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Specific Examination Objectives

Average Question Topic ABO AIHA Antibody ID Compatibility Components Donor Testing Donors Genetics HDN Immunology Other Blood Groups Reagents Rh System Transfusion Reactions
Exam ID CLS 325 Final

Total 15 6 4 3 13 2 1 2 12 7 11 8 8 8
Total Questions 100

Difficulty 1.93 1.33 2.00 2.67 1.77 1.50 2.00 2.00 2.25 1.71 1.91 1.88 2.13 1.50
Average Difficulty 1.89

On this examination, the student will be expected to:


1. [Level 2/Final/ABO/4] Differentiate between secretor and nonsecretor status 2.
[Level 2/Final/Other Blood Groups/9]

Describe the relationship between Lewis genes and secretor status 3. [Level 2/Final/ABO/10] Discuss the Bombay phenotype with regard to serologic reactions
[Level 1/Final/ABO/12]

4.

Identify naturally occurring antibodies produced by each ABO Blood Group


5. [Level 1/Final/ABO/13] List alternative blood types that can be given to an individual when an exact match is unavailable
[Level 2/Final/Immunology/14]

6.

Explain how immunodeficiencies can affect blood bank testing


7. [Level 2/Final/ABO/15] Explain Landsteiner's rule

8.

[Level 2/Final/ABO/31]

Describe the reciprocal relationship between ABO antigens and antibodies for O, A, B, and AB blood types
9. [Level 2/Final/ABO/33] Describe discrepancies caused by extra reactions in serum (reverse) testing
[Level 2/Final/ABO/34]

10.

Interpret routine ABO typing results

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11. [Level 1/Final/AIHA/35] List the most commonly occurring autoimmune hemolytic anemias
[Level 1/Final/AIHA/36]

12.

List causative agents for Cold Agglutinin Disease (CAD)


13. [Level 2/Final/AIHA/37] Discuss initial therapy options for WAIHA
[Level 1/Final/AIHA/40]

14.

List drugs associated with drug-induced IHA that cause membrane modification
15. [Level 1/Final/AIHA/42] List drugs that are associated with drug-independent types of hemolytic anemias
[Level 2/Final/Other Blood Groups/56]

16.

Differentiate between antigens enhanced and destroyed by proteolytic enzymes


17.
[Level 2/Final/Other Blood Groups/57]

Describe the Lewis Blood Group System 18. [Level 3/Final/Other Blood Groups/109] Characterize the U antigen 19.
[Level 2/Final/Other Blood Groups/115]

Describe Donath-Landsteiner antibodies 20. [Level 2/Final/Other Blood Groups/116] Describe autoanti-I antibodies and its disease association 21.
[Level 3/Final/Compatibility/133]

Determine causes of incompatible crossmatch when given test results 22. [Level 3/Final/Compatibility/135] Determine causes of incompatible crossmatch when given test results 23.
[Level 2/Final/Genetics/159]

Explain codominant expression 24. [Level 2/Final/HDN/166] Describe the most serious clinical findings of hemolytic disease of the newborn 25.
[Level 2/Final/HDN/169]

Indicate the appropriate blood product for exchange transfusion 26. [Level 2/Final/HDN/171] Explain ABO-HDN 27.
[Level 3/Final/HDN/172]

Calculate the number of vials of RhIg to give a mother 28. [Level 2/Final/Immunology/176] Discuss the role of complement 29.
[Level 2/Final/Immunology/179]

Differentiate between IgG and IgM antibodies 30. [Level 2/Final/Reagents/180] Discuss the role of LISS

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31. [Level 1/Final/Immunology/181] Define zeta potential


[Level 1/Final/Immunology/182]

32.

Define antigen
33. [Level 2/Final/Transfusion Reactions/195] Describe the causes of febrile nonhemolytic transfusion reactions
[Level 2/Final/Transfusion Reactions/202]

34.

Describe the mechanisms of transfusion hemosiderosis


35. [Level 1/Final/Components/205] List the therapeutic benefits of red blood cells
[Level 2/Final/HDN/210]

36.

