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Bb- Rh system
test 1
32
Health Care
Undergraduate 4
06/14/2009

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Cards

Term
Who discovered the Rh blood group system in 1939?
Definition
Levine and Stetson
Term
What is the predominant class of anti-D antibodies?
Definition
IgG
Term
Is anti-D an expected antibody?
Definition
No.
Term
How many antigens are assigned to the Rh system? Of these, how many cause problems?
Definition
49 total; only 5 commonly cause problems.
Term
Rh positive and Rh negative refers to the presence or absence of what antigen?
Definition
D
Term
Who thought that Rh inheritance was three pairs of closely linked genes- D/d, C/c, and E/e?
Definition
Fisher-Race.
Term
Who decided that Rh inheritance was on one gene with a product that had different epitopes?
Definition
Wiener
Term
Who proved that the Rh is two genes- RhD and RhCE?
Definition
Tippett
Term
What does 1 or ' stand for?
Definition
C
Term
What does R stand for?
Definition
D
Term
What does 2 or " stand for?
Definition
E
Term
What does z or y stand for?
Definition
CE
Term
Is there any such thing as the d allele?
Definition
No, d is just a spacer used to symbolize a deletion or an inactive gene.
Term
What are the four Rh compound antigens?
Definition
ce, Ce, cE and CE
Term
Which compound antigen is recognized by anti-f?
Definition
ce
Term
What stage of testing will reveal a weak D?
Definition
AHG.
Term
What type blood should a weak D patient recieve?
Definition
D positive.
Term
What happens when C is in trans to D?
Definition
steric hindrance causes a weakening of D expression leading to weak D
Term
What blood type is most likely to have a genetic weak D?
Definition
Ro or Dce
Term
What is a partial D or mosaic?
Definition
D antigen that only is composed of some of the parts, not all of them. Antibody can be made to the missing parts.
Term
How are Rh antibodies usually stimulated?
Definition
By red cells in pregnancy or transfusion.
Term
How can you enhance Rh reactions?
Definition
enzyme treatment of cells- chews up cell membrane, making Rh antigens more available
Term
Do Rh antibodies show dosage?
Definition
anti-D doesn't; the others do.
Term
property by which antibody reacts more strongly with homozygous expression of antigen than with heterozygous expression
Definition
dosage
Term
Are Rh antigens present on fetal cells?
Definition
Yes.
Term
What is it called when a person has no Rh antigens on red cells?
Definition
Rh null
Term
What is the most common form of Rh null syndrome?
Definition
supressor/regulator type
Term
Is supressor Rh null dominant or recessive?
Definition
Recessive. You need 2 supressor genes in order to be Rh null.
Term
What is the rare form of Rh null?
Definition
amorphic.
Term
When transfusing platelets, D type is often ignored. What kind of patient should only recieve D negative platelets?
Definition
D negative females of childbearing age.
Term
When transfusing granulocytes, should ABO and Rh type be considered?
Definition
Yes; granulocytes must be ABO and D identical or compatible.
Term
When transfusing fresh frozen plasma, should ABO be considered? What about D typing?
Definition
Fresh frozen should be ABO specific or compatible; D type is ignored.
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