Er: Transfusion Medicine
.
- 1.
When blood positive for DEA 1.1 is transfused into a DEA 1.1 negative dog, the process is called ____.
- A.
Sensitization
- B.
Desensitization
- C.
Delayed transfusion
- D.
Bad idea
Correct Answer
A. Sensitization -
- 2.
You can give ______ blood to a ______ dog with little consequences
- A.
A negative, A positive
- B.
DEA 1.1 negative, DEA 1.1 Positive
- C.
A negative, DEA 1.1 negative
- D.
A positive, DEA 1.1 negative
Correct Answer
A. A negative, A positive -
- 3.
Giving A+ blood to an A- dog may cause ______.
- A.
A delayed mild reaction
- B.
A severe hemolytic reaction
- C.
A mild hemolytic reaction
- D.
Nothing
Correct Answer
A. A delayed mild reaction -
- 4.
____ of cats are type A.
- A.
95%
- B.
99%
- C.
90%
- D.
96%
Correct Answer
A. 95% -
- 5.
Why is it fatal to give type A blood to type B cats?
- A.
Type B cats have strong anti-A antibodies
- B.
Type B cats have weak anti-A antibodies
- C.
It's not fatal
- D.
Type B and type A hate each other
Correct Answer
A. Type B cats have strong anti-A antibodies -
- 6.
Blood typing is based on _______ by ______.
- A.
Serological identification, agglutination reactions
- B.
Trial and error, tranfusion
- C.
Serological identification, transfusion
- D.
Trial and error, sensitization
Correct Answer
A. Serological identification, agglutination reactions -
- 7.
Major crossmatch involves comparing ______ to ______ to test for alloantibodies. It is the most important crossmatch.
- A.
Donor erythrocytes, recipient plasma
- B.
Donor plasma, recipient erythrocytes
- C.
Donor serum, recipient plasma
- D.
Donor erythrocytes, recipient erythrocytes
Correct Answer
A. Donor erythrocytes, recipient plasma -
- 8.
Minor crossmatch compares _____ and _____. It is done very often.
- A.
Donor plasma, recipient erythrocytes
- B.
Donor erythrocytes, recipient plasma
- C.
Donor serum, recipient plasma
- D.
Donor plasma, recipient plasma
Correct Answer
A. Donor plasma, recipient erythrocytes -
- 9.
Ideal blood donors should be ______.
- A.
1-5 years old
- B.
1-3 years old
- C.
5-8 years old
- D.
4-6 years old
Correct Answer
A. 1-5 years old -
- 10.
Ideal blood donors. Canines should weigh _____ and felines _____.
- A.
>25 kg, >4.5 kg
- B.
>20 kg, >4.5 kg
- C.
>25 kg, >3.5 kg
- D.
>20 kg, >3.5 kg
Correct Answer
A. >25 kg, >4.5 kg -
- 11.
Dogs can donate _____, cats can donate ________.
- A.
20 mL/kg, 10-15 mL/kg
- B.
20 mL/kg, 10-20 mL/kg
- C.
15 mL/kg, 7-8 mL/kg
- D.
30 mL/kg, 20 mL/kg
Correct Answer
A. 20 mL/kg, 10-15 mL/kg -
- 12.
Which anticoagulant is found in closed system canine blood collection bags?
- A.
CPDA-1
- B.
CPDA
- C.
EDTA-1
- D.
Lithium heparin
Correct Answer
A. CPDA-1 -
- 13.
What's the most important thing to remember about open system blood collection?
- A.
Administer this blood immediately
- B.
Store this blood immediately
- C.
This sample almost always gets hemolyzed
- D.
I don't remember what I had for breakfast
Correct Answer
A. Administer this blood immediately -
- 14.
Cats are always _____ for blood collection.
- A.
Fasted and anesthetized
- B.
Sedated
- C.
In standing position
- D.
Muzzled
Correct Answer
A. Fasted and anesthetized -
- 15.
Dilution factor for blood collection.
- A.
