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Blood Bank Review #5 Flashcards | StudBud
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Blood Bank Review #5
Blood Bank Review #5
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Answers
1
What is the appropriate course of action?
x
x
Root cause analysis, quarantine the expired bags
x
2
Expiration limit:
Pheresis (ACD)
x
x
x
21 days
3
What component is used?:
Deficiencies of factor II, V, X, XI
FFP
x
x
x
4
What component is used?:
Intravascular volume expansion
x
Both of these
Albumin / Plasma Protein Fraction
Colloids & crystalloids
5
Which of the following is true regarding good manufacturing practices (GMPs)?
GMPs are legal requirements established by the Food and Drug Administration
x
x
x
6
Employee hiring takes place:
After hiring & following implementation of new procedure
x
x
x
7
Why do premature neonates require red blood cell transfusions?
Jaundice
Iatrogenic hemoglobin F
All of the above
Insufficient erythopoiesis
8
Expiration limit:
Frozen
x
10 Years
x
x
9
What is true regarding competency testing?
It is required only if the technologist has no experience
x
x
x
10
Expiration limit:
Irradiated
x
x
x
28 days
11
The maximum acceptable storage temperature for
frozen
red blood cells is:
x
x
10 years
x
12
Storage Temp and Expiration Limit:
Cryoprecipitated AHF (frozen)
-18° C; 1 year from collection
x
x
X
13
Each unit can be relabeled with an expiration date as _________ days.
x
35
x
x
14
Leukocyte-reduced RBCs are indicated for patients with:
Neither of these
Both of these
Patients with history of febrile transfusion reactions
Hypotensive transfusion reactions
15
Expiration limit:
Deglycerolized
x
24 hours (or 4 days)
x
x
16
What is an example of unacceptable record-keeping procedure?
x
x
Using dittos in repeat columns to save time
x
17
What component is used?:
Treatment of symptomatic anemia
x
x
RBCs
x
18
Common complications of chemotherapy include:
Bleeding
Infection
All of the above
Anemia
19
What are the plans that provide the framework for establishing quality assurance in an organization?
x
Continuous Quality Improvement Plan
x
x
20
Plastic overwraps are recommended for thawing FFP and CRYO to prevent:
Prevents contamination of administration ports
x
x
x
21
In safety training, employees must become familiar with all of the following except:
How to perform CPR on supervisor
Limits of PPE
22
Which of the following is used in the treatment of hemophilia B?
x
x
x
Factor IX concentrate & Cryoprecipitated AHF
23
What organization is involved in the regulation of blood banks?
x
x
x
Food & Drug Administration (FDA)
24
Washed red blood cells would be the product of choice for a patient with:
Anti-IgA antibodies
x
x
x
25
What would be added to RBCs to increase their shelf life?
AS3 or Adenine
x
x
x
26
What component is used?:
Thrombotic thrombocytopenia purpura
x
x
x
Plasma, erythroprecipitate reduced
27
What component is used?:
Specific clotting deficiencies of VIII, V, & X
x
x
x
Specific factor concentrates
28
Expiration limit:
Leukoreduced (AS-3)
x
x
x
42 days
29
Expiration limit: CPD
x
21 days
x
x
30
Iron chelation should accompany red blood cell transfusion in which of the following?
Iron overload
Sickle Cell anemia
Both of these
31
Describe:
CAP
College of American Pathologists, proficiency test (CAP Survey)
x
x
x
32
The Occupation Safety and Health Administration does not require the changing of gloves between healthy donors.
True
False
33
Storage Temp and Expiration Limit:
Cryoprecipitated AHF (thawed)
20° to 24° C; 6 hours
x
x
x
34
ABO-matched organ transplants are critical for:
x
x
x
Vascularized graft (liver, kidney, heart)
35
Which of the following contributes to the high blood use in a liver transplant surgery?
Both of these
Vitamin K coagulation factors
x
Massive hemorrhage
36
Is this an acceptable procedure?
Yes
NO
Why even ask? NO.
Is this even a question? NO.
37
The goal of therapeutic apheresis may be to:
Modify mediators of inflammation
All of these
Clear immune complexes & reduce quantity of a particular antibody
Supply an essential substance that is absent & replace cellular elements
38
Massive transfusion is defined as replacement of 1 blood volume. In a 70-kg adult, this is equivalent to how many units?
x
x
x
10 units of blood
39
Biosafety levels determine:
x
Degree of risk of exposure to infectious diseases
x
x
40
Storage Temp and Expiration Limit:
Plasma, cryoprecipitate reduced thawed
x
x
-18 ° C ; 1 year at collection
x
41
A facility does not validate a refridgerator before use. What is the potiential outcome?
