Immunohematology Flashcards

(37 cards)

0
Q

antibodies are found?

A

serum or plasma

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1
Q

Antigens are found in the?

A

surface of the rbc

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2
Q

substances that have the capability to stimulate the production of an antibody

A

antigen

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3
Q

typical mw of antigens

A

10 000 Dalton

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4
Q

relation of complexity of antigen and stimulation

A

directly related

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5
Q

consequence of stability of the Ab stimulation

A

unstable - less stimulation (easily degrades)

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6
Q

order of immunogenicity pf blood antigens

A

A, B, and D > Kell > Duffy > Kidd

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7
Q

antibody composed of

A

2 heavy and 2 light chain

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8
Q

how many fragments are produced when Ab is by enzymes

A

3
2 Ag binding fragments (Fab)
1 crystallizable fragment (Fc)

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9
Q

reacts with foreign Ag not present on the patient’s own RBC

produced as a result of immune stimulation via transfusion or pregnancy

A

Alloantibodies

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10
Q

reacts with Ag on patient’s own cells & with that same Ag on the cells of other individuals

A

Autoantibodies

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11
Q

single most important blood group for selection and transfusion of blood

A

ABO blood group

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12
Q

most frequent phenotype expressed

A

O phenotype

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13
Q

type A has what antigen?

A

A

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14
Q

Type B has what antigen?

A

B

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15
Q

Type AB has what antigen?

16
Q

Type O has what antigen?

17
Q

type A has what antibody

18
Q

type B has what antibody?

19
Q

Type AB has what antibody

20
Q

Type O has what antibody

21
Q

what is responsible for the specificity of the blood?

A

sugar molecule

A and B genes produce enzyme transferase which attaches the sugar molecule of the antigen

22
Q

responsible for the H specificity

23
Q

Immunodominant sugar in Type A

A

N-Acetylgalactosamine

24
Acquired A happens when
1 infection with Proteus mirabilis | 2 Tn activated erythrocytes
25
immunodominant sugar responsible for B specificity
D-Galactose
26
Acquired B happens when
1 infection with Proteus vulgaris 2 Ca of colon 3 intestinal obstruction 4 E coli O86 infection
27
it is required to produce either A or B antigen
H antigen
28
phenotype that does not produce H antigen
hh (Bombay phenotype) produce anti-H antibodies
29
most common and mist antigenic Type A
A1
30
differentiate A1 and A2
antisera specific for A1 Ag (anti-A1 lectin) prepared from seed Dolichos biflorus
31
Null phenotypes?
Bombay (Oh) No A, B or H antigenon red cells & secretions With anti-A, anti-B & anti-H in their sera Para- Bombay Absent or trace A, B, H Ag
32
Newborm Ab detected?
3-6 months of age
33
Other characteristics of ABO Ab
IgM | Reacts at room temperature
34
Direct or Forward Typing
Patient's cells containing unknown antigens tested with known antisera Test for antigen
35
Anti-A, B
Not a mixture of anti-A and anti-B Ag
36
Indirect or reverse typing
Known antigen (cell) vs unknown Ab (patient's serum)