WITH ANSWERS GRADED A+
◉ Which one of the following constitutes permanent rejection status of a
donor?
a. a tattoo 5 months previously
b. recent close contact with a patient with viral hepatitis
c. 2 units of blood transfused 4 months previously
d. confirmed positive test for HBsAg 10 years previously. Answer: d.
confirmed positive test for HBsAg 10 years previously
A positive rest for HbsAg at any time is an indefinite deferral.
◉ A cause for permanent deferral of blood donation is:
a. diabetes
b. residence in an endemic malaria region
c. history of jaundice of uncertain cause
,d. history of therapeutic rabies vaccine.. Answer: c. history of jaundice
of uncertain cause
Jaundice is a sign of liver impairment, which might be due to HBV or
HCV. Infection with HBV and HCV is a cause for indefinite deferral.
◉ Below are the results of the history obtained from a prospective
female blood donor:
age: 16
temp: 99.0 degree F (37.2 ˚C)
Hct: 36%
history: tetanus toxoid immunization 1 week previously
How many of the above results excludes this donor from giving blood
for a routine transfusion?
a. none
b. 1
c. 2
d. 3. Answer: b. 1
, The Hct must be >38%. A donor may be 16 unless state law differs.
Temperature must not exceed 99.5 degrees F/37.5˚C, blood pressure
must be <180mm Hg systolic and <100mm Hg diastolic, pulse 50-100
unless an athlete (which can be lower). Toxoids and vaccines from
synthetic or killed sources have no deferral.
◉ Prior to blood donation, the intended venipuncture site must be
cleaned with a scrub solution containing:
a. hypochlorite
b. isopropyl alcohol
c. 10% acetone
d. PVP iodine complex. Answer: d. PVP iodine complex
The scrub must use iodine, eg, PVP iodine complex. Donors who are
sensitive to iodine can have the area cleaned with a preparation of 2%
chlorhexidine and 70% isopropyl alcohol.
◉ All donor blood testing must include:
a. complete Rh phenotyping
b. anti-CMV testing
c. direct antiglobulin test
d. serological test for syphilis. Answer: d. serological test for syphilis