Blood Groups and Rh Factor Quiz
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Questions and Answers

Which blood group genotype can produce an A antigen?

  • AB
  • AA or AO (correct)
  • BB or BO
  • OO

What is the phenotype associated with the OO genotype?

  • A
  • B
  • AB

Which blood group has no antibodies in its plasma?

  • AB (correct)
  • B
  • A

What type of antibody is found in the plasma of an individual with blood group B?

<p>Anti-A (B)</p> Signup and view all the answers

What is the dominant gene responsible for producing the B antigen?

<p>B (A)</p> Signup and view all the answers

What can cause fetal RBCs to leak into the maternal circulation?

<p>Damaged placental membranes (D)</p> Signup and view all the answers

When is the leakage of fetal RBCs most likely to occur?

<p>During intense uterine contractions of labor (C)</p> Signup and view all the answers

How long does it typically take for a mother to produce appreciable amounts of anti-D antibodies after leakage?

<p>6-8 weeks (D)</p> Signup and view all the answers

What is typically the outcome for the fetus during the mother's first pregnancy regarding anti-D antibodies?

<p>No harm done (A)</p> Signup and view all the answers

What stimulates the production of anti-D antibodies in the mother?

<p>Fetal RBCs in the maternal circulation (A)</p> Signup and view all the answers

What is the genotype for an individual who inherits the D allele from both parents?

<p>DD (B)</p> Signup and view all the answers

Which genotypes result in a Rhesus positive blood type?

<p>DD and Dd (A)</p> Signup and view all the answers

What condition might occur when an Rh-negative woman has a child with an Rh-positive father?

<p>Hemolytic Disease of the Newborn (D)</p> Signup and view all the answers

If a child has a dd genotype, what does that indicate about the parents' alleles?

<p>Both parents contributed a d allele. (C)</p> Signup and view all the answers

Which of the following statements about the D-gene and d allele is true?

<p>The D-gene is dominant over the d allele. (B)</p> Signup and view all the answers

What causes hemolysis in the fetus during Rhesus Disease?

<p>Maternal antibodies crossing the placental barrier (C)</p> Signup and view all the answers

What is one common syndrome associated with Hemolytic Disease of the Newborn?

<p>Hydrops foetalis (D)</p> Signup and view all the answers

What is a consequence of increased hemolysis in Rhesus Disease?

<p>Elevated levels of bile pigments (C)</p> Signup and view all the answers

Why is Rhesus Disease usually more severe in subsequent pregnancies?

<p>Maternal antibody response becomes stronger (B)</p> Signup and view all the answers

What is the primary indicator of jaundice caused by Rhesus Disease in newborns?

<p>Accumulation of bilirubin (B)</p> Signup and view all the answers

What is a characteristic of Hydrops Foetalis?

<p>The fetus is characterized by edema or swelling. (A)</p> Signup and view all the answers

Which statement describes Icterus Gravis Neonatorum?

<p>Jaundice occurs within 24 hours after birth. (D)</p> Signup and view all the answers

What can occur to the fetus in cases of Hydrops Foetalis?

<p>The fetus may die in-utero. (C)</p> Signup and view all the answers

What is a key preventive measure for Hemolytic Disease of the Newborn?

<p>Avoiding Rhesus positive blood transfusions to Rhesus negative females. (B)</p> Signup and view all the answers

Which of the following describes a typical outcome in cases of Hydrops Foetalis?

<p>Neonates may die shortly after birth. (A)</p> Signup and view all the answers

What is the purpose of administering anti-D immunoglobulin to a rhesus-negative mother after delivery?

<p>To prevent Rh incompatibility in future pregnancies (D)</p> Signup and view all the answers

Which procedure is considered the best treatment for severe hemolytic diseases like hydrops fetalis?

<p>Exchange blood transfusion (EBT) (D)</p> Signup and view all the answers

In the exchange blood transfusion (EBT) procedure, what is replaced with compatible rhesus-negative blood?

<p>The neonate’s blood (D)</p> Signup and view all the answers

What is the first step in managing potential Rhesus incompatibility in expecting couples?

<p>Conduct medical premarital genetic testing and counseling (D)</p> Signup and view all the answers

How is blood withdrawn from the neonate during the EBT procedure?

<p>Via a catheter through the umbilical vein (A)</p> Signup and view all the answers

Flashcards

D-gene

The gene responsible for determining an individual's Rhesus blood group.

d allele

The allele that determines a Rhesus negative blood type. It's present when the D-gene is absent.

Homozygous Rhesus Genotype

A genetic combination where both alleles for the D-gene are the same, resulting in either DD (positive) or dd (negative) phenotypes.

