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

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

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

Which population has the highest prevalence of Rhesus negative individuals?

<p>White people (C)</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 (B)</p> Signup and view all the answers

What is a major consequence of erythroblastosis fetalis?

<p>Agglutination of fetal erythrocytes (D)</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 (B)</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 (B)</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 (A)</p> Signup and view all the answers

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

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

What blood type would a person with genotype AO have?

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

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

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

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

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

What is necessary for compatibility testing before a blood transfusion?

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

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

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

What happens during a wrong blood transfusion?

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

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

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

Flashcards

Blood Groups

A system used to classify blood based on the presence or absence of specific antigens on red blood cells.

ABO Blood Group System

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

Blood Type A

Has A antigens on red blood cells and anti-B antibodies in the plasma.

Blood Type B

Has B antigens on red blood cells and anti-A antibodies in the plasma.

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Inheritance of Blood Groups

The inheritance of blood groups follows Mendelian genetics, with codominance of A and B alleles.

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A Allele

Codes for an enzyme that produces the A antigen on red blood cells. This antigen is responsible for the A blood type.

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B Allele

Codes for an enzyme that produces the B antigen on red blood cells. This antigen is responsible for the B blood type.

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O Allele

Codes for an enzyme that is non-functional and does not produce any antigens on red blood cells. This results in the O blood type.

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Blood Transfusions

The process of transferring blood from one person to another. To avoid complications, it's crucial to match the donor's and recipient's blood types because the recipient's blood may contain antibodies that attack the donor's blood cells.

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Agglutination

The clumping of red blood cells (erythrocytes) that occurs when antibodies in the recipient's blood bind to antigens on the donor's red blood cells. This can be a serious complication of blood transfusions.

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Universal Donor

A person with blood type O-negative. Their red blood cells lack A and B antigens and can be safely transfused to people with any other blood type.

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Universal Recipient

A person with blood type AB-positive. They have both A and B antigens and can receive blood from any other blood type.

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Rhesus Factor

A specific antigen (D antigen) present on the surface of red blood cells. Individuals with the D antigen are considered Rhesus (Rh) positive, while those without it are Rh negative.

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Rh Positive

An individual who has the D antigen present on their red blood cells.

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Rh Negative

An individual who lacks the D antigen on their red blood cells.

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Anti-D Antibodies

Antibodies specifically targeting the D antigen. They're produced when an Rh negative person is exposed to Rh positive blood, either through a blood transfusion or during pregnancy.

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Haemolytic Disease of the Newborn (HDN)

A condition that occurs when an Rh negative mother develops anti-D antibodies against her Rh positive baby's red blood cells, leading to destruction of the baby's red blood cells.

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First Pregnancy

Usually safe for an Rh negative mother carrying an Rh positive baby. The mother's body hasn't yet developed anti-D antibodies.

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Subsequent Pregnancies

Risk of HDN increases with each subsequent pregnancy, as the mother has developed anti-D antibodies that can cross the placenta and attack the baby's red blood cells.

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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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