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Blood Bank End of Chapter Questions Exam 3
Exam 3 Textbook Questions
65
Biology
Undergraduate 3
02/26/2015

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Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 28-year-old woman; 112 lbs; hemoglobin-12.5 g/dL; miscarried 2 weeks ago
Definition
TD
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 56-year-old man; 168 lbs; Hematocrit, 44%; took aspirin 4 hours ago for arthritis pain
Definition
A
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 35-year-old woman; copper sulfate screen, blood drop sinks in 5 seconds; 115 lbs; temperature 37 degrees Celsius
Definition
A
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 17-year-old female high-school student; taking isotretinoin (Accutane) for acne
Definition
TD
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
A 75-year-old male donor center volunteer; first-time blood donor; contracted hepatitis 20 years ago following surgery
Definition
PD
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 22-year-old male; received tattoo while in the service 4 months ago, just before he returned from Iraq
Definition
TD
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 65-year-old female; has instructions from physician to donate for upcoming surgery; had syphilis and was treated 40 years ago; hematocrit, 37%; temperature 99 degrees F
Definition
A
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 38-year-old male; received recombinant hepatitis B vaccine as a new employee 3 months ago
Definition
A
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 19-year-old male first-time donor; received human growth hormone 12 years ago
Definition
PD
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 24-year-old female with a history of a positive test for hepatitis C from another blood center
Definition
PD
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 52-year-old businessman who lived in England for 1 year in 1993
Definition
PD
Term
Determine the best course of action based on the information for potential whole blood allogeneic donors. Indicate whether you would A-Accept, TD-Temporarily defer, or PD-Defer permanently.
*A 130-lb, 5 feet 1 inch female; hematocrit, 40%; would like to donate 2 units by apheresis
Definition
PD; 2 units can be donated, but there are special requirements. Females must be 150-lb, be 5 feet 5 inches, and must have a hematocrit of 40% or higher.
Term
Which of the following is a cause for temporary deferral of a whole blood donor?
A. intranasal influenza vaccine
B. antibiotics taken for acne
C. Oral polio vaccine 4 weeks ago
D. Rubella vaccine 2 weeks ago
Definition
D. Rubella vaccine 2 weeks ago
Term
A donor with a physician's request to donate for planned surgery in 3 weeks has a hemoglobin value of 10 g/dL. She is permitted or deferred and why?
Definition
Deferred because of low hemoglobin
Term
Plateletpheresis donors cannot donate more than:
A. Twice a week
B. 24 times a year
C. Every 48 Hours
D. All of the Above
Definition
D. All of the Above
Term
True or False:
Viral marker tests are not required on autologous blood to be used within the collection facility.
Definition
True
Term
True or False:
Autologous units may be given to other patients if they are not used for the patient who donated the units
Definition
False
Term
True or False:
A unit donated therapeutically from a patient with hereditary hemochromatosis cannot be used for transfusion purposes
Definition
False
Term
True or False:
Donor centers are authorized to release positive test results to their state health department if the donor signs a consent form
Definition
True
Term
True or False:
According to the FDA, prospective donors with a history of cancer are not permitted to donate blood
Definition
False
Term
Which disease has the highest potential for transmission through a transfusion?
Definition
Hepatitis
Term
Syphilis tests on donors are usually performed by which method or methods?
Definition
RPR
Hemagglutination
Term
HTLV-I/II is:
A. transmissible by contaminated needles
B. an oncornavirus
C. Found in patients with tropical spastic paraparesis
D. associated with adult T-cell leukemia
E. All of the above
Definition
E. All of the above
Term
The marker that demonstrates a previous exposure to hepatitis B that remains in convalescence is:
Definition
Anti-HAV
Term
What is a confirmatory test for a positive anti-HIV screen?
Definition
Western Blot
Term
Which of the following conditions requires a thorough donor history because it is not a routinely tested disease?
A. Syphilis
B. Creutzfeldt-Jakob disease
C. Hepatitis C
D. HTLV-1
Definition
B. Creutzfeldt-Jakob disease
Term
HAV transmission through a blood transfusion is unusual because it is:
A. Transmitted enterically
B. An acute hepatitis
C. Not infective after week 2
D. All of the above
Definition
D. All of the above
Term
A donor who is positive for HBsAg is deferred for how long?
Definition
Permanently deferred
Term
Which of the following was a surrogate test for hepatits that is no longer required?
