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BB 1 Quiz

Total questions: 161

Worksheet time: 1hrs 21mins

Name
Class
Date
1.

Proper blood typing procedure

a)

Quality control testing is done rarely.

b)

Uncalibrated centrifuge.

c)

Cell suspension is too light.

d)

Serum & antiserum is added first than reagent cells.

e)

None

2.

Find the best answer/s: It is recommended that results in blood grouping should be recorded immediately in order to:

a)

Avoid delay in the result.

b)

Avoid transcription errors.

c)

Avoid the filing up of unrecorded results

d)

Option 1 & 3

3.

An individual who has a phenotype B is genotypically expressed as:

a)

BB, AB, BO

b)

AA, AB, AO

c)

BB, BO

d)

Option 1 & 3

4.

In blood grouping, this will show weak reactions with Anti-B sera particularly for patients diagnosed of having carcinoma of the colon

a)

Acquired A phenomenon

b)

Oh

c)

Acquired B phenomenon

d)

None

5.

FACTS on A1 and A2 phenotypes, EXCEPT;

a)

Greater percentage of Group A individuals are A1.

b)

A1 is agglutinated with certain type of lectin while A2 does not.

c)

B. simplicifolia, a type of lectin, can be used in the differentiation between A1 and A2.

d)

A1 results in the production of higher antigen sites on RBCs than A2

6.

In blood typing, ________ occurs when the red cell testing does NOT agree with the serum testing result.

a)

Agglutination

b)

Discrepancy

c)

Chimerism

d)

Hemolysis

e)

Rouleaux formation

7.

Select whether the following is a characteristic of Anti-A and Anti-B: Requires 37°C to agglutinate

a)

True

b)

False

8.

Observation of agglutination in blood grouping is initially made by gently disturbing the tube containing the cell and the serum and viewing the:

a)

fluid above the cell.

b)

button and the fluid above the cell.

c)

Both

d)

mixture readily under the microscope.

e)

All

9.

Hemolysis is interpreted as a positive reaction in ABO typing BECAUSE lysis represents the destruction of the RBC membrane due to antigen-antibody reaction.

a)

The first and the second statements are true.

b)

The first statement is false and the second statement is true.

c)

The first and second statements are false.

d)

The first statement is true and the second statement is false.

10.

The sugar/s responsible for H specificity is/are:

a)

Galactose

b)

Fucose

c)

Galactosamine

d)

Glucose

11.

RPM too high in centrifugation may result to: *

a)

False positive result

b)

False negative result

c)

Either

d)

Neither

12.

Monoclonal antiserum is routinely used in Blood Banking because of the following reasons, EXCEPT;

a)

Uniformly reactive

b)

Well characterized and clear reagents

c)

Highly specific

d)

None

e)

Option 1 & 3

13.

Probable cause of false negative result in blood grouping, EXCEPT; *

a)

Old reagents

b)

Undercentrifugation

c)

Over centrifugation

d)

Cell suspension is too light

e)

None

14.

This comes from seed extracts that agglutinate human cells with some degree of specificity

a)

Colloids

b)

Latex beads

c)

Lectins

d)

Dolichos biflorus

e)

Prepared RBC antigens

15.

An immunoglobulin that is normally found in trace concentrations in serum and is important in allergic reactions.

a)

IgG

b)

IgA

c)

IgM

d)

IgD

e)

IgE

16.

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:

a)

Clerical errors

b)

Typographic errors

c)

Technical errors

d)

Option 1 & 3

e)

Discrepancies

17.

Select whether the following is a characteristic of Anti-A and Anti-B: Agglutinate in saline-suspended erythrocytes

a)

T

b)

F

18.

Select whether the following is a characteristic of Anti-A and Anti-B: Do not produce in vivo or in vitro hemolysis.

a)

T

b)

F

19.

Infants up to 6 months of age

a)

Low antibody titer

b)

Anti-A titer higher than Anti-B titer

c)

Dust, pollen, bacteria

d)

Stimulated by foreign erythrocytes

e)

None

20.

Commonly used blood bank anti-sera should be routinely stored at _______ when not in use.

a)

-20°C to -10°C

b)

0°C to 2°C

c)

-10°C to 0°C

d)

2°C to 6°C

21.

