Tuesday, August 30, 2005

N4 - Test - Modified Blood Products

I have really learned a lot from this article. It is not very long and it really gives you an understanding of blood and reactions and immunosuppression. I recommend that you look it over.
http://www.nursingcenter.com/prodev/ce_article.asp?tid=267803

1.
In TA-GVHD, which of the following proliferates and attacks the host's tissue?
a. lymphocytes
b. granulocytes
c. bradykinins
d. cytokines

2.
Most people who develop TA-GVHD die of
a. CMV infection.
b. a transfusion reaction.
c. infection and hemorrhage.
d. alloimmunization.

3.
Irradiation is done on which of the following products?
a. whole blood, RBCs, FFP, platelets
b. whole blood, RBCs, platelets, granulocytes
c. cryoprecipitate, FFP, RBCs, platelets
d. whole blood, RBCs, FFP, granulocytes

4.
Fever-inducing cytokines are proteins that develop during
a. bone marrow transplants.
b. platelet transfusion.
c. blood component storage.
d. alloimmunization.

5.
Which of the following statements about alloimmunization is correct?
a. It prolongs the survival of platelets the patient receives in the future.
b. It's triggered by platelets and RBCs.
c. Removing leukocytes increases the risk of alloimmunization.
d. Alloimmunization is permanent.

6.
A patient is considered refractory to platelet transfusion if his posttransfusion platelet count increases by
a. less than 7,500/mcl.
b. more than 7,500/mcl.
c. less than 30,000/mcl.
d. more than 60,000/mcl.

7.
Which of the following might contain CMV?
a. cryoprecipitate
b. whole blood
c. FFP
d. noncellular blood products

8.
Which statement is correct about LR?
a. It's not appropriate for whole blood.
b. When done soon after collection, it preserves cells that form cytokines during storage.
c. Blood banks don't perform LR.
d. LR performed in a lab removes more leukocytes than LR performed at the bedside.

9.
Thawed units of frozen RBCs are washed to remove
a. CMV antigens.
b. glycerol.
c. RBC antigens.
d. cryoprecipitate.

10.
Which of the following solutions is used to wash platelets?
a. glycerol
b. 0.45% sodium chloride
c. 0.9% sodium chloride
d. buffered 0.9% sodium chloride

11.
Type O blood lacks
a. Rh antigens.
b. Jka antigens.
c. A and B antigens.
d. O antigens.

12.
Which of the following is an indication for phenotyping?
a. sickle-cell disease
b. presence of CMV antibodies
c. impaired immunity
d. graft-versus-host disease

13.
Irradiation may be indicated for patients who
a. receive RBCs that were frozen in glycerol.
b. have had a severe hypersensitivity reaction to immunoglobulin A in donor plasma.
c. have T cell immune deficiency.
d. develop hypotension during transfusion.

Answers are in the comments.

1 comment:

Bonnie Boss said...

1a, 2c, 3b, 4c, 5d, 6a, 7b, 8d, 9b, 10d, 11c, 12a, 13c