Question

History:
M, a 48-year-old woman, presented to the physician with a long history of dysfunctional uterine bleeding. She complained of chronic fatigue, headache, and a general malaise. Upon admission to your institution her hemoglobin level was 7.5 mg/dL. She was scheduled for an abdominal hysterectomy the following day and the surgeon requested three units of red cells to be given prior to the surgical procedure. M had no history of transfusion or pregnancy.

Screen Cell Antigram Rh MNSs PLewis Lutheran Lu Lub Kell Duffv Kidd Panel Antigrann wis Lutheran Rh MNSs Kell Duffy Kidd Patient Results 1000 00 0000000 00 0 02+

11. Which of the following antibodies remain after completion of the antibody identification (completion of panel antigram)?

A. Anti-Kpa

B. Anti-Lub

C. Anti-Fya

D. Anti-Jkb

12. Given the patient history and all serology results, what is the best hypothesis of the antibody(ies) identity(ies)?
A. Anti-S
B. Anti-K
C. Anti-Cw
D. Anti-M

13. Which of the following antibodies must be ruled out before a final conclusion can be drawn?

A. Anti-Cw
B. Anti-S
C. Anti-E
D. Anti-D

Answer 1

11. Which of the following antibodies remain after completion of the antibody identification (completion of panel antigram)?

Answer A. Anti-Kpa

12. Given the patient history and all serology results, what is the best hypothesis of the antibody(ies) identity(ies)?

Answer B Anti-K

13. Which of the following antibodies must be ruled out before a final conclusion can be drawn?

Answer C. Anti -E