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ASCP CLS exam review
ASCP CLS exam review
21
Biology
Professional
10/14/2011

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Term
Discovered human blood groups in 1900
Definition
Karl Landsteiner
Term
Most common cause of ABO discrepancies (excluding clerical error)
Definition
Immunodeficiency
Term
An RBC suspension used for forward grouping that is TOO CONCENTRATED will cause false...(negative/positive)?
Definition
false negative due to antigen excess
Term
Insufficient washing of red cells in DAT testing will result in a false... (negative/positive)?
Definition
False negative due to traces of unbound globulin which neutralize the AHG reagent
Term
Approximate % of Group O individuals in the US
Definition
45%
Term
Saline containing colloidal silica will have what effect on Coomb's testing?
Definition
False positive
Term
ABO antibodies may be of what immunoglobulin class?
Definition
IgM and IgG
Term
List the blood groups in irder of decreasing H substance
Definition
O>A2>B>A2B>A1>A1B>hh
Term
Describe how the use of EDTA plasma prevents activation of complement by the classical pathway.
Definition
EDTA chelates Ca2+ ions which prevents the assembly of C1
Term
A 24 yo A neg female was transfused with 65cc or A pos RBCs. How many doses of RhIg should she receive?
Definition
5 doses; 1 dose of RhIg conteracts approx 15mL RBC, plus 1 extra dose (policy may vary depending on hospital)
Term
A pregnant A neg patient suffers a feto-maternal hemorrhage of 65cc. How many doses of RhIg should she receive?
Definition
3; a dose or RhIg conteracts approx 30mL fetal bleed, plus 1 extra dose (policy may vary depending on hospital)
Term
The only blood component containing both VonWillebrands Factor and Factor VIII
Definition
Cryoprecipitate
Term
What would be the transfusion component of choice for a bleeding patient with a prolonged bleeding time, increased PTT, decreased levels of Factor VIII antigen, and impaired platelet aggregation with ristocetin?
Definition
Cryoprecipitate
Term
How many units of platelet concentrates would be needed to raise the platelet count by 150,000/mm3 in an average sized adult?
Definition
minimum of 15, maximum of 30; one dose of platelet concentrate raises the platelet count by about 5,000-10,000/mm3
Term
A patient has experienced febrile reactions following 2 RBC transfusions. What would be the best component to use if subsequent transfusions are needed?
Definition
Leukoreduced RBCs; most febrile nonhemolytic reactions are due to cytokines released from WBCs in stored blood
Term
State the criteria for blood donors (age, oral temp, BP, Hct/Hgb, pulse, weight)
Definition
Age >16yrs
Temp: <=37.5C or 99.5F
BP <=180 systolic, <=100 diastolic
Hct >=38%, Hbg >=12.5
Pulse 50-100 beats/min
Weight >=110lbs
Term
Expiration for ACD/CPD/CPD2 anticoagulated red cells
Definition
21 days
Term
Expiration for CPDA-1 anticoagulated red cells
Definition
35 days
Term
Expiration for packed red cells containing additive solution (AS-1, AS-3, AS-5)
Definition
42 days
Term
State the calculation for determining volume or red cells to draw based on weight.
Definition
(donor weight(lbs)/110)*450 (if weight is given in kg, divide by 50 instead of 110)
Term
State the calculation for determining amount of anticoagulent to add to donor RBCs of <300mL
Definition
volume RBCs*0.14 (14%) (subtract from 63 to determine how much anticoagulent to remove from primary bag prior to draw)
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