Exam 9: Detection and Identification of Antibodies

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While performing an antibody screen, a test reaction is observed that is suspected to be rouleaux. A saline replacement test is done, and the reaction remains. What is the best interpretation?

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A patient with a warm autoantibody has a positive DAT. The antibody screen was negative, but the eluate reacted uniformly with all normal cells and patient cells. Why was the antibody screen negative?

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What is the purpose of Coombs' control cells?

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What would be a realistic source of finding compatible units for a person with an antibody to a high-frequency antigen?

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When performing the elution procedure, the solution containing the recovered antibody is called:

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One drop of Coombs' control cells was added to a negative antibody screen. No agglutination was observed after centrifugation. What course of action is taken?

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Of the antibodies listed below, which does NOT fit with the others in terms of the optimal temperature of reactivity?

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How many units would you likely have to screen to find two compatible units for someone with the following antibodies: anti-C, anti-Lea, anti-Jkb?

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What is the simplest way of reducing the interferences from benign cold autoantibodies in antibody screening procedures?

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A doctor has ordered 4 units of red blood cells for a patient with anti-E in his serum. How many units would have to be screened to yield 4 E-negative units?

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Why is it important for screening cells to be from individuals who have a homozygous expression of antigens?

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A person has developed an antibody to the LISS reagent. What test will not be affected by this circumstance?

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Pseudoagglutination:

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A 2-unit crossmatch was ordered on a patient in the emergency room. The patient's antibody screen was negative. One unit was compatible and the other was incompatible at AHG. If the patient's antibody screen was negative and the donor had no history of antibodies, what could be the reason for this reaction?

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In what circumstance would an alloadsorption be performed?

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Cells that have antibody attached to them but are still separated from one another are:

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