Question 1

Which of the following species of organisms are known to infect red blood cells in storage?

Accepted Answer

A)  Escherichia coli 
B)  Enterobacter species 
C)  Yersinia species 
D)  All of the above 
A)  Escherichia coli 
B)  Enterobacter species 
C)  Yersinia species 
D)  All of the above D

Question 2

The ________ is an example of a voluntary standard, as related to transfusion medicine.

Accepted Answer

A)  Clinical Laboratory Improvement Amendments of 1988 
B)  Journal of the American Medical Association 
C)  AABB Standards 
D)  Code of Federal Regulations 
A)  Clinical Laboratory Improvement Amendments of 1988 
B)  Journal of the American Medical Association 
C)  AABB Standards 
D)  Code of Federal Regulations C

Question 3

What kind of cases stimulated state legislature to enact protection for blood banks through so-called blood shield statutes?

Accepted Answer

A)  TTAIDS 
B)  TTH 
C)  TT syphilis 
D)  TT sepsis 
A)  TTAIDS 
B)  TTH 
C)  TT syphilis 
D)  TT sepsis B

Question 4

Who determines the professional standard of care in negligence lawsuits?

Accepted Answer

A)  Jury 
B)  Judge 
C)  Expert witnesses 
D)  Defendant 
A)  Jury 
B)  Judge 
C)  Expert witnesses 
D)  Defendant

Question 5

What would be the effect of redefining blood banking outside the realm of medical practice in litigation cases?

Accepted Answer

A)  Physicians would no longer serve as the respondent superior. 
B)  Blood bank personnel would take the role of the defendant. 
C)  Expert medical testimony would not be needed to establish standard of care. 
D)  Transfusion facilities would be excluded from the blood shield statute. 
A)  Physicians would no longer serve as the respondent superior. 
B)  Blood bank personnel would take the role of the defendant. 
C)  Expert medical testimony would not be needed to establish standard of care. 
D)  Transfusion facilities would be excluded from the blood shield statute.

Question 6

What is the rationale surrounding the Doctrine of Charitable Immunity?

Accepted Answer

A)  State legislatures are more lenient toward select specialty areas of medicine with regard to excessive legal damages. 
B)  Courts provide immunity from excess liability for nonprofit organizations. 
C)  Blood collecting facilities entice donors by agreeing to donate 5% of plasma revenues to their favorite charity. 
D)  None of the above 
A)  State legislatures are more lenient toward select specialty areas of medicine with regard to excessive legal damages. 
B)  Courts provide immunity from excess liability for nonprofit organizations. 
C)  Blood collecting facilities entice donors by agreeing to donate 5% of plasma revenues to their favorite charity. 
D)  None of the above

Question 7

Why are physicians selected as the "respondent superior" in negligent cases?

Accepted Answer

A)  Physicians give the order to transfuse. 
B)  Physicians are considered expert witnesses in transfusion-related deaths. 
C)  Federal regulations can be applied to medical malpractice. 
D)  None of the above 
A)  Physicians give the order to transfuse. 
B)  Physicians are considered expert witnesses in transfusion-related deaths. 
C)  Federal regulations can be applied to medical malpractice. 
D)  None of the above

Question 8

What is the legal basis for lawsuits filed as a result of a transfusion?

Accepted Answer

A)  Civil actions for tort and tort liability 
B)  Criminal actions for tort and tort liability 
C)  Civil actions for manslaughter 
D)  None of the above 
A)  Civil actions for tort and tort liability 
B)  Criminal actions for tort and tort liability 
C)  Civil actions for manslaughter 
D)  None of the above

Question 9

What body of government is authorized to pass laws?

