FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
IMMUNO HEMATOLOGY BLOOD TRANSFUSION
PAPER-II
IHBT/J/18/15/II
Time: 3 hours
Max. Marks:100
IMPORTANT INSTRUCTIONS
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space
Answer all the parts of a single question together.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. What is Polyagglutination and discuss its laboratory
diagnosis.
Describe the various types of Polyagglutination.
5+5
2. Various steps involved in pretransfusion testing of a patient
with positive autocontrol.
Indications, principle, and utility of Antiglobulin Test.
5+5
3. Indications and criteria for Autologous Transfusion.
What is Intra Operative Haemodilution?
5+5
4. What are the various non infectious adverse effects of blood
transfusion?
How will you investigate a case of immune haemolytic
transfusion reaction?
5+5
5. Discuss the methods and indications of Leucoreduction.
What are the advantages of Leucoreduction.?
5+5
6. ABO discrepancies observed during forward and reverse
Blood Grouping.
How will you resolve ABO discrepancies?
5+5
7. Pathogenesis of TTP (Thrombotic Thrombocytopenic
Purpura).
Therapeutic Plasmapheresis in TTP.
5+5
8. What are Reagent Red Cell Panels?
Describe the various requirements for preparation of Reagent
Red Cell Panels.
5+5
9. Define Transfusion Probability, Transfusion index and Cross
Match Ratio.
What is their significance in Transfusion Medicine?
5+5
10. What are the requirements of an outdoor blood donation
camp?
Discuss the various preparations for an outdoor camp.
5+5