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IMH621S - IMMUNOHAEMATOLOGY - 2ND OPP - JANUARY 2025 |
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p
nAmlBIA UnlVERSITY
OF SCIEnCE Ano TECHnOLDGY
FACULTY OF HEALTH, APPLIED SCIENCES AND NATURAL RESOURCES
DEPARTMENT OF CLINICAL HEALTH SCIENCES
QUALIFICATION : BACHELOR OF MEDICAL LABORATORY SCIENCES
QUALIFICATION CODE: 08BMLS
COURSE CODE: lfVIH621S
LEVEL: 6
COURSE NAME: IMMUNOHAEMATOLOGY
SESSION:
JAUNARY 2025
PAPER:
THEORY
DURATION:
3 HOURS
MARKS:
100
EXAMINER(S)
SECOND OPPORTUNITY/SUPPLEMENTARY EXAMINATION PAPER
Ms AUNE SEKETA-ILLARIUS
MODERATOR:
Ms EDWIG SHINGENGE
INSTRUCTIONS
1. Answer ALL the questions.
2. Write clearly and neatly.
3. Number the answers clearly.
4. Non-programmable calculators allowed.
THIS QUESTION PAPER CONSISTS OF 4 PAGES (Including this front page)
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SECTION A: SHORT QUESTIONS
r i6 MARKS)
QUESTION 1
[10]
Indicate whether Temporal or Permanent deferral should be applied in the following scenarios:
(1)
1.1 History of viral hepatitis.
(1)
1.2 Antibiotic treatment for upper respiratory infection.
(1)
1.3 An over excited donor presenting with a smell of wine.
(1)
1.4 A young lady on anti-depressants.
(1)
1.5 A healthy male with positive history for Chagasdisease.
(1)
1.6 Sickle cell disease under control.
(1)
1.7 A 49-year-old female who has been on high blood pressure treatment for the past 3 years.
(1)
1.8 A young female on oral contraceptives for treatment of acne.
(1)
1.9 A recent visit to a malaria endemic area.
(1)
1.10 A male with recent ankle fracture forms a soccer match.
QUESTION 2
[6]
2.1 Identify any six elements of the quality management system
(6)
SECTION B: SHORT & LONG QUESTIONS
[ 44 MARKS]
QUESTION 3
[20)
3.1 Describe five types of donations, include one advantage and one disadvantage of each.
(20)
QUESTION 4
4.1 DiscussANY two core principles of medical ethics.
QUESTION 5
Write notes on the following terms:
5.1 Partial D.
5.2 Bovine Serum Albumin.
[4)
(4)
[10]
(2)
(2)
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5.3 Dolichos Biflorus.
(2)
5.4 Erythracytapheresis.
(2)
5.5 irradiated red blood cells.
(2)
QUESTION 6
[10]
6.1 Discussfive factors that influence antigen antibody reactions.
(10)
SECTIONC: APPLICATIONBASED
QUESTION 7
7.1 Tabulate Kell and Lewis antibodies under the following headings:
{2 marks for each point under the heading)
[40 MARKSV
[16]
(16)
7.1.1 Kell
7.1.2 Lewis
QUESTION 8
Most likely
lmmunoglobin
Class
Reaction
temperature and
method of
detection
Transfusion
reaction
Haemolytic
Disease of the
new-born
[6]
An 18-year-old donating blood for the first time receives her blood group results:
ABO:O
Rh: partial D
(2)
8.1 Which blood group would be issued to her as patient? Provide a reason for your answer
(4)
8.2 Is haemolytic disease of the new-born something for her to worry about in future? Provide reasons for your
answer.
[10]
QUESTION 9
A doctor requires a paediatric red cell concentrate and a paediatric platelet concentrate for his patient.
(6)
9. 1 Tabulate the cold chain storage, shelf life and transport requirements of the two products mentioned above.
(2)
9.2 Identify indication for each of the products required for this patient
(2)
9.3 While reviewing a patients' blood requisition form, you discover that the patient is your neighbour's son. Are
you allowed to discuss the baby's medical condition with your neighbour? Provide reasons for your answer
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QUESTION 10
10.1 A 26-year-old AB Rh negative patient presents at the hospital in active labour. Her records indicate that she [8]
has Anti D with a titre of 512. Her baby is born pale in colour. His cord blood results indicate that his red cell
is strongly sensitized. His blood group is AB Rh positive, and he has high bilirubin levels. Discussthe
(8)
treatment options for the baby and the mother.
THE END [100 MARKS TOTAL]
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