Accepted Answer

A)  U.S. Congress 
B)  U.S. Supreme Court 
C)  state courts 
D)  all of the above 
A)  U.S. Congress 
B)  U.S. Supreme Court 
C)  state courts 
D)  all of the above

Question 10

Liability for negligence includes all of the following except:

Accepted Answer

A)  there was a duty owed to the injured party. 
B)  the duty was not met; the injured party was harmed. 
C)  failure to meet the duty was indirectly responsible for harm suffered by injured party. 
D)  some measurable (compensable) harm occurred (called damage). 
A)  there was a duty owed to the injured party. 
B)  the duty was not met; the injured party was harmed. 
C)  failure to meet the duty was indirectly responsible for harm suffered by injured party. 
D)  some measurable (compensable) harm occurred (called damage).

Question 11

How is battery conceptualized in transfusion medicine?

Accepted Answer

A)  A patient develops a fever after being transfused. 
B)  A donor claims never to have agreed to be stuck by a needle. 
C)  A donor develops a hematoma after phlebotomy. 
D)  A patient develops an antibody 2 months after being transfused. 
A)  A patient develops a fever after being transfused. 
B)  A donor claims never to have agreed to be stuck by a needle. 
C)  A donor develops a hematoma after phlebotomy. 
D)  A patient develops an antibody 2 months after being transfused.

Question 12

Blood banks are federally regulated by which of the following?

Accepted Answer

A)  AABB 
B)  Commission on Laboratory Accreditation 
C)  American Medical Association 
D)  FDA 
A)  AABB 
B)  Commission on Laboratory Accreditation 
C)  American Medical Association 
D)  FDA

Question 13

All of the following injuries from component collection may be grounds for a civil suit except:

Accepted Answer

A)  a hematoma. 
B)  nerve damage. 
C)  a sudden fall. 
D)  severe donor reaction. 
A)  a hematoma. 
B)  nerve damage. 
C)  a sudden fall. 
D)  severe donor reaction.

Question 14

Which of the following best describes strict liability?

Accepted Answer

A)  Manufacturers are liable when it can be proven the consumer did not misuse the product. 
B)  Manufacturers are legally liable for all harm that occurs through use of a product. 
C)  Manufacturers are legally liable for the duration of the warranty period. 
D)  None of the above 
A)  Manufacturers are liable when it can be proven the consumer did not misuse the product. 
B)  Manufacturers are legally liable for all harm that occurs through use of a product. 
C)  Manufacturers are legally liable for the duration of the warranty period. 
D)  None of the above

Question 15

What is the meaning of tort reform?

Accepted Answer

A)  Prospective immunity for hospitals from excess liability because of charitable acts 
B)  Revision of transfusion-associated litigation to include licensed registered nurses as defendants 
C)  Protection of specialty practices from punitive or excessive awards by state legislatures 
D)  None of the above 
A)  Prospective immunity for hospitals from excess liability because of charitable acts 
B)  Revision of transfusion-associated litigation to include licensed registered nurses as defendants 
C)  Protection of specialty practices from punitive or excessive awards by state legislatures 
D)  None of the above

Question 16

All of the following are emerging concerns of transfusion medicine except:

Accepted Answer

A)  red blood cell substitute. 
B)  standards of preoperative blood collection and reinfusion. 
C)  crossover of autologous (unused) units. 
D)  antibody testing procedures. 
A)  red blood cell substitute. 
B)  standards of preoperative blood collection and reinfusion. 
C)  crossover of autologous (unused) units. 
D)  antibody testing procedures.

Question 17

Which of the following situations is grounds for a plaintiff claim under invasion of privacy?

Accepted Answer

A)  Public disclosure of embarrassing facts 
B)  Placement of plaintiff in a "false light" in public 
C)  Intrusion on plaintiff's seclusion 
D)  All of the above 
A)  Public disclosure of embarrassing facts 
B)  Placement of plaintiff in a "false light" in public 
C)  Intrusion on plaintiff's seclusion 
D)  All of the above

Question 18

Civil cases involving TTAIDS in the 1980s, when plaintiffs argued infected patients were insufficiently warned of the hazards of transfusion, were unsuccessful in their litigation efforts because:

Accepted Answer

A)  patients gave verbal consent. 
B)  the statute of limitations was in effect. 
C)  scientific knowledge was limited, as stated by experts. 
D)  hospitals were protected by blood shield statutes. 
A)  patients gave verbal consent. 
B)  the statute of limitations was in effect. 
C)  scientific knowledge was limited, as stated by experts. 
D)  hospitals were protected by blood shield statutes.

