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Exam (elaborations)

Ascp MLT Exam

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ACD/CPD/CPD2 - ANSWER 21 days CPDA-1 - ANSWER 35 days Infants HDFN from ABO - ANSWER Spherocytes 1st pregnancy O mother Permanent deferral - ANSWER Hepatitis after 11 HIV T. Cruzi CJD 1 unit or PRBC - ANSWER Raises hemoglobin 1g and hematocrit 3% Leukoreduced RBCs - ANSWER Less than 5 x ...

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  • July 10, 2023
  • 54
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
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Ascp MLT Exam Questions & Answers
2023 (A+ Graded 100% Correct)

ACD/CPD/CPD2 - ANSWER 21 days

CPDA-1 - ANSWER 35 days

Infants

HDFN from ABO - ANSWER Spherocytes

1st pregnancy

O mother

Permanent deferral - ANSWER Hepatitis after 11

HIV

T. Cruzi

CJD

1 unit or PRBC - ANSWER Raises hemoglobin 1g and hematocrit 3%

Leukoreduced RBCs - ANSWER Less than 5 x 10^6 to prevent febrile non hemolytic
reactions

Cryoprecipitate - ANSWER Factor 8

vWF

Fibrinogen

For DIC

6 hours

Platelets 1unit - ANSWER 5000 10000

Irradiated blood - ANSWER Prevent GVHD

Ulex europaeus - ANSWER Anti H lectin

Dolichos biflorus - ANSWER Anti A1 lectin

Amount of H greatest to least - ANSWER O

,A2

B

A1

A1B

Most immunogenicity antigen - ANSWER D

Weak D - ANSWER Negative immediate spin and positive AHG

Weak D donor - ANSWER Must be labeled Rh positive

Weak D patient - ANSWER Receives D negative

D control - ANSWER AB positive

Any D negative

IgM antibodies - ANSWER I

H

MN

P1

Lewis



IgG antibodies - ANSWER Rh group

K

Duffy

Jk

I, i antibody - ANSWER i converts to I as infant matures

Destroyed by enzymes - ANSWER MN

S

Duffy

Enhanced by enzymes - ANSWER Rh

Kids

Lewis

,I

P1

Dosage - ANSWER MNS

Rh

Kids

Duffy

Top three acute/immediate transfusion reactions and mortality - ANSWER TRALI,
hemolytic transfusion reactions and TACO

IgE antibodies - ANSWER Mild Allergic reactions

IgA antibodies - ANSWER Severe transfusion allergic reaction

Anaphylactic

Positive hemolysis with negative DAT - ANSWER Sickle cell crisis

Thalassemia/G6PD deficient

Unit overheated or frozen

All cells hemolysis

Kernicterus - ANSWER Excess bilirubin in newborn

HDFN from Rh - ANSWER Retics

DAT positive

Immediate jaundice

After first baby

Rosette - ANSWER Screening for fetal hemorrhage

Kleihauer Betke - ANSWER Quantitative fetal maternal bleed

Primary immune response - ANSWER IgM

Secondary immune response - ANSWER IgG

Type 1 hypersensitivity - ANSWER Anaphylactic

Immediate

Type 2 hypersensitivity - ANSWER Antibody depending cytotoxicity

, Transfusion reactions

Hashimotos

Good pasture

Type 3 hypersensitivity - ANSWER Immune complex

Rheumatoid arthritis

SLE

Type 4 hyper sensitivity - ANSWER Delayed

Monocytes and lymphocytes

Ouchterlony - ANSWER Antibodies added to pre-cut wells in center of agar plate and
patient Sera and standards are alternated in wells surrounding the center well

EIA/ELISA - ANSWER Sandwich technique

HCG

Nephelometry - ANSWER Insoluble complexes

Why is pass-through suspension scattered light absorbance is proportional to the
number of insoluble complexes compared to standards

Antibody concentration

Immunofluorescence direct - ANSWER Add florescence labeled anti-body to patient
tissue wash and examined under fluorescent microscope

Immunofluorescence indirect - ANSWER Add patient serum to reagent wash add
florescence label to anti-globulin wash and examined under microscope

FPIA (Fluorescence Polarization Immunoassay) - ANSWER Add reagent antibody and
fluorescent tact antigen to patient serum

Increase polarize light as a negative test decrease polarized light as a positive test

Sensitivity - ANSWER TP/ TP + FN x 100

Specificity - ANSWER TN / TN + FP x 100

Non lattice - ANSWER More sensitive immunoassays nephelometry

Lattice - ANSWER Less sensitive

C reactive protein - ANSWER Acute phase protein

Inflammation

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