BB Basics 2 Flashcards

1
Q

Antigen antibody type of reaction and what is binding

A

Lock and Key mechanism. Antibody binds to an epitope on immunogen

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2
Q

Affinity

A

Strength of a single antibody-antigen bond determined by the sum of attractive and repulsive forces

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3
Q

Avidity

A

Binding strength of a multivalent antigen with antibody. Measure of functional affinity

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4
Q

What needs to happen in order for chimerism to occur

A

Twins must be dizogotic, share an amniotic sac and a blood vessel

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5
Q

What does an EDTA tube chelate

A

Ca++

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6
Q

What happens in a clot tube

A

Ca++ is free and the complement cascade can still be active

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7
Q

Antibody excess zone

A

Prozone - leads to false negatives

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8
Q

Antigen excess

A

Postzone - can lead to false negatives

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9
Q

The right antigen antibody concentration zone

A

Zone of equivalence

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10
Q

What does centrifugation do

A

Brings reactants closer together to overcome zeta potential. Also decreases reaction time

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11
Q

Zeta potential theory

A

Difference in charge of an ionic cloud that surrounds an RBC causes cells to stay apart or repel

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12
Q

Ideal pH for ag-ab reaction

A

6.5-7.5

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13
Q

Antibodies that like to react at pH lower than 6.5

A

M and Pr

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14
Q

Ideal reaction temperature for IgM

A

22C or below

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15
Q

Ideal reaction temperature for IgG

A

37 and AHG

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16
Q

Number of IgM binding sites and how much more efficient it is at agglutinating

A

10 sites. 750 times more efficient

17
Q

Ideal time to read a reaction (curve)

A

During the high association low dissociation log phase

18
Q

Steps in agglutination

A

Sensitization-> Lattice formation-> Agglutination.
In IgM the first 2 can happen at the same time

19
Q

Steps in agglutination when adding IgG

A

Sensitization->Opsonization->AHG->Lattice formation

20
Q

How are polyclonal vs monoclonal reagents made

A

Polyclonal - animals injected
Monoclonal - hybridoma cells

21
Q

Hybridoma cell

A

Cancer cell that continues to replicate, allows plasma cell to survive a long time

22
Q

How does AHG work

A

Fab region of AHG binds to Fc region of already bound IgG

23
Q

What does a DAT detect

A

In-vivo coating of RBCs

24
Q

What type of tube should be used for a DAT

A

EDTA. Clot tubes may give a false positive C3 result

25
What must a sample include to be acceptable
Full first and last name and at least 1 unique identifier (DOB, MRN, armband)
26
How long is a babies sample good for
4 months as long as baby is not discharged
27
Why are XM performed at IS
To detect ABO incompatibility
28
Why are XM performed at 37 and AHG
37 is for transitioning IgM to IgG antibodies AHG is for IgG compatibility
29
Antigen enhanced by enzymes
ABO, I, Lewis, Rh, P, Kidd
30
Antigens resistant to enzymes
Kell, Lutheran, s, U
31
Antigens sensitive to enzymes
Fy, MN, S
32
Antigen destroyed by DTT
Kell, Lutheran, CD38, Knops, LW
33
Sulfhydryl reagents
DTT, 2-ME, AET, ZZAP, WARM, EGA, chloroquine
34
Neutralization for Lewis
Saliva
35
Neutralization for P or P1
Pigeon egg whites or liver flukes
36
Neutralization for Sda
Urine
37
Neutralization for Ch/Rg
Fresh plasma