MD137 Haematology Lecture 4: Blood Groups
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Questions and Answers

What are the two antigens present in the ABO blood group system?

  • A and Rh antigens
  • A and C antigens
  • B and O antigens
  • A and B antigens (correct)

Which blood type contains both anti-A and anti-B antibodies?

  • Type O (correct)
  • Type A
  • Type AB
  • Type B

In the ABO blood group system, what type of antibodies does a person with Type AB blood have?

  • Both anti-A and anti-B antibodies
  • Anti-A antibodies only
  • Neither anti-A nor anti-B antibodies (correct)
  • Anti-B antibodies only

What is the most clinically significant antigen of the Rhesus blood group system?

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

If a person has Type A blood, which type of antibodies do they have?

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

Which blood group is compatible for transfusion with Type AB blood?

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

How many blood group systems have been identified to date?

<p>36 blood group systems (C)</p> Signup and view all the answers

What type of antibodies does a person with Type B blood typically produce?

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

What blood type is considered the universal donor for red blood cell transfusions?

<p>Blood group O (B)</p> Signup and view all the answers

Which alleles in the ABO blood group system are considered dominant?

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

What is the result of mixing blood from two incompatible blood types?

<p>Agglutination and haemolysis occur (C)</p> Signup and view all the answers

Which blood type can receive blood from all other blood types?

<p>Blood group AB (A)</p> Signup and view all the answers

What is the non-functional allele in the ABO blood group system?

<p>O allele (D)</p> Signup and view all the answers

What component is NOT typically derived from donated blood?

<p>Red blood cell plasma (B)</p> Signup and view all the answers

What do agglutination and haemolysis in a blood transfusion indicate?

<p>Incompatibility between donor and recipient (A)</p> Signup and view all the answers

Which of the following genotypes corresponds to blood type AB?

<p>AB (C)</p> Signup and view all the answers

What is the consequence of mixing incompatible blood groups?

<p>Haemolytic reactions that can be fatal (A)</p> Signup and view all the answers

What is the purpose of RhoGam treatment administered to Rh- mothers?

<p>To bind to the D antigen and mark Rh+ cells for clearance (D)</p> Signup and view all the answers

How has the introduction of antenatal RhoGam impacted Rh- women?

<p>Decreased incidence of alloimmunization to 0.1% (A)</p> Signup and view all the answers

What does the presence of the Rh+ blood type indicate?

<p>Presence of the D antigen (A)</p> Signup and view all the answers

What condition can arise when a Rh- mother gives birth to a Rh+ baby?

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

What is a common outcome for a newborn affected by hemolysis?

<p>Jaundice and possible kernicterus (A)</p> Signup and view all the answers

What does the ABO blood group system depend on?

<p>Three alleles: A, B, and O (C)</p> Signup and view all the answers

Which of the following statements about Rh- individuals is true?

<p>They do not usually carry antibodies to D antigen (B)</p> Signup and view all the answers

What is the most important antigen in the Rhesus system?

<p>D antigen (C)</p> Signup and view all the answers

Which statement is true about a Rhesus positive person?

<p>They may be either heterozygous or homozygous for the D allele. (B)</p> Signup and view all the answers

What occurs when a Rhesus negative person receives Rhesus positive blood?

<p>They generate anti-D antibodies. (D)</p> Signup and view all the answers

What is a common consequence of Rhesus incompatibility during pregnancy?

<p>Haemolytic disease of the newborn (D)</p> Signup and view all the answers

How do anti-D antibodies affect subsequent pregnancies?

<p>They can cause agglutination of fetal erythrocytes. (B)</p> Signup and view all the answers

What percentage of white people are Rhesus negative?

<p>15% (C)</p> Signup and view all the answers

What type of antibodies are produced by a Rhesus negative mother during incompatibility?

<p>IgG antibodies (D)</p> Signup and view all the answers

During which event may the baby's erythrocytes enter the mother's system?

<p>During labor (D)</p> Signup and view all the answers

Flashcards

Blood Group Systems

Classifications of blood based on the presence or absence of specific antigens on red blood cells.

ABO Blood Group System

The most clinically significant blood group system, based on the presence of A and B antigens on red blood cells.

Antigens

Molecules, usually proteins, found on the surface of red blood cells, that can trigger an immune response.

Antibodies

Proteins found in the plasma that bind to specific antigens, triggering immune responses.

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Type A Blood

Carries the A antigen on red blood cells and anti-B antibodies in the plasma.

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Type B Blood

Carries the B antigen on red blood cells and anti-A antibodies in the plasma.

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Type AB Blood

Carries both A and B antigens on red blood cells and has neither anti-A nor anti-B antibodies.

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Type O Blood

Lacks both A and B antigens on red blood cells, but has both anti-A and anti-B antibodies in the plasma.

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A Allele

The A allele codes for an enzyme that produces the A antigen on red blood cells. This antigen can trigger the production of anti-A antibodies in individuals who lack the A allele.

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B Allele

The B allele codes for an enzyme that produces the B antigen on red blood cells. This antigen can trigger the production of anti-B antibodies in individuals who lack the B allele.

