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CHT EXAM COMPLETE STUDY GUIDE QUESTIONS WITH CORRECT ANSWERS

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CHT EXAM COMPLETE STUDY GUIDE QUESTIONS WITH CORRECT ANSWERS

Institution
CHT
Course
CHT

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CHT EXAM COMPLETE STUDY GUIDE
QUESTIONS WITH CORRECT ANSWERS


It is possible to convert the plasma
| | | | | |




into serum by recalcifying the plasma and allowing coagulation to occur.
| | | | | | | | | |



|- CORRECT ANSWER✔✔-Calcium is added to the plasma to form a
| | | | | | | | | | |



complex with the citrate present in the anti-coagulant. This restores a
| | | | | | | | | | |



normal
ionized calcium level allowing clotting to occur.
| | | | | |




Polyspecific antiserum |




can be______ with lymphocytes to determine if there is a single
| | | | | | | | | | |



antibody or multiple | |




antibodies. - CORRECT ANSWER✔✔-absorbed | | |




Another application of lymphocyte
| | |




absorption is to use the patient's own cells to remove_____. Absorption
| | | | | | | | | |



can be performed
| | |




at cold or warm temperatures depending on the type of antibody. -
| | | | | | | | | | | |



CORRECT ANSWER✔✔-autoantibody |

,_________ are typically | |




cold reacting (4oC) and________are typically warm reacting (22-37oC). -
| | | | | | | |



CORRECT ANSWER✔✔-Autoantibodies
| |




| B cell antibodies
| |




Patient serum may contain autoantibodies and/or IgM antibodies that
| | | | | | | | |



may interfere the binding of
| | | |




anti-HLA IgG antibodies to the antigen. In complement dependent
| | | | | | | | |



assays (CDC), IgM antibodies | | |




can activate complement; potentially leading to ___________. -
| | | | | | | |



CORRECT ANSWER✔✔-false positive reactivity.
| | |




DTT - CORRECT ANSWER✔✔-dithiothreitol, also known as Cleland's
| | | | | | | |



Reagent


DTT inactivates IgM molecules by cleaving the _________ in the
| | | | | | | | |




pentamer structure. - CORRECT ANSWER✔✔-disulphide bonds
| | | | |




Heat inactivation works by cleaving the disulphide bonds in the
| | | | | | | | |




pentamer structure, but is less specific than _____. - CORRECT
| | | | | | | | | |



ANSWER✔✔-DTT.


ALA - CORRECT ANSWER✔✔-therapeutic antilymphocyte
| | | |

,antibodies


Thymoglobulin - CORRECT ANSWER✔✔-purified, pasteurized, gamma| | | | | |



immune globulin, |




obtained by immunization of rabbits with human thymocytes
| | | | | | |




OKT3 - CORRECT ANSWER✔✔-a murine IgG monoclonal antibody
| | | | | | | |



directed against CD3 | |




If these therapeutic antilymphocyte
| | |




antibodies are present in the patient serum, they can cause_______
| | | | | | | | | |



reactivity in |




T cell cytotoxic assays. - CORRECT ANSWER✔✔-false positive
| | | | | | |




ALA removal is accomplished by absorption using _____coated with
| | | | | | | | |



anti-rabbit or anti-mouse immunoglobulin for Thymoblobulin or OKT3,
| | | | | | | |



respectively. - CORRECT ANSWER✔✔-magnetic beads
| | | |




serum preparations - CORRECT ANSWER✔✔-1. Recalcificiation of
| | | | | | |



plasma
2. Adsorption with lymphocytes
| | |




3. Inactivation of IgM antibodies
| | | |




a. DTT treatment
| |

, b. Heat Inactivation
| |




4. Depletion of therapeutic anti-lymphocyte antibodies from serum
| | | | | | |




Why is calcium added to plasma to convert it to serum? - CORRECT
| | | | | | | | | | | | |



ANSWER✔✔-Calcium is added to the plasma to combine with the | | | | | | | | | |



citrate present in the anticoagulant.
| | | |




This restores a normal ionized calcium level and allows clotting to occur.
| | | | | | | | | | |




At what temperature should serum absorption with lymphocytes be
| | | | | | | | |



performed? - CORRECT ANSWER✔✔-Typically, auto-antibodies are cold
| | | | | | |



reacting and should be absorbed at 4oC while alloantibodies
| | | | | | | |




are warm reacting and should be absorbed at 37oC.
| | | | | | | |




DTT treatment is more specific than heat treatment in
| | | | | | | |




removing IgM antibodies. However, DTT can also affect the _______ in
| | | | | | | | | | |



IgG antibodies. - CORRECT ANSWER✔✔-disulfide bonds
| | | | |




What happens if we don't remove OKT3 prior to cytotoxicity assays? -
| | | | | | | | | | | |



CORRECT ANSWER✔✔-OKT3 is a monoclonal antibody directed against
| | | | | | | |



the CD3 molecule. Therefore, the
| | | |




binding of OKT3 to any CD3+ cell will activate complement and lyse the
| | | | | | | | | | | | |



target cell. This results
| | |




in falsely positive reactivity.
| | |

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Institution
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