The precursor structure on which the A and B antigens are made: *

a)

h Antigen

b)

ABO Antigens

c)

Se genes

d)

H Antigen

e)

hh Antigen

22.

The major bond/s formed between antigens and antibodies is/are:

a)

Hydrophobic

b)

Hydrogen bonding

c)

Option 3

d)

Electrostatic forces

e)

All

23.

Antibodies or immunoglobulins are complex proteins with specificity to antigens. These antibodies are produced by:

a)

Dendritic cells

b)

B lymphocytes

c)

Plasma cells

d)

T cells

24.

Advantages of washed red cells in blood bank, EXCEPT; *

a)

Removal of plasma which interferes in the reaction.

b)

Retention of free serum globulins which will not interfere in the reaction.

c)

Removal of interfering proteins.

d)

None

25.

“Naturally occurring” antibodies *

a)

Low antibody titer

b)

Anti-A titer higher than Anti-B titer

c)

Dust, pollen, bacteria

d)

Stimulated by foreign erythrocytes

e)

None

26.

The red blood cells of these individuals are absent with the normal ABH antigens and a double dose of the "h" gene is inherited.

a)

Ah

b)

Bh

c)

Oh

d)

hh

27.

How many drops of anti-sera is needed in blood typing? *

a)

1 drop

b)

3 drops

c)

Either

d)

Neither

28.

Reaction of patients RBCs (A2) with Anti-A1 lectin reagent:

a)

Presence of agglutination

b)

No agglutination

c)

Presence of hemolysis

d)

No hemolysis

29.

Factor/s that may affect antigen-antibody reaction: *

a)

pH

b)

Temperature

c)

Serum to red cell ratio

d)

Antibody type

e)

All

30.

The anti-sera (Anti-A & B) routinely used in blood banking have the following characteristics, EXCEPT;

a)

Polyclonal antibodies

b)

Anti-A (blue); Anti-B (yellow)

c)

Clear reagents

d)

Specific

e)

None

31.

Optimum proportion of antigen and antibody is met:

a)

Postzone

b)

Equivalence

c)

Prozone

d)

Zeta potential

e)

Agglutination

32.

Which of the following is NOT a factor that influences antigen-antibody association?

a)

The number of antibody molecules in relation to the number of antigen sites per cell.

b)

Ionic strength

c)

pH

d)

Temperature and length of time of incubation

e)

None

33.

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:

a)

Washed red blood cells

b)

Coomb’s test

c)

Saline replacement

d)

Fluid replacement

e)

Pseudo testing

34.

Which of the following is not a function of a blood bank?

a)

Recruiting and collecting blood donors.

b)

Typing, screening and preparing blood for transfusion.

c)

Directly administer blood or blood components to patients.

d)

Detecting and identifying antibodies in potential recipients.

e)

None

35.

Erythrocytes can be antigenic if their membrane contains:

a)

Foreign antigenic determinants

b)

Epitopes

c)

Both

d)

Lipid-rich surface areas

36.

Description of 3+: *

a)

Few, small aggregates, many free erythrocytes and turbid

b)

Several large aggregates, some free erythrocytes and clear

c)

Medium-sized aggregates, some free erythrocytes and clear

d)

All the erythrocytes are combined into one solid aggregate and clear

37.

The “O” gene is considered an amorph. This is because:

a)

It is homozygous “O”.

b)

It is h

38.

The “O” gene is considered an amorph. This is because:

a)

It is homozygous “O”.

b)

It is heterozygous inheriting one gene from each parent.

c)

There is no detectable antigen in response to the inherited gene.

d)

All

39.

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.

a)

Antigen

b)

Immunogen

c)

Hapten

d)

Option 1 & 2

40.

Identify the complementary antibody/ies of blood group AB.

a)

Anti-A

b)

Anti-B

c)

Both

d)

None

41.

Routine blood typing result of Patient “Kendra”: Anti-A +4 ; Anti-B 0. What is the blood type?

a)

Blood type AB

b)

Blood type O

c)

Blood type B

d)

Blood type A

42.