Discuss the composition and dosage of Rh immune globulin


37.
[Level 2/Final/HDN/211]

Discuss the timing of Rh immune globulin 38. [Level 1/Final/HDN/213] Define Hemolytic Disease of the Newborn 39.
[Level 1/Final/Transfusion Reactions/253]

Identify antibodies associated with delayed transfusion reactions 40. [Level 2/Final/Other Blood Groups/254] Discuss characteristics of the Duffy Blood Group and its relationship to disease 41.
[Level 2/Final/ABO/258]

Differentiate between glycophorin A and glycophorin B 42. [Level 1/Final/Other Blood Groups/259] Be able to list all clinically significant antibodies 43.
[Level 2/Final/Other Blood Groups/270]

Explain the McLeod phenotype and its association with disease 44. [Level 2/Final/Donors/286] Describe donor criteria that indicate a temporary deferral 45.
[Level 2/Final/Donor Testing/295]

Explain the testing procedures for HIV 46. [Level 1/Final/Donor Testing/296] List all required serological tests for blood donors 47.
[Level 1/Final/Components/303]

State the expiration limits for platelets and platelet components 48. [Level 1/Final/Components/305] State the storage temperature and expiration limits for frozen red blood cells 49.
[Level 2/Final/Reagents/333]

Differentiate between polyspecific and monospecific AHG 50. [Level 1/Final/ABO/356] List the immunodominant sugars for A, B, O and H alleles

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51. [Level 2/Final/Compatibility/390] Discuss the impact of hemolyzed samples in compatibility testing
[Level 2/Final/HDN/399]

52.

Describe the Kleihauer-Betke procedure and how to interpret results


53. [Level 3/Final/HDN/400] Be able to choose who is at risk for ABO HDN if given mother and baby blood types
[Level 3/Final/HDN/401]

54.

Determine the type of HDN when presented with a clinical situation


55. [Level 1/Final/Transfusion Reactions/402] Define immune hemolytic anemia
[Level 2/Final/Antibody ID/469]

56.

Discuss how to remove cold reacting antibodies from serum


57.
[Level 2/Final/Immunology/476]

Describe the different gradings associated with the interpretation of agglutination reactions 58. [Level 1/Final/Reagents/477] State the concentration of red blood cell based reagents 59.
[Level 2/Final/Antibody ID/481]

Discuss chemicals that can be used to dissociate IgG without harming the red blood cell 60. [Level 2/Final/Other Blood Groups/492] Differentiate between antigens enhanced and destroyed by proteolytic enzymes 61.
[Level 2/Final/Rh System/503]

Predict the Rh genotypes (Wiener notation) of offspring if given parental genotypes 62. [Level 2/Final/Rh System/507] Be able to convert Wiener notation to Fisher-Race notation 63.
[Level 2/Final/Rh System/509]

Interpret Fisher-Race genotypes and indicate whether the D antigen is present 64. [Level 2/Final/Rh System/516] Differentiate between D-Deletion and Rh null phenotypes 65.
[Level 2/Final/Rh System/521]

Be able to convert Wiener notation to Fisher-Race notation 66. [Level 2/Final/Rh System/523] Differentiate between each type of weak D expression 67.
[Level 2/Final/Components/530]

Explain why blood products are irradiated 68. [Level 2/Final/Components/537] Describe the used for fresh frozen plasma and its components 69.
[Level 1/Final/Transfusion Reactions/538]

List the most common transfusion related diseases 70. [Level 1/Final/Components/539] List the therapeutic benefits of red blood cells including it's effect on the hematocrit

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71. [Level 2/Final/Transfusion Reactions/549] Describe the symptoms of circulatory overload


[Level 2/Final/Antibody ID/617]

72.

Differentiate between antigens enhanced and destroyed by proteolytic enzymes


73. [Level 2/Final/Genetics/695] Differentiate between heterozygosity and homozygosity as it relates to genes
[Level 2/Final/Reagents/696]

74.

Explain the purpose of washing cells prior to IAT testing


75. [Level 2/Final/Reagents/697] Discuss the importance of LISS in antibody detection
[Level 2/Final/Reagents/698]

76.

