ABO Flashcards

(72 cards)

1
Q

Reacts with anti-A1, anti- A

A

A1 subgroup

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2
Q

Anti-A only

A

A2 subgroup

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3
Q

Mixed field reaction with anti - A and anti- AB

A

A3 subgroup

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4
Q

Reacts with anti- AB and No reaction with anti- A

A

Ax subgroup

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5
Q

Mixed field agglutination with anti A and anti AB with only few (<10% of cells )

A

A end subgroup

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6
Q

Weak or No reaction with anti-A and anti-AB

A

Am subgroup

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7
Q

No reaction with anti-A and anti-AB, germline mutation of an A gene

A

Ay subgroup

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8
Q

No reaction with anti-A and anti-AB

A

Ael subgroup

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9
Q

Method used to confirm Am, Ay, and Ael

A

Adsorption and Elution

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9
Q
  1. An ABO type on a patient gives the following reactions:
    Patient Cells With
    Anti-A (4+)
    Anti-B (4+)
    Patient Serum With
    A1 cells (neg)
    B cells (neg)

What is the patient’s blood type?
a. O
b. A
c. B
d. AB

A

D

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10
Q

The major immunoglobulin class(es) of anti-B in a group
A individual is (are):
a. IgM.
b. IgG.
c. IgM and IgG.
d. IgM and IgA.

A

A

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11
Q

What are the possible ABO phenotypes of the offspring
from the mating of a group A to a group B individual?
a. O, A, B
b. A, B
c. A, B, AB
d. O, A, B, AB

A

D

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12
Q

The immunodominant sugar responsible for blood group
A specificity is:
a. L-fucose.
b. N-acetyl-D-galactosamine.
c. D-galactose.
d. Uridine diphosphate-N-acetyl-D-galactose.

A

B

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13
Q

What ABH substance(s) would be found in the saliva of
a group B secretor?
a. H
b. H and A
c. H and B
d. H, A, and B

A

C

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14
Q

An ABO type on a patient gives the following reactions:
Patient cells with:
Anti-A: 4+
Anti-B: 4+

Patient serum with
Anti-A1: neg
A1 cells: 4+
Anti-B: neg

The reactions above may be seen in a patient who is:
a. A1 with acquired B.
b. A2B with anti-A1.
c. AB with increased concentrations of protein in the
serum.
d. AB with an autoantibody.

A

B

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15
Q

Which of the following ABO blood groups contains the
least amount of H substance?
a. A1B
b. A2
c. B
d. O

A

A

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16
Q

You are working on a specimen in the laboratory that

you believe to be a Bombay phenotype. Which of the fol-
lowing reactions would you expect to see?

a. Patient’s cells + Ulex europaeus = no agglutination
b. Patient’s cells + Ulex europaeus = agglutination
c. Patient’s serum + group O donor RBCs = no
agglutination
d. Patient’s serum + A1 and B cells = no agglutination

A

A

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17
Q

An example of a technical error that can result in an
ABO discrepancy is:
a. Acquired B phenomenon.
b. Missing isoagglutinins.
c. Cell suspension that is too heavy.
d. Acriflavine antibodies.

A

C

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18
Q

An ABO type on a patient gives the following reactions:
Patient cells with:
Anti-A: 4+
Anti-B: neg

Patient serum with
A1 cells: 2+
B cells: 4+
O cells: 2+
Autocontrol: Neg

These results are most likely due to:
a. ABO alloantibody.
b. Non-ABO alloantibody.
c. Rouleaux.
d. Cold autoantibody.

A

B

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19
Q

Reacts with anti-B and anti-AB

A

B subgroup

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20
Q

MF reaction with anti-B and anti-AB

A

B3 subgroup

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21
Q

Weak reaction with anti-B and anti-AB

A

Bx subgroup

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22
Q

No or weak reaction with anti-B and anti-AB, converted to B if incubated with URACIL DIPHOSPHATE