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O Allele

The O allele codes for a non-functional enzyme that doesn't produce any antigens on red blood cells. However, individuals with the O allele can produce both anti-A and anti-B antibodies.

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Blood Transfusion Compatibility

Blood transfusions must be carefully performed to avoid potentially fatal reactions. Incompatible blood types can cause agglutination (clumping) of red blood cells due to antibody reactions.

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Universal Donor

Individuals with blood type O can donate red blood cells to individuals with any blood type because their red blood cells lack A and B antigens.

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Universal Recipient

Individuals with blood type AB can receive red blood cells from any blood type because they have both A and B antigens and don't produce anti-A or anti-B antibodies.

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Agglutination

Agglutination is the clumping of red blood cells that occurs when incompatible blood types are mixed. It's a key reaction in transfusion incompatibility.

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Rhesus Positive

A person is considered Rhesus positive when their red blood cells (erythrocytes) have the D antigen.

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Rhesus Negative

A person is Rhesus negative when their red blood cells lack the D antigen.

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Anti-D Antibodies

These antibodies are produced by the body in response to the presence of the D antigen, which is not present in a Rhesus negative person.

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Hemolytic Disease of the Newborn (HDN)

A condition where the mother's anti-D antibodies attack the baby's red blood cells, causing destruction (hemolysis).

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Rhesus Incompatibility

When a Rhesus negative mother carries a Rhesus positive baby, the mother's body might produce anti-D antibodies that can harm the baby.

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Anti-D Immune Globulin (RhoGAM)

A medication given to Rhesus negative mothers to prevent the formation of anti-D antibodies. It contains antibodies that bind to the Rh+ antigens from the baby, preventing the mother's immune system from recognizing them as foreign.

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ABO and Rh Blood Group

Your blood type is determined by both your ABO blood group (A, B, AB, or O) and your Rhesus factor (positive or negative).

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Rhesus System

A blood group system based on the presence or absence of certain antigens (proteins) on the surface of red blood cells.

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What are blood groups?

Blood groups are classified based on the antigens present on the surface of red blood cells. These antigens can bind to antibodies produced by another person.

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What are the two most clinically important blood group systems?

The ABO and Rhesus (Rh) blood group systems are the most significant in clinical settings.

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How many alleles govern the ABO blood group system?

Three alleles – A, B, and O – determine the inheritance of ABO blood group antigens.

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What are the four ABO blood groups?

The four ABO blood groups are A, B, O, and AB.

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What antibodies do people carry within the ABO system?

Individuals possess antibodies against the antigens they do not express themselves. For example, people with blood type A have anti-B antibodies.

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What does Rh-positive and Rh-negative refer to?

Rh-positive refers to the presence of the D antigen on red blood cells, while Rh-negative indicates its absence.

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Why can mixing incompatible blood groups be dangerous?

Mixing incompatible blood groups (e.g., during a transfusion) can lead to a haemolytic reaction, where the antibodies attack the foreign red blood cells, potentially causing death.

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What is Haemolytic Disease of the Newborn (HDN)?

HDN occurs when an Rh-negative mother gives birth to an Rh-positive baby, potentially leading to the mother developing antibodies that attack the baby's red blood cells.

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Study Notes

MD137 Haematology - Lecture 4: Blood Groups

  • Blood groups are categorized by antigens on red blood cells, reacting with antibodies from other individuals.
  • The ABO blood group system includes four types: A, B, AB, and O.
  • The Rh blood group system is categorized as either positive or negative, based on the presence or absence of the D antigen.
  • ABO system inheritance is determined by three alleles (A, B, and O). A and B are dominant, O is recessive.
  • Individuals with type A blood have anti-B antibodies, type B blood has anti-A antibodies, Type AB blood has neither, and type O blood has both anti-A and anti-B antibodies.
  • Blood transfusions involving incompatible blood types can lead to agglutination (clumping) of red blood cells and potential haemolysis (destruction of red blood cells).
  • 36 blood group systems are identified currently, with ABO and Rhesus being clinically important.
  • The ABO system contains 2 main antigens: A and B.
  • The Rhesus (Rh) system has 50 antigens, with D being the most clinically significant.
  • Individuals with RhD+ carry the D antigen and are Rh positive.
  • Individuals with RhD- lack the D antigen and are Rh negative; they generally do not produce anti-D antibodies unless exposed to Rh+ blood.
  • Anti-D antibodies are produced when an Rh- individual receives Rh+ blood. Also when an Rh- mother carries an Rh+ fetus.
  • Haemolytic Disease of the Newborn (HDN) occurs during pregnancy when the Rh- mother has an Rh+ fetus.
  • HDN can result from an incompatibility between the mother's immune system and antigens on the fetal red blood cells.
  • To prevent HDFN, RhoGAM is administered to prevent sensitization.
  • RhoGAM (anti-D antibody) is administered prophylactically, to prevent potential immune responses in the mother during a pregnancy with an Rh+ fetus.

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This quiz focuses on the essential concepts of blood groups, specifically the ABO and Rh systems. Learn about the classification based on antigens, inheritance patterns, and the implications for blood transfusions. Test your understanding of the compatibility and antibody interactions within these vital systems.

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