
Achievement of an optimal temperature for antibody binding.
All
The mixing between the recipient’s serum with donor RBCs and centrifuging immediately:
Antiglobulin crossmatch
Albumin crossmatch
Immediate spin crossmatch
All
What is the required RBC suspension needed for crossmatch using the gel technology?
5%
3%
8%
0.8%
10%
At centrifugation, what will happen to the large RBC agglutinates?
Passed through the length of the microtube.
Passing through is not possible since they will remain trapped at the top of the gel.
RBCs are dissolved.
They will remain settled at the bottom of the microtube.
Match the type of transfusion reaction with the condition: Graft-versus-host disease
Immediate hemolytic
Immediate nonhemolytic
Delayed hemolytic
Delayed nonhemolytic
A reaction where unagglutinated RBCs pass through the column of the microtube forming a pellet at the bottom after centrifugation.
Negative
Mixed-field
1+
3+
2+
The poorest ABO choice of blood for an AB recipient is:
Group A
Group B
Group AB
Group O
Considered as the utmost advantage of gel technology:
Offers consistent test result
Offers stable test result
Offers standardization of the test
Offers sample restrictions
A substitute blood group for an 'O' blood.
AB
A
B
All
None
The phase in the major crossmatch where it detects clinically significant agglutinating or hemolyzing antibodies and those of the Rh antibodies and Lewis system.
AHG phase
Saline phase
Protein phase
Immediate spin phase
Ratio between patient's serum and donor's red cell in tube method crossmatch:
2 drops ; 2 drops
2 drops; 1 drop
1 drop; 2 drops
None
The most frequent cause of fatal transfusion reactions is:
Mislabelling of blood samples.
Errors in laboratory records.
Misidentification of patients.
Crossmatching that failed to detect Ab.
The presence of all coagulation factors can be found in:
RBCs
Cryoprecipitate
Plasma
Plasma 24
Option 3 & 4
Identify the donor deferral as appropriate: Positive for HIV antibody
Temporary deferral
Indefinite deferral
Permanent deferral
No deferral
Which of the following infections can be potentially transmitted through blood or blood component transfusion?
Anemia
Malaria
Hepatitis C
AIDS
All
Allogeneic donor must have a hematocrit count of at least:
38%
33%
40%
36%
Leukocytes are reduced to a certain extent inorder to diminish HLA alloimmunization and CMV transmission. As to what count is it reduced?
less than 5x10 to the power of 6
less than 1x10 to the power of 6
less than 2x10 to the power of 6
less than 4x10 to the power of 6
Granulocyte transfusions are clinically appropriate for:
Patients who have infections.
Patients who have life-threatening systemic infections that are uncontrolled by antibiotics.
Patients needing granulocytes from a single unit of blood.
Option 1 & 2
A standardized medical history questionnaire in blood donation was developed by task force consists of:
FDA and AABB
International Red Cross
AABB, FDA & blood & plasma industry
AABB and the blood industry
Product of fractionation of pooled plasma and useful in treating patients requiring volume replacement.
Platelets
Albumin
Factor IX
Cryoprecipitate
Registration of donors includes the following data, EXCEPT;
Gender
Contact number
Date of birth
Race
None
An allogeneic donor should weigh at least:
60 kg
55 kg
65 kg
50 kg
Donor-patient is also referred to as:
Allogeneic
Directed
Single donor
Autologous
None
What blood component is most often recommended and transfused to infants below four months of age?
Whole blood
RBC aliquots
Packed RBCs
All
The most common cause of allergic reactions:
RBCs
Plasma protein
bacterial contamination of platelets
Blood drawn into CPDA-1
A donor experiencing convulsions defines what
type of donor reaction?
mild
moderate
severe
acute
The ideal interval for blood donation is _____ to
give time for the body to replenish the lost fluids
and red cells.*
A. every month
B. every 3 to 4 months
C. once a year
D. every 2 weeks
a
b
c
d
Minimum retention time for donor records: *
a. 2 to 10 years
b. 2 years
c. 5 to 10 years
d. 3 yrs
a
b
c
d
