,Table mof mContents
Part mI: mQuality mand mSafety mIssues
1. Quality mAssurance mand mRegulation mof mthe mBlood mIndustry: mSafety mIssu
mBank…………………………….3 m Part mII: mFoundations: mBasic mSciences mand mReagents
2. Immunology: mBasic mPrinciples mand mApplications min mthe mBlood mBank m………………………
3. Blood mBanking mReagents: mOverview mand mApplications………………………………………………
mGenetic mPrinciples min mBlood mBanking………………………………………………………………………………
mOverview mof mthe mMajor mBlood mGroups
5. mABO mand mH mBlood mGroup mSystems mand mSecretor mStatus……………………………………
m 6. mRh mBlood mGroup mSystem……………………………………………………………………………………………………
7. Other mRed mCell mBlood mGroup mSystems, mHuman mLeukocyte mAntigens, mand mPlatelet
mAntigens………………………….30 m Part mIV: mEssentials mof mPretransfusion mTesting
8. Antibody m m m Detection m m m and m m m Identification……………………………………………………………
m m m m mCompatibility m m m m mTesting…………………………………………………………………………………………
10. Blood mBank mAutomation mfor mTransfusion mServices…………………………………………………………
mClinical mConsiderations min mImmunohematology
11. Adverse mComplications mof mTransfusions…………………………………………………………………………………
12. Hemolytic mDisease mof mthe mFetus mand mNewborn…………………………………………………………
mVI: mBlood mCollecting mand mTesting
13. mDonor mSelection mand mPhlebotomy……………………………………………………………………………………
mof mDonor mBlood…………………………………………………………………………………………………….60 m
mComponent mPreparation mand mTransfusion mTherapy
15. Blood mComponent mPreparation mand mTherapy………………………………………………………………………
16. Transfusion mTherapy min mSelected mPatients……………………………………………………………………………
,Chapter m01: mQuality mAssurance mand mRegulation mof mthe mBlood mIndustry mand mSafet
mthe mBlood mBank m Howard: mBasic m& mApplied mConcepts mof mBlood mBanking mand m
mPractices, m5th mEdition
MULTIPLE mCHOICE
1. Biosafety mlevels mdetermine:
a. on mwhat mfloor mcertain minfectious mdisease mtesting mcan mbe mperformed.
b. the mdegree mof mrisk mfor mcertain mareas mof ma mhealth mcare
mfacility mto mexposure mto m infectious mdiseases.
c. the mamount mof mventilation mrequired min ma mtransfusion mservice.
d. how mmany mbiohazardous mwaste mcontainers ma mlaboratory mmust mhave.
ANS: m B
OSHA mdefines mbiosafety mlevels mbased mon mpotential mexposure mto minfectious mmaterial.
DIF: Level m1
2. A mlaboratory mtechnologist mdecided mshe mwould mlike mto mbring mher mlab mcoat mhome m
mit mhad mtoo mmany mwrinkles mwhen
it mwas mreturned mby mthe mlaboratory’s mlaundry mservice. mIs mthis mpractice macceptable?
a. Yes, mif mshe muses m10% mbleach
b. Yes, mif mshe mclears mit mwith mher msupervisor
c. Yes, mas mlong mas mshe mremoves mthe mcoat mand mdoes mnot mwear mit mhome
d. No, mbecause mthe mlaboratory mis ma mbiosafety mlevel m2, mand
mlab mcoats mmay mnot mbe m removed
ANS: m D
Methods mof mtransporting mthe mlab mcoat mand mthe mrisk mof mcontamination mdo mnot mp
mworkers mto mbring mlab mcoats mhome mfor m cleaning.
DIF: Level m2
3. Personal mprotective mequipment mincludes:
a. safety mglasses.
b. splash mbarriers.
c. masks.
d. All mof mthe mabove
ANS: m D
Safety mglasses, msplash mbarriers, mand mmasks mare mtypes mof mpersonal mprotective mdevice
DIF: Level m1
4. At mwhat mpoint min mthe memployment mprocess mshould msafety mtraining mtake mplace?
a. During morientation mand mtraining
b. Following mlab mtraining mwhen memployees mare mmore
mfamiliar mwith mtheir m responsibilities
c. Following mthe memployees’ mfirst mevaluation
d. Before mindependent mwork mis mpermitted mand mannually mthereafter
ANS: m D
The mOccupation mSafety mand mHealth mAdministration mrequires msafety mtraining mbefore min
mpermitted mand mannually m thereafter.
, 7. Which mof mthe mfollowing mis mtrue mregarding mgood mmanufacturing mpractices m(GMPs)?
a. GMPs mare mlegal mrequirements mestablished mby mthe mFood mand mDrug mAdministration
b. GMPs mare moptional mguidelines mwritten mby mthe mAABB.
c. GMPs mare mrequired monly mby mpharmaceutical mcompanies.
d. GMPs mare mpart mof mthe mquality mcontrol mrequirements mfor mblood mproducts.
