BL - Immunohemotology ABO/Rh Flashcards

1
Q

Red cells do not carry _____ in humans, and the antigens they do carry are much less polymorphic in the population (that is, many fewer alleles).

A

MHC antigens

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2
Q

When people repeatedly need ____, which do bear HLA (Class I), they may develop an alloimmunization problem, in which case HLA typing as well becomes necessary.

A

platelets

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3
Q

_____ are glycolipids found on the surface of all body cells.

A

Blood group antigens

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4
Q

The ____ spans the plasma membrane, and the terminal sugars confer the antigenic specificity (A, B, or O).

A

lipid backbone

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5
Q

A set of _____ assemble the basic “core” sugar chain which almost everybody has, called the “H” antigen.

A

glycosyl transferases

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6
Q

A final glycosyl transferase adds one of three alleles: ____.

A

A, B, or AB

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7
Q

Type O blood only has the _____ and no working transferase.

A

basic core H antigen

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8
Q

Red cells do not carry MHC antigens in humans, and the antigens they do carry are much less ____ in the population (that is, many fewer alleles).

A

polymorphic

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9
Q

Blood group antigens are _____ found on the surface of all body cells.

A

glycolipids

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10
Q

When people repeatedly need platelets, which do bear HLA (Class I), they may develop an ______ problem, in which case HLA typing as well becomes necessary.

A

alloimmunization

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11
Q

The lipid backbone spans the plasma membrane, and the ____ confer the antigenic specificity (A, B, or O).

A

terminal sugars

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12
Q

A set of glycosyl transferases assemble the basic “core” sugar chain which almost everybody has, called the _____.

A

H antigen

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13
Q

____ only has the basic core H antigen and no working transferase.

A

Type O blood

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14
Q

_____ blood have a glycosyl transferase allele which puts an additional different sugar on the H antigen.

A

Group A and B

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15
Q

What is the Bombay phenotype?

A

blood type without the H antigen, so all other blood including O is foreign

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16
Q

What Abs does type A blood carry?

A

anti B

17
Q

What Abs does type O blood carry?

A

anti A and anti B

18
Q

What are antibodies to blood antigens called?

A

isohemagglutinins

19
Q

What class of antibody are isohemagglutinins?

A

IgM

20
Q

What Abs does type AB blood carry?

A

none

21
Q

What is the Rh system?

A

proteins coding for the D/d loci; positive = D positive. Make Ab to it if you are Rh(-) and receive (+) cells

22
Q

What is a major crossmatch?

A

Abs in the recipient’s plasma that can cross-react to the donor’s RBCs

23
Q

What happens in a major crossmatch reaction?

A

complement-mediated hemolysis, free hemoglobin deposition in the kidneys, and renal failure

24
Q

What is the crossmatch test?

A

plasma from recipient is mixed with RBCs from donor- look for hemolysis or agglutination. Positive test = not a match; negative test = compatible

25
Q

What is the antiglobulin (Coombs) test?

A

Ab against human Ig to detect human Ig on the surface of RBCs (direct) or plasma (indirect)

26
Q

What is hemolytic disease of the newborn?

A

when Rh(+) babies are born to Rh(-) mothers; mom exposed and makes Abs during first pregnancy, so during 2nd pregnancy mom’s Abs cross the placenta and destroy the fetus’ RBCs

27
Q

What are the s/s of hemolytic disease of the newborn?

A

jaundice, cerebral palsy, death

28
Q

How is hemolytic disease of the newborn prevented?

A

RhoGAM shots to mom after first baby

29
Q

What is another name for hemolytic disease of the newborn?

A

erythroblastosis fetalis

30
Q

Why don’t mom’s isohemagglutinins attack the fetus’ RBCs, no matter the blood type?

A

they’re IgM and cannot cross the placenta

31
Q

What are heterophile Abs?

A

Abs to one antigen that bind to another; cross-reactive Abs

32
Q

Give an example of a heterophile Ab.

A

Ab in pts with mono also reacts to horse RBCs; Ab in pts with Syphillis react to the bacterium Treponema pallidum and beef heart