Hematology Week 1: Transfusion Medicine Flashcards

1
Q

Question 1

A

B 17 years old

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2
Q

Question 2

A

A IgM

IgM is large and can fix complement as well as cause vascular hemolysis

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3
Q

Question 3

A

D Group AB

because it is plasma

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4
Q

ABO Blood Groups

A
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5
Q

ABO Inheritance

A
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6
Q

Prevalence of ABO Types

A
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7
Q

Blood Components

A
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8
Q

Indications for RBC Transfusion

A
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9
Q

Non emergency Indications for RBC Transfusion

A
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10
Q

Question 4

A

2 units

because 1 unit of RBCs 1g/dL increase

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11
Q

RBC Post-transfusion Increment

A
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12
Q

Plasma

A
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13
Q

Indications for plasma transfusion

A
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14
Q

Platelets

A
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15
Q

Indications for Platelet Transfusion

A
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16
Q

Platelet dysfunction indications for platelet transfusion

A
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17
Q

Cryoprecipitate

A
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18
Q

Cryoprecipitate contents and storage

A
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19
Q

Indications for Cryoprecipitate

A
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20
Q

Question 5

A

RBCs

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21
Q

Question 6

A

B Platelet dysfunction

Bernard-soulier platelet dysfunction

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22
Q

What is needed to know to safely transfuse?

A
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23
Q

Question 7

Sarah is O neg

Derek is AB neg

A

No

because her whole blood has anti A and anti B antibodies

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24
Q

can a group O mom give birth to a AB child

A

NO

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25
Q

Question 8

A

D dog

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26
Q

Rh Blood Group

A
27
Q

Biggest Clinical concerns of RhD

A
28
Q

Required testing for RBC Transfusion

A
29
Q

Agglutination reactions

A
30
Q

Front type & Back Type of ABO typing

A

Front type is patient RBCs

Back Type is patient plasma

31
Q

Antibody screen

A
32
Q

Antibody screen process

A

incubate with anti IgG

Agglutination rxn is positive

33
Q

RBC Antibody screen

A
34
Q

Antibody screen clinical significance and caveats

A
35
Q

Crossmatch

A
36
Q

Direct Crossmatch

A
37
Q

Direct Antiglobulin test

A

DAT

38
Q

DAT indications

A
39
Q

How DAT works?

A
40
Q

Question 9

A

D

O- blood with AB plasma

41
Q

Question 10

A

C

A+ blood with A plasma

42
Q

O- RBC

A
43
Q

Emergency Release RBCs

A
44
Q

Emergency Release Plasma

A
45
Q

HDFN AKA

A

Hemolytic Disease of the Fetus and Newborn

46
Q

HDFN

A
47
Q

Why is IgG helpful to pass to the fetus?

A
48
Q

The second most common cause for HDFN

A
49
Q

HDFN PAthogenesis

A
50
Q

Prevention of Anti-D HDFN

A
51
Q

Question 11

A

D

K antibodies cross the placenta and attack fetal erythroblasts with resultant anemia

Actually, attack erythroblasts in the bone marrow and can be very devastating

52
Q

Leukocyte Reduction

A
53
Q

Product Modifications

A

Leukocyte Reduction

54
Q

Reduce risk of CMV transmission through transfusion

A

Leukocyte reduction

55
Q

Irradiating Blood Products

A
56
Q

GVHD Mortality

A

>90%

57
Q

Indications for irradiation

A
58
Q

Transfusion take-home points

A
59
Q

Question 12

A

D

100,000

60
Q

Question 13

A

C

20-24 *C 5 days

61
Q

What is stored at 20-24 *C for 5 days?

A

Platelets

62
Q

What is stored at 1-6 *C for 5 days?

A

RBCs

63
Q

What is stored at -18 *C for 1 year?

A

Cryoprecipitate or plasma

64
Q

Question 14

A

D

Transfusion-associated GVHD

Danger of family member transfusion isthat we may not recognize their cells are foreign but theirs might