35 mL CPDA to 450 mL blood
- B.
30 mL CPDA to 450 mL blood
- C.
5 mL CPDA to 10 mL blood
- D.
1:1 ratio
Correct Answer
A. 35 mL CPDA to 450 mL blood -
- 16.
Select the instances when Red Cell support is necessary.
- A.
PCV drops rapidly to less than 15-20% in dogs and 15 % in cats
- B.
Blood volume loss greater than 30%
- C.
Blood loss associated with clinical symptoms
- D.
Ongoing hemorrhage
- E.
Poor response to shock therapy
- F.
Routine surgery
Correct Answer(s)
A. PCV drops rapidly to less than 15-20% in dogs and 15 % in cats
B. Blood volume loss greater than 30%
C. Blood loss associated with clinical symptoms
D. Ongoing hemorrhage
E. Poor response to shock therapy -
- 17.
Platelet support is necessary in life threatening cases with conditions associated with ____.
- A.
Thombocytopenia or thrombocytopathy
- B.
Anamia
- C.
Thrombocytopenia or anemia
- D.
DIC
Correct Answer
A. Thombocytopenia or thrombocytopathy -
- 18.
When is plasma support necessary? (select all that apply)
- A.
Hemorrhage associated with decreased coagulation factor activity
- B.
Surgery necessary in patient with decreased coagulation factor activity
- C.
Severe hypoproteineimia
- D.
Severe hematuria
- E.
As a colloid replacement for hypovolemic shock
Correct Answer(s)
A. Hemorrhage associated with decreased coagulation factor activity
B. Surgery necessary in patient with decreased coagulation factor activity
C. Severe hypoproteineimia
E. As a colloid replacement for hypovolemic shock -
- 19.
Packed red blood cells are obtained following _______ of whole blood and removal of _______.
- A.
Centrifugation, plasma
- B.
Centrifugation, serum
- C.
CBC, plasma
- D.
Hemolysis, hemoglobin
Correct Answer
A. Centrifugation, plasma -
- 20.
Packed red blood cells are a good source of hemoglobin.
- A.
True
- B.
False
Correct Answer
A. True -
- 21.
Packed red blood cell products are used for ______ patients.
- A.
Normovolemic and anemic
- B.
Anemic
- C.
Thrombocytopenic
- D.
DIC
Correct Answer
A. Normovolemic and anemic -
- 22.
Fresh frozen plasma is obtained following centrifugation of whole blood within _______ following collection. It can last up to 1 year ____.
- A.
6-8 hours, frozen
- B.
6-8 hours, at room temperature
- C.
3-4 hours, frozen
- D.
3-4 hours, refrigerated
Correct Answer
A. 6-8 hours, frozen -
- 23.
Fresh frozen plasma is used for acute/chronic hyperalbuminemia.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
HyPOalbuminemiaRate this question:
-
- 24.
Plasma doesn't contain any coagulation factors.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
It doesn't contain certain coag factors (V, VIII, von Willebrand).Rate this question:
-
- 25.
Platelet Rich Plasma and concentrate is useful in severe _____.
- A.
ITP
- B.
DIC
- C.
IPPV
- D.
RVT
Correct Answer
A. ITP -
- 26.
Select the functions of albumin.
- A.
Maintanance of colloid oncotic pressure
- B.
Substrate transport
- C.
Buffering capacity
- D.
Mediator of coagulation
- E.
Wound healing
- F.
Making Oreo McFlurry
Correct Answer(s)
A. Maintanance of colloid oncotic pressure
B. Substrate transport
C. Buffering capacity
D. Mediator of coagulation
E. Wound healing -
- 27.
Hypoalbuminemia contributes to the development of ______, _______, hypercoaguability, and multiple organ dysfunction.
- A.
Pulmonary edema, delayed wound healing
- B.
Congestive heart failure, delayed wound healing
- C.
Pulmonary edema, hypoglycemia
- D.
Cupcakes, muffins
Correct Answer
A. Pulmonary edema, delayed wound healing -
- 28.