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.

a)

LISS

b)

PEG

c)

Proteolytic enzymes

d)

AHG

e)

All

43.

Production of antibodies peaks when an individual is between:

a)

3 and 5 years of age

b)

4 and 8 years of age

c)

5 and 10 years of age

d)

6 and 12 years of age

44.

In the primary antibody response to a foreign antigen, the type of antibody initially formed is:

a)

IgG

b)

IgA

c)

IgM

d)

IgD

e)

IgE

45.

Zeta potential:

a)

The same as the ionic cloud around the RBC.

b)

The outer edge of the ionic cloud surrounding an RBC in solution.

c)

The difference between net charge at the cell membrane and the charge at the surface of shear.

d)

Net surface charge density at the surface of the cell membrane.

46.

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:

a)

Group I

b)

Group II

c)

Group III

d)

Group IV

47.

Location of ABO genes:

a)

Chromosome 9

b)

Chromosome 18

c)

Chromosome 19

d)

Chromosome 8

48.

An example of a technical error that can result in an ABO discrepancy:

a)

Acquired B phenomenon

b)

Missing isoagglutinin

c)

Cell suspension that is too heavy

d)

Acriflavine antibodies

e)

Rouleaux formation

49.

pH is one of the important factors affecting Ag-Ab reaction. The recommended pH for routine laboratory testing is:

a)

6.0

b)

4.5

c)

7.0

d)

7.5

e)

8.0

50.

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?

a)

cDe

b)

Cce

c)

CcEe

d)

CDE

e)

CcE

51.

Characteristics of routine reagent A and B cells used in reverse typing, EXCEPT;

a)

Human source

b)

Expected 2+ to 4+ reaction

c)

Animal source

d)

4% to 5% red cell

e)

None

52.

Reverse typing by itself can be definitive for ABO grouping.

a)

T

b)

F

53.

Anti-e is a frequently encountered antibody.

a)

T

b)

F

54.

Weakened D blood donor units for transfusion is classified as:

a)

Weak D

b)

Rh (-)

c)

Rh (+)

d)

None

55.

Write: A = True; B = False The c antigen is the most potent immunogen of all of the Rh antigens.

a)

A

b)

B

56.

Cells carrying a weak D antigen require the use of what test to demonstrate its presence?

a)

Direct antiglobulin test (DAT)

b)

Routine anti-D test

c)

Indirect antiglobulin test (IAT)

d)

Washed red cells test

57.

The term Rh positive refers to the presence of:

a)

Anti-D

b)

D antigen

c)

C antigen

d)

E antigen

58.

A decrease in the antibody levels in older individuals, especially in reverse ABO blood typing may result to what reaction?

a)

Mixed field

b)

False negative

c)

False positive

d)

Option 1 & 2

59.

Major categories of ABO discrepancies are divided into:

a)

1

b)

2

c)

3

d)

4

e)

5

60.

A person who expresses no Rh antigens on the RBC is said to be partial D.

a)

F

b)

T

61.

ABO antibodies decrease in strength as individuals grow older, THUS in elderly patients, the agglutinins may be difficult to detect.

a)

A. Both statements are false.

b)

B. Both statements are true and related.

c)

C. Both statements are true but not related.

d)

D. The first statement is true and the second statement is false.

62.

Rh antibodies are predominantly:

a)

IgM

b)

IgG

c)

IgD

d)

IgA

63.

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.

a)

Rh (-)

b)

Weakened D

c)

Altered D

d)

Nulled D

64.

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?

a)

Group O Rh negative

b)

Group O D negative

c)

Group O Rh positive

d)

Group A Rh negative

65.

Genes that are likely to control the expression of Rh proteins on chromosome 1 of humans.

a)

RHC and RHCE

b)

RDe and RHCE

c)

RHD and RHCE

d)

RH and RHCE

66.

Inheritance of Rh antigen is possibly a/an:

a)

Sex-linked recessive

b)

Codominant alleles

c)

Sex-linked autosomal

d)

Autosomal recessive alleles

67.

What is the most dramatic Rh trans position effect which weakens the D antigen?

a)

Missing/altered D

b)

RHD mutation

c)

C is n trans to D

d)

All

68.

