Question 1

Blood utilization management programs are designed to do all but which of the following?

Accepted Answer

A)   Increase safety
B)   Decrease component availability
C)   Reduce expenditure
D)   Manage limited blood resources B

Question 2

Targeted and discontinuous are subtypes of what review system?

Accepted Answer

A)   Retrospective
B)   Concurrent
C)   Interpreted
D)   Prospective D

Question 3

A patient has a platelet count of 10,000/cumm. This value may be used by transfusion service to:

Accepted Answer

A)   establish the patient's normal range.
B)   place scheduled transfusion on hold.
C)   proceed with transfusion therapy.
D)   None of the above C

Question 4

The focus of most blood utilization programs is:

Accepted Answer

A)   the underutilization of blood products of a facility.
B)   the overutilization of blood products by a facility.
C)   to reduce cost.
D)   to evaluate the need for ordering more product.

Question 5

What educational functions must a transfusion safety officer be able to perform?

Accepted Answer

A)   Developing educational materials
B)   Coordinating education for clinical staff
C)   Lecturing to physicians and nurses
D)   All of these.

Question 6

The blood utilization review audit should compare which of these?

Accepted Answer

A)   Indications used for actual transfusions against the transfusion guideline
B)   Number of units ordered from regional blood banks versus those used and those wasted
C)   Number of units transfused by one physician practice group with another physician practice group
D)   All of these

Question 7

Which of the following scenarios serves the purpose of providing needed hemotherapy without transfusing more blood than is necessary?

Accepted Answer

A)   Single-unit transfusion of RBCs, with reassessment prior to ordering additional units
B)   Continuation of RBC transfusion until normal levels are reached
C)   Transfusing one extra RBC unit after normal level is reached to avoid relapse
D)   None of these

Question 8

Why should a blood utilization review give special attention to each type of blood component?

Accepted Answer

A)   They all have the same risk factors.
B)   Their costs are basically the same.
C)   Wastage may vary according to component.
D)   All of these

Question 9

Which of the following is NOT a patient blood management tool?

Accepted Answer

A)   Blood order sets
B)   Computerized algorithms
C)   Maximum surgical blood order schedule
D)   Training phlebotomists in donor collection

Question 10

Which if the following is NOT a duty of the transfusion safety officer?

Accepted Answer

A)   Administering blood products
B)   Auditing transfusion records
C)   Reviewing blood utilization
D)   Tracking and reporting transfusion metrics

Question 11

Which of the following is not part of a blood utilization review?

Accepted Answer

A)   Retrospective review
B)   Concurrent review
C)   Interpreted review
D)   Prospective review

Question 12

A physician has ordered a 2-unit transfusion on an outpatient. When the outpatient arrives, the patient's hemoglobin is 12. What is the most appropriate action?

Accepted Answer

A)   Cancel the transfusion and send the patient home.
B)   Call the physician's office and inform them of their mistake.
C)   Inform the pathologist or medical director and allow him to contact the physician.
D)   Transfuse. A physicians order should not be questioned.

Question 13

Which of the following is an undesired result of blood utilization review audits?

Accepted Answer

A)   Establishing lower transfusion thresholds
B)   Increasing underutilization of blood
C)   Reducing blood overutilization
D)   None of these

Question 14

Transfusion guidelines are intended to be

Accepted Answer

A)   a burden on clinicians and their patients in making decisions related to transfusion.
B)   prescriptive in nature when dealing with the topic of transfusion therapy.
C)   prohibitive in nature when dealing with the topic of transfusion therapy.
D)   systematically developed statements relevant to transfusion therapy.

Question 15

Which of the following can be a significant contributor to anemia developed as a result of hospitalization?

Accepted Answer

A)   Iron deficiency
B)   Iatrogenic blood loss
C)   Viscoelastic testing
D)   Vitamin deficiency

Question 16

Transfusion guidelines typically contain which of the following?

Accepted Answer

A)   Contraindications for transfusion
B)   Indications for transfusion
C)   Dosage recommendations
D)   All of these

Question 17

Which patient blood management tool has the least effect on resource conservation?

Accepted Answer

A)   Blood order sets
B)   Blood-sparing or salvage techniques
C)   Computerized algorithms
D)   Preoperative anemia clinics

Question 18

Upon review at the end of the quarter, you note that one physician's C/T ratio was high. You discuss this with the medical director, and he has you draft a letter to this physician. This is an example of what kind of review?

Accepted Answer

A)   Retrospective
B)   Concurrent
C)   Interpreted
D)   Prospective

Question 19

Which administrative function is NOT normally that of a transfusion safety officer?

Accepted Answer

A)   Developing transfusion guidelines.
B)   Educating laboratory and medical staff
C)   Hiring qualified transfusion personnel
D)   Writing transfusion policies and procedures

Question 20

Which of the following drugs is NOT a hematinic.

Accepted Answer

A)   B12
B)   Erythropoietin
C)   Folate
D)   Iron

Exam 26: Patient Blood Management