ANS: m A
Good mmanufacturing mpractices mare mrequirements mestablished mby mthe mFood mand mDrug
DIF: Level m1
8. Which mof mthe mfollowing mis man mexample mof man munacceptable mrecord-keeping mproced
a. Using mdittos min mcolumns mto msave mtime
b. Recording mthe mdate mand minitials mnext mto ma mcorrection
c. Not mdeleting mthe moriginal mentry mwhen mmaking ma mcorrection
d. Always musing mpermanent mink mon mall mrecords
ANS: m A
All mrecords mmust mbe mclearly mwritten. mDittos mare munacceptable.
DIF: Level m1
9. A mtechnologist min mtraining mnoticed mthat mthe mperson mtraining mher mhad mnot mrecorde
ma mtest. mTo mbe mhelpful, mshe mcarefully m recorded mthe mresults mshe msaw mat ma mlat
mthe mtechnologist’s minitials. mIs mthis man macceptable mprocedure?
a. Yes; mall mresults mmust mbe mrecorded mregardless mof mwho mdid mthe mtest.
b. No; mshe mshould mhave mbrought mthe merror mto mthe mtechnologist’s mattention.
c. Yes; mbecause mshe mused mthe mother mtechnologist’s minitials.
d. Yes; mas mlong mas mshe mrecords mthe mresult min mpencil.
ANS: m B
This mis man mexample mof mpoor mrecord mkeeping; mresults mmust mbe mrecorded mwhen mth
mand mby mthe mperson mdoing mthe mtest.
DIF: Level m3
10. Unacceptable mquality mcontrol mresults mfor mthe mantiglobulin mtest mperformed min mtest mtu
mif:
a. preventive mmaintenance mhas mnot mbeen mperformed mon mthe mcell mwasher.
b. the mtechnologist mperforming mthe mtest mwas mnever mtrained.
c. the mreagents mused mwere mimproperly mstored.
d. All mof mthe mabove
ANS: m D
Training, mequipment mmaintenance, mand mreagent mquality mcan maffect mquality mcontrol.
DIF: Level m2
11. All mof mthe mfollowing mare mtrue mregarding mcompetency mtesting mexcept:
a. it mmust mbe mperformed mfollowing mtraining.
b. it mmust mbe mperformed mon man mannual mbasis.
c. it mis mrequired monly mif mthe mtechnologist mhas mno mexperience.
d. retraining mis mrequired mif mthere mis ma mfailure min mcompetency mtesting.
ANS: m C
All memployees mmust mhave mcompetency mtesting mfollowing mtraining mand mannually mthere
mfailure min mcompetency mtesting, m retraining mis mrequired.
Part mI: mQuality mand mSafety mIssues
1. Quality mAssurance mand mRegulation mof mthe mBlood mIndustry: mSafety mIssu
mBank…………………………….3 m Part mII: mFoundations: mBasic mSciences mand mReagents
2. Immunology: mBasic mPrinciples mand mApplications min mthe mBlood mBank m………………………
3. Blood mBanking mReagents: mOverview mand mApplications………………………………………………
mGenetic mPrinciples min mBlood mBanking………………………………………………………………………………
mOverview mof mthe mMajor mBlood mGroups
5. mABO mand mH mBlood mGroup mSystems mand mSecretor mStatus……………………………………
m 6. mRh mBlood mGroup mSystem……………………………………………………………………………………………………
7. Other mRed mCell mBlood mGroup mSystems, mHuman mLeukocyte mAntigens, mand mPlatelet
mAntigens………………………….30 m Part mIV: mEssentials mof mPretransfusion mTesting
8. Antibody m m m Detection m m m and m m m Identification……………………………………………………………
m m m m mCompatibility m m m m mTesting…………………………………………………………………………………………
10. Blood mBank mAutomation mfor mTransfusion mServices…………………………………………………………
mClinical mConsiderations min mImmunohematology
11. Adverse mComplications mof mTransfusions…………………………………………………………………………………
12. Hemolytic mDisease mof mthe mFetus mand mNewborn…………………………………………………………
mVI: mBlood mCollecting mand mTesting
13. mDonor mSelection mand mPhlebotomy……………………………………………………………………………………
mof mDonor mBlood…………………………………………………………………………………………………….60 m
mComponent mPreparation mand mTransfusion mTherapy
15. Blood mComponent mPreparation mand mTherapy………………………………………………………………………
16. Transfusion mTherapy min mSelected mPatients……………………………………………………………………………
,Chapter m01: mQuality mAssurance mand mRegulation mof mthe mBlood mIndustry mand mSafet
mthe mBlood mBank m Howard: mBasic m& mApplied mConcepts mof mBlood mBanking mand m
mPractices, m5th mEdition
MULTIPLE mCHOICE
1. Biosafety mlevels mdetermine:
a. on mwhat mfloor mcertain minfectious mdisease mtesting mcan mbe mperformed.
b. the mdegree mof mrisk mfor mcertain mareas mof ma mhealth mcare
mfacility mto mexposure mto m infectious mdiseases.
c. the mamount mof mventilation mrequired min ma mtransfusion mservice.
d. how mmany mbiohazardous mwaste mcontainers ma mlaboratory mmust mhave.