DDAVP boosted plasma increases coagulation factors ______.
- A.
VIII and VonWillebrands
- B.
V and VI
- C.
V and VonWillebrands
- D.
VoksWagen and VonWillyNilly
Correct Answer
A. VIII and VonWillebrands -
- 29.
Transfusion rule of thumb: Each _____ (recipient) of transfused whole blood will increase hematocrit by ____.
- A.
2.2 mL/Kg, 1%
- B.
2.2 mL/Kg, 2 %
- C.
5.5 mL/Kg, 5 %
- D.
3.3 mL/Kg, 3 %
Correct Answer
A. 2.2 mL/Kg, 1% -
- 30.
Transfusion volume equation for kitties.
- A.
Donor Blood= 70 x (recipient weight x desired PCV) - (recipient PCV/ donor PCV)
- B.
Donor Blood= 40 x (recipient PCV x desired PCV) - (recipient PCV/ donor PCV)
- C.
Donor Blood= 70 x (recipient weight x desired hematocrit) - (recipient PCV/ donor PCV)
- D.
Donor Blood= 80 x (recipient weight x desired PCV) - (recipient PCV/ donor weight)
Correct Answer
A. Donor Blood= 70 x (recipient weight x desired PCV) - (recipient PCV/ donor PCV) -
- 31.
Transfusion volume equation for pooches.
- A.
Donor Blood= 80 x (recipient weight x desired PCV) - (recipient PCV/ donor PCV)
- B.
Donor Blood= 40 x (recipient PCV x desired PCV) - (recipient PCV/ donor PCV)
- C.
Donor Blood= 70 x (recipient weight x desired PCV) - (recipient weight/ donor PCV)
- D.
Donor Blood= 90 x (recipient weight x desired PCV) - (recipient PCV/ donor PCV)
Correct Answer
A. Donor Blood= 80 x (recipient weight x desired PCV) - (recipient PCV/ donor PCV) -
- 32.
If IP is used for administering blood to neonates, ________ of the transfusion will be absorbed.
- A.
50%
- B.
60%
- C.
40%
- D.
55%
Correct Answer
A. 50% -
- 33.
Blood product should be SLOWLY warmed to around _____.
- A.
37 C
- B.
36 C
- C.
32 C
- D.
38 C
Correct Answer
A. 37 C -
- 34.
All blood product administration sets must have a ______ attached to the IV to prevent ______ from reaching the patient and causing a pulmonary embolism.
- A.
Filter, clots/debris
- B.
Stopcock, air bubbles
- C.
Filter, air bubbles
- D.
Stopcock, clots/debris
Correct Answer
A. Filter, clots/debris -
- 35.
Transfusion blood can be mixed with NaCl 0.9%. ____ containing fluids could potentiate _____.
- A.
Calcium, blood clotting
- B.
Sodium, blood clotting
- C.
Calcium, hemolytic reactions
- D.
Sodium, hemolytic reactions
Correct Answer
A. Calcium, blood clotting -
- 36.
You can adminsiter ________ or the first 15 minutes.
- A.
0.25 mL/Kg/Hr
- B.
0.35 mL/Kg/Hr
- C.
0.45 mL/Kg/Hr
- D.
0.5 mL/Kg/Hr
Correct Answer
A. 0.25 mL/Kg/Hr -
- 37.
If no reaction occurs after the first 15 minute, you can increase the transfusion rate to ______.
- A.
4-6 mL/Kg/Hr
- B.
3-6 mL/Kg/Hr
- C.
2-6 mL/Kg/Hr
- D.
6-8 mL/Kg/Hr
Correct Answer
A. 4-6 mL/Kg/Hr -
- 38.
Maximum delivery for transfusions.
- A.
22 mL/Kg/Hr
- B.
52 mL/Kg/Hr
- C.
12 mL/Kg/Hr
- D.
62 mL/Kg/Hr
Correct Answer
A. 22 mL/Kg/Hr -
- 39.
