The temperature at which blood stored is:

2°to 6°C

2° to 24°C

2° to 8°

Below -30°C
There is no need to wash hands, if gloves were worn during handling of a blood sample

True

False
Post exposure prophylaxis means:

Prevention

Treatment

Disinfection

All of the above

Blood Collection monitors should be checked for its performance

Daily

Monthly

Once a week

Hourly
All of the following infections have long incubation period EXCEPT:
 Hepatitis B

Hepatitis C

HIV

Malaria
Before issue of blood, the blood bag should be checked for all EXCEPT:

Any change in color

Clots in blood bag

Gas formation

Weight of the bag

Immediate step to be taken in case of suspected transfusion reaction is:

Stop the transfusion

Continue transfusion at a slower rate

Give steroids & then start transfusion

Continue transfusion at a faster rate

Antigen Antibody reaction is affected by:

Temperature

Enzymes

Type of antibody
 All of the above
One unit of packed red cells raises Haemoglobin% by:

0.1gm%

1gm%

2gm%

2.2gm%
All of the following antibodies are naturally occurring except:

Anti A

Anti B

Anti AB

Anti D
First blood bank of India was established in which city:

Bombay

Delhi

Chennai

Calcutta
Revaccination of previously vaccinated health care providers should be done if the Hepatitis
B antibody titer is less than:

10 IU
 15 IU

20 IU

25 IU
The most frequent reason for deferral of female donors is:

Low body weight

Low hemoglobin levels

Hypothyroidism

Pregnancy
Time duration between two blood donations:-

6 weeks

8 weeks

12 weeks

16 weeks
Which blood group is most commonly involved in haemolytic disease of fetus and newborn?

Rh system

ABO system

MNS system

Lewis system
The regulatory authority for blood transfusion services in India is:
 National Blood Transfusion Council

Drug Controller General

National AIDS Control Organization

Technical Resource Group, Blood Safety

The risk of Hemolytic disease of fetus and new born is maximum when:

Mother is Rh D Negative & father Rh D positive

Mother & father Rh D positve

Mother Rh D positive & father Rh D Negative

Mother & father Rh D negative

Deferral period if a donor has received blood or blood components:-

6 months

9 months

12 months

24 months
Hand washing is recommended

immediately - after contamination with blood/body fluids

After removing gown/gloves

Before eating, drinking & leaving the lab.

 all of the above
Universal health precautions must be followed by all health professionals as:

All samples are considered as potentially infectious.

Reactive samples are considered as potentially infectious.

Samples from patients are considered as potentially infectious.

Samples from donors are considered as potentially infectious.

During pre-transfusion testing, which parameters are to be checked:

ABO and Rh type

Volume of the component

Storage life of the component

All of the above

A health professional can get exposed to an infection through:

Breached skin

Mucous membrane

needle stick injury

All of the above

Safe disposal of biomedical waste means:

Segregation of waste.

Storage of waste.
 Disinfection of waste.

All of the above.

Blood banks can collect blood from the following categories of blood donors, EXCEPT

Voluntary donors

Directed donors

Professional donors

Replacement donors
Which type of blood is considered as ‘Universal Donor’?

AB Rh negativePRBCs

O Rh negative PRBCs

B Rh negativePRBCs

All Rh negativePRBCs
‘ Forward’ grouping means:

Antigen typing

Antibody detection

Both

None
The sample that can be used for rapid screening test for TTI:

Serum
 Plasma

Whole blood.

Any of the above

Donor phlebotomy is done usually with:

Bevel up technique

Bevel down technique

Bevel left lateral technique

Bevel right lateral technique

When a donor sample is reactive for HBsAg, the next step that MUST be taken is:

Repeat the test.

discard the donor unit

Counsel the donor

none of the above.

Biosafety measures are for the safety of:

Doctors

Nurses

Staff handling the biomedical waste

all of the above

Antigen Antibody reaction is affected by:
 Temperature

Enzymes

Type of antibody

All of the above

The best choice of recipient of B Neg Patient in Emergency is:

O Neg Packed RBCs

O Neg Whole blood

AB Neg Packed cells

A Neg Packed cells

After use, needle from a disposable syringe should not be:

bent

recapped

removed

All of the above.

Most common blood group type in north Indian population is:

O Rh negative & B Rh positive

B Rh positive & O Rh positive

AB Rh positive & O Rh positive

 A Rh positive & O Rh negative
A leaking container during the transport of a sample to a distant laboratory can pose an
infectious hazard to the following:

Technical staff

Support staff

Postal staff

All of the above.

