1True or False: In the inheritance of blood types, the A and B alleles show co-dominant expression.
True.
2Identification: Based on the co-dominance diagram, what genotype represents the recessive blood type O child?
OO.
3Identification: Based on the co-dominance diagram, what blood type is an example of co-dominance expression when a type A parent and type B parent cross?
AB.
4Identification: Name the scientist who discovered the ABO blood group system.
Karl Landsteiner.
5Identification: Name the book authored by Karl Lansteiner that established the ABO blood group system.
On the Specificity of Serologic Reactions (1936)
6Identification: Name the scientist who discovered the AB blood group or the 4th blood group of the ABO blood group system.
De castello and Alfred Sturli
7Fill in the blank: The ABO blood group system is the ONLY system where individuals have antibodies in their serum to antigens absent from their RBCs, known as ________ antibodies.
Naturally occurring.
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8True or False: Transfusion of the wrong ABO group is the leading cause of death in hemolytic transfusion reaction fatalities according to the FDA.
True.
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9Identification: Name the specific enzymes coded by ABO genes that attach sugars to a basic precursor substance.
Glycosyl transferases.
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10Fill in the blank: The basic precursor substance to which sugars are attached is called Paragloboside or ________.
Glycan.
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11Identification: What are the possible genotypes for Phenotype A?
AA, AO.
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12Identification: What are the possible genotypes for Phenotype B?
BB, BO.
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13True or False: Individuals with phenotype AB have identical genotypes and phenotypes because they inherit both A and B alleles.
True.
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14Identification: On which chromosome is the ABO gene located?
Chromosome 9.
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15Identification: On which chromosome is the H gene located?
Chromosome 19.
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16Identification: On which chromosome is the Se gene located?
Chromosome 19.
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17Fill in the blank: The ________ gene is required to form ABO antigens on red blood cells.
H.
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18Fill in the blank: The ________ gene is required to form ABO antigens in secretions.
Se.
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19True or False: The O gene is amorphic because it produces a suppressed form of the A antigen.
False.
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20Fill in the blank: An adult A1 RBC contains ________ to 1,170,000 antigen sites.
810,000-1,170,000.
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21Identification: Name the glycosyltransferase enzyme coded by the H gene.
alpha-2-L-fucosyltransferase.
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22Identification: What is the immunodominant sugar for the H antigen?
L-fucose.
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23Identification: Name the glycosyltransferase enzyme coded by the A gene.
alpha-3-N-acetylgalactosaminyltransferase.
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24Identification: What is the immunodominant sugar for the A antigen?
N-acetyl-D-galactosamine.
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25Identification: Name the glycosyltransferase enzyme coded by the B gene.
alpha-3-D-galactosyltransferase.
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26Identification: What is the immunodominant sugar for the B antigen?
D-galactose.
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27Fill in the blank: An adult B RBC carries 610,000 to ________ antigen sites.
830,000.
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28True or False: The B enzyme competes more efficiently for the H substance than the A enzyme.
True.
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29Identification: How many antigen sites are found for the A antigen in an AB individual due to enzyme competition?
600,000.
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30Identification: How many antigen sites are found for the B antigen in an AB individual due to enzyme competition?
720,000.
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31Identification: Who described the theory for the inheritance of the ABO groups in 1924?
Bernstein.
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32True or False: The inheritance of ABO blood groups follows simple Mendelian genetics where an individual inherits one ABO gene from each parent.
True.
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33True or False: The ABO gene is an autosomal trait.
True.
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34True or False: The group O phenotype is an autosomal recessive trait with the inheritance of two non-functional genes.
True.
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35Identification: What term refers to the sequence of DNA that is inherited and detected through molecular or genetic testing?
Genotype.
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36Identification: What term describes the presence of two identical alleles?
Homozygous genotype.
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37Identification: What term describes the inheritance of different alleles?
Heterozygous genotype.
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38Identification: What term refers to anything produced by the genotype, including outward characteristics detected through serological typing?
Phenotype.
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39True or False: ABO genes directly code for the production of antigens.
False.
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40Fill in the blank: The H gene is needed for the formation of the H antigen, which in turn is needed for the formation of ________ antigens.
A & B.
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41Identification: Arrange the four major blood groups in order from highest to lowest frequency.
O>A>B>AB.
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42Fill in the blank: ABO antigens form as early as the ________ day of fetal life.
37-th.
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43Fill in the blank: Neonate red blood cells carry only ________ of the number of antigenic sites found on adult RBCs.
25-50%.
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44Fill in the blank: Full expression of ABO antigens is achieved at ________ years of age and remains constant throughout life.
2-4.
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45True or False: ABO antigens can be found on RBCs, endothelial cells, platelets, lymphocytes, epithelial cells, and secretions.
True.
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46True or False: Subgroups of B are much more common and frequent than subgroups of A.
False.
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47Identification: Which B subgroup reacts normally with anti-B and anti-AB?
B.
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48Identification: Which B subgroup gives a mixed field (MF) reaction with anti-B and anti-AB and is the most frequent B subtype?
B3.
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49Identification: Which B subgroup shows a weak reaction with anti-B and anti-AB?
Bx.
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50Identification: Which B subgroup shows no or weak reaction with anti-B and anti-AB and converts to B if incubated with uracil diphosphate?
Bm.
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51Identification: Which B subgroup shows no reaction with anti-B and anti-AB and is extremely rare?
Bel.
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52Identification: What method is used to confirm the presence of Bm and Bel antigens?
Adsorption and elution.
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53True or False: ABO antibodies are normally present or easily detected at birth.
False.
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54Fill in the blank: ABO antibodies are produced at birth but are detected only at ________ months of age.
