Blood Type Distribution and Genetics Quiz
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Questions and Answers

Which blood type has the highest percentage distribution among Native Americans?

  • Type AB
  • Type B
  • Type O (correct)
  • Type A
  • What percentage of Whites have blood type B according to the distribution?

  • 20%
  • 11% (correct)
  • 27%
  • 4%
  • Among which racial group is blood type A the least prevalent?

  • Native Americans (correct)
  • Whites
  • Blacks
  • Asians
  • What is the total percentage of blood types A and B combined for the Asian demographic?

    <p>45%</p> Signup and view all the answers

    Which blood type has the lowest overall distribution percentage across all groups combined?

    <p>Type AB</p> Signup and view all the answers

    What modification does the FUT enzyme perform on galactose?

    <p>Adds fucose to produce the H antigen.</p> Signup and view all the answers

    Which statement about the H antigen is correct?

    <p>Type 2 H antigen is found in RBCs and secretions.</p> Signup and view all the answers

    How are ABO antigens primarily coded?

    <p>By genes located on chromosome 9.</p> Signup and view all the answers

    What is the primary immunoglobulin type for the anti-A and anti-B antibodies?

    <p>IgM, which primarily reacts at body temperature.</p> Signup and view all the answers

    At what age do ABO antibodies typically reach adult levels?

    <p>By the age of 10.</p> Signup and view all the answers

    Which statement about dosage is correct?

    <p>Anti-Z demonstrates stronger reactions in ZZ genotypes compared to ZY genotypes.</p> Signup and view all the answers

    What is the primary function of proteolytic enzymes in the context of blood banking?

    <p>To strengthen antibody-antigen reactions by enhancing antigen expression.</p> Signup and view all the answers

    In the context of neutralization, which substance is incorrectly matched with its antibody?

    <p>Human urine for P1 antibody.</p> Signup and view all the answers

    Which system is unaffected by proteolytic enzymes according to the enzyme classification?

    <p>Kell System</p> Signup and view all the answers

    Which lectin and its specificity are correctly matched?

    <p>Dolichos biflorus - A1</p> Signup and view all the answers

    What best describes the process of agglutination in blood banking?

    <p>Coating of red cells by antibodies leading to clumping.</p> Signup and view all the answers

    Which factor does NOT affect the sensitization stage of agglutination?

    <p>Presence of hemoglobin concentration</p> Signup and view all the answers

    Which type of antibody is more effective in forming a lattice structure during agglutination?

    <p>IgM due to its pentameric structure</p> Signup and view all the answers

    What is the primary impact of using Low Ionic Strength Saline (LISS) in blood banking?

    <p>Enhances the agglutination of cold antibodies and autoantibodies.</p> Signup and view all the answers

    How does polyethylene glycol (PEG) function in red cell-antibody interactions?

    <p>It excludes water, enhancing the effectiveness of warm antibodies.</p> Signup and view all the answers

    What does the Indirect Antiglobulin Test (IAT) specifically demonstrate?

    <p>In-vitro RBC coating with antibody and/or complement</p> Signup and view all the answers

    Which of the following is a use of the Direct Antiglobulin Test (DAT)?

    <p>To demonstrate in-vivo RBC coating with antibody and/or complement</p> Signup and view all the answers

    What is the purpose of using IgG-sensitized RBCs in the Coombs control?

    <p>To verify the functionality of the anti-human globulin reagent</p> Signup and view all the answers

    What does the anti-C3b, -C3d reagent primarily detect?

    <p>Complement components associated with hemolysis</p> Signup and view all the answers

    What does a forward grouping reaction of 4+ with anti-A and 0 with anti-B indicate about the patient's ABO group?

    <p>The patient is group A.</p> Signup and view all the answers

    How do certain antibodies demonstrate dosage effects during the testing of RBC antigens?

    <p>By reacting more strongly with homozygous gene expression of RBC antigens</p> Signup and view all the answers

    Consider a scenario where both forward grouping and reverse grouping show inconsistent results. What might be a possible reason for this discrepancy?

    <p>Unexpected antibodies present in the patient's serum.</p> Signup and view all the answers

    Which of the following factors can lead to unexpected antigens affecting ABO typing results?

    <p>Acquired B phenotype from a recent illness.</p> Signup and view all the answers

    Which of the following scenarios could NOT be a reason for missing antibodies in a patient?

    <p>Incorrect blood typing technique.</p> Signup and view all the answers

    What is a potential outcome if forward and reverse grouping do not show opposite reactions?

    <p>An ABO discrepancy is present.</p> Signup and view all the answers

    Which characteristic distinguishes warm-reactive antibodies from cold-reactive antibodies?

    <p>Warm-reactive antibodies typically cause hemolytic transfusion reactions (HTRs).</p> Signup and view all the answers

    What role does the Se gene (FUT2) play in blood group antigen expression?

    <p>It is responsible for the formation of A and B antigens in secretions.</p> Signup and view all the answers

    Which statement is true regarding the two types of antibodies related to blood groups?

    <p>IgG antibodies are often responsible for hemolytic disease of the newborn (HDN).</p> Signup and view all the answers

    What is the primary function of the FUT1 gene?