Post exposure prophylaxis means

Prevention

Treatment

Disinfection

All of the above

The most frequently used general lab disinfectant is:

Isopropyl alcohol

Betadine

Sodium hypochlorite

Detergent soap solution

NAT test stands for:

nucleic acid absorption test

 nucleic acid amplification test

nucleotide amplification test

none of the above

Risk of transmission of virus from an infected individual is highest through:

Sexual contact

intravenous drug abuse

transfusion of blood

needle stick injury

Screening test for HIV on large number of donor samples is most commonly performed
using:

ELISA

Western blot

NAT testing.

Rapid test.
As per the Drugs and Cosmetics Act, current mandatory tests for screening of blood donor
samples include:

test for HIV

Tests for Hepatitis B & C

tests for Syphilis and malaria

 all of the above
For the decontamination of the infectious material, the process of autoclaving utilizes the
following:

Hot air

Hot air under pressure

steam

Steam under pressure

The minimum weight of a blood donor should be:

40 kg

45 kg

50 kg

55 kg
It is mandatory to test all donor samples for the following infection:

malaria

Typhoid

Tuberculosis

Dengue
The purpose of Du testing is:

To detect the presence of D antigen

 To detect the presence of weak D antigen

To detect the absence of D antigen

To detect Bombay blood group

Hepatitis B virus is transmissible by:

Infected needles

blood transfusion

Tattooing

All of the above

Which method of blood grouping is usually referred as ‘Gold standard’ ?

Slide technique

Tube technique

Both

None
Rapid test for TTI is recommended in all of the following EXCEPT:

Large laboratories with large number of samples.

Geographic areas with limited laboratory infrastructure.

Small laboratories without electrical back up.

Disaster
An individual with blood group O has the following antigens on red cells and antibodies in
plasma

D antigen on red cells and anti-A and anti-B in plasma

No antigen on red cells and no antibodies in plasma

H antigen on red cells and no antibodies in plasma

H antigen on red cells and anti A and anti-B in plasma

Barrier protection includes all of the following EXCEPT:

Vaccination

Lab coats

Occlusive bandages on skin abrasions

Gloves
Vasovagal reaction in blood donors is characterized by the following signs and symptoms,
EXCEPT:

Anxiety

Hypotension

Tachycardia

Dizziness
The upper limit of blood collection from a donor should not exceed:

7.0 ml/kg body weight

8.5 ml/kg body weight

 10.5 ml/kg body weight

14.0 ml/kg body weight

Risk of occupational transmission of infection depends on the following:

The relative infectivity and concentration of the virus

If there is an exposure to a large quantity of blood

Deep needle stick injury

All of the above.

Under Drugs and Cosmetics Act, 1940, mandatory test for HIV started in the year:

1986

1987

1988

1989
Which of the following is correct regarding the Universal color coding for blood groups:

O : Blue, A : Yellow, B : Pink/Red, AB : White

O : White, A : Yellow, B : Pink/Red, AB : Yellow

O : Blue, A : Pink/Red, B : Yellow, AB : White

O : Blue, A : White, B : Yellow, AB : Pink/Red

Specific gravity of copper sulphate solution for hemoglobin screening is:

1.052
 1.053

1.054

1.055
Components of validation includes all except;

Quality control & proficiency testing

Validation of employee competency

Instrument calibration & Correlation with clinical findings

Ease of operation
Which of the following patient identification details should be definitely checked before
transfusion:

Patient’s name and father’s name

Patient’s name and CR No./ Registration No.

Patient’s name and blood group

Patient’s name and date of birth

In Haemophilia A, transfusion of Factor………….is needed

VI

VII

VIII

IX
Blood Component’ means a-------------------, obtained, derived or separated from a unit of
blood drawn from a donor.

Whole blood

Drug prepared

Blood Plasma

all of the above

The Medical officer should be alerted during transfusion when the patient:

Complains of uneasiness

Complains of itching

Complains of chills

Any of these
The transfusion of platelet concentrate should be completed within:

20 minutes

45 minutes

1 hour

There is no such recommendation

The transfusion of whole blood/Packed RBCs should be preferably completed within:

4 hours

24 hours
 Half an hour

48 hours
Platelets have a shelf life of……………days.

10

5
Routine crossmatch (AHG Crossmatch) should be ordered for which group of patients:

Patient with history of pregnancy.

Patient with history of previous transfusion.