A

Bel subgroup

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23
Q

Bombay phenotype was first reported by __________ in 1952 in ___________

A

Dr. Y.M. Bhende; Mumbai, India

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24
Mutation of H gene happens in Fut2 and Se gene happens in Fut1. hh genotype and O phenotype. a. Statement 1 is true, 2 is false. b. Statement 1 is false, 2 is true. c. both statements are true. d, both statements are false.
B
25
naturally occurring antibodies
ABO antibodies
26
these are plant or seed extracts that agglutinate human cells with some degree of specificity.
Lectins
27
Lectin used in Anti-A1
Dolichos biflorus
28
Lectin used in Anti-B
Bandeiraea simplicifolia
29
Lectin used in Anti-H
Ulex europaeus
30
Lectin used in Anti-N
Vicea graminea
31
Lectin used in Anti-M
Iberis amara
32
Lectin used in Anti-T,Th
Arachis hypogaea
33
Lectin used in Anti-Tn
Salvia sclarea
34
Reagent used in Forward typing
Anti-A (trypan blue), Anti-B (acriflavin yellow)
35
Positive control ensures the ______________ of the antisera; Negative control ensures the _____________ of the antisera. a. Specificity, Reactivity b. Reactivity, Specificity c. Specificity, Sensitivity d. Sensitivity, Specificity
B
36
Forward grouping detects antigens on patient's serum using Antisera (anti-A and B). Reverse grouping detects ABO antibodies in the patient's RBCs. a. Statement 1 is true. b. S2 is true. c. Both are true. d. Both are false.
D
37
Universal RBC donor
type O
38
39
Universal Plasma Donor
type AB
39
Universal RBC recipient
type AB
40
41
Most dangerous transfusion
TYPE A TO TYPE O
42
universal PLASMA Recipient
type O
42
According to Harmening, One solid agglutinate is graded as:
4+
43
According to Harmening, several large agglutinates with clear background is graded as:
3+
44
According to Harmening, medium sized agglutinates with clear background is graded as:
2+
45
According to Harmening, small agglutinates with turbid background is graded as:
1+
46
According to Harmening, tiny agglutinates with turbid background is graded as:
W+
47
48
According to Harmening, no agglutination is graded as:
0
48
conditions that cause weaker reactions:
Leukemia Chromosome translocations Hemolytic diseases Hodgkin's diseases Hypogammaglobinemia
49
Conditions that cause pseudoantigens, Acquired A phenomenon:
Proteus mirabilis T-cell inactivation
50
Conditions that cause pseudoantigens, Acquired B phenomenon:
E. coli O86 Proteus vulgaris Intestinal obstruction Carcinoma of the rectum and colon Clostridium tetanii
51
How to differentitiate acquired B from B?
acquired B cells will not react with pH <6 or >8.5
52
Most common source of ABO discrepancies
Incorrect labelling/ specimen/ recording of results
53
Group I discrepancies (NEHAPA) Resolution
patient's serum; Room temp for 15-30 mins, if neg refrigerator temp for 15 mins. Include O cell control or autocontrol.
54
Group 2 problem
FORWARD typing, weakly reacting or missing antigen
55
Group 3 problem
Forward and Reverse, Protein or Plasma Abnormalities
56
All can cause Group 3 discrepancies except: I. Wharton's jelly in cord blood samples II. Elevated fibrinogen levels III. Plasma cell dyscrasia IV. Plasma expanders V. Newborns & Elderly patients VI. ABO subgroups VII. Multiple Myeloma a. I,II, III, IV, VII b. IV only c. I, V, VI d. V and VI
D
57
Group IV discrepancies are caused by __________
miscellaneous problems
58
Used in treating RBCs after incubating in Body Temperature and washing with saline (Body Temp)
DITHIOTHREITOL
59
ISBT # of ABO blood group system
001
60
ABO is discovered by
Karl Landsteiner
61
discovered the theory of inheritance of ABO group
Bernstein
62
group O phenotype is an _______________________ trait with the inheritance of 2 genes that are non-functional
Autosomal Recessive
63
sequence of DNA that is inherited
Genotype
64
anything that is produced by Genotype
Phenotype
65
discovered the fundamental laws of inheritance
Gregor Mendel
66
ABO gene chromosome
9q'34.2
67
H and Se gene chromosome
19
68
immunodominant sugar of the ff: H gene, A gene, B gene
L-fucose; N-acetylgalactosamine, D-galactose