[mtap 2] blood bank: other blood groups

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83 Terms

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Lewis system

Which blood group system is found in secretions and plasma instead of on RBCs?

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Le and Se genes

Which genes influence Lewis phenotype?

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Le(a–b+)

What is the most common Lewis phenotype in secretors?

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Anti-Lea

What antibody is naturally occurring in Lewis system?

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No

Is anti-Lea clinically significant?

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Autoanti-P

What antibody is associated with paroxysmal cold hemoglobinuria?

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P system

What system does autoanti-P belong to?

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p phenotype

Which P phenotype lacks all P antigens?

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Donath-Landsteiner test

What confirms the presence of autoanti-P?

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Anti-P1

What antibody is enhanced by pigeon egg fluid and hydatid cyst?

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I

What I antigen is found in adults?

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i

What I antigen is found in newborns?

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Mycoplasma pneumoniae

What infection is associated with anti-I?

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Epstein-Barr virus

What infection is associated with anti-i?

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Cold-reactive

What kind of antibody is anti-I?

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Anti-M and Anti-N

Which MNS antibodies are usually IgM?

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Anti-S and Anti-s

Which MNS antibodies are clinically significant IgG?

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Anti-M

Which MNS antibodies exhibit dosage?

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Ficin or papain

Which enzyme destroys MNS antigens?

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K (K1)

What is the most immunogenic Kell antigen?

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IgG

What class are most Kell antibodies?

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Suppresses fetal erythropoiesis

What does anti-K do in pregnancy?

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McLeod syndrome

What syndrome is associated with lack of Kx antigen?

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Anti-K

What Kell antibodies are clinically significant?

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Anti-Jka and Anti-Jkb

What Kidd antibodies are most significant?

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Delayed HTR

What type of hemolytic reaction do Kidd antibodies cause?

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Yes

Do Kidd antibodies show dosage?

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Anti-Jk3

What Kidd antibody reacts with all Kidd-positive cells?

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Fy(a–b–)

What Duffy phenotype is resistant to malaria?

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Plasmodium vivax

What Plasmodium species is blocked by Duffy-null phenotype?

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Anti-Fya and Anti-Fyb

Which Duffy antibodies are significant?

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IgG

What class are Duffy antibodies?

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Yes

Are Duffy antigens enzyme-sensitive?

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Anti-Lua

What Lutheran antibody is naturally occurring?

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Anti-Lub

Which Lutheran antibody is clinically significant?

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Anti-Lu3

What Lutheran antibody reacts with all Lutheran-positive cells?

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Lu(a–b–)

What Lutheran phenotype makes anti-Lu3?

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Resistant to enzyme treatment

What enzyme effect do Lutheran antigens have?

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Dia

What Diego antigen is more common in Asians?

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Anti-Wra

What Diego antibody is naturally occurring?

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Anti-Wrb

What Diego antibody is linked to autoimmune hemolytic anemia?

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Dib

What Diego antigen is high frequency?

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Band 3

What protein carries Diego antigens?

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Aquaporin-1

What protein carries Colton antigens?

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Coa and Cob

What are the two main Colton antigens?

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Anti-Co3

What Colton antibody reacts with all Coa and Cob cells?

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Anti-Co3

What antibody may cause renal symptoms in Colton-null individuals?

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No

Are Colton antigens affected by enzymes?

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Anti-M

Which antibodies are naturally occurring?

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Anti-D

Which antibodies are typically immune (not naturally occurring)?

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IgM antibodies (e.g.

Which antibodies react at cold temperatures?

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IgG antibodies

Which antibodies react at body temp (37°C)?

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Anti-M

Which antibodies show dosage effect?

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Anti-Jka

Which antibodies are enhanced by enzyme treatment?

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Anti-M

Which antibodies are destroyed by enzyme treatment?

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Anti-D

Which antibodies can cause severe HDFN?

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Anti-Jkb

Which antibodies can cause mild HDFN?

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Anti-Jka

Which antibodies can cause delayed HTR?

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Autoanti-P

What is the biphasic hemolysin in PCH?

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Kx system

Which system is linked to McLeod syndrome?

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Neurologic symptoms

What’s the effect of McLeod syndrome?

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international society of blood transfusion - working party for red cell immunogenetics and blood group terminology

this maintains an official record of all currently recognized blood group systems

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48

345

there are currently __ recognized blood group systems containing __ red cell antigens

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international society of blood transfusion - working party for red cell immunogenetics and blood group terminology

they are developed to facilitate computer storage and retrieval of blood group information and to help standardize blood group system and antigen names

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order of discovery

ISBT numbers are based on?

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six-digit numbers

ISBT numbers are made up of?

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system collection or series

the first three numbers of ISBT represent?

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antigenic specificity

second three numbers of ISBT represent?

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RBC phenotype

serologic tests determine only the?

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genotype

is composed of the actual genes that an individual has inherited and can be determined only by family or DNA studies

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system

consists of one or more antigens controlled at a single gene locus, or by two or more very closely links homologous genes with little or no observable recombination between them

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collections

are antigens that have biochemical, serologic, or genetic relationship but do not meet the criteria for a system

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series

not a system, not a collection; all remaining RBC antigens that are not associated with a system or a collection are characterized into the 700 series of low prevalence antigen of the 901 series of high prevalence antigens

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antibodies

described by their antigen notation with the prefix anti- including a hyphen before the antigen symbol

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007

ISBT number of Lewis system

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plasma antigen

lewis antigen is also known as?

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red cells and serum/plasma

lewis antigens are found both where?

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extrinsic

is the lewis antigen intrinsic or extrinsic to RBCs?

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tissue

lewis antigens are synthesized by ____ instead of the red cell

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type 1 glycosphingolipid

because the lewis antigen is a _____, they are adsorbed in the RBC membrane

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Lea and Leb

the two antigens of the lewis system

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chromosome 19

the lewis gene is found on?

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fucosyl transferase enzyme

the le gene codes for the production of?