Patient with history of transplant

All of the above

IQ testing and documentation of installation qualification typically includes;

verification of critical installation parameters

Supplier details

Manufacturer details

all the above

Transfusion of Leukocytes reduced red cells prevents:

Alloimmunizatoin
 CMV infection

Allergic reactions

All of the above

Criteria for condemnation and disposal of equipment should be defined as all except:

Non-functional and beyond economical repair

Functional but obsolete & hazardous

Functional but no-longer required

None of the above

The shelf life of RBCS with Additive solution (AS) is……

28days

35days

40days

42days
Which of the following is best method of collecting and labeling the crossmatch samples:

Labeling the sample tubes at nursing station and the collecting blood from patient

Collecting samples in unlabelled tubes and then labeling at nursing station

Collecting and labeling the samples at patient’s bed side

None of the above

Blood centre should have a ----------------- for calibration and validation of equipment to
achieve the required performance that complies with standards

Adequate staff

Policy and procedure

Adequate beds

All of the above

In an unconscious patient, the most important parameter to be observed and recorded
during transfusion is:

Blood pressure

Deep tendon reflexes

EEG

Heart murmurs
Pre-administration check should include all EXCEPT:

The component prescribed

Any pre- medication ordered

Ask the patient for his personal details

Start transfusion
The maintenance and Calibration schedule of Deep freezer includes all except;

Daily check of temperature display

Weekly check of Check for alarms

 Monthly check of blood bag stocks

6 months check of preventive maintenance visit of service engineer

Penta bags are used for:

To collect multiple units of blood

To collect smaller units of FFP

It is the same as a triple bag

Can be used for all

Which of the following are to be recorded for each transfusion to a patient:

Time of start

Time of completion

Type of components and volume

All of the above

WHO defines validation as the action (or process) of proving that the procedure, ---------------
-----, or method used works as expected and achieve the intended result

Process, system, equipment

Activity & project

Work carried out

None of the above

The compatibility label should be checked for all the following information EXCEPT:
 Patient’s name, CR No

Blood group

Donor unit No.

Donor’s name
Blood centre has requisite equipment as per their scope of,

Patient load

Number of staff

Activities/Services

Hours of work
The objectives of Equipment management is;

Maintain a high level of performance

Lengthen life of equipment

Improve customer satisfaction

All of the above

Blood used for neonatal exchange transfusion should not be older than……………days.

5
 7
FFP may be used in which of the following deficiencies

Haemophilia A

Factor V deficiency

Von willebrand disease

All of the above

The blood after collection is kept into a refrigerator in an -------------- position, till the red cells
settle down

Upright

Supine

Rotator

All of the above

All of the following are mandatory on a blood unit label EXCEPT for:

Its shelf life

Negative for TTI screening

Compatibility label

Donor’s name
For whole blood transfusion which of these is an indication

Acute blood loss

 Iron deficiency anemia

Chronic lymphocytic leukemia

Thrombocytopenic purpura
Selection criteria for the purchase of equipment includes all except;

Cost &Supply of reagents

Ease of operation & Warranty

Human resource

Availability of manufacturer technical support & Service Contracts

Factor VIII has half life of…………hours

12

24

5
At time of delivery the equipment is inspected as per specifications given in the supply order
by

the Hospital

the user department

the Supplier

the medical officer

Which of the following will lead to acute hemolytic transfusion reaction:

ABO mismatch transfusion

Freezing and thawing RBC before transfusion

Warming RBC in hot water bowl before transfusion

All of the above

Instead of plasma …………………..can be used as a replacement fluid.

0-9% NaCl

1% KCl

7%NaHCO3

Sodium Dextrose
FFP does not contain the following factor.

IX

XI

X
Important document to be filled and signed by patient’s attendant before transfusion include:

Requisition form

Reaction form

Consent form
 Investigation form
Fluid therapy in a patient of shock begins with:

Blood transfusion

Crystalloid transfusion

Plasma transfusion

Which of the following can be administered safely with blood transfusion using the same
access:

The completely filled blood requisition form along with properly labeled blood sample should
contain:

Patient’s first & last names

Phlebotomist’s signature

Registration number

All of the above

Safe transfusion depends on the following:

Correct labelling of the blood sample

Correct storage conditions of blood and blood component

Inspection of the unit before transfusion

All of the above

Whole blood and red cell concentrate should be transported in a manner that will maintain
temperature of……………degree.

4
 10

14

18
Blood Bank maintains labels on each equipment with the following details except:

Identification (YY – lab code- 0001, 2011-IH-012),Serial number / Model number

Date of last calibration & due date of calibration

Contact details of the service engineer

Details of in charge person at blood bank

Operational qualification focuses on the capability of the --------------- to operate within the
established limits and specifications supplied by the manufacturer.

Staff

Blood bank

Equipment

None of the above

Which of the following requires constant agitation during storage

Red cells

FFP

Platelets

All of the above

The recommended timelines for monitoring the transfusion are:

Every hour, completion of transfusion

Before start, as soon as it is started, after 15 minutes, every hour, completion of transfusion

As soon as it is started, completion of transfusion

Before start, every hour, completion of transfusion