A. ALT
B. CMV
C. Anti-HBc
D. HBsAg
Definition
A. ALT
Term
In a _______, a lower absorbance value indicates the detection of the viral marker
Definition
Competitive ELISA
Term
Match the clinical condition to the component that would have the best therapeutic value:
TTP patient undergoing therapeutic apheresis
Definition
Cryoprecipitate reduced Plasma
Term
Match the clinical condition to the component that would have the best therapeutic value:
Fibrinogen deficiency
Definition
Cryoprecipitated AHF
Term
Match the clinical condition to the component that would have the best therapeutic value:
Thrombocytopenia
Definition
Platelets
Term
Match the clinical condition to the component that would have the best therapeutic value:
Refractory platelet response
Definition
Apheresis platelets, HLA-matched
Term
Match the clinical condition to the component that would have the best therapeutic value:
Hemophilia A
Definition
Factor VIII Concentrate
Term
Match the clinical condition to the component that would have the best therapeutic value:
Sickle Cell Disease
Definition
RBCs
Term
Match the clinical condition to the component that would have the best therapeutic value:
IgA-deficient patient with Anti-IgA
Definition
Washed RBCs
Term
Match the correct expiration times with the appropriate blood components:
RBCs, AS-1 added
Definition
42 Days
Term
Match the correct expiration times with the appropriate blood components:
Washed RBCs
Definition
24 Hours
Term
Match the correct expiration times with the appropriate blood components:
Irradiated RBCs
Definition
28 Days
Term
Match the correct expiration times with the appropriate blood components:
RBCs collected in CPDA-1
Definition
35 Days
Term
Match the correct expiration times with the appropriate blood components:
Rejuvenated RBCs
Definition
3 Days
Term
Match the correct expiration times with the appropriate blood components:
Frozen RBCs
Definition
10 Years
Term
Match the correct expiration times with the appropriate blood components:
Deglycerolized RBCs
Definition
24 Hours
Term
Match the correct expiration times with the appropriate blood components:
RBCs collected in CPD
Definition
21 Days
Term
The minimum amount of fibrinogen in 1 unit of Cryoprecipitated AHF is:
Definition
150 mg
Term
Acute loss of less than 10% of blood volume usually necessitates:
Definition
Replacement with colloid solutions
Term
Eight units of platelets were pooled without a sterile connective device. The new expiration date is:
Definition
4 Hours
Term
In preparing platelets from a unit of whole blood, the correct order of centrifugation is:
Definition
Light/Soft spin followed by Hard spin
Term
RBCs that have been frozen are stored at which minimum temperature and maximum storage time?
Definition
-65 degrees C for 10 Years
Term
Platelets collected by apheresis must contain a minimum of how many platelets to be acceptable?
Definition
3.0 x 10^11
Term
Sterile connective devices may be used for:
A. connecting a leukocyte removal filter to RBCs
B. preparing small aliquot transfusions for infants
C. connecting platelets for pooling
D. All of the above
Definition
D. All of the above
Term
Temperature limits for shipping RBCs are:
Definition
1 - 10 degrees Celsius
Term
The pH and platelet count of 4 bags of platelets were tested at the end of the allowable storage period. What is an acceptable product volume and pH?
Definition
6.0 x 10^10 and pH of 7.0
Term
Although ABO compatibility is preferred, ABO incompatiblity is acceptable for which of the following components:
A. PF24
B. Cryoprecipitated AHF
C. Apheresis Granulocytes
D. Apheresis Platelets
Definition
B. Cryoprecipitated AHF
Term
Plasmapheresis has been reasonably effective in treating:
Definition
TTP
Term
Finding compatible blood for patients with autoimmune disease is difficult because of the:
Definition
Potential of underlying alloantibodies
Term
Infants do not require crossmatching during:
Definition
The first 4 months
Term
An example of a crystalloid solution used to treat hypovolemia is:
Definition
Ringer's lactate
Term
Hemophilia A patients are treated for bleeding with
Definition
Factor VIII
Term
Common complications of chemotherapy include:
A. Bleeding
B. Infection
C. Anemia
D. All of the above
Definition
D. All of the above
Term
In the adult, erythropoietin to stimulate RBC production is produced in the:
Definition
Kidneys
Term
Transfusion of RBCs in the neonate may be needed to compensate for:
A. Iatrogenic blood loss
B. Hemoglobin F
C. Insufficient erythropoiesis
D. Physiologic anemia of infancy
E. All of the above
Definition
E. All of the above
Term
ABO compatible organ transplants are NOT critical in which of the following transplants?
A. Kidneys
B. Liver
C. Heart
D. Bone Marrow
Definition
D. Bone Marrow
Term
The colony-stimulating factor to reduce infection while undergoing chemotherapy is one that stimulates what?
Definition
Granulocytes
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