MD137 Haematology - Lecture 4: Blood Groups
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Questions and Answers

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

  • Type A blood
  • Type B blood
  • Type O blood (correct)
  • Type AB blood
  • What is the most clinically significant antigen in the Rhesus blood group system?

  • D antigen (correct)
  • C antigen
  • E antigen
  • Kell antigen
  • In the ABO blood group system, which type of blood has no agglutinins?

  • Type AB blood (correct)
  • Type O blood
  • Type A blood
  • Type B blood
  • How many blood group systems have been identified to date?

    <p>36</p> Signup and view all the answers

    What type of antibodies would a person with Type A blood produce?

    <p>Anti-B antibodies only</p> Signup and view all the answers

    What determines if a person is classified as Rhesus positive?

    <p>Presence of the D antigen on erythrocytes</p> Signup and view all the answers

    Which population has the highest prevalence of Rhesus negative individuals?

    <p>White people</p> Signup and view all the answers

    Under which circumstance are anti-D antibodies produced in a Rhesus negative person?

    <p>Giving birth to an Rh positive baby</p> Signup and view all the answers

    What is a major consequence of erythroblastosis fetalis?

    <p>Agglutination of fetal erythrocytes</p> Signup and view all the answers

    What characteristic describes the IgG anti-D antibodies produced by a Rhesus negative mother?

    <p>They easily cross the placenta</p> Signup and view all the answers

    Which statement is true regarding the inheritance of the Rhesus factor?

    <p>The presence of the D allele determines Rh status</p> Signup and view all the answers

    What typically occurs to the first baby of a Rhesus negative mother carrying an Rh positive baby?

    <p>They are unaffected by antibody generation in the mother</p> Signup and view all the answers

    Which alleles are involved in determining a person's ABO blood type?

    <p>A, B, O</p> Signup and view all the answers

    What blood type would a person with genotype AO have?

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

    What occurs if anti-A antibodies come into contact with A antigens?

    <p>Agglutination occurs</p> Signup and view all the answers

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

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

    What is necessary for compatibility testing before a blood transfusion?

    <p>Antibody screen and cross-matching</p> Signup and view all the answers

    What would be the blood type of an individual with genotype BB?

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

    What happens during a wrong blood transfusion?

    <p>Agglutination followed by haemolysis</p> Signup and view all the answers

    Which blood type can receive blood from any ABO type without a risk of agglutination?

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

    Study Notes

    MD137 Haematology - Lecture 4: Blood Groups

    • Blood groups are determined by antigens on red blood cells, which can react with antibodies from other individuals

    • Clinically important blood groups: ABO and Rhesus

    • ABO system inheritance involves 3 alleles (A, B, O):

      • A allele codes for the A antigen
      • B allele codes for the B antigen
      • O allele produces no antigen (non-functional)
      • A and B are dominant, O is recessive
      • Determining blood type involves inheriting one allele from each parent
    • ABO Blood Types:

      • A blood type has A antigens and anti-B antibodies
      • B blood type has B antigens and anti-A antibodies
      • AB blood type has both A and B antigens and no antibodies
      • O blood type has no antigens and both anti-A and anti-B antibodies
    • Rhesus system:

      • Over 50 antigens exist, but D antigen (Rhesus factor) is most important
      • Rh positive individuals have the D antigen on their red blood cells
      • Rh negative individuals lack the D antigen
    • Blood Transfusions:

      • A "wrong" transfusion can lead to agglutination (clumping) and hemolysis of red blood cells
      • Blood compatibility testing is essential to prevent serious complications like agglutination or hemolysis when transfusing blood.
      • Universal donor: Blood type O
      • Universal recipient: Blood type AB
    • Haemolytic Disease of the Newborn (HDN):

      • HDN occurs when a Rh-negative mother carries a Rh-positive fetus
      • During pregnancy, exposure to fetal Rh factors can cause the mother to develop anti-Rh (anti-D) antibodies
      • Subsequent pregnancies with Rh+ fetuses can lead to these antibodies crossing the placenta and attacking the fetal red blood cells, causing complications
      • RhoGAM, a medication that neutralizes the antigens, is used to prevent HDN
    • Prevention:

      • RhoGAM is used prophylactically in Rh-negative women to prevent HDN during pregnancy to reduce risk associated with subsequent pregnancies.

    Learning Objectives

    • Students should learn what blood groups are and how they are inherited
    • Key blood groups, their antigens and antibodies for the ABO and Rhesus systems
    • How these systems are crucial for blood transfusions
    • Understanding Rhesus system's importance and role in relation to potential complications such as haemolytic diseases in newborns

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    Description

    Explore the intricate details of blood groups in this quiz that covers the ABO and Rhesus systems. Understand how blood type inheritance works and the significance of antigens and antibodies. Test your knowledge on blood type classifications and their clinical relevance.

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