Correlate each lectin with its corresponding antigen specificity


77.
[Level 3/Final/Rh System/699]

Choose the appropriate Wiener genotype that would react with given antisera 78. [Level 2/Final/Components/701] Describe the minimum requirements of one unit of platelets 79.
[Level 1/Final/Other Blood Groups/702]

Be able to list the low incidence antigens 80. [Level 2/Final/Antibody ID/703] Differentiate between antigens enhanced and destroyed by proteolytic enzymes 81.
[Level 3/Final/ABO/704]

Determine the ABO discrepancy when given ABO typing results 82. [Level 2/Final/Reagents/705] Explain the purpose of adding IgG sensitized red cells after IAT testing 83.
[Level 3/Final/Components/706]

Choose compatible units for a patient receiving plasma 84. [Level 1/Final/Transfusion Reactions/707] Identify antibodies associated with acute transfusion reactions 85.
[Level 2/Final/ABO/708]

Differentiate between universal donor and universal recipient 86. [Level 1/Final/Components/709] Identify appropriate uses of cryoprecipitate 87.
[Level 2/Final/HDN/710]

Compare and contrast ABO-HDN and Rh-HDN 88. [Level 3/Final/HDN/711] Calculate the total volume of a fetomaternal hemorrhage (FMH) based on KB results 89.
[Level 2/Final/Rh System/712]

Describe the Fisher-Race and Wiener theories of inheritance 90. [Level 2/Final/Components/713] Explain how to properly prepare platelet concentrate

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91. [Level 2/Final/Transfusion Reactions/714] Explain the purpose of irradiating red blood cells and its components
[Level 2/Final/ABO/715]

92.

Discuss characteristics of the Bombay phenotype


93. [Level 2/Final/Reagents/716] Describe the components of IgG sensitized red blood cells
[Level 2/Final/Components/717]

94.

Describe the biochemical changes that occur in stored blood


95. [Level 3/Final/Components/718] Choose compatible units for a patient when given ABO/Rh type
[Level 2/Final/Immunology/719]

96.

Compare and contrast IgG and IgM antibodies


97.
[Level 2/Final/Components/722]

Differentiate between the different anticoagulant-preservative chemicals 98. [Level 3/Final/ABO/723] Choose the appropriate method in resolving an ABO discrepancy 99.
[Level 2/Final/ABO/724]

Describe the formation of the H antigen and its relationship to ABO antigen expression 100. [Level 2/Final/AIHA/725] Give examples of medications that cause drug adsorption hemolytic anemia
Levels given in brackets at the beginning of the question objective indicate the level of difficulty for the actual question on this examination, NOT the level of difficulty for the stated objective. Levels of difficulty were developed using Bloom, et.al. Taxonomy of Educational Objectives. Also shown in the brackets are the Category of the question, the Topic of the question, and the number of the question in the database. Explanation of Categories in the Cognitive Domain: (with Outcome-Illustrating Verbs) Level 1: Recall Knowledge of terminology; specific facts; ways and means of dealing with specifics (conventions, trends and sequences, classifications and categories, criteria, methodology); universals and abstractions in a field (principles and generalizations, theories and structures). Knowledge is (here) defined as the remembering (recalling) of appropriate, previously learned information. * defines; describes; enumerates; identifies; labels; lists; matches; names; reads; records; reproduces; selects; states; views. Level 2: Comprehension Grasping (understanding) the meaning of informational materials. * classifies; cites; converts; describes; discusses; estimates; explains; generalizes; gives examples; makes sense out of; paraphrases; restates (in own words); summarizes; traces; understands. Level 3: Application The use of previously learned information in new and concrete situations to solve problems that have single or best answers. * acts; administers; articulates; assesses; charts; collects; computes; constructs; contributes; controls; determines; develops; discovers; establishes; extends; implements; includes; informs; instructs; operationalizes; participates; predicts; prepares; preserves; produces; projects; provides; relates; reports; shows; solves; teaches; transfers; uses; utilizes. Taxonomy of educational objectives : the classification of educational goals ; / by a committee of college and university examiners ; Benjamin S. Bloom, editor [and others] IMPRINT New York : D. McKay Co., Inc., c1956-1964 (1971-72 printing) DESCRIPT. 2 v. in 1 : ill. ; 22 cm. NOTE Vol.2 by D.R. Krathwohl and others.

Printed Wednesday, December 23, 2009 10:31:49 AM

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