Heterozygous Rhesus Genotype

A genetic combination where one allele is 'D' and the other is 'd', resulting in a Rhesus positive phenotype.

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Hemolytic Disease of the Newborn (Rh Incompatibility)

A condition that can occur when a Rh-negative mother carries a Rh-positive fetus, potentially leading to complications in later pregnancies.

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Anti-D Antibodies

Antibodies that target the Rh D antigen, preventing the production of red blood cells in Rh-positive babies.

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Placental Membranes

The barrier between maternal and fetal blood during pregnancy. Damaged membranes can lead to fetal blood leaking into the mother's circulation.

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Fetal RBC Leakage

The process where fetal red blood cells enter the mother's bloodstream, triggering the production of anti-D antibodies.

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Hemolytic Disease of the Newborn (HDN)

A condition that develops in subsequent pregnancies when an Rh-negative mother has already been exposed to Rh-positive fetal blood. May cause complications for the fetus.

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First Pregnancy and Anti-D

The first pregnancy of an Rh-negative mother with an Rh-positive fetus usually goes without complication, as the mother has not yet developed anti-D antibodies.

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Hydrops Fetalis

The most severe form of hemolytic disease of the newborn, where the fetus develops severe swelling (edema) due to antibody-mediated destruction of red blood cells. The fetus may die in the womb (stillbirth) or be born prematurely and die shortly after birth.

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Icterus Gravis Neonatorum

A milder form of hemolytic disease of the newborn, where the baby develops jaundice (yellowing of the skin) soon after birth, usually within 24 hours. The baby may or may not be born with anemia.

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Rh Sensitization

A condition that can occur during pregnancy when a Rh-negative mother is exposed to Rh-positive blood cells, usually during delivery or a procedure like amniocentesis. This exposure triggers the mother's immune system to produce antibodies against the Rh-positive factor.

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Rh-positive Blood Transfusion to Rh-negative Females

Giving a Rh-negative mother Rh-positive blood transfusion can trigger Rh sensitization, which can lead to hemolytic disease of the newborn in future pregnancies.

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What is the cause of Rhesus disease?

Rh immune antibodies produced by a mother cross the placenta, attacking the fetal red blood cells (RBCs) leading to their destruction.

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Why is Rhesus disease worse in later pregnancies?

Rhesus disease is more severe in subsequent pregnancies due to a higher concentration of Rh antibodies in the mother's blood.

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How does Rhesus disease cause jaundice?

The increased destruction of fetal red blood cells (hemolysis) leads to an increase in bilirubin, a byproduct of red blood cell breakdown, causing jaundice.

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What is Hydrops Foetalis?

It's a condition where the fetus develops excess fluid buildup, usually due to severe anemia caused by Rhesus disease.

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What is Icterus Gravis Neonatorum (IGN)?

It's a severe form of jaundice in newborns, often caused by Rhesus incompatibility and the resulting hemolysis.

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Premarital Genetic Testing & Counseling

A pre-marriage blood test and genetic counseling session for couples to assess their Rh factor compatibility.

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Anti-D Immunoglobulin

A crucial injection given to Rh-negative mothers after delivering an Rh-positive baby. It prevents the mother from developing antibodies that can harm future pregnancies.

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Exchange Blood Transfusion (EBT)

A blood transfusion procedure for severe cases of hemolytic disease. It involves replacing the baby's blood with compatible Rh-negative blood.

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Study Notes

Rhesus Blood Group Inheritance

  • Rhesus blood group inheritance is similar to ABO blood groups.
  • The gene responsible is the D gene.
  • When the D gene is absent from the chromosome, it's space is occupied by an alleleomorph called 'd'.
  • If both parents give D, the resulting genotype is DD (homozygous).
  • If parents contribute D and d, the resulting genotype is Dd (heterozygous).
  • If parents contribute two 'd', the resulting genotype is dd (homozygous), which is Rhesus negative.
  • DD and Dd are Rhesus positive.

Hemolytic Disease of the Newborn (Rh Incompatibility)

  • This is an abnormal condition.
  • It results when a Rhesus negative woman conceives for a Rhesus positive man.
  • During pregnancy with a Rhesus positive foetus, some fetal RBCs may enter the maternal circulation.
  • This stimulates the production of anti-D antibodies in the mother.

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Description

Test your knowledge on blood group genotypes, phenotypes, and the Rh factor. This quiz covers topics such as antigen production, antibody presence, and maternal-fetal blood circulation issues. Perfect for students of biology or anyone interested in hematology!

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