NATIONAL BLOOD TRANSFUSION CENTRE

Post course Evaluation – 4 wks

Medical Officers

(1) What are the main types of blood donors?

1…………………………………………………. 3…………..….…………………………………

2……………………………………………...…. 4………….……………………………………...
(2 marks)
(2)Which type of donors are the safest? (1 mark)

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(3) What are the measures you should take to make them regular donors?

1. ..............
2. ...............
3. .................
4. ..................
5. .....................

(4) Would you accept the following individuals as blood donors? (If not give reasons)

(i) 47 yrs old man who had

acupuncture treatment 5
months back.
(ii) 29 yrs old man who had a
splenectomy and received
6 units of red cells 2 years
ago, following a RTA
(iii) 20 yrs old woman who has
been off oral antibiotics
for 10 days prescribed for
presumed tonsillitis
(iv) 25 years old woman,
vaccinated 4 months
earlier for Rubella.
(v) 30 yrs old man, had a
tooth cavity filled on
previous day, without
local anaesthesia.
(vi) 28yrs old women,
menstruation started
yesterday without any
pain/excessive bleeding.

(vii) 38yrs old woman on oral

contraceptive pills.
(viii) 17yrs old boy, Healthy &
weight – 65kg
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(ix) 45 yrs old man had been
abroad 5 months back
(x) 30 yrs old man has a past
history of jaundice and
has donated blood 10 yrs
back.
(xi) 45 yrs old man, has
controlled hypertension
(xii) 50 yrs old man, has
controlled diabetes with
anti diabetic drugs.
(xiii) 25 yrs old man. Weight
48kg. Has donated blood 2
yrs back
(xiv) 30 yrs old woman, has a
past history of seizures,
not on anti epileptics.
(xv) 20 yrs old man with a
tattoo done 2 yrs back.
(15 marks)

(5) Mention 4 post donation reactions and their management

Post Donation Reaction Management

1

(8 marks)

(6) What blood components can be made out of Double bags?

2
 1. .......................................................
2. ..........................................................
3. ..............................................................
4. ...............................................................
(1 mark)
(7) What blood components can be made out of Triple bags?

1. .......................................................
2. ..........................................................
3. ..............................................................
4. ...............................................................

(8) What blood components can be made out of Quadruple bags? (2marks)

1. .......................................................
2. ..........................................................
3. ..............................................................
4. ...............................................................
(2 marks)
(9) What are the laboratory tests done for donated blood in Sri- Lanka?

1………………………………………. 4…………………………………… ………..

2………………………………………. 5……………………………………………

3………………………………………. 6……………………………………………
(3 marks)

(10) As a MO/BB what actions you would take in the following situations?

Donor Samples and blood packs,

positive for VDRL

Donor Samples and blood packs –

screening test positive for HIV

Donor Samples and blood packs –

screening positive for Hepatitis B

Donor Samples and blood packs –

screening positive for Hepatitis C

(4 marks)

(11) Write the blood group you select for exchange transfusion and what group of FFP you would add to the blood
pack

Mother. Group Baby’s group Donor Blood Donor FFP

O positive A positive
O negative O positive
A positive B negative
O positive B positive
B positive AB negative
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 (5 marks)

(12) Name 6 acute transfusion reactions

1……………………………………………. 4………..….…………….……………………………

2……………………………………………. 5……………………………………………………...

3………………………………………..….. 6…………………….……………………………..…..
(3 marks)
(13) You are informed that an Acute Haemolytic Transfusion Reaction has occurred in a ward.

What are the documents and samples that you will need to carry out the investigations of this reaction?

Documents Samples

(6 marks)
(14) Enumerate how you would investigate the above mentioned transfusion reaction?

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(10 marks)

(15) Write the storage temperature, shelf life, Group specificity (ABO & Rh) and need of cross matching of the
following

Temperature Shelf life ABO Rh(D) Cross matching

Specificity Specificity
Packed RBC
RBC in additive solution
Washed RBC
FFP
Cryoprecipitate
Platelets

(15 marks)
(16) Write the indications for transfusion for the following blood components

4
 Fresh Frozen Plasma Platelets Cryoprecipitate Washed cells

(9 marks)

(17) A 25 year old female whose blood group is O negative. Patient’s platelet count is critically law. Blood bank
does not have a single unit of O negative platelets. How do you manage this problem?

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(3 marks)

(18) What are the tests you should do in your blood bank before sending a blood sample to the reference laboratory
for a difficult cross match?

1…………………………………….. 4………..….……………………………

2…………………………………….. 5………………………………………...

3…………………………………….. 6………………………………………...
(3 marks)

(19) What are the samples you should send to the reference laboratory?

………………………………………………………………………….. ………..….……………………………
(1 marks)

(20) What information of the patient (Other than patient identification details) should you send to the reference
laboratory with the samples?

1…………………………………….. 3………..….……………………………

2…………………………………….. 4………………………………………...
(2 marks)

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 Practical Assessment for Blood Bank Medical Officers
(4 weeks Blood Bank Training)

Name
Station
Training Period From: To:

(1) 45 yrs old female patient developed Fever and Chills 30 min after starting a blood transfusion.
Samples provided:
Pre Transfusion Sample
Post Transfusion Sample (Only plain bottle sample)
Sample from the blood pack

Investigate this transfusion reaction.

(40 Marks)

(2) Given sample was sent to your Blood Bank from a pregnant mother (P2C1) from the antenatal
clinic. POA – 16 weeks.

Samples provided:
(1) Washed cells
(2) Serum

Do the necessary investigations.

(20 marks)

(3) Cross match blood for the following patients.

Patient 1 – 26 yrs old male patient waiting for a routine surgery.

Requesting 2 pints of packed cells.

Patient 2 – 10 yrs old thalassaemia patient.

Requesting 1 pint of packed cells

Patient 3 – One month old baby. Io – top up transfusion for low Hb.

(40 marks)