ANS: m B
OSHA mdefines mbiosafety mlevels mbased mon mpotential mexposure mto minfectious mmaterial.
DIF: Level m1
2. A mlaboratory mtechnologist mdecided mshe mwould mlike mto mbring mher mlab mcoat mhome m
mit mhad mtoo mmany mwrinkles mwhen
it mwas mreturned mby mthe mlaboratory’s mlaundry mservice. mIs mthis mpractice macceptable?
a. Yes, mif mshe muses m10% mbleach
b. Yes, mif mshe mclears mit mwith mher msupervisor
c. Yes, mas mlong mas mshe mremoves mthe mcoat mand mdoes mnot mwear mit mhome
d. No, mbecause mthe mlaboratory mis ma mbiosafety mlevel m2, mand
mlab mcoats mmay mnot mbe m removed
ANS: m D
Methods mof mtransporting mthe mlab mcoat mand mthe mrisk mof mcontamination mdo mnot mp
mworkers mto mbring mlab mcoats mhome mfor m cleaning.
DIF: Level m2
3. Personal mprotective mequipment mincludes:
a. safety mglasses.
b. splash mbarriers.
c. masks.
d. All mof mthe mabove
ANS: m D
Safety mglasses, msplash mbarriers, mand mmasks mare mtypes mof mpersonal mprotective mdevice
DIF: Level m1
4. At mwhat mpoint min mthe memployment mprocess mshould msafety mtraining mtake mplace?
a. During morientation mand mtraining
b. Following mlab mtraining mwhen memployees mare mmore
mfamiliar mwith mtheir m responsibilities
c. Following mthe memployees’ mfirst mevaluation
d. Before mindependent mwork mis mpermitted mand mannually mthereafter
ANS: m D
The mOccupation mSafety mand mHealth mAdministration mrequires msafety mtraining mbefore min
mpermitted mand mannually m thereafter.
, 7. Which mof mthe mfollowing mis mtrue mregarding mgood mmanufacturing mpractices m(GMPs)?
a. GMPs mare mlegal mrequirements mestablished mby mthe mFood mand mDrug mAdministration
b. GMPs mare moptional mguidelines mwritten mby mthe mAABB.
c. GMPs mare mrequired monly mby mpharmaceutical mcompanies.
d. GMPs mare mpart mof mthe mquality mcontrol mrequirements mfor mblood mproducts.
ANS: m A
Good mmanufacturing mpractices mare mrequirements mestablished mby mthe mFood mand mDrug
DIF: Level m1
8. Which mof mthe mfollowing mis man mexample mof man munacceptable mrecord-keeping mproced
a. Using mdittos min mcolumns mto msave mtime
b. Recording mthe mdate mand minitials mnext mto ma mcorrection
c. Not mdeleting mthe moriginal mentry mwhen mmaking ma mcorrection
d. Always musing mpermanent mink mon mall mrecords
ANS: m A
All mrecords mmust mbe mclearly mwritten. mDittos mare munacceptable.
DIF: Level m1
9. A mtechnologist min mtraining mnoticed mthat mthe mperson mtraining mher mhad mnot mrecorde
ma mtest. mTo mbe mhelpful, mshe mcarefully m recorded mthe mresults mshe msaw mat ma mlat
mthe mtechnologist’s minitials. mIs mthis man macceptable mprocedure?
a. Yes; mall mresults mmust mbe mrecorded mregardless mof mwho mdid mthe mtest.
b. No; mshe mshould mhave mbrought mthe merror mto mthe mtechnologist’s mattention.
c. Yes; mbecause mshe mused mthe mother mtechnologist’s minitials.
d. Yes; mas mlong mas mshe mrecords mthe mresult min mpencil.
ANS: m B
This mis man mexample mof mpoor mrecord mkeeping; mresults mmust mbe mrecorded mwhen mth
mand mby mthe mperson mdoing mthe mtest.
DIF: Level m3
10. Unacceptable mquality mcontrol mresults mfor mthe mantiglobulin mtest mperformed min mtest mtu
mif:
a. preventive mmaintenance mhas mnot mbeen mperformed mon mthe mcell mwasher.
b. the mtechnologist mperforming mthe mtest mwas mnever mtrained.
c. the mreagents mused mwere mimproperly mstored.
d. All mof mthe mabove
ANS: m D
Training, mequipment mmaintenance, mand mreagent mquality mcan maffect mquality mcontrol.
DIF: Level m2
11. All mof mthe mfollowing mare mtrue mregarding mcompetency mtesting mexcept:
a. it mmust mbe mperformed mfollowing mtraining.
b. it mmust mbe mperformed mon man mannual mbasis.
c. it mis mrequired monly mif mthe mtechnologist mhas mno mexperience.
d. retraining mis mrequired mif mthere mis ma mfailure min mcompetency mtesting.
ANS: m C
All memployees mmust mhave mcompetency mtesting mfollowing mtraining mand mannually mthere
mfailure min mcompetency mtesting, m retraining mis mrequired.