    <p>To code for H antigen formation on red blood cells.</p> Signup and view all the answers

    Which lectin is specific to the A1 blood group antigen?

    <p>Dolichos biflorus</p> Signup and view all the answers

    What is the primary cause of the acquired B phenotype?

    <p>Exposure to enteric gram-negative bacteria</p> Signup and view all the answers

    Which phenotype is characterized by the complete lack of H, A, and B antigens?

    <p>Bombay (Oh) phenotype</p> Signup and view all the answers

    What distinguishes the B(A) phenotype from the acquired B phenotype?

    <p>B(A) phenotype is inherited and has weak A activity</p> Signup and view all the answers

    Why are Bombay and Para-Bombay phenotypes considered similar?

    <p>Both lack H genes but differ by Se genes</p> Signup and view all the answers

    What is a significant risk associated with severe acute hemolytic transfusion reactions?

    <p>Incorrect labelling and clerical errors</p> Signup and view all the answers

    What antigen is produced by the addition of fucose in the Lewis system?

    <p>Lewis A (Le$^a$)</p> Signup and view all the answers

    Which of the following is a characteristic of Le$^a$ antigens in the Lewis system?

    <p>Are created by the FUT gene adding fucose</p> Signup and view all the answers

    What type of blood do both Bombay and Para-Bombay individuals require for transfusion?

    <p>O type blood from Bombay donors</p> Signup and view all the answers

    What is the primary action of IgM antibodies in the hemolysis process?

    <p>They require complement fixation for hemolysis.</p> Signup and view all the answers

    In which phase of tube testing are IgM antibodies most commonly detected?

    <p>Immediate Spin Phase.</p> Signup and view all the answers

    Which potentiator requires the shortest incubation time during the tube testing process?

    <p>LISS.</p> Signup and view all the answers

    What does a positive result in gel testing indicate about the RBCs?

    <p>RBCs stop in areas higher in the tube due to binding.</p> Signup and view all the answers

    What is the primary Lewis antigen present in non-secretors?

    <p>Lea</p> Signup and view all the answers

    Which Lewis phenotype is most commonly associated with people who are Le(a-b+)?

    <p>Le(a+b)</p> Signup and view all the answers

    Which of the following methods involves washing to remove unbound globulins?

    <p>Solid-Phase Red Cell Adherence Testing.</p> Signup and view all the answers

    What visual indicator suggests a negative result in Solid-Phase Red Cell Adherence Testing?

    <p>RBCs form a button at the bottom of the microwell.</p> Signup and view all the answers

    What factor may influence the transient production of Lewis antibodies during pregnancy?

    <p>Increased plasma volume</p> Signup and view all the answers

    What is a characteristic of Positive results in the Anti-Human Globulin Phase?

    <p>They indicate the presence of bound IgG on RBC antigens.</p> Signup and view all the answers

    What is the significance of Lewis antibodies in the context of hemolytic transfusion reactions (HTRs)?

    <p>They are generally insignificant.</p> Signup and view all the answers

    Which Lewis antigen is absorbed onto the surface of red blood cells more effectively?

    <p>Leb</p> Signup and view all the answers

    What does the term 'potentiator' refer to in tube testing?

    <p>A substance that enhances antibody reactions.</p> Signup and view all the answers

    In which population is the Le(a-b-) phenotype most prevalent?

    <p>Blacks</p> Signup and view all the answers

    What characteristic is notable about the relationship between Lewis and ABO antigens?

    <p>There is no inverse relationship.</p> Signup and view all the answers

    What happens to Lewis antigen levels during pregnancy?

    <p>They decrease.</p> Signup and view all the answers

    Study Notes

    Blood Bank I - Basic Antigen-Antibody Testing

    • Basic Red Cell-Antibody Interactions:
      • Agglutination:
        • Clumping of red cells due to antibody coating
        • Two stages:
          • Coating of cells ("sensitization"):
            • Affected by pH, temperature, relative amounts of antigen and antibody
            • Low Ionic Strength Saline (LISS) decreases zeta potential between RBCs; tends to enhance cold antibodies and autoantibodies
            • Polyethylene glycol (PEG) excludes H2O, tends to enhance warm antibodies and autoantibodies.
          • Formation of bridges
            • IgG isn't good at this: one antibody arm must attach to one cell and other arm to the other cell. IgM is better because of its pentameric structure.

    Blood Bank I - Blood Groups

    • Blood Bank I Overview:
      • The Fun Just Never Ends...
      • Blood Bank I: Blood Groups
      • Blood Bank II: Blood Donation and Autologous Blood
      • Blood Bank III: Pretrasfusion Testing
      • Blood Bank IV: Component Therapy
      • Blood Bank Practical: Management of specific clinical situations; calculations; antibody ID and no-pressure sample questions.

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    Description

    Test your knowledge on blood type distribution among different racial groups and the genetic factors involved. This quiz covers statistics, enzyme functions, and immunology related to the ABO blood group system. Put your understanding to the test and improve your grasp of blood banking principles.

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