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Blood Groups, Crossmatching and Transfusion Reactions Quiz

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What physical event produces visible red-cell agglutination in a positive grouping test?

  1. A Red cells dissolve before antibody binding
  2. B Complement proteins opsonise red cells without cell-to-cell bridging
  3. C Antibodies cross-link antigen-bearing cells
  4. D Plasma removes the matching antigen
  5. E Platelets trap cells in a fibrin clot
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Answer: C. Antibodies cross-link antigen-bearing cells

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See Grouping and agglutination. Option C describes antibody-mediated cell bridging. Agglutination is the visible clumping of red cells after antibodies join adjacent cells carrying the matching antigen. Antibodies can bind more than one target, so they build a network rather than merely coating one cell. In forward ABO grouping, known anti-A or anti-B reagent is mixed with the patient’s red cells. A matching surface antigen allows this network to form and makes the reaction visible. The clump is an antigen-antibody reaction, not a clot produced by the coagulation system.

Dissolving red cells (A) is haemolysis, where cells rupture, rather than remaining intact in an antibody-linked cluster. Platelets and fibrin in E belong to clot formation, a separate process from laboratory grouping. D mistakes binding for removal: antibodies recognise antigens on the cell surface but do not strip them off to create the clump. Opsonisation (B) means coating a cell to make immune clearance easier; without bridging between cells it does not explain visible agglutination.

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More questions from this set. Start the quiz to answer them and see each explanation.

  1. 1

    Which description of a group and save request is most accurate?

  2. 2

    A group B recipient needs red cells. Which donor group is ABO compatible because it presents no target for the recipient's anti-A?

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