SBB REVIEW | EXAM QUESTIONS AND ANSWERS|
COMPLETE STUDY GUIDE WITH 100% ACCURATE
QUESTIONS & ANSWERS! EXCELLENCE
GUARANTEED!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Band 3 Answer: macrocomplex of proteins including:
-Rh
-RhAG
-LW (ICAM-4)
-GPA
-GPB
-CD47
ATP source for RBCs Answer: 90% from Glycolysis (Embden-Meyerhoff pathway)
10% from pentose phosphate pathway
Methemoglobin Reductase Pathway Answer: necessary to maintain heme iron in ferrous (Fe2+)
state
Deficiency causes accumulation of methemoglobin, nonfunctional from of Hgb
Leubering Rapaport Shunt Answer: permits accumulation of 2,3-DPG
"Tense form" of Hgb Answer: DEOXYGENATED
widening of beta-chain
lower affinity for O2
expels 2,3-DPG
"Relaxed form" of Hgb Answer: OXYGENATED
beta-chain pulled together
higher affinity for O2
expels 2,3-DPG
"Shift Right" Answer: higher P50 value
decreased pH (increased H+ ion), acidosis
increased 2,3-DPG
higher temperature
high pCO2
Seen in compensated anemia
"Shift Left" Answer: lower P50 value
increased pH (decresed H+ ion), alkalosis
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
COMPLETE STUDY GUIDE WITH 100% ACCURATE
QUESTIONS & ANSWERS! EXCELLENCE
GUARANTEED!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Band 3 Answer: macrocomplex of proteins including:
-Rh
-RhAG
-LW (ICAM-4)
-GPA
-GPB
-CD47
ATP source for RBCs Answer: 90% from Glycolysis (Embden-Meyerhoff pathway)
10% from pentose phosphate pathway
Methemoglobin Reductase Pathway Answer: necessary to maintain heme iron in ferrous (Fe2+)
state
Deficiency causes accumulation of methemoglobin, nonfunctional from of Hgb
Leubering Rapaport Shunt Answer: permits accumulation of 2,3-DPG
"Tense form" of Hgb Answer: DEOXYGENATED
widening of beta-chain
lower affinity for O2
expels 2,3-DPG
"Relaxed form" of Hgb Answer: OXYGENATED
beta-chain pulled together
higher affinity for O2
expels 2,3-DPG
"Shift Right" Answer: higher P50 value
decreased pH (increased H+ ion), acidosis
increased 2,3-DPG
higher temperature
high pCO2
Seen in compensated anemia
"Shift Left" Answer: lower P50 value
increased pH (decresed H+ ion), alkalosis
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
