MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Describe at least five types of situations in which the transfusion of red blood cells (RBCs)is highly effective.
A
Chemical agents potentially responsible for bone marrow aplasia include benzene and benzene derivatives such as airplane glue, paint remover, and dry-cleaning solutions. Certain toxic materials-such as inorganic arsenic, glycol ethers, plutonium, and radon-have also been implicated as potential causes.
B
in an acute exacerbation of anemia, in the prevention of severe complications from anesthesia and surgery, in improving the response to infection, in the case of acute chest syndrome and multiorgan failure, in thwarting the evolution of a stroke or an acute neurologic defect, and in diminishing episodes of sickle cell crisis in pregnant women.
C
Sepsis, trauma, cancer, shock, abruption placentae, toxins, and allergic reactions
D
The patient with sickle cell trait usually has a normal hemoglobin level, a normal hematocrit, and a normal blood smear. In contrast, the patient with sickle cell disease has a low hematocrit and sickled cells on the smear. The diagnosis is confirmed by hemoglobin electrophoresis.
Explanation: 

Detailed explanation-1: -The transfusable components that can be derived from donated blood are red cells, platelets, plasma, cryoprecipitated AHF (cryo), and granulocytes. An additional component, white cells, is often removed from donated blood before transfusion.

Detailed explanation-2: -Acute transfusion reactions present as adverse signs or symptoms during or within 24 hours of a blood transfusion. The most frequent reactions are fever, chills, pruritus, or urticaria, which typically resolve promptly without specific treatment or complications.

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