Er: Transfusion Medicine

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Er: Transfusion Medicine - Quiz

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Questions and Answers
  • 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. False
    Explanation
    HyPOalbuminemia

    Rate this question:

  • 24. 

    Plasma doesn't contain any coagulation factors. 

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    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. False
    Explanation
    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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