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A patient phenotypes as D+C+E-c-e+.Predict the most likely genotype.


A) Rr
B) RR
C) Rr'
D) RR

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B

The inheritance of the Rh antigens are:


A) X-linked recessive.
B) X-linked dominant.
C) autosomal recessive.
D) codominant.

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The LW antigen expression is typically stronger on _____________ red cells.


A) D-positive
B) D-negative
C) Rh null
D) D-variant

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An anti-E was identified in a patient who recently received a transfusion.What other Rh system antibody should be investigated?


A) Anti-G
B) Anti-f
C) Anti-D
D) Anti-c

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Which of the following phenotypes will react with anti-f?


A) rr
B) R₁R₁
C) R₂R₂
D) R₁R₂

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The frequency of the D-negative phenotype in the population is:


A) 15%.
B) 85%.
C) 50%.
D) 35%.

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A

MATCHING Match the following phenotypes with the most probable genotype in the Weiner nomenclature. -DcE


A) Rr
B) RR
C) RR
D) rr

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Anti-D reagent and the D control were tested with patient's red cells.Both tests were 2+ agglutination reactions.What is the interpretation of the results?


A) D-positive
B) D-negative
C) Unable to interpret without further testing
D) D-positive if the sample is from a patient

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Match the Fisher-Race notation with the correct Weiner notation for the following: -r'


A) Ce
B) CE
C) DCE
D) Dce

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All of the following can cause the D antigen expression to be weaker except:


A) inheriting the G gene.
B) inheriting the C antigen in trans to the D antigen.
C) an RHD gene that is genetically weaker.
D) partial D expression.

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A

MATCHING Match the following phenotypes with the most probable genotype in the Weiner nomenclature. -DCce


A) Rr
B) RR
C) RR
D) rr

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The weak D test detects:


A) the Du antigen.
B) the missing D mosaic.
C) a weak D antibody.
D) a weak D antigen.

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Which of the following is associated with the Rhnᵤll phenotype?


A) Membrane abnormalities
B) Immunized Rhnull individuals may produce anti-Rh29
C) Mutation of the RhAG regulator gene
D) All of the above

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The numeric Rh4 nomenclature refers to which antigen in the Rosenfield notation?


A) C
B) c
C) e
D) E

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If a D-positive person appears to have anti-D in their serum,what is the most likely explanation?


A) D-deletion phenotype
B) Compound antigen
C) Partial D antigen
D) Transposition effect

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How would you label a donor who tested negative with anti-D reagent upon immediate-spin and positive in antihuman globulin test?


A) D-positive
B) D-negative
C) Cannot label; more testing needed

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How is it genetically possible for a child to phenotype as D-negative?


A) Both parents are heterozygous D-positive.
B) Both parents are homozygous D-positive.
C) Mom is homozygous D-positive, and Dad is heterozygous D-positive.
D) The sibling is D-positive.

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MATCHING Match the following phenotypes with the most probable genotype in the Weiner nomenclature. -DCe


A) Rr
B) RR
C) RR
D) rr

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Current theory regarding the genetics of the Rh system suggests that:


A) each Rh system antigen is coded by its own gene locus.
B) Rh system antigens are coded by two closely linked genes.
C) one gene locus with multiple alleles codes for the protein antigens.
D) the Rh system genes are a haplotype that codes for three sets of alleles.

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An individual's red cells gave the following reactions with antisera:  Anti-D  Anti-C  Anti-E  Anti-c  Anti-e  Rh control 4+3+03+3+0\begin{array}{|l|l|l|l|l|l|}\hline \text { Anti-D } & \text { Anti-C } & \text { Anti-E } & \text { Anti-c } & \text { Anti-e } & \text { Rh control } \\\hline 4+ & 3+ & 0 & 3+ & 3+ & 0\end{array} The most probable genotype is:


A) RR.
B) R2r.
C) Rr.
D) Rr.

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