Rh Blood Group Flashcards
(96 cards)
1
Q
Most complex red cell antigen system
A
Rh blood group
2
Q
RhD and RhCE genes proposed by
A
Patricia Tippett
3
Q
Location of RhD and RhCE gene
A
Chromosome 1
4
Q
Location of RhAG gene
A
Chromosome 6
5
Q
Controls expression of RhD, RhCe, RhcE, RhCE, Rhce
A
RhD and RhCE genes
6
Q
Co-expressor but itself cannot express any Rh antigen
A
RhAG gene
7
Q
Presence of 3 separate genes linked on the same chromosome and are inherited as a group of 3
A
Fisher-Race
8
Q
A single locus on a gene carries entire Rh system
A
Weiner
9
Q
DCE nomenclature
A
Fisher-Race
10
Q
Rh-Hr Terminology
A
Wiener
11
Q
DCe
A
R1
12
Q
DcE
A
R2
13
Q
DCE
A
Rz
14
Q
dcE
A
r”
15
Q
dCe
A
r’
16
Q
dCE
A
ry
17
Q
R0r
A
Dce/dCe
18
Q
R1R2
A
DCe/DcE
19
Q
R1r”
A
DCe/dcE
20
Q
Rzr
A
DCE/dce
21
Q
R2r’
A
DcE/dCe
22
Q
r’r”
A
dCe/dcE
23
Q
R0
Fisher-Race:
Blood factors:
A
Dce
Rh0hr’hr”
24
Q
R1
Fisher-Race:
Blood factors:
A
DCe
Rh0rh’hr”
25
R2
Fisher-Race:
Blood factors:
DcE
Rh0hr’rh”
26
Rz
Fisher-Race:
Blood factors:
DCE
Rh0rh’rh”
27
r
Fisher-Race:
Blood factors:
dce
hr’hr”
28
r’
Fisher-Race:
Blood factors:
dCe
rh’hr”
29
r”
Fisher-Race:
Blood factors:
dcE
hr’rh”
30
ry
Fisher-Race:
Blood factors:
dCE
rh’rh”
31
Most common in Blacks
R0r
32
Most common in Asian/Whites
R1r
33
Four most common genotypes
R1, R2, r, R0
34
African-American common genotype
R0 > r > R1 > R2
35
Caucasians common genotype
R1 > r > R2 > R0
36
System that assigns a number to each antigen in order of its discovery or recognized relationship to Rh system
Rosenfield
37
Alpha-numeric terminology
Rosenfield
38
Rh1
D
39
Rh2
C
40
Rh3
E
41
Rh4
c
42
Rh5
e
43
R1r
Fisher-Race:
Rosenfield:
Common or Rare
DCe/dce
1,2,-3,4,5
Common
44
R1R1
Fisher-Race:
Rosenfield:
Common or Rare
DCe/DCe
1,2,-3,-4,5
Common
45
rr
Fisher-Race:
Rosenfield:
Common or Rare
dce/dce
-1,-2,-3,4,5
Common
46
R1R2
Fisher-Race:
Rosenfield:
Common or Rare
DCe/DcE
1,2,3,4,5
Common
47
R2r
Fisher-Race:
Rosenfield:
Common or Rareo
DcE/dce
1,-2,3,4,5
Common
48
R2R2
Fisher-Race:
Rosenfield:
Common or Rare
DcE/DcE
1,-2,-3,4,-5
Common
49
r’r
Fisher-Race:
Rosenfield:
Common or Rare
dCe/dce
-1,2,-3,4,5
Rare
50
r’r’
Fisher-Race:
Rosenfield:
Common or Rare
dCe/dCe
-1,2,-3,-4,5
Rare
51
r”r
Fisher-Race:
Rosenfield:
Common or Rare
dcE/dce
-1,-2,3,4,5
Rare
52
r”r”
Fisher-Race:
Rosenfield:
Common or Rare
dcE/dcE
-1,-2,3,4,5
Rare
53
R0r (R0R0)
Fisher-Race:
Rosenfield:
Common or Rare
Dce/dce (Dce/Dce)
1,-2,-3,4,5
Rare
54
r’r” (ryr)
Fisher-Race:
Rosenfield:
Common or Rare
dCe/dcE (dCE/dce)
-1,2,3,4,5
Rare
55
D
ISBT:
004001
56
C
ISBT:
004002
57
E
ISBT:
004003
58
c
ISBT:
004004
59
e
ISBT:
004005
60
First 3 number of ISBT represents
the system collection and series
61
Last 3 numbers of ISBT represents
antigenic specificity
62
Rh antigens are well developed at birth and therefore easily cause ____
HDN
63
Anti-D
incompatible %:
compatible %:
85%
15%
64
Anti-C
incompatible %:
compatible %:
70%
30%
65
Anti-E
incompatible %:
compatible %:
30%
70%
66
Anti-c
incompatible %:
compatible %:
80%
20%
67
Anti-e
incompatible %:
compatible %:
98%
2%
68
Weak D (Du) is common in what race?
Blacks
69
Weak D is detected by
IAT
70
Allele carrying RhD is in trans position to the allele carrying C
C in trans to RhD/ Positional D
71
D antigen is expressed completely but fewer in numbers. Rarely makes anti-D sinces changes are inside RBCs
Genetic weak D
72
One or more epitopes within the D antigen is missing altered
Partial D/D mosaic
73
Partial D donor is considered
Rh (+)
74
Partial D recipient is considered
Rh (-)
75
D—/D—
Rh deletion
76
—-/—-
Rh null
77
Normal RhD & RhE genes
RhAG expression
Regulator Rh null
78
Normal RhAG gene
Mutated RhCE
Deleted RhD
Amorphic Rh null
79
Partial suppression of Rh gened caused by RhAG mutation
Rh mod
80
Compount antigen when c and e are in cis position
f (c,e)
81
Caused by single amino acid change on RhCE protein
Cw
82
Compound antigen when C and e are present
Rhi (Ce)
83
Present on D+C-/D-C+/D+C+
Not on D-C-
G (DC)
84
Strong expression of D because of Cc/Ee expression
Exalted D
85
Not naturally occuring antibodies and only form upon exposure such as pregnancy and transfusion
Rh antibodies
86
Igs of Rh antibodies that are warm reacting and reacts at 37oC
IgG
87
Most clinical significant IgG in Rh
IgG1 & IgG3
88
Complement fixation IgG in Rh
IgG3 > IgG1 > IgG2
89
Non-complement binding IgG in Rh
IgG4
90
Best Rh IgG at crossing placenta
IgG1 > IgG4 > IgG3
91
Rh IgG that cannot cross placenta
IgG2
92
Most dominant Rh IgG in adults
IgG1 > IgG2 > IgG3 > IgG4
93
HTRs due to Rh incompatibilities usually results in
Extravascular hemolysis in the liver and spleen
94
How much of the exposure to Rh (+) can stimulate antibody production in an Rh (-)
0.1 mL
95
Warm Rh autoantibodies appears to what antibody specificity
Anti-E like specificity
96
Warm Rh autoantibodies appears to what antibody specificity
Anti-E like specificity