SBB Practice test Review Latest 2023 Rated A+

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SBB Practice test Review Latest 2023 Rated A+ When preparing cryoprecipitate from plasma, the cryoprecipitate must be refrozen within? ✔✔1 hour Donated blood may not be used for allogeneic tra... nsfusion when HCV testing shows? ✔✔EIA initial testing reactive, and one of the duplicate repeat results is reactive The following hepatitis B testing results indicates: HBsAg: Nonreactive, Anti-HBc: Reactive, Anti-HBs: Reactive, RNA HBV: nonreactive. ✔✔Recurring infection (CDC says immune due to natural infection) The antigen that occurs in approximately 20% of individuals of African ethnicity is? ✔✔Js a The Diego blood group is of anthropological interest because? ✔✔Di a is more frequent in individuals of Mongolian ancestry Which antigen is a CR1? ✔✔McC c MHC Class II are found on? ✔✔Dendritic Cells Antigen-presenting cells such as dendritic cells, mononuclear phagocytes, some endothelial cells, thymic epithelial cells, and B cells. The Fc receptor on phagocytes that has the highest affinity for binding IgG is? ✔✔FcR1 The hospital blood banks that collect blood but do not ship across state lines must be ✔✔Registered with the FDA The best education objective for a course to teach simple repair of instruments is ✔✔Repair 9 of 10 machine malfunctions You are the supervisor in a transfusion service. One of your employees had just finished compatibility testing and was preparing to take a break. This employee never washed his hands before leaving the lab or after removing his gloves. You should ✔✔Plan an in-service for all employees concerning proper procedure for Universal Precautions. A 73 lb female is donating a 500mL autologous unit for her surgery in two weeks. How much anticoagulant should be removed from the primary container? ✔✔24 mLs Prothrombin complex is indicated for the treatment of what disease? ✔✔Severe Christmas Disease (Factor 9) In a presurgical work-up, a patient's platelet count was normal and the Pt, PTT, and TT were slightly prolonged. Inspection of the clot from the PT and PTT shows poor clot formation. Which factor is most likely deficient? ✔✔Factor XIII (Fibrin Stabilizing Factor) Because of the short in vivo half-life of this factor, FFP should be strategically transfused immediately before a surgical procedure. ✔✔Factor VII (2-5 hour half-life) The amount of the antigen being measured that is exceeding the amount of antibody in enzymelinked immunosorbent assay can cause a technical problem called: ✔✔Hook effect In enzyme-linked immunosorbent assay for hepatitis B surface antigen, the second antibody linked to a reporter enzyme is best described as? ✔✔Conjugate Initial testing at immediate spin tube testing gives the following results. Of the following choices, which is the most probable cause of these reactions? Anti A - 0; Anti B- 0; Anti D - 3+; A1 cells - 4+; B cells - 4+; O cells - 4 +; Auto CT - 0 ✔✔Group O with unexpected antibody To differentiate anti-Fy3 from anti-Fy-5, one should test which cells? ✔✔Fy(a+b+), Rh null A prenatal patient has an anti-M that is reactive with polyspecific AHG. What testing can be performed to determine the clinical significance of this antibody? ✔✔DTT treat the patient's serum and retest The following results are obtained when testing polyagglutinable cells with a panel of lectins. What type of polyagglutination is present? Arachis hypogea - + Dolichos biflorus - 0 Glycine soya - + Salvia sclarea - 0 Salvia horminum - 0 ✔✔T A patient has an antibody that reacts 2+ with cells at IAT. A complete phenotype of the patient's red cells showed: Group A, R2R2, K-k+, M+N+S-s+, Jk(a-,b-), Fy(a-b+). What is the likely antibody? ✔✔Anti-Jk3 Jk(a-, b-) phenotype is very rare. These individuals can make an anti-JK3. Found in Polynesian people. A saline-reactive antibody is strongly positive with all adult cells, including the autocontrol, as well as cord cells. The enzyme panel is negative. The antibody is most likely? ✔✔Anti-Pr A patient plasma tested positive with all cells tested using column technology. The following results were obtained when the plasma is testing with cells treated with blood bank chemicals. Of the following list, which is the most likely antibody? Ficin all 3+ DTT - 0 a. Anti-Dob b. Anti-Ge2 c. Anti-EnaFR d. Anti-Lub e. Anti-U ✔✔D. anti-Lub Lutheran antigens are destroyed by DTT Gly-EDTA destorys what antigens? ✔✔Kell, Era, Bg Platelet refractoriness is caused primarily by? ✔✔Anti-HLA Class 1 You are asked to perform a two-volume exchange on a 145 lb patient with a 40% hct. How much whole blood will you process? ✔✔9-10L Which of the following is the best indication for using a blood warmer? a. routine transfusion of patients with anti-I reactive at 20-24C b. Transfusion during cardiovascular surgery when the paitent iwll undergo hypothermia c. rapid transfusion of trauma patients through a central venous catheter. d. Transfusion of obstetrical paitentswith anti-Lea and anti=Leb ✔✔C. rapid transfusion of trauma patients through a central venous catheter A patient has a cholesterol of 210 mg/dL. As a measure of the effectiveness of a therapeutic plasma exchange procedure. a cholesterol level is performed immediately following the procedure. After a one-volume exchange using 5% albumin as the replacement fluid, you would expect to find an approximate cholesterol value of? ✔✔80mg/dL One exchange removes 63%. 210 x 0.63 = 132mg/dL removed 210-132 =80mg/dL remaining A child is scheduled to receive a hematopoietic progenitor cell transplant from his sister. In the mean time, the child needs platelet transfusion support. What should be given? a. HLA matched platelets b. leukoreduced platelets c. sister's platelets d. Random platelets ✔✔b. leukoreduced platelets Serologic characteristics of ceftriaxone includes? ✔✔Testing patient's sera and ceftriazone and RBCs results in agglutination, hemolysis, or sensitization. Which of the following is the least common presentation in a delayed hemolytic transfusion reaction? a. Hemoglobinemia b. Declining hemoglobin c. Positive DAT d. Positive antibody screen ✔✔a. Hemoglobinemia A patient who was transfused 20 days ago is suspected of having a delayed hemolytic transfusion reaction. Which of the following tests would be most helpful in the diagnosis? a. Urine hemosiderin b. plasma hemoglobin c. direct antiglobulin test d. antibody screen ✔✔a. Urine hemosiderin A hematopoietic stem cell transplant recipient developed graft-versus-host disease. How is the GVHD in this patient different from a patient who developed GCHD from a routine blood transfusion? ✔✔The HSCT recipient with chronic GVHD may have decreased relapse of malignant disease. [Show More]

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