1-6.
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55Identification: What is the predominant immunoglobulin class of naturally occurring ABO antibodies?
IgM.
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56Fill in the blank: Naturally occurring ABO antibodies react best at a room temperature of ________ or below after an immediate spin.
20-24°C.
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57True or False: ABO antibodies can activate complement at 37°C to cause in vitro or in vivo hemolysis.
True.
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58Identification: Which antibody class is Anti-A,B primarily composed of?
IgG.
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59Identification: In which specific blood group phenotype is the cross-reacting antibody Anti-A,B found?
Group O.
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60Identification: What type of ABO antibodies are mostly IgG, react at 37°C, and are formed after exposure to incompatible red blood cells via transfusion or pregnancy?
Immune antibodies.
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61True or False: Lectins are plant or seed extract proteins that bind specifically to carbohydrate determinants and are not actual antibodies.
True.
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62Identification: Identify the lectin used in blood banking to detect the A1 antigen.
Dolichos biflorus.
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63Identification: Identify the lectin used in blood banking to detect the B antigen.
Griffonia simplicifolia.
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64Identification: Identify the lectin used in blood banking to detect the H antigen.
Ulex europaeus.
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65Identification: Who first reported the Bombay phenotype in 1952?
Dr. Y.M. Bhende.
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66Identification: What is the autosomal recessive genotype for the Bombay phenotype?
hh.
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67Identification: The Bombay phenotype is caused by mutations in which two specific genes?
FUT1 and FUT2.
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68True or False: The Bombay phenotype produces no H antigen and therefore cannot form A or B antigens.
True.
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69True or False: The red blood cells of a Bombay phenotype individual will strongly agglutinate with Anti-H lectin.
False.
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70Enumeration: List the four antibodies present in the serum of an individual with the Bombay phenotype.
Anti-A, Anti-B, Anti-AB, Anti-H.
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71True or False: An individual with the Bombay phenotype can safely receive blood from any group O individual because they appear as group O.
False.
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72Identification: From which specific group can a Bombay phenotype individual receive blood?
Bombay phenotype.
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73Identification: Which variant of group O is characterized by absent or trace amounts of A, B, and H antigens on RBCs but normal expression of ABH substances in secretions?
Para-Bombay phenotype.
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74Identification: What type of ABO typing utilizes known antisera to detect antigens on a patient's red blood cells?
Forward grouping.
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75Identification: What dye gives the Anti-A reagent its characteristic color?
Trypan blue.
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76Identification: What is the standard cell suspension percentage of whole blood or RBCs used for forward grouping?
2-5%.
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77True or False: The expected macroscopic reaction for a positive forward grouping is 3+ to 4+.
True.
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78Identification: Which quality control step ensures the reactivity of the antisera by using a cell that is weakly reactive for the tested antigen?
Positive control.
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79Identification: Which quality control step ensures the specificity of the antisera?
Negative control.
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80Identification: What type of ABO typing utilizes reagent red cells to detect ABO antibodies in the patient's serum?
Reverse grouping.
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81Identification: What is the standard concentration percentage of reagent red cells used in reverse grouping?
4-5%.
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82True or False: The expected macroscopic reaction for a positive reverse grouping is 2+ to 4+.
True.
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83Identification: Which ABO type presents with A antigens, reacts with Anti-A and Anti-A,B, and has Anti-B antibodies in its serum?
A.
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84Identification: Which ABO type presents with B antigens, reacts with Anti-B and Anti-A,B, and has Anti-A antibodies in its serum?
B.
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85Identification: Which ABO type presents with both A and B antigens, has no ABO antibodies in its serum, and can receive blood from A, B, AB, and O?
AB.
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86Identification: Which ABO type has no A or B antigens, contains Anti-A, Anti-B, and Anti-A,B antibodies, and can donate blood to A, B, AB, and O?
O.
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87Identification: Identify the universal RBC donor group.
O-.
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88Identification: Identify the universal plasma donor group.
AB.
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89Identification: Identify the universal RBC recipient group.
AB+.
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90Identification: Identify the universal plasma recipient group.
O.
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91Identification: In macroscopic evaluation of agglutination reactions, what grade is assigned to one solid agglutinate?
4+.
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92Identification: What grade is assigned to several large agglutinates with a clear background?
3+.
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93Identification: What grade is assigned to medium agglutinates with a clear background?
2+.
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94Identification: What grade is assigned to small agglutinates with a turbid background?
1+.
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95Identification: What grade is assigned to tiny agglutinates with a turbid background?
W+.
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96Identification: According to Henry's grading system, what score is assigned to complete or partial hemolysis (H)?
10.
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97Identification: According to Henry's grading system, what score is assigned to a 3+ reaction?
8.
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98Identification: According to Henry's grading system, what score is assigned to a 2+ reaction?
5.
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99Identification: According to Henry's grading system, what score is assigned to a 1+ reaction?
3.
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100Identification: According to Henry's grading system, what score is assigned to a +/W reaction?
2.
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101Identification: According to Henry's grading system, what score is assigned to aggregates visible only under a microscope?
1.
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102Identification: According to Henry's grading system, what score is assigned to no agglutination or hemolysis (0)?
0.
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103Identification: What evaluation term describes mixed field agglutination, defined as a minor population of agglutinated cells superimposed on a negative background?
MF.
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104Identification: What term describes a nonspecific aggregation of red blood cells resembling a stack of coins?
Rouleaux.
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105True or False: Partial or complete hemolysis is considered a positive reaction in blood banking.
True.
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106Identification: What term is synonymous with pseudo agglutination and results in a "false" agglutination?
FALSE.