MT AAB Immunohematology Practice Test

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The red blood cells used for screening patients' serum for unexpected antibodies should be of what blood group?
Correct Answer:
O
Explanation:
Screening for unexpected antibodies uses red blood cells that won’t express A or B antigens, so any anti-A or anti-B antibodies in the patient’s serum won’t cause reactivity. Group O cells have no A or B antigens but still present a wide array of other clinically significant antigens (Rh, Kell, Duffy, Kidd, MNS, etc.), making them ideal for revealing antibodies against these non-ABO antigens. If cells expressing A or B were used, ABO antibodies in the serum could react with those antigens and complicate interpretation or create false-positive results, masking or confounding detection of antibodies to other antigens. Hence, the best choice is the cell group that lacks A and B antigens.

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