Rh Factor Sensitization Quiz
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Questions and Answers

What type of antibodies are most agglutinins?

  • IgG
  • IgM (correct)
  • IgA
  • IgE

Which antigen system is considered the most important for causing transfusion reactions?

  • Rh factor system (correct)
  • Lutheran system
  • Kell system
  • ABO system

How are people with the Rh factor designated in terms of their blood?

  • Rh-positive (correct)
  • Rh-altered
  • Rh-negative
  • Rh-natural

What must happen for enough agglutinins to develop against the Rh factor?

<p>Massive exposure to an Rh antigen (C)</p> Signup and view all the answers

How many common types of Rh antigens are there?

<p>6 (B)</p> Signup and view all the answers

Which is the most antigenic Rh antigen among the common types?

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

How do naturally occurring antibodies differ between ABO and Rh systems?

<p>No naturally occurring antibodies in ABO, but they occur in Rh system (D)</p> Signup and view all the answers

What is the significance of the A and B antigens on the surfaces of RBCs?

<p>They cause RBC agglutination (D)</p> Signup and view all the answers

Which blood type is classified as type O?

<p>When neither A nor B antigens are present (B)</p> Signup and view all the answers

Why is a person with a particular blood group unable to have antibodies of the same type in their plasma?

<p>Due to the presence of antigens in their plasma (A)</p> Signup and view all the answers

What causes blood transfusion reactions in individuals?

<p>The presence of blood group antibodies (D)</p> Signup and view all the answers

What are the two major antigen systems likely to cause blood transfusion reactions?

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

When is blood type classified as type A?

<p>When only the A antigen is present (B)</p> Signup and view all the answers

What happens when both A and B antigens are present on RBC surfaces?

<p>The blood type is classified as AB (C)</p> Signup and view all the answers

What does it mean if a person has antibody against an antigen present on their own RBCs?

<p>They will experience complications upon transfusion (B)</p> Signup and view all the answers

What happens when RBCs containing Rh factor are injected into an Rh-negative person?

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

In which scenario does erythroblastosis fetalis occur?

<p>When the mother is Rh-negative and the father is Rh-positive (B)</p> Signup and view all the answers

Why does an Rh-negative mother usually not harm her first Rh-positive child?

<p>Due to the mother not developing enough anti-Rh agglutinins (A)</p> Signup and view all the answers

What causes agglutination and phagocytosis of the fetus's RBCs in erythroblastosis fetalis?

<p>Presence of anti-Rh agglutinins in the mother (C)</p> Signup and view all the answers

What happens with multiple exposures to the Rh factor in an Rh-negative person?

<p>Sensitivity to Rh factor increases (D)</p> Signup and view all the answers

Which parent carries the risk of developing anti-Rh agglutinins in erythroblastosis fetalis?

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

What characterizes erythroblastosis fetalis?

<p>Agglutination and phagocytosis of the fetus’s RBCs (A)</p> Signup and view all the answers

What is the outcome if an Rh-negative person has repeated exposure to the Rh factor?

<p>Increased risk of immediate transfusion reaction (D)</p> Signup and view all the answers

What is the consequence of precipitation of bilirubin in neuronal cells?

<p>All of the above (D)</p> Signup and view all the answers

What is the purpose of administering Rh immunoglobulin (anti-D antibody) to expectant mothers?

<p>To prevent sensitization of the mother (C)</p> Signup and view all the answers

How does the anti-D antibody prevent the development of large amounts of D antibodies in the expectant mother?

<p>By inhibiting antibody production (D)</p> Signup and view all the answers

What happens to fetal Rh-positive RBCs that come in contact with the administered anti-D antibody?

<p>They have their D antigen sites occupied (D)</p> Signup and view all the answers

In treating erythroblastosis fetalis, what blood type is typically used for replacement of the neonate's blood?

<p>Rh-negative blood (A)</p> Signup and view all the answers

When should administration of Rh immunoglobulin begin in expectant mothers?

<p>At 28-30 weeks of gestation (D)</p> Signup and view all the answers

What is the primary goal of treating neonates with erythroblastosis fetalis?

<p>To replace the neonate's blood with compatible blood (D)</p> Signup and view all the answers

How does administration of Rh immunoglobulin help in preventing sensitization of mothers to the D antigen?

<p>By attaching to D antigen sites on fetal RBCs (B)</p> Signup and view all the answers

What is the primary function of the liver in relation to bilirubin?

<p>Excreting bilirubin in the bile (B)</p> Signup and view all the answers

In what scenario does jaundice usually not appear in adults?

<p>With normal liver function and excretion of bile pigment into the intestines (D)</p> Signup and view all the answers

What can cause kidney failure after transfusion reactions?

<p>Loss of circulating RBCs in the recipient (D)</p> Signup and view all the answers

What is a major effect of renal vasoconstriction on kidney function?

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

How does circulatory shock contribute to kidney failure post-transfusion reactions?

<p>By causing a decrease in urine output (C)</p> Signup and view all the answers

What happens when arterial blood pressure falls very low during acute renal failure?

<p>Renal blood flow and urine output decrease (B)</p> Signup and view all the answers

Which factor contributes to the appearance of jaundice in a person?

<p>Toxic substances released from hemolyzing blood (A)</p> Signup and view all the answers

What leads to powerful renal vasoconstriction during a transfusion reaction?

<p>Antigen-antibody reactions releasing toxic substances (D)</p> Signup and view all the answers

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