Test Bank For Modern Blood Banking & Transfusion Practices 7th Edition By Denise M Harmening 9780803668881 Chapter 1-29 Complete Guide .

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TRANSFUSION PRACTICES 7TH EDITION BY
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DENISE M HARMENING
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9780803668881CHAPTER1-29COMPLETE
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GUIDE ss

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Chapter 1 RBCsand Platelet Preservation: Historical Perspectives and Current Trends
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Multiple Choice ss



Identify the choice that best completes the statement or answers the question.
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1. Which metabolic pathway is responsible for generating 90% of theATPfor the RBC?
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a. Pentose phosphate shunt c. Glycolysis ss ss



b. Luebering-Rapoport shunt d. Methemoglobin reductase ss ss




2. A unit of blood was returned to the blood bank before it was spiked. Apparently the patient’s IV failed.
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The unit of blood was outside the blood bank for 35 minutes. Which of the statements below is most
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accurate? ss



a. The unit of blood should be discarded immediately. ss ss ss ss ss ss ss



b. The unit of blood can be returned to inventory. ss ss ss ss ss ss ss ss



c. The unit of blood must be transfused within 4 hours or be discarded at the end of that time.
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d. The unit of blood must be transfused with 24 hours. ss ss ss ss ss ss ss ss ss




3. What is the average diameter of a platelet?
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a. 5 to 10 µm ss ss ss c. 1 to 2 µm ss ss ss



b. 2 to 4 µm ss ss ss d. 4 to 6 µm ss ss ss




4. In the normal hemoglobin-oxygen dissociation curve, what percentage of oxygen is released to the
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tissues when PO2
ss averages 40 mm Hg? ss ss s s ss ss ss



a. 75% c. 100%
b. 25% d. 50%

5. What factors are known to influence platelet metabolism and function?
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a. Storage temperature c. Platelet count ss ss



b. Initial pH d. All of the above ss ss ss ss




6. Which of the following red blood cell morphologies may be present on the peripheral blood smear as a
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result of loss of RBC membrane?
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a. Spherocytes c. Burr cells xx



b. Target cells d. Schistocytes ss




7. What does the term autologous transfusion refer to?
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a. Aparent donating blood for his or her child
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b. An individual donating blood for a friend ss ss ss ss ss xx



c. An individual donating blood for a relative ss xx ss xx ss ss



d. An individual donating blood for his or her own transfusion
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8. What is the primary function of hemoglobin?
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a. Iron metabolism c. Oxygen transport
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b. Porphyrin synthesis d. Signal transduction ss ss




9. All of the following areas of red blood cell biology are crucial for normal erythrocyte survival except:
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a. Cellular metabolism. c. Site of theABO antigen attachment.ss s ss s ss ss



b. RBC membrane. d. Hemoglobin structure.
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s s 10. What is the correct biochemical composition of the RBC membrane?
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a. 52% protein, 40% lipid, 8% carbohydrate ss ss ss ss ss



b. 40% protein, 8% lipid, 52% carbohydrate ss ss ss ss ss



c. 8% protein, 52% lipid, 40% carbohydrate
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d. 8% lipid, 40% carbohydrate, 52% protein
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s s 11. All of the following biochemical changes are associated with loss of red blood cell viability upon storage
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except:
a. Decreased pH. c. Increased ATP level. ss xx ss



b. Loss of red blood cell function. d. Decreased glucose consumption.
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s s 12. Which red blood cell preservative has a storage time of 35 days?
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a. ACD c. AS-1
b. CPDA-1 d. CPD

s s 13. The RBC membrane is relatively permeable to all of the following except:
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a. Chloride. c. Bicarbonate.
b. Sodium. d. Water.

s s 14. What percentage of platelets is sequestered in the spleen as functional reserve after being released
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from the bone marrow?
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a. 30% c. 10%
b. 50% d. 25%

s s 15. What is the major biochemical consideration in platelet storage?
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a. Glucose metabolism c. Production of carbon dioxide
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b. Oxygen supply d. Regulation of pH ss s s x s s x s s ss ss




s s 16. What would the hemoglobin-oxygen dissociation curve depict in a patient exhibiting clinical
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signs of alkalosis?
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a. Normal c. Shift to the right ss xx ss



b. Shift to the left d. None of the above
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s s 17. Name the main lipid components of a red blood cell membrane.
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a. Phospholipid c. Glycolipid
b. Sphingomyelin d. Glycophorin A ss




s s 18. The ABO blood groups were discovered in 1901 by whom?
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a. Charles Drew c. Loutit and Mollison xx ss ss



b. Karl Landsteiner d. Edward Lindeman
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s s 19. A standing order of platelets was shipped to your facility by your supplier. It was
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inadvertently left in the corner of the department until discovered 36 hours later. What would the
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appropriate action be for the blood banker?
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a. If the temperature in the box was 22 +/- 2°C and the platelet swirl seemed OK, it would
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be OK to accept the unit into inventory.
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b. The platelets have fallen outside the supplier’s quality assurance. The unit should be
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discarded because the pH has probably dropped too low and platelet activation has
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been compromised.
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c. If the temperature was 1°C to 6°C and the platelet swirl seemed OK, it would be OK to
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