Cited by the FDA for violating good manufacturer practice
x
x
x
42
Expiration limit:
CPDA-1
x
35 days
x
x
43
Storage Temp and Expiration Limit:
Fresh frozen plasma (thawed)
x
x
1 ° - 6 ° C; 24 hours
x
44
What is an important determination of platelet viability following the recommended storage interval
x
x
x
pH
45
Temperature of shipment of RBC units that was received from local blood center was recorded as 8° C. Actions to take?
x
x
Accept / Place units in inventory because the temperature is acceptable
Reject / Over (1 ° C - 6 ° C)
46
What temperature should whole blood remain at before preparation of platelet concentrates?
x
x
20 °C - 24 °C
x
47
What component is used?:
Reduces the risk of allergic reactions
x
x
Washed RBCs
x
48
What is the correct course of action if several units were released to a hospital by mistake before viral marker testing
Critical error is reportable to FDA, must contact immediately
x
x
x
49
What is the standard operating procedure (SOP)?
A documented plan that helps achieve consistent results
x
x
x
50
Infants do not require crossmatching if they are less than:
x
x
4 months old
x
51
Risk factors for bleeding during cardiac surgery include all of the following except:
Presence of a red cell antibody
Aspirin or Heparin doseage
Hypothermia decreasing platelet function
Previous cardiac surgery
52
What component is used?:
Avoid Graft-vs-Host disease
x
Irradiated RBCs
x
x
53
Storage Temp and Expiration Limit:
Liquid plasma from whole blood
x
x
x
1° to 6° C, < 5 days
54
Blood irradiators require all of the following safety procedures except:
PPE
The user must have a degree in radiology
Exposure monitoring
Personnel training
55
What is the correct storage temperature and time limit for pooled platelets?
x
x
x
20° to 24° C, 4 hours // 5 days if commercially prepared
56
At what point in the employment process should safety training take place?
Before independent work is permitted and annually thereafter
x
x
x
57
All accidents must be reported to a supervisor.
False
True
58
Rejuvenation of a unit of RBCs is a method used to:
Both of these work
Restores the 2, 3 DPG and ATP levels
Neither of these work
Restore RBCs during storage or up to 3 days after expiration
59
The most effective component to treat a patient with von Willebrand's disease is:
x
Cryoprecipitated AHF & Factor VIII concentrate
x
x
60
What component is used?:
Decreases immunization to leukocytes
x
x
Leukocyte-reduced RBCs
x
61
Storage Temp and Expiration Limit:
Fresh Frozen Plasma (frozen)
x
x
1 year at < -18 ° C ; 7 years at < -65 ° C
x
62
What component is used?:
Deficiency of factor XIII & von Willebrand's factor
Cryoprecipitated AHF
x
x
x
63
What contributes to RBC loss in chronic renal disease?
Lack of erythropoietin production
All of these are good
Uremia warps cell shape, destroyed in spleen
Sheering of cells from dialysis
64
What is the most likely cause?
x
x
Hypovolemic shock
x
65
Describe:
AABB
x
x
Voluntary accrediting agency for blood banks; makes blood bank standards
x
66
CMV-safe blood is required for which category of patients?
x
x
Neonatal patients < 1200 g (2.6 lbs)
x
67
Expiration limit: AS-3 or AS-2
x
x
42 days
x
68
To prevent GvH disease, blood components prepared for fetus that needs an intrauterine transfusion should be?
x
x
Irradiated
x
69
What is a possible reason(s) this did not occur?
All of these
Sepsis & Fever
HLA alloantibodies & Autoantiboodies
Platelet alloantibodies
70
Personal protective equipment includes:
Safety glasses & masks
Splash barriers
All of these
Gloves & Lab coat
71
Plasma, frozen with 24 hours of collection (PF24), has similar coagulation factors as:
x
x
x
FFP
72
What component is used?:
Bleeding due to thrombocytopenia
Platelets
x
x
x
73
Describe:
FDA
Food and Drug Administration; federally regulates blood bank industry
x
x
x
74
Describe:
CDC
x
x
x
Centers for Disease Control; agency that helps reduce spread of diseases
75
Describe:
OSHA
x
x
x
Agency responsible for ensuring workplace safety
76
What is a responsibility of the quality assurance department of a blood bank?
x
x
Performing Quality Control procedures
x
77
Is this acceptable procedure?
N. O.
NO
no
No
78
Quality control is the same as quality assurance.
False
True
79
Unacceptable quality control results for the antiglobulin test performed in test tubes may be noticed if:
All of these
Preventative maintenence has not been performed on cell washer
Reagents used were improperly stored
The tech was untrained
80
Platelet concentrates that are prepared from whole blood have a min. quality control limit of ___ platelets in __% units
x
5.5 × 10^10, 75%
x
x
81
What condition is this product is useful for?
x
TTP
x
x