Post-transfusion blood work should be done after 1 hour.
- A.
True
- B.
False
Correct Answer
A. True -
- 40.
During transfusion, ensure _____ does not exceed maintenance to avoid _______.
- A.
Total fluid rate,fluid overload
- B.
Total fluid rate, dehydration
- C.
Total fluid delivered, hemolytic reactions
- D.
Surgical rate, fluid overload
Correct Answer
A. Total fluid rate,fluid overload -
- 41.
Transfusion reactions.Hemolytic/allergic reactions, pyrexic/non hemolytic, acute pulmonary signs.
- A.
Acute immune-mediated reactions (0-48 hours)
- B.
Acute non immune-mediated reactions (0-48 hours)
- C.
Delayed immune-mediated reactions (>48 hours)
- D.
Delayed non immune-mediated reactions (>48 hours)
Correct Answer
A. Acute immune-mediated reactions (0-48 hours) -
- 42.
Transfusion reactions.Fluid overload, citrate intoxication, hypothermia, bacterial contamination.
- A.
Acute non immune-mediated reactions (0-48 hours)
- B.
Acute immune-mediated reactions (0 to 48 hours)
- C.
Delayed immune-mediated reactions (> 48 hours)
- D.
Delayed non immune-mediated reactions (> 48 hours)
Correct Answer
A. Acute non immune-mediated reactions (0-48 hours) -
- 43.
Transfusion reactions. Delayed hemolytic reaction, post-transfusion purpura, neonatal isoerythrolysis.
- A.
Delayed immune-mediated reactions (> 48 hours)
- B.
Acute immune-mediated reactions (0 to 48 hours)
- C.
Acute non immune-mediated reactions (0 to 48 hours)
- D.
Delayed non immune-mediated reactions (> 48 hours)
Correct Answer
A. Delayed immune-mediated reactions (> 48 hours) -
- 44.
Transfusion reactions.Infectious disease transmission.
- A.
Delayed non immune-mediated reactions (> 48 hours)
- B.
Acute non immune-mediated reactions (0 to 48 hours)
- C.
Acute immune-mediated reactions (0 to 48 hours)
- D.
Delayed immune-mediated reactions (> 48 hours)
Correct Answer
A. Delayed non immune-mediated reactions (> 48 hours) -
- 45.
Hemolytic Acute immune-mediated reactions can be _____, and you will observe a rapid _____.
- A.
Fatal, increase in bilirubin
- B.
Fatal, decrease in bilirubin
- C.
Cured, increase in BUN
- D.
Cured, decrease in BUN
Correct Answer
A. Fatal, increase in bilirubin -
- 46.
Your patient has angioedema, hives, V/D, hypotension. What do you suspect?
- A.
Acute Immune-Mediated reaction (allergic)
- B.
Acute Immune-Mediated reaction (hemolytic)
- C.
Acute Immune-Mediated reaction (pyrexic)
- D.
Acute non immune-mediated reaction
Correct Answer
A. Acute Immune-Mediated reaction (allergic) -
- 47.
Bacterial contamination reaction will present with ____, V/D, ______ and DIC.
- A.
Fever, hypotension
- B.
Fever, hypertension
- C.
Hives, hypotension
- D.
Hives, hypertension
Correct Answer
A. Fever, hypotension -
- 48.
Fluid overload presents with increased _______, jugular distension, and ______.
- A.
HR and RR, cough/dyspnea
- B.
HR, dyspnea
- C.
RR, hypotension
- D.
HR and RR, hypertension
Correct Answer
A. HR and RR, cough/dyspnea -
- 49.
Delayed hemolytic reaction is usually very symptomatic.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Asymptomatic.Rate this question:
-
- 50.
Which of the transfusion reactions is rare?
- A.
Post-transfusion purpura
- B.
Delayed hemolytic reaction
- C.
Neonatal Isoerythrolysis
- D.
None of them
Correct Answer
A. Post-transfusion purpura -
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Apr 25, 2016Quiz Edited by
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