ABPath Blood Banking/Transfusion Medicine case studies
ABPath Blood Banking/Transfusion Medicine · Put your knowledge to work in context.
The Blood Banking/Transfusion Medicine examination is a subspecialty certification exam offered by the American Board of Pathology for physicians who have completed training in this discipline and wish to demonstrate competence in it. It is a one-day, computer-based examination that combines written and practical questions in each section, and all items are multiple-choice in the one-best-answer format. The ABPath Blood Banking/Transfusion Medicine case studies are 5 cases and about 2,486 words.
1RhIG Workup in a Weak D Prenatal Patient
A 29-year-old G2P1 woman at 26 weeks presents for routine prenatal care. Her ABO is A, and her antibody screen is negative.
540 words, about 3 min2Platelet Refractoriness After Multiple Transfusions
A 52-year-old man with myelodysplastic syndrome has received 14 platelet transfusions over 6 months, now roughly twice weekly. His pre-transfusion platelet count is 8 × 10^9/L; a 1-hour post-transfusion count is 12 × 10^9/L, and a 24-hour count is 6 × 10^9/L.
463 words, about 2 min3TRALI vs TACO in a Postoperative Transfusion Reaction
A 71-year-old woman with chronic kidney disease (baseline creatinine 2.1 mg/dL, ejection fraction 40%) undergoes hip surgery and receives 2 units of RBCs over 3 hours for a hemoglobin of 7.0 g/dL. Two hours after the second unit she develops dyspnea, hypoxemia (SpO2 88% on room air), bilateral infiltrates on chest x-ray, and a blood pressure of 165/95 mmHg.
448 words, about 2 min4Donor Deferral Decisions for a Directed Donor
A 38-year-old woman wants to donate directed RBCs for her sister, who is scheduled for elective surgery in 3 weeks. On the donor history questionnaire she reports: a tattoo obtained 5 months ago at a licensed facility in a state that regulates tattoo parlors; a body piercing 2 weeks ago at a mall kiosk; travel to a malaria-endemic region 13 months ago (no prophylaxis, no symptoms); and a cold sore (herpes labialis) currently healing.
534 words, about 3 min5Quality Control Failure in a Platelet Inventory
A hospital blood bank receives a shipment of 6 apheresis platelet units. On receipt, the technologist notes that one unit's label shows an expiration date 5 days after collection, but the unit was collected 6 days ago and shipped at 20-24°C.
501 words, about 3 min