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SBB Human Blood Groups Final Exam 2026–2027 | ASCP Specialist in Blood Banking Questions & Verified Answers | Complete Exam Prep

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Prepare for the SBB Human Blood Groups Final Exam 2026–2027 with this focused exam-preparation resource covering essential and advanced concepts related to human blood group systems and immunohematology. The material supports review of key areas such as ABO and Rh systems, red blood cell antigens and antibodies, antigen-antibody reactions, blood group genetics and inheritance, antibody screening and identification, compatibility testing, clinically significant antibodies, transfusion reactions, hemolytic disease of the fetus and newborn, serologic testing, and major blood group systems including Kell, Kidd, Duffy and MNS. Ideal for candidates and students searching for SBB Human Blood Groups exam questions, ASCP Specialist in Blood Banking preparation, blood group systems review, immunohematology final exam prep, or SBB practice questions and answers, this resource provides an organized way to reinforce high-yield concepts and strengthen readiness for the 2026–2027 examination cycle.

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SBB Human Blood Groups Final Exam
How would Ulex europaeus react with O, A, A2, B, A2B, O>A2>B>A2B>A1>A1B
A1B RBCs?



How could you distinguish serologically A1, A2 and A3 Dolichos biflorus can will react with A1 and not A2. A3 yields mixed field reactions
with anti-A and anti-A,B



What is the correct order of type of RBCs to transfuse in A, B, O; the residual anti-B in A RBCs is less immunogenic than the residual anti-
an AB patient when AB RBCs are not available? Why? A in B RBCs



What type of RBCs would you transfuse to a patient with RBCs transfused must lack the D and C antigens
anti-G



Can you detect a weak D using Gel Technology? No, because there is no washing phase




Can an Rh positive father and Rh positive mother yield Yes, if both parents are heterozygous for the D gene. Inheritance is autosomal
an Rh negative child recessive



What type of RBCs in regards to Rh phenotype would RBCs should be negative for the c and e antigens
you transfuse in a patient with anti-f



How could you solve an ABO discrepancy where Anti-M Treat A1 cells with ficin to denature the M antigen, repeat reverse grouping with
was causing aberrant results in reverse grouping when ficin-treated A1 cells.
the forward type is consistent with A blood group and
reverse as O?


Why do you see an anti-N like specificity in dialysis Formaldehyde induced antibody to 'N' due to formaldehyde used in dialysis
patients? procedures.



A patient types as follows: anti-A=4+, Anti-B=1+, A1 Anti-B was adsorbed out with RESt.
Cells=2+, B cells=4+. The ABO discrepancy led to
suspicion of a possible cold autoantibody based on
patient histopry and diagnosis. RESt was used in an
attept to adsorb the autoantobidy. The type was repeated
with adsorbed plasma Anit-A=4+, Anti-B=0, A1 cells=0, B
cells=0. What could be the cause of this discrepancy?


What enzyme may be useful in distinguishing anti-Ge2? papain




The beta 1-3 linkage between galactose and N- secretions
acetylglucosamine is found in?



Represents Type II chain Beta 1-4 linkage between galactose and N acetyl glucosamine




Represents decreasing concentrations of H antigen on O>A2>B>A2B>A1>A1B
RBCs



The ABO genes are located on what chromosome Chromosome 9

, SBB Human Blood Groups Final Exam
Which glycosyltransferase is needed before A and B L-fucosyltransferase
antigens are formed?



Which reflects the A3 subgroup mixed field reactions with Anti-A and Anti-A,B.




Which fo the following reflects the A el subgroup? Positive reactions with Anti-H




What clinical condition may yield positive reactions with hypogammaglobulinemia
Anti-A, negative with Anti-B, negative with A1 and B
cells.


What differentiates a Bombay anti-H from an anti-H cold reactivity at body temperature.
agglutinin?



This antigen is associated with linear carbohydrate i antigen
chains



The following reactions are found on a 35-year old male. Anti-M in plasma
Anti-A=4+, Anti-B=0, Anti-A,B=4+, A1 cells=3+, B
cells=4+, O cells=3+. How could these results be
explained?


Anti-IH would react best with which red blood cells? O RBCs




The acquired B phenomenon is only found in what ABO A blood group
group?



A2 subgroup Anti-A1 does not react. 1-8% of persons will produce Anti-A1




Anti-Lu3 is associated with Recessive type Lu(a-b-)




The dominant Lu(a-b-) type is associated with what In(Lu)
gene?



What substance could be used to rule out anti-E in the DTT
presence of anti-Lub?



Which pair of Lu alleles go together Lu8 and Lu14
Lu6 and Lu9
Au^a and Au^b


Persons who are group B are more common among Black/Asian
which population?



Red cells that lack glycophorin A, also lack En^a antigens

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