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Multiple Choice

What is the key purpose of a cross-matching test before a blood transfusion?

The key purpose of cross-matching is to ensure the recipient’s antibodies won’t attack the donor’s red blood cells during transfusion. By mixing the recipient’s serum with donor red cells and watching for clumping (agglutination) or cell destruction (hemolysis), you detect alloantibodies that could cause a transfusion reaction. If the test is compatible, the transfusion is likely safe; if not, you’d choose donor cells without those offending antigens. This goes beyond simply determining blood type, which identifies ABO/Rh compatibility, by specifically confirming that the recipient’s antibodies will not react with the donor’s cells.

The key purpose of cross-matching is to ensure the recipient’s antibodies won’t attack the donor’s red blood cells during transfusion. By mixing the recipient’s serum with donor red cells and watching for clumping (agglutination) or cell destruction (hemolysis), you detect alloantibodies that could cause a transfusion reaction. If the test is compatible, the transfusion is likely safe; if not, you’d choose donor cells without those offending antigens. This goes beyond simply determining blood type, which identifies ABO/Rh compatibility, by specifically confirming that the recipient’s antibodies will not react with the donor’s cells.