TOPTUTOR254
TEST BANK
Modern Blood Banking & Transfusion Practices
By Denise M Harmening
7th Edition
All Chapters 1-29 | Correct & Accurate Verified Answers |Grade A+
Page 1 of 376
, TOPTUTOR254
Table of Contents
Chapter 1 RBCs and Platelet Preservation: Historical Perspectives and Current Trends .......................................................... 4
Chapter 1: Answers ................................................................................................................................................................ 13
Chapter 2. Basic Genetics Answer Section ............................................................................................................................ 23
Chapter 3. Fundamentals of Immunology .............................................................................................................................. 26
Chapter 3. Fundamentals of Immunology Answer Section ................................................................................................... 39
Chapter 4. Concepts in Molecular Biology ............................................................................................................................ 42
Chapter 4. Concepts in Molecular Biology Answer Section .................................................................................................. 52
Chapter 5. The Antiglobulin Test............................................................................................................................................ 55
Chapter 5. The Antiglobulin Test: Answers ............................................................................................................................ 64
Chapter 6. The ABO Blood Group System Answer Section .................................................................................................. 81
Chapter 7. The Rh Blood Group System ................................................................................................................................ 84
Chapter 7. The Rh Blood Group System Answer Section...................................................................................................... 94
Chapter 8. Blood Group Terminology and the Other Blood Groups....................................................................................... 97
Chapter 8. Blood Group Terminology and the Other Blood Groups Answer Section .......................................................... 138
Chapter 9. Detection and Identification of Antibodies.......................................................................................................... 148
Chapter 9. Detection and Identification of Antibodies Answer Section ............................................................................... 165
Chapter 10. Pre-Transfusion Testing .................................................................................................................................... 169
Chapter 10. Pre-Transfusion Testing Answer Section .......................................................................................................... 182
Chapter 11. Overview of the Routine Blood Bank Laboratory............................................................................................. 185
Chapter 11. Overview of the Routine Blood Bank Laboratory Answer Section .................................................................. 192
Chapter 12. Other Technologies and Automation ................................................................................................................. 194
Chapter 12. Other Technologies and Automation Answer Section ...................................................................................... 199
Chapter 13. Donor Screening and Component Preparation .................................................................................................. 200
Chapter 13. Donor Screening and Component Preparation Answer Section ....................................................................... 207
Chapter 14. Apheresis .......................................................................................................................................................... 209
Chapter 14. Apheresis Answer Section ................................................................................................................................ 221
Chapter 15. Transfusion Therapy ......................................................................................................................................... 224
Chapter 15. Transfusion Therapy Answer Section ............................................................................................................... 245
Chapter 16. Adverse Effects of Blood Transfusion .............................................................................................................. 250
Chapter 16. Adverse Effects of Blood Transfusion Answer Section .................................................................................... 269
Chapter 17. Cellular Therapy ............................................................................................................................................... 274
Chapter 17. Cellular Therapy Answer Section..................................................................................................................... 277
Chapter 18. Transfusion-Transmitted Diseases..................................................................................................................... 278
Chapter 18. Transfusion-Transmitted Diseases Answer Section .......................................................................................... 286
Chapter 19. Hemolytic Disease of the Fetus and Newborn .................................................................................................. 289
Chapter 19. Hemolytic Disease of the Fetus and Newborn (HDFN) Answers..................................................................... 301
Chapter 20. Autoimmune Hemolytic Anemias ..................................................................................................................... 304
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Chapter 20. Autoimmune Hemolytic Anemias Answer Section .......................................................................................... 318
Chapter 21. The HLA System .............................................................................................................................................. 321
Chapter 21. The HLA System Answer Section .................................................................................................................... 330
Chapter 22. Relationship Testing ......................................................................................................................................... 333
Chapter 22. Relationship Testing Answer Section ............................................................................................................... 339
Chapter 23. Quality Management ........................................................................................................................................ 340
Chapter 23. Quality Management Answer Section .............................................................................................................. 345
Answer Section .................................................................................................................................................................... 348
Chapter 25. Transfusion Safety and Federal Regulatory Requirements................................................................................ 349
Chapter 25. Transfusion Safety and Federal Regulatory Requirements Answer Section ..................................................... 354
Chapter 26. Laboratory Information Systems ...................................................................................................................... 356
Chapter 26. Laboratory Information Systems Answer Section ............................................................................................ 363
Chapter 27. Medicolegal and Ethical Aspects of Providing Blood Collection and Transfusion Services ............................ 365
Chapter 27. Medicolegal and Ethical Aspects of Providing Blood Collection and Transfusion Services ............................ 372
Chapter 28. Tissue Banking: A New Role for the Transfusion Service................................................................................. 373
Chapter 28. Tissue Banking: A New Role for the Transfusion Service Answer Section ...................................................... 376
Page 3 of 376
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Answers at the End of Each Chapter
Chapter 1 RBCs and Platelet Preservation: Historical Perspectives and Current Trends
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which metabolic pathway is responsible for generating 90% of the ATP for the RBC?
