Hall: Guyton and Hall Textbook of Medical Physiology, 12th Edition
Chapter 35: Blood Types; Transfusion; Tissue and Organ Transplantation
Test Bank
1. A mother of blood type A+ who has always been perfectly healthy just delivered her
second child. The father is of blood group O-. Knowing that the child is of blood group
O- (O, Rh-), what would you expect to find in this child?
A. The child will suffer from erythroblastosis fetalis due to rhesus incompatibility
B. The child will suffer from erythroblastosis fetalis due to ABO blood group
incompatibility
C. The child will suffer from both A and B
D. The child has no chance of developing HDN
2. Erythroblastosis fetalis due to Rhesus incompatibility can, IN THE NEWBORN, lead to
all of the following conditions EXCEPT:
A. Severe anemia
B. Jaundice due to increased circulating levels of bilirubin
C. Mental retardation
D. Atrophy of the spleen and the liver
3. Which couple cannot be the biological parents of a child with blood group AB?
A. Mother AB, father AB
B. Mother AB, father OO
C. Mother OB, father AA
D. Mother AA, father BB
E. Mother OA, father OB
4. Which of the following transfusions will result in an immediate transfusion reaction?
A. O Rh- blood to an AB Rh+ patient
B. B Rh+ blood to a A Rh+ patient
C. AB Rh- blood to an AB Rh+ patient
D. B Rh- blood to an B Rh- patient
5. Which of the following is true concerning erythroblastosis fetalis?
A. There is a decrease in vitamin B12 in the fetus
B. There are increased numbers of granulocytes in the mother
Test Bank
35-2
C. The erythropoietin level of the fetus is decreased
D. The free hemoglobin level in the fetus is elevated
6. Which of the following is a true statement?
A. In a transfusion reaction there is agglutination of the donor blood
B. Shutdown of the kidneys following a transfusion reaction takes several weeks
C. Blood transfusion of Rh+ blood into any Rh- recipient will always result in an
transfusion reaction
D. A person with type O blood is considered a universal donor
7. A pregnant woman comes in for a visit. She is AB Rh+ and her husband is A Rh-. This is
her second child. What should be done at this time?
A. Nothing
B. Administer anti-D immunoglobulin to the mother at this time
C. Administer anti-D immunoglobulin to the child after delivery
D. Administer anti-D immunoglobulin to the child if the child is Rh+
8. A previously healthy, blood type O+, 22-year-old woman is admitted to the hospital
because of gastrointestinal bleeding. She has a hematocrit of 25%. She receives three
units of blood. During administration of a fourth unit, she develops severe back pain,
shortness of breath, fever, decreased blood pressure and reddish brown urine. Which of
the following is the most likely result of these findings?
A. ABO incompatibility
B. Bacterial contamination of the blood
C. Rh factor incompatibility
D. Elevated IgE immunoglobins
9. A 45-year-old male, blood type O, is undergoing chemotherapy. The chemotherapy
results in a decrease in his platelet count, resulting in a needed platelet transfusion.
Which of the following blood groups would be suitable platelet donors?
A. Type AB only
B. Type O only
C. Types A, B, AB, and O
D. Types A and B only
E. Types A, B, and AB only
Test Bank
35-3
10. Which agglutinogens are present in a person with A+ blood?
A. A, B, D
B. A, D
C. D
D. A
E. None