The Rh antibody was so named on the basis of antibody production by guinea pigs and rabbits when transfused with the rhesus monkey RBCs.

a)

T

b)

F

69.

Similar with the ABO blood group system, Rh antibodies also bind complement.

a)

T

b)

F

70.

Rh antibodies would best react at what temperature?

a)

25°C

b)

20°C

c)

35°C

d)

37°C

71.

Write: A = True; B = False Most Rh antibodies are stimulated by RBC antigens.

a)

A

b)

B

72.

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.

a)

Du

b)

Del

c)

Partial D

d)

C in Trans to RHD

73.

The primary function of Rh:

a)

Immunity

b)

Fluid balance

c)

Maintains structural integrity of RBCs

d)

pH stability

74.

In the Rh blood group system, D antigen is the highly immunogenic while _____ is said to be the least.

a)

C antigen

b)

E antigen

c)

c antigen

d)

e antigen

75.

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.

a)

T

b)

F

76.

The C antigen in Fisher-Race is equivalent in Weiner's nomenclature as:

a)

hr'

b)

rh'

c)

Rho

d)

rh''

e)

hr

77.

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.

a)

Wiener

b)

Fisher-Race

c)

Rosenfield

d)

ISBT

78.

The pre-warm technique is most useful in investigating which types of blood bank problems?

a)

ABO discrepancies

b)

Rh discrepancies

c)

Warm antibodies

d)

Cold antibodies

79.

That the patient’s red cell group is not what it seems

a)

Inconsistency

b)

Discrepancy

c)

Null Blood type

d)

Weak Blood type

80.

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 +.

a)

CE

b)

DCE

c)

ce

d)

cDe

81.

Rh terminologies that are based on postulated genetic theories of Rh inheritance:

a)

Wiener

b)

Fisher-Race

c)

Rosenfield ISBT

d)

Option 1 & 2

82.

One or more D epitopes within the D protein is either missing or altered:

a)

Weak D

b)

Partial D

c)

Del

d)

Steric arrangement

83.

This represents the absence of a D antigen according to Fisher-Race terminology.

a)

Rh negative

b)

Rh positive

c)

d antigen

d)

e antigen

84.

Choose the correct order of antigens that are highly immunogenic to the least.

a)

D, c, E, C, e

b)

D, e C, E, c

c)

D, c, e, E, C

d)

D, C, c e, E

85.

When D antigen expression is weakened because one or more D epitopes within the entire D protein is either missing or altered. This called:

a)

C in Trans to RHD

b)

Steric hindrance

c)

Weak D

d)

Partial D

86.

Blood donor units for transfusion are considered Rh positive if either the D or weak D test is positive.

a)

T

b)

F

87.

FACTS on Rh blood group system, EXCEPT;

a)

Highly immunogenic

b)

Rh Abs are produced only after exposure to foreign RBCs.

c)

Rh positive individual has the D antigen on their RBCs.

d)

Rh reverse typing validates an individual’s Rh blood group.

e)

None

88.

Rh antibodies are mostly IgM and can therefore cross the placenta.

a)

T

b)

F

89.

When no Rh antigens are expressed on the RBC membrane, the term ____ is used to express the phenotype.

a)

Rh mod

b)

Rh null

c)

Weak D

d)

None

90.

Phenotypically, erythrocytes of the partial D type react similarly to:

a)

Low grade weak D

b)

High grade weak D

c)

D positive RBCs

d)

Weak D negative RBCs

91.

Production of antibodies peaks when an individual is between:

a)

3 and 5 years of age

b)

4 and 8 years of age

c)

5 and 10 years of age

d)

6 and 12 years of age

92.

Inconsistent results of forward and reverse grouping must be resolved. Pertinent information on patients are necessary, EXCEPT;

a)

History of pregnancy

b)

Medications

c)

Record of multiple sex partners

d)

Age

e)

None

93.

Rh antibodies are usually produced following exposure of the individual’s immune system to foreign red cells either through.

a)

Transfusion or Autoimmune disease

b)

Hemolytic transfusion reaction or hemolytic disease T

c)

transfusion reaction or pregnancy

d)

Hemolytic transfusion reaction or HDNF

94.

Rh negative individuals can arise from different mutations and are common among the following ethnic background, EXCEPT;

a)

Asian

b)

African

c)

Whites

d)

European

e)

None

95.

A pregnant woman produces an antibody directed at an antigen present on fetal cells but absent from maternal cells usually at the second pregnancy.

a)

HDFN

b)

TRALI

c)

IgG cross-over

d)

TRIM

96.

Antibodies present before 3 to 6 months of age are:

a)

IgM maternal antibodies

b)

IgG maternal antibodies

c)

Newborn’s own antibodies

d)

Option 1 & 2

97.

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.

a)

Inheritance of RHD genes

b)

Partial D phenomenon

c)

Position effect

d)

Extreme low number of D Ag sites

98.

In the Rosenfield alpha/numeric terminology, a number is assigned to each antigen of the Rh system in order of its discovery.

a)

T

b)

F

99.

The D phenotype does not code for the production of ____ antigen/s.

a)

D

b)

C

c)

E

d)

Option 2 & 3

100.

Cord blood cells from newborn infants are readily tested for:

a)

Forward and reverse blood typing

b)

Forward typing alone

c)

Forward typing but reverse typing can be done upon request

d)

None

101.

Prevention of susceptible D negative mothers from forming anti-D during pregnancy can be possible through the introduction of:

a)

HBIG

b)

Rh globulin

c)

Rh immune globulin

d)

All

102.

Rh incompatibility can be a major cause of what complications in pregnancy?

a)

Miscarriage

b)

HDFN

c)

Stillbirth

d)

Anemia

e)

All

103.

D antigen is highly immunogenic that an exposure to _______ of Rh-positive RBCs can stimulate antibody production in a Rh-negative individual.

a)

1 mL

b)

0.1 mL

c)

2 mL

d)

0.2 mL

104.

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.

a)

Rosenfield alpha/numeric

b)

Fisher-Race

c)

Wiener

d)

ISBTC

105.

The major crossmatch consists of a mixture of:

a)

Donor serum and patient erythrocytes

b)

Donor serum and donor erythrocytes

c)

Patient serum and donor erythrocytes

d)

Patient serum and patient erythrocytes

106.

The primary purpose(s) of the immediate spin phase major crossmatch is (are) to:

a)

Avoid transfusion of ABO incompatible blood.

b)

Avoid transfusion of Rh-positive blood to an RH negative person.

c)

Demonstrate previously undetected autoantibodies.

d)

Detect a drug-induced hemolytic anemia.

107.

Match the type of transfusion reaction with the condition: URTICARIA.

a)

Immediate hemolytic

b)

Immediate nonhemolytic

c)

Delayed hemolytic

d)

Delayed nonhemolytic

108.

Match the type of transfusion reaction with the condition: Hemolysis of erythrocytes during or immediately after blood infusion.

a)

Immediate hemolytic

b)

Immediate nonhemolytic

c)

Delayed hemolytic

d)

Delayed nonhemolytic

109.

The prompt thing to do if there is occurrence of a transfusion reaction:

a)

Notify the patient’s physician.

b)

Call the laboratory.

c)

Stop transfusion immediately.

d)

Maintain IV access open.

e)

Call the immediate family member.

110.

A transfusion reaction can include:

a)

Incompatibility between red cells and corresponding antibodies.

b)

Shortened post-transfusion survival of RBCs.

c)

An allergic response.

d)

All

111.

The usual consequence/s of a delayed hemolytic transfusion reaction is/are:

a)

Shortened RBC survival in vivo.

b)

Intravascular destruction of RBCs.

c)

Extravascular destruction of RBCs.

d)

Option 1 & 3

112.

The type of cell most frequently responsible for febrile transfusion reactions is the:

a)

Erythrocyte

b)

Lymphocyte

c)

Granulocyte

d)

Platelet

113.

Non antibody cause/s of acute hemolytic reaction/s include/s:

a)

Leukocytes

b)

Bacterial contamination

c)

Infusion of hemolyzed RBCs

d)

Option 2 & 3

114.

Performing ____ with the patient's sample and donor's red cell is a vital consideration before conducting a crossmatch.

a)

Hepatitis testing

b)

ABO grouping

c)

AHG testing

d)

Unexpected Ab testing

115.

Match the type of transfusion reaction with the condition: Infectious diseases.

a)

Immediate hemolytic

b)

Immediate nonhemolytic

c)

Delayed hemolytic

d)

Delayed nonhemolytic

116.

To prevent delayed transfusion reactions, blood specimens used for compatibility testing should be no more than ____ old, if a patient has been recently transfused.

a)

1 day

b)

2 days

c)

3 days

d)

5 days

117.

The most severe form of a transfusion reaction is:

a)

Intravascular hemolysis

b)

E

118.

no more than ____ old, if a patient has been recently transfused.

a)

1 day

b)

2 days

c)

3 days

d)

5 days

119.

The most severe form of a transfusion reaction is:

a)

Intravascular hemolysis

b)

Extravascular hemolysis

c)

Iron overload

d)

Urticaria

120.

The following causes false positive compatibility test results, EXCEPT;

a)

Bacterial contamination

b)

Fibrin clots

c)

Contaminated NSS

d)

Dirty glasswares

e)

None

121.

The time allowed for the incubation of the microtube at 37°C and done after the addition of the patient's sample is:

a)

10 minutes

b)

15 minutes

c)

20 minutes

d)

30 minutes

122.

This technology is based on the controlled centrifugation of RBCs using gel for trapping the agglutinates and is performed in a specially designed microtube.

a)

Traditional tube method

b)

Gel test

c)

Slide test

d)

Solid Phase ELISA

123.

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)

A or B

b)

A

c)

B

d)

A1

124.

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)

A

b)

B

c)

AB

d)

O

125.

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?

a)

Group A

b)

Group AB

c)

Group B

d)

None

126.

Reagents to boost antigen-antibody reactions:

a)

Enhancement media

b)

AHG reagent

c)

LISS

d)

PEG

127.

The most frequent cause of febrile transfusion reaction is the presence of ____ in the recipient:

a)

Erythrocyte antigen

b)

Erythrocyte antibodies

c)

Leukocyte antibodies

d)

Leukocyte antigens

128.

Tests mandatory before blood can be released for transfusion, EXCEPT;

a)

ABO grouping

b)

Rh grouping

c)

Compatible crossmatch

d)

Test for hepatitis

e)

None

129.

GEL test card: The appearance of a solid band of RBCs formed at top of the gel is interpreted as:

a)

Negative

b)

1+

c)

2+

d)

3+

e)

4+

130.

What is the recommended length of time for centrifugation in gel card crossmatch?

a)

5 minutes

b)

10 minutes

c)

15 minutes

d)

20 minutes

e)

30 minutes

131.

Recommended patient's sample for pre-transfusion testing:

a)

Whole blood

b)

Packed RBC

c)

Serum

d)

Citrated blood

132.

The most common initial symptoms of an acute hemolytic reaction is:

a)

Shock and urticaria

b)

Fever with or without chills

c)

Pain in the lower back

d)

Urticaria

133.

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.

a)

1°F or more

b)

5° C or more

c)

1 °C or more

d)

5° F or more

134.

The factor/s that determine/s whether a transfusion reaction will be acute or delayed and intravascular or extravascular is/are:

a)

The volume of incompatible RBCs infused.

b)

Antibody class and subclass.

c)

Achievement of an optimal temperature for antibody binding.

d)

All

135.

The mixing between the recipient’s serum with donor RBCs and centrifuging immediately:

a)

Antiglobulin crossmatch

b)

Albumin crossmatch

c)

Immediate spin crossmatch

d)

All

136.

What is the required RBC suspension needed for crossmatch using the gel technology?

a)

5%

b)

3%

c)

8%

d)

0.8%

e)

10%

137.

At centrifugation, what will happen to the large RBC agglutinates?

a)

Passed through the length of the microtube.

b)

Passing through is not possible since they will remain trapped at the top of the gel.

c)

RBCs are dissolved.

d)

They will remain settled at the bottom of the microtube.

138.