Question 19

What was the reason for the negligence verdict in the district case Belle Bonfils Memorial Blood Bank v. Denver District Court (1988)?

Accepted Answer

A)  Lack of an HIV-confirmatory test for specific unit transfused 
B)  Clerical error by reference laboratory (site of testing) 
C)  Lack of standard protocol for implementing new HIV testing on available components 
D)  Lack of quality control for HIV test kit 
A)  Lack of an HIV-confirmatory test for specific unit transfused 
B)  Clerical error by reference laboratory (site of testing) 
C)  Lack of standard protocol for implementing new HIV testing on available components 
D)  Lack of quality control for HIV test kit

Question 20

In regard to donor histories, the federal government has put an emphasis on  ________in the hope of acquiring more descriptive information from persons who may be infected with HIV.

Accepted Answer

A)  self-administration of questionnaires 
B)  face-to-face oral questions 
C)  humiliation tactics 
D)  none of the above 
A)  self-administration of questionnaires 
B)  face-to-face oral questions 
C)  humiliation tactics 
D)  none of the above

Exam 26: Medicolegal and Ethical Aspects of Providing Blood Collection and Transfusion Services

Which of the following species of organisms are known to infect red blood cells in storage?

The ________ is an example of a voluntary standard, as related to transfusion medicine.

What kind of cases stimulated state legislature to enact protection for blood banks through so-called blood shield statutes?

Who determines the professional standard of care in negligence lawsuits?

What would be the effect of redefining blood banking outside the realm of medical practice in litigation cases?

What is the rationale surrounding the Doctrine of Charitable Immunity?

Why are physicians selected as the "respondent superior" in negligent cases?

What is the legal basis for lawsuits filed as a result of a transfusion?

What body of government is authorized to pass laws?

Liability for negligence includes all of the following except:

How is battery conceptualized in transfusion medicine?

Blood banks are federally regulated by which of the following?

All of the following injuries from component collection may be grounds for a civil suit except:

Which of the following best describes strict liability?

What is the meaning of tort reform?

All of the following are emerging concerns of transfusion medicine except:

Which of the following situations is grounds for a plaintiff claim under invasion of privacy?

Civil cases involving TTAIDS in the 1980s, when plaintiffs argued infected patients were insufficiently warned of the hazards of transfusion, were unsuccessful in their litigation efforts because:

What was the reason for the negligence verdict in the district case Belle Bonfils Memorial Blood Bank v. Denver District Court (1988)?

In regard to donor histories, the federal government has put an emphasis on ________in the hope of acquiring more descriptive information from persons who may be infected with HIV.

Red Blood Cells and Platelet Preservation: Historical Perspectives and Current Trends

Basic Genetics

Fundamentals of Immunology

Concepts in Molecular Biology

The Antiglobulin Test

The Abo Blood Group System

The RH Blood Group System

Blood Group Terminology and the Other Blood Groups

Detection and Identification of Antibodies

Pre-Transfusion Testing

Overview of the Routine Blood Bank Laboratory

Other Technologies and Automation

Donor Screening and Component Preparation

Apheresis

Transfusion Therapy

Cellular Therapy

Transfusion-Transmitted Diseases

Hemolytic Disease of the Fetus and Newborn

Autoimmune Hemolytic Anemias

The Hla System

Relationship Testing

Quality Management

Transfusion Safety and Federal Regulatory Requirements

Utilization Management

Laboratory Information Systems

Tissue Banking: A New Role for the Transfusion Service

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