A donor tested with Rh antisera shows positive for anti-D, anti-C, and anti-c, but negative for anti-E and anti-e. What is the most probable Rh genotype?

Prepare for the Technologist in Blood Banking (BB (ASCP)) Test with flashcards and multiple choice questions, each question has tips and explanations. Get thoroughly ready for your exam!

In this scenario, the results of the Rh typing using antisera reveal that the donor is positive for anti-D, anti-C, and anti-c, and negative for anti-E and anti-e.

To understand the genotype, we need to analyze the Rh antigens presented. The presence of anti-D indicates the donor expresses the D antigen, which is found in genotypes such as R1 (DCE/dce) and R2 (DCE/DCe). The presence of anti-C and anti-c suggests that the donor has at least one copy of the C antigen and one copy of the c antigen. However, the negative reaction to anti-E and anti-e means that the donor does not have the E or e antigens, which would typically be seen in individuals with certain combinations of alleles.

Given this information, the R1r genotype (where R1 represents the D and C antigens, and r represents the presence of the little c antigen) makes the most sense. This combination allows for the presence of anti-D and the specific C and c antibodies found in the testing.

The other potential genotypes can lead to either the presence of the E antigen or do not account for the combination of C and c antigens properly.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy