WorksheetsBB-6
Total questions: 124
Worksheet time: 1hrs 2mins
Name
Class
Date
1.
Excluding ABO, __ is rated second only to D in immunogenicity
a)
Kell antigen
b)
Kx antigen
c)
Anti-K
2.
Well developed at birth, expression is very weak on McLeod phenotype cells
a)
Kell antigen
b)
Kx antigen
c)
Anti-K
3.
expression is dependent upon the presence of the Kx protein
a)
Kell antigen
b)
Kx antigen
c)
Anti-K
4.
It is present on all RBCs except those of the rare McLeod phenotype
a)
Kell antigen
b)
Kx antigen
c)
Anti-K
5.
K0 and Kmod phenotype RBCs have increased __ antigen
a)
Kell antigen
b)
Kx antigen
c)
Anti-K
6.
It is the most common antibody encountered in blood bank
a)
Kell antigen
b)
Kx antigen
c)
Anti-K
7.
It is the most common antibody encountered in blood bank
a)
Kell antigen
b)
Kx antigen
c)
Anti-K
8.
It is made in response to antigen exposure through pregnancy and transfusion
a)
Kell antigen
b)
Kx antigen
c)
Anti-K
9.
It is associated with severe hemolytic disease of the newborn
a)
Kell antigen
b)
Kx antigen
c)
Anti-K
10.
Anti-K is usually __ and reactive in the antiglobulin phase
a)
IgG
b)
IgM
c)
Either
d)
Neither
11.
Antibodies are rare because so few people are exposed to the antigen
a)
Antibodies to Kpa, Jsa, and other low frequency Kell antigens
b)
Antibodies to k, Kpb, Jsb, and other high frequency Kell antigen
12.
Most often detected through unexpected incompatible crossmatches or cases of HDN
a)
Antibodies to Kpa, Jsa, and other low frequency Kell antigens
b)
Antibodies to k, Kpb, Jsb, and other high frequency Kell antigen
13.
rare, because so few people lack the antigen
a)
Antibodies to Kpa, Jsa, and other low frequency Kell antigens
b)
Antibodies to k, Kpb, Jsb, and other high frequency Kell antigen
14.
Male, inheritance is X-linked through a carrier mother
a)
McLeod phenotype
b)
K0 phenotype
c)
Anti-Ku
15.
Rare phenotype with decreased Kell system antigen expression and abnormal RBC morphology, which has been associated with X-linked CGD, which is rare disorder affecting only males
a)
McLeod phenotype
b)
K0 phenotype
c)
Anti-Ku
16.
RBCs lack Kx and Km, and have marked depression of all other Kell antigens
a)
McLeod phenotype
b)
K0 phenotype
c)
Anti-Ku
17.
K0 RBCs lack expression of all Kell antigens
a)
McLeod phenotype
b)
K0 phenotype
c)
Anti-Ku
18.
mmunized individuals with the K0 phenotype typically make an antibody called __ that recognizes the “universal” Kell antigen (Ku) present on all RBCs except K0
a)
McLeod phenotype
b)
K0 phenotype
c)
Anti-Ku
19.
Named for Mr. Duffy, a multiply transfused hemophiliac who in 1950 was found to have the first described example of anti-Fya
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
20.
Members of the superfamily of chemokine receptors DARC
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
21.
Named after Mrs. Kidd, whose infant had HDFN
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
22.
It is found in the donor named Lutteran
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
23.
The antigens are either high prevalence, so only a few people lack the antigen and can make an alloantibody, or very low prevalence, so that only a few people are ever exposed
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
24.
Antigens have not been detected on platelets, lymphocytes, monocytes, or granulocytes
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
25.
Drug-induced Autoantibody associated with ___ on patient receiving Aldomet/Methyldopa and another was chlorpropamide-dependent
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
26.
glycoproteins is widely distributed in tissue: brain, lung, pancreas, placenta, skeletal muscle, and hepatocytes
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
27.
It is composed of 22 antigens; three sets of independent pairs of antithetical antigens
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
28.
antigen has served as a useful tool in anthropologic studies of Mongolian ancestry
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
29.
Antigens are located on the anion exchanger (AE1) or solute carrier family-4 anion exchanger, member 1 (SLC4A1)
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
30.
Associated with hereditary spherocytosis, acanthocytosis, and southeast asian ovalocytosis
a)
Duffy blood group
b)
Kidd blood group
c)
Lutheran blood group
d)
Diego blood group
31.
Identified on fetal red cells as early as 6 weeks gestational age and well developed at birth
a)
Fya and Fy b antigen
b)
Fy (a-b-)
c)
Fy3 antigen and anti-Fy3
32.
Destroyed by common proteolytic enzymes
a)
Fya and Fy b antigen
b)
Fy (a-b-)
c)
Fy3 antigen and anti-Fy3
33.
Resistant to Plasmodium knowlesi and Plasmodium vivax
a)
Fya and Fy b antigen
b)
Fy (a-b-)
c)
Fy3 antigen and anti-Fy3
34.
Found in the serum of an Fy(a–b–)
a)
Fya and Fy b antigen
b)
Fy (a-b-)
c)
Fy3 antigen and anti-Fy3
35.
not destroyed by enzymes
a)
Fya and Fy b antigen
b)
Fy (a-b-)
c)
Fy3 antigen and anti-Fy3
36.
Antibody activity is enhanced in a low ionic strength medium
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
37.
Some examples show dosage effect
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
38.
the most common antibody found in Duffy
a)
Anti-Fya
b)
Anti-Fyb
39.
Do not react with enzyme treated cells
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
40.
Have a notorious reputation in the blood bank; usually IgG but may also be partly IgM
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
41.
It shows dosage effect; Common cause of hemolytic transfusion reactions, especially of the delayed type, although intravascular hemolysis has been noted in server reactions, coated RBCs more often are removed extravascularly
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
42.
Experienced technologists recognize Lutheran antibodies by their characteristic loose, MIXED-FIELD reactivity in a test tube
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
43.
Antibody is made in response to pregnancy or transfusion
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
44.
It has been implicated with shortened survival of transfused cells and posttransfusion jaundice
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
45.
a rare antibody that reacts with all RBCs except Lu(a–b–) RBCs
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
46.
The antibody looks like inseparable anti-Luab and recognizes a common antigen, Lu3, that is present whenever Lua or Lub is present
a)
Anti-Fya and Anti-Fyb
b)
Anti-Jka and Anti-Jkb
c)
Anti-Lua
d)
Anti-Lub
e)
Anti-Lu3
47.
Anti- Fya and Anti-Fyb are usually __ and react best at the antiglobulin phase
a)
IgG
b)
IgM
c)
Either
d)
Neither
48.
Anti-Lua is mostly __, naturally occurring saline agglutinins that react better at room temperature than at 37°C
a)
IgG
b)
IgM
c)
Either
d)
Neither
49.
Anti-Lub most examples are __ and reactive at 37°C
a)
IgG
b)
IgM
c)
Either
d)
Neither
50.
Commonly found on RBCs of most individuals
a)
Jka and Jkb antigen
b)
Allo-anti Jk3
c)
Lua and Lub antigen
51.
Not denatured by papain or ficin
a)
Jka and Jkb antigen
b)
Allo-anti Jk3
c)
Lua and Lub antigen
52.
It is an IgG antiglobulin-reactive antibody that looks like an inseparable anti-Jka Jkb
a)
Jka and Jkb antigen
b)
Allo-anti Jk3
c)
Lua and Lub antigen
53.
It has been associated with severe immediate and delayed HTRs and with mild HDFN
a)
Jka and Jkb antigen
b)
Allo-anti Jk3
c)
Lua and Lub antigen
54.
Although the antigens have been detected on fetal RBCs as early as 10 to 12 weeks of gestation, they are poorly developed at birth
a)
Jka and Jkb antigen
b)
Allo-anti Jk3
c)
Lua and Lub antigen
55.
HDFN is rare and only mild at birth
a)
Jka and Jkb antigen
b)
Allo-anti Jk3
c)
Lua and Lub antigen
56.
Lutheran glycoprotein on placental tissue may result in adsorption of maternal antibodies to Lutheran antigens, thus decreasing the likelihood of HDFN
a)
Jka and Jkb antigen
b)
Allo-anti Jk3
c)
Lua and Lub antigen
57.
has been detected in fetal RBCs as early as 11 weeks
a)
Jka
b)
Jkb
58.
has been detected at 7 weeks
a)
Jka
b)
Jkb
59.
high incidence antigen
a)
Yta
b)
Ytb
60.
low incidence antigen
a)
Yta
b)
Ytb
61.
The Cartwright (Yt) system consists of which antigens?
a)
Yta (low incidence) and Ytb (high incidence)
b)
Yta (high incidence) and Ytb (low incidence)
c)
Both Yta and Ytb are high incidence
d)
Both Yta and Ytb are low incidence
62.
Yt antigens are antithetical and differ by:
a)
Differences in carbohydrate chains
b)
Mutations in the ABO gene
c)
An amino acid substitution on acetylcholinesterase
d)
Lipid rearrangements in the RBC membrane
63.
The RBC protein associated with the Yt antigens is:
a)
Band 3
b)
Acetylcholinesterase (GPI-linked)
c)
Glycophorin A
d)
Glycophorin B
64.
a)
X-linked genes only
b)
X chromosome and Grand Rapids
c)
X chromosome and Glasgow
d)
A patient named Xavier Ford
65.
Expression of the Xga antigen differs between sexes because:
a)
Females inherit two X chromosomes
b)
Males have stronger immunogenicity
c)
Xga is only maternally inherited
d)
Xga is autosomal dominant
66.
Approximately what percentage of FEMALES express Xga?
a)
25%
b)
50%
c)
66%
d)
89%
67.
Approximately what percentage of MALES express Xga?
a)
25%
b)
50%
c)
66%
d)
89%
68.
The Xga antigen is carried on a protein homologous to:
a)
CD55
b)
CD21
c)
CD99
d)
CD59
69.
Anti-Xga antibodies are usually:
a)
IgM, cold-reactive
b)
IgG, reactive at AHG phase
c)
IgA only
d)
Neutralized by saliva
70.
The Scianna blood group system contains which antigens?
a)
Sc1
b)
Sc1, Sc2
c)
Sc1, Sc2, Sc3
d)
Sc1, Sc2, Sc3, Sc4
71.
The gene for the Scianna blood group is found on:
a)
Chromosome 1p34
b)
Chromosome 6p21
c)
Chromosome 9q34
d)
Chromosome 19q13
72.
The protein product of the SC gene is:
a)
Glycophorin
b)
ERMAP
c)
Kell glycoprotein
d)
Band 4.1 protein
73.
Sc2 antigen is more common in which population?
a)
Ashkenazi Jews
b)
Mongolian ancestry
c)
Mennonite population
d)
Asian population
74.
Sc2 prevalence of 1% is characteristic of:
a)
East Asians
b)
Northern Europeans
c)
Sub-Saharan Africans
d)
Pacific Islanders
75.
The very rare Scianna phenotype Sc:–1,–2,–3 is known as:
a)
Scianna weak type
b)
Scianna silent type
c)
Scianna null type
d)
Scianna variant type
76.
Antigens are carried on a mono-ADP-ribosyltransferase 4 attached to the RBC membrane by a GPI anchor
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
77.
Antibodies are described as IgG, red cell-stimulated antibodies that react primarily in IAT with polyethylene glycol (PEG) or enzyme enhancement - not associated with HDN, but reported to cause delayed transfusion reaction
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
78.
Antigens are carried on an integral membrane protein, aquaporin 1, which accounts for 80% of water reabsorption in the kidneys
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
79.
antigens have been located on the transport protein known as channel-forming integral protein (CHIP), which forms the primary erythrocyte water channel and is responsible for water permeability
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
80.
Formerly the rabbit anti-Rh
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
81.
Antibody reacts strongly with D+ RBCs, weakly with D- RBCs from adults, and not at all with Rhnull RBCs
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
82.
The structure that carries the __ antigens is a glycoprotein known as intracellular adhesion molecule 4 (ICAM-4), a member of the immunoglobulin superfamily
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
83.
antigens are not intrinsic to the RBC membrane, rather, they are on the fourth component of the complement (C4), and are adsorbed onto RBCs from plasma
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
84.
could be neutralized by plasma
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
85.
antigens are inherited on chromosome 2 and are expressed on glycophorins (GPC) and/or D (GPD)
a)
Dombrock Blood group
b)
Colton Blood group
c)
Landsteiner-Wiener Blood group
d)
Chido/Rogers Blood group
e)
Gerbich blood group
86.
Yus
a)
Ge: -2, 3, 4
b)
Ge -2, -3, 4
c)
Ge -2, -3, -4
87.
Leach type
a)
Ge: -2, 3, 4
b)
Ge -2, -3, 4
c)
Ge -2, -3, -4
88.
Anti-Ge2 or anti-Ge3
a)
Ge: -2, 3, 4
b)
Ge -2, -3, 4
c)
Ge -2, -3, -4
89.
Anti-Ge2
a)
Ge: -2, 3, 4
b)
Ge -2, -3, 4
c)
Ge -2, -3, -4
90.
Gerbich
a)
Ge: -2, 3, 4
b)
Ge -2, -3, 4
c)
Ge -2, -3, -4
91.
Antigens are carried by decay accelerating factor, which is involved with the regulation of complement activation by accelerating the decay of the C3 and C5 convertase
a)
Cromer blood group
b)
Knops blood group
c)
Indian blood group
d)
Ok blood group
92.
DAF is strongly expressed on placental tissue and will adsorb ___ antibodies
a)
Cromer blood group
b)
Knops blood group
c)
Indian blood group
d)
Ok blood group
93.
Alleles for the __ blood group have been located on chromosome 1, with the antigens residing on complement receptor 1
a)
Cromer blood group
b)
Knops blood group
c)
Indian blood group
d)
Ok blood group
94.
Helgeson phenotype represents the serologic null phenotype for the __ blood group
a)
Cromer blood group
b)
Knops blood group
c)
Indian blood group
d)
Ok blood group
95.
In antigens are carried on the hematopoietic isoform of the CD44 marker, which is known for its immune adhesion properties
a)
Cromer blood group
b)
Knops blood group
c)
Indian blood group
d)
Ok blood group
96.
antibodies are characterized as IgG, red cell stimulated, and reactive in IAT
a)
Cromer blood group
b)
Knops blood group
c)
Indian blood group
d)
Ok blood group
97.
Antigens are carried on CD147, a member of the immunoglobulin superfamily that mainly functions as receptors and adhesion molecules
a)
Cromer blood group
b)
Knops blood group
c)
Indian blood group
d)
Ok blood group
98.
Basigin is a receptor essential for invasion by Plasmodium falciparum
a)
Cromer blood group
b)
Knops blood group
c)
Indian blood group
d)
Ok blood group
99.
MER2 is the only antigen
a)
Raph Blood group
b)
John Milton Hagen Blood Group
c)
Gill Blood Group
100.
MER2 is located on CD151, a tetraspanin, which appears to be essential for the assembly of basement membranes in the kidney and skin
a)
Raph Blood group
b)
John Milton Hagen Blood Group
c)
Gill Blood Group
101.
protein is the GPI-linked glycoprotein CD108
a)
Raph Blood group
b)
John Milton Hagen Blood Group
c)
Gill Blood Group
102.
MER2 is located on?
a)
CD99
b)
CD55
c)
CD108
d)
CD151
103.
JMH protein is the GPI-linked glycoprotein
a)
CD99
b)
CD55
c)
CD108
d)
CD151
104.
does not have Rh blood group antigens; however, its presence in a complex with the Rh proteins is essential for Rh antigen expression
a)
RHAG
b)
FORS
c)
JR
d)
LAN
105.
Absence due to inactivating mutations results in the Rhnull phenotype; while some missense mutations here result in the Rhmod phenotype
a)
RHAG
b)
FORS
c)
JR
d)
LAN
106.
glycosphingolipid was first thought to be a subgroup of A called Apae
a)
RHAG
b)
FORS
c)
JR
d)
LAN
107.
The GBGTI gene produces glycosyltransferase, which causes the formation of the Forssman glycolipid by the addition of N-acetylgalactosamine (GalNAc) to the P antigen
a)
RHAG
b)
FORS
c)
JR
d)
LAN
108.
can serve as a receptor for pathogens such as Escherichia coli, making one believe that human cells that express the FORS1 may have an increased susceptibility to E. coli infection
a)
RHAG
b)
FORS
c)
JR
d)
LAN
109.
a high-prevalence antigen in most populations; the Jr(a–) phenotype is found more commonly in Japanese
a)
RHAG
b)
FORS
c)
JR
d)
LAN
110.
The gene ABCG2 is located on chromosome 4 at position 4q22.1. The encoded protein, ABCG2, is a member of the adenosine triphosphate (ATP) binding cassette transporters broadly distributed throughout the body. It is involved in multidrug resistance in tumor cells, presenting a problem in chemotherapy
a)
RHAG
b)
FORS
c)
JR
d)
LAN
111.
ene, ABCB6, located on chromosome 2 at position 2q36, encodes another of the ATP-binding cassette transporters.4 ABCB6 functions in heme synthesis with the ATP-dependent uptake of heme and porphyrins into mitochondria
a)
RHAG
b)
FORS
c)
JR
d)
LAN
112.
Absence of SMIM1, a single pass integral membrane protein
a)
Vel
b)
CD59
c)
Augustine
d)
Kanno
113.
▪ Paroxysmal nocturnal hemoglobinuria (PNH) is an acquired hemolytic anemia caused by a mutation in the GPI-linker gene. PNH patients are deficient in all GPIlinked proteins, including ---
a)
Vel
b)
CD59
c)
Augustine
d)
Kanno
114.
First described in 1967 in the serum of a black woman named Mrs. Augustine
a)
Vel
b)
CD59
c)
Augustine
d)
Kanno
115.
Located on the prion protein (PrPC) classically associated with Creutzfeuldt-Jakob disease
a)
Vel
b)
CD59
c)
Augustine
d)
Kanno
116.
Associated with HLA class I antigens
a)
SID
b)
Choline Transporter-like Protein 2
c)
Bennett Goodspeed Antigens
117.
The soluble form of Sda is Tamm-Horsfall glycoprotein found in urine
a)
SID
b)
Choline Transporter-like Protein 2
c)
Bennett Goodspeed Antigens
118.
a high-prevalence antigen named for Sid, who was the head of the maintenance department at the Lister Institute in London
a)
SID
b)
Choline Transporter-like Protein 2
c)
Bennett Goodspeed Antigens
119.
Antibody is an IgM agglutinin reactive at room temperature, but it can be detected in the indirect antiglobulin test and does not react with cord RBCs
a)
SID
b)
Choline Transporter-like Protein 2
c)
Bennett Goodspeed Antigens
120.
Reactivity is described as small, refractile (shiny) agglutinates in a sea of free RBCs
a)
SID
b)
Choline Transporter-like Protein 2
c)
Bennett Goodspeed Antigens
121.
Widely expressed on human tissues, including neutrophils, lymphocytes, and platelets
a)
SID
b)
Choline Transporter-like Protein 2
c)
Bennett Goodspeed Antigens
122.
The human neutrophil antigen HNA3 is located on
a)
SID
b)
Choline Transporter-like Protein 2
c)
Bennett Goodspeed Antigens
123.
Alloantibodies to HNA3a have been associated with several cases of transfusionrelated acute lung injury (TRALI)
a)
SID
b)
Choline Transporter-like Protein 2
c)
Bennett Goodspeed Antigens
124.
a GPI-linked complement-regulatory glycoprotein also known as the membrane inhibitor of lysis (MIRL)
a)
Vel
b)
CD59
c)
Augustine
d)
Kanno
100 %
