g g
MODERN BLOOD BANK g g
ING & TRANSFUSION P
g g g
RACTICES 6TH EDITION g g g
DENISE M. HARMENIN
g g
G
,TEST BANK FOR
g g
MODERN BLOOD BANKING
g g g
& TRANSFUSION PRACTICES
g g
6TH EDITION
g
DENISE M. HARMENING
g g
, Chapter 1 RBCs and Platelet Preservation: Historical Perspectives and Current Trends
g g g g g g g g g g
MultiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
1. Whichgmetabolicgpathwaygisgresponsiblegforggeneratingg90%gofgthegATPgforgthegRBC?
a. Pentosegphosphategshunt c. Glycolysis
b. Luebering-Rapoportgshunt d.g g Methemoglobingreductase
2. Agunitgofgbloodgwasgreturnedgtogthegbloodgbankgbeforegitgwasgspiked.gApparentlygthegpatient’sgIVgfailed.gTheg
unitgofgbloodgwasgoutsidegthegbloodgbankgforg35gminutes.gWhichgofgthegstatementsgbelowgisgmostgaccurate?
a. Thegunitgofgbloodgshouldgbegdiscardedgimmediately.
b. Thegunitgofgbloodgcangbegreturnedgtoginventory.
c. Thegunitgofgbloodgmustgbegtransfusedgwithing4ghoursgorgbegdiscardedgatgthegendgofgthatgtime.
d. Thegunitgofgbloodgmustgbegtransfusedgwithg24ghours.
3. Whatgisgthegaveragegdiametergofgagplatelet?
a. 5gtog10gµm c. 1gtog2gµm
b. 2gtog4gµm d.g g 4gtog6gµm
4. Ingthegnormalghemoglobin-
oxygengdissociationgcurve,gwhatgpercentagegofgoxygengisgreleasedgtogthegtissuesgwhengPO2gaveragesg40gmm
gHg?
a. 75% c. 100%
b. 25% d.g g 50%
5. Whatgfactorsgaregknowngtoginfluencegplateletgmetabolismgandgfunction?
a. Storagegtemperature c. Plateletgcount
b. InitialgpH d.g g Allgofgthegabove
6. Whichgofgthegfollowinggredgbloodgcellgmorphologiesgmaygbegpresentgongthegperipheralgbloodgsmeargasgagresultg
ofglossgofgRBCgmembrane?
a. Spherocytes c. Burrgcells
b. Targetgcells d.g g Schistocytes
7. Whatgdoesgthegtermgautologousgtransfusiongrefergto?
a. Agparentgdonatinggbloodgforghisgorghergchild
b. Angindividualgdonatinggbloodgforgagfriend
c. Angindividualgdonatinggbloodgforgagrelative
d. Angindividualgdonatinggbloodgforghisgorghergowngtransfusion
8. Whatgisgthegprimarygfunctiongofghemoglobin?
a. Irongmetabolism c. Oxygengtransport
b. Porphyringsynthesis d.g g Signalgtransduction
9. Allgofgthegfollowinggareasgofgredgbloodgcellgbiologygaregcrucialgforgnormalgerythrocytegsurvivalg except:
a. Cellulargmetabolism. c. SitegofgthegABOgantigengattachment.
b. RBCgmembrane. d.g g Hemoglobingstructure.
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05:00
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, g 10.g g WhatgisgthegcorrectgbiochemicalgcompositiongofgthegRBCgmembrane?
a. 52%gprotein,g40%glipid,g8%gcarbohydrate
b. 40%gprotein,g8%glipid,g52%gcarbohydrate
c. 8%gprotein,g52%glipid,g40%gcarbohydrate
d. 8%glipid,g40%gcarbohydrate,g52%gprotein
g 11.g g Allgofgthegfollowinggbiochemicalgchangesgaregassociatedgwithglossgofgredgbloodgcellgviabilitygupongstorage
except:
a. DecreasedgpH. c. IncreasedgATPglevel.
b. Lossgofgredgbloodgcellgfunction. d.g g Decreasedgglucosegconsumption.
g 12.g g Whichgredgbloodgcellgpreservativeghasgagstoragegtimegofg35gdays?
a. ACD c. AS-1
b. CPDA-1 d.g g CPD
g 13.g g ThegRBCgmembranegisgrelativelygpermeablegtogallgofgthegfollowingg except:
a. Chloride. c. Bicarbonate.
b. Sodium. d.g g Water.
g 14.g Whatgpercentagegofgplateletsgisgsequesteredgingthegspleengasgfunctionalgreservegaftergbeinggreleasedgfromgthegb
onegmarrow?
a. 30% c. 10%
b. 50% d.g g 25%
g 15.g Whatgisgthegmajorgbiochemicalgconsiderationgingplateletgstorage?
a. Glucosegmetabolism c. Productiongofgcarbongdioxide
b. Oxygengsupply d.g g RegulationgofgpH
g 16.g Whatgwouldgtheghemoglobin-
oxygengdissociationgcurvegdepictgingagpatientgexhibitinggclinicalgsignsgofgalkalosis?
a. Normal c. Shiftgtogthegright
b. Shiftgtogthegleft d.g g Nonegofgthegabove
g 17.g g Namegthegmainglipidgcomponentsgofgagredgbloodgcellgmembrane.
a. Phospholipid c. Glycolipid
b. Sphingomyelin d.g g GlycophoringA
g 18.g g ThegABOgbloodggroupsgweregdiscoveredging1901gbygwhom?
a. CharlesgDrew c. LoutitgandgMollison
b. KarlgLandsteiner d.g g EdwardgLindeman
g 19.g Agstandinggordergofgplateletsgwasgshippedgtogyourgfacilitygbygyourgsupplier.gItgwasginadvertentlygleftgingthegcor
nergofgthegdepartmentguntilgdiscoveredg36ghoursglater.gWhatgwouldgthegappropriategactiongbegforgthegbloodgban
ker?
a. Ifgthegtemperaturegingthegboxgwasg22g+/-
g2°CgandgthegplateletgswirlgseemedgOK,gitgwouldgbegOKgtogacceptgthegunitgintoginventory.
b. Thegplateletsghavegfallengoutsidegthegsupplier’sgqualitygassurance.gThegunitgshouldgbe
discardedgbecausegthegpHghasgprobablygdroppedgtooglowgandgplateletgactivationghasgbeengcomprom
ised.
c. Ifgthegtemperaturegwasg1°Cgtog6°CgandgthegplateletgswirlgseemedgOK,gitgwouldgbegOKgto
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05:00
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