Match the type of transfusion reaction with the condition: Graft-versus-host disease

a)

Immediate hemolytic

b)

Immediate nonhemolytic

c)

Delayed hemolytic

d)

Delayed nonhemolytic

139.

A reaction where unagglutinated RBCs pass through the column of the microtube forming a pellet at the bottom after centrifugation.

a)

Negative

b)

Mixed-field

c)

1+

d)

3+

e)

2+

140.

The poorest ABO choice of blood for an AB recipient is:

a)

Group A

b)

Group B

c)

Group AB

d)

Group O

141.

Considered as the utmost advantage of gel technology:

a)

Offers consistent test result

b)

Offers stable test result

c)

Offers standardization of the test

d)

Offers sample restrictions

142.

A substitute blood group for an 'O' blood.

a)

AB

b)

A

c)

B

d)

All

e)

None

143.

The phase in the major crossmatch where it detects clinically significant agglutinating or hemolyzing antibodies and those of the Rh antibodies and Lewis system.

a)

AHG phase

b)

Saline phase

c)

Protein phase

d)

Immediate spin phase

144.

Ratio between patient's serum and donor's red cell in tube method crossmatch:

a)

2 drops ; 2 drops

b)

2 drops; 1 drop

c)

1 drop; 2 drops

d)

None

145.

The most frequent cause of fatal transfusion reactions is:

a)

Mislabelling of blood samples.

b)

Errors in laboratory records.

c)

Misidentification of patients.

d)

Crossmatching that failed to detect Ab.

146.

The presence of all coagulation factors can be found in:

a)

RBCs

b)

Cryoprecipitate

c)

Plasma

d)

Plasma 24

e)

Option 3 & 4

147.

Identify the donor deferral as appropriate: Positive for HIV antibody

a)

Temporary deferral

b)

Indefinite deferral

c)

Permanent deferral

d)

No deferral

148.

Which of the following infections can be potentially transmitted through blood or blood component transfusion?

a)

Anemia

b)

Malaria

c)

Hepatitis C

d)

AIDS

e)

All

149.

Allogeneic donor must have a hematocrit count of at least:

a)

38%

b)

33%

c)

40%

d)

36%

150.

Leukocytes are reduced to a certain extent inorder to diminish HLA alloimmunization and CMV transmission. As to what count is it reduced?

a)

less than 5x10 to the power of 6

b)

less than 1x10 to the power of 6

c)

less than 2x10 to the power of 6

d)

less than 4x10 to the power of 6

151.

Granulocyte transfusions are clinically appropriate for:

a)

Patients who have infections.

b)

Patients who have life-threatening systemic infections that are uncontrolled by antibiotics.

c)

Patients needing granulocytes from a single unit of blood.

d)

Option 1 & 2

152.

A standardized medical history questionnaire in blood donation was developed by task force consists of:

a)

FDA and AABB

b)

International Red Cross

c)

AABB, FDA & blood & plasma industry

d)

AABB and the blood industry

153.

Product of fractionation of pooled plasma and useful in treating patients requiring volume replacement.

a)

Platelets

b)

Albumin

c)

Factor IX

d)

Cryoprecipitate

154.

Registration of donors includes the following data, EXCEPT;

a)

Gender

b)

Contact number

c)

Date of birth

d)

Race

e)

None

155.

An allogeneic donor should weigh at least:

a)

60 kg

b)

55 kg

c)

65 kg

d)

50 kg

156.

Donor-patient is also referred to as:

a)

Allogeneic

b)

Directed

c)

Single donor

d)

Autologous

e)

None

157.

What blood component is most often recommended and transfused to infants below four months of age?

a)

Whole blood

b)

RBC aliquots

c)

Packed RBCs

d)

All

158.

The most common cause of allergic reactions:

a)

RBCs

b)

Plasma protein

c)

bacterial contamination of platelets

d)

Blood drawn into CPDA-1

159.

A donor experiencing convulsions defines what

type of donor reaction?

a)

mild

b)

moderate

c)

severe

d)

acute

160.

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)

a

b)

b

c)

c

d)

d

161.

Minimum retention time for donor records: *

a. 2 to 10 years

b. 2 years

c. 5 to 10 years

d. 3 yrs

a)

a

b)

b

c)

c

d)

d