a. Pentose phosphate shuntc.Glycolysis
b. Luebering-Rapoport shuntd. Methemoglobin reductase
2. A unit of blood was returned to the blood bank before it was spiked. Apparently the patient’s IV failed. The
unit of blood was outside the blood bank for 35 minutes. Which of the statements below is most accurate?
a. The unit of blood should be discarded immediately.
b. The unit of blood can be returned to inventory.
c. The unit of blood must be transfused within 4 hours or be discarded at the end of that time.
d. The unit of blood must be transfused with 24 hours.
3. What is the average diameter of a platelet?
a. 5 to 10 µmc.1 to 2 µm
b. 2 to 4 µmd. 4 to 6 µm
4. In the normal hemoglobin-oxygen dissociation curve, what percentage of oxygen is released to the tissues
when PO2 averages 40 mm Hg?
a. 75%c.100%
b. 25%d. 50%
5. What factors are known to influence platelet metabolism and function?
a. Storage temperaturec.Platelet count
b. Initial pHd. All of the above
6. Which of the following red blood cell morphologies may be present on the peripheral blood smear as a result
of loss of RBC membrane?
a. Spherocytesc.Burr cells
b. Target cellsd. Schistocytes
7. What does the term autologous transfusion refer to?
a. A parent donating blood for his or her child
Page 4 of 376
TEST BANK
Modern Blood Banking & Transfusion Practices
By Denise M Harmening
7th Edition
All Chapters 1-29 | Correct & Accurate Verified Answers |Grade A+
Page 1 of 376
, TOPTUTOR254
Table of Contents
Chapter 1 RBCs and Platelet Preservation: Historical Perspectives and Current Trends .......................................................... 4
Chapter 1: Answers ................................................................................................................................................................ 13
Chapter 2. Basic Genetics Answer Section ............................................................................................................................ 23
Chapter 3. Fundamentals of Immunology .............................................................................................................................. 26
Chapter 3. Fundamentals of Immunology Answer Section ................................................................................................... 39
Chapter 4. Concepts in Molecular Biology ............................................................................................................................ 42
Chapter 4. Concepts in Molecular Biology Answer Section .................................................................................................. 52
Chapter 5. The Antiglobulin Test............................................................................................................................................ 55
Chapter 5. The Antiglobulin Test: Answers ............................................................................................................................ 64
Chapter 6. The ABO Blood Group System Answer Section .................................................................................................. 81
Chapter 7. The Rh Blood Group System ................................................................................................................................ 84
Chapter 7. The Rh Blood Group System Answer Section...................................................................................................... 94
Chapter 8. Blood Group Terminology and the Other Blood Groups....................................................................................... 97
Chapter 8. Blood Group Terminology and the Other Blood Groups Answer Section .......................................................... 138
Chapter 9. Detection and Identification of Antibodies.......................................................................................................... 148
Chapter 9. Detection and Identification of Antibodies Answer Section ............................................................................... 165
Chapter 10. Pre-Transfusion Testing .................................................................................................................................... 169
Chapter 10. Pre-Transfusion Testing Answer Section .......................................................................................................... 182
Chapter 11. Overview of the Routine Blood Bank Laboratory............................................................................................. 185
Chapter 11. Overview of the Routine Blood Bank Laboratory Answer Section .................................................................. 192
Chapter 12. Other Technologies and Automation ................................................................................................................. 194
Chapter 12. Other Technologies and Automation Answer Section ...................................................................................... 199
Chapter 13. Donor Screening and Component Preparation .................................................................................................. 200
Chapter 13. Donor Screening and Component Preparation Answer Section ....................................................................... 207
Chapter 14. Apheresis .......................................................................................................................................................... 209
Chapter 14. Apheresis Answer Section ................................................................................................................................ 221
Chapter 15. Transfusion Therapy ......................................................................................................................................... 224
Chapter 15. Transfusion Therapy Answer Section ............................................................................................................... 245
Chapter 16. Adverse Effects of Blood Transfusion .............................................................................................................. 250
Chapter 16. Adverse Effects of Blood Transfusion Answer Section .................................................................................... 269
Chapter 17. Cellular Therapy ............................................................................................................................................... 274
Chapter 17. Cellular Therapy Answer Section..................................................................................................................... 277
Chapter 18. Transfusion-Transmitted Diseases..................................................................................................................... 278
Chapter 18. Transfusion-Transmitted Diseases Answer Section .......................................................................................... 286
Chapter 19. Hemolytic Disease of the Fetus and Newborn .................................................................................................. 289
Chapter 19. Hemolytic Disease of the Fetus and Newborn (HDFN) Answers..................................................................... 301
Chapter 20. Autoimmune Hemolytic Anemias ..................................................................................................................... 304
Page 2 of 376
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Chapter 20. Autoimmune Hemolytic Anemias Answer Section .......................................................................................... 318
Chapter 21. The HLA System .............................................................................................................................................. 321
Chapter 21. The HLA System Answer Section .................................................................................................................... 330
Chapter 22. Relationship Testing ......................................................................................................................................... 333
Chapter 22. Relationship Testing Answer Section ............................................................................................................... 339
Chapter 23. Quality Management ........................................................................................................................................ 340
Chapter 23. Quality Management Answer Section .............................................................................................................. 345
Answer Section .................................................................................................................................................................... 348
Chapter 25. Transfusion Safety and Federal Regulatory Requirements................................................................................ 349
Chapter 25. Transfusion Safety and Federal Regulatory Requirements Answer Section ..................................................... 354
Chapter 26. Laboratory Information Systems ...................................................................................................................... 356
Chapter 26. Laboratory Information Systems Answer Section ............................................................................................ 363
Chapter 27. Medicolegal and Ethical Aspects of Providing Blood Collection and Transfusion Services ............................ 365
Chapter 27. Medicolegal and Ethical Aspects of Providing Blood Collection and Transfusion Services ............................ 372
Chapter 28. Tissue Banking: A New Role for the Transfusion Service................................................................................. 373
Chapter 28. Tissue Banking: A New Role for the Transfusion Service Answer Section ...................................................... 376
Page 3 of 376
, TOPTUTOR254
Answers at the End of Each Chapter
Chapter 1 RBCs and Platelet Preservation: Historical Perspectives and Current Trends
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which metabolic pathway is responsible for generating 90% of the ATP for the RBC?
a. Pentose phosphate shuntc.Glycolysis
b. Luebering-Rapoport shuntd. Methemoglobin reductase
2. A unit of blood was returned to the blood bank before it was spiked. Apparently the patient’s IV failed. The
unit of blood was outside the blood bank for 35 minutes. Which of the statements below is most accurate?
a. The unit of blood should be discarded immediately.
b. The unit of blood can be returned to inventory.
c. The unit of blood must be transfused within 4 hours or be discarded at the end of that time.
d. The unit of blood must be transfused with 24 hours.
3. What is the average diameter of a platelet?
a. 5 to 10 µmc.1 to 2 µm
b. 2 to 4 µmd. 4 to 6 µm
4. In the normal hemoglobin-oxygen dissociation curve, what percentage of oxygen is released to the tissues
when PO2 averages 40 mm Hg?
a. 75%c.100%
b. 25%d. 50%
5. What factors are known to influence platelet metabolism and function?
a. Storage temperaturec.Platelet count
b. Initial pHd. All of the above
6. Which of the following red blood cell morphologies may be present on the peripheral blood smear as a result
of loss of RBC membrane?
a. Spherocytesc.Burr cells
b. Target cellsd. Schistocytes
7. What does the term autologous transfusion refer to?
a. A parent donating blood for his or her child
Page 4 of 376
