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Ch. 17 - Adaptive Immunity: Specific Defenses of the Host
Chapter 13, Problem 19.6a

Which antibodies will be found naturally in the serum of a person with blood type A, Rh⁺?
a. anti A, anti B, anti Rh
b. anti A, anti Rh
c. anti A
d. anti B, anti Rh
e. anti B

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1
Identify the blood type of the person, which is A, Rh⁺.
Understand that individuals with blood type A have A antigens on the surface of their red blood cells.
Recognize that the presence of A antigens means the immune system will not produce anti-A antibodies, as these would attack the body's own cells.
Consider the Rh factor: since the person is Rh⁺, they have the Rh antigen and will not produce anti-Rh antibodies.
Determine that the person will naturally have anti-B antibodies in their serum, as these target B antigens, which are foreign to their blood type.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Blood Type Antigens

Blood type antigens are specific molecules found on the surface of red blood cells that determine an individual's blood type. For blood type A, the A antigen is present, while type B has the B antigen. Understanding these antigens is crucial for determining compatibility in blood transfusions and for understanding the immune response to foreign blood types.
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Natural Antibodies

Natural antibodies are immunoglobulins produced by the immune system without prior exposure to a specific antigen. In the context of blood types, individuals typically produce antibodies against the antigens they do not possess. For example, a person with blood type A will naturally produce anti-B antibodies to target B antigens, which helps prevent incompatible blood transfusions.
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Rh Factor

The Rh factor is a specific protein that can be present on the surface of red blood cells, leading to the classification of blood as Rh-positive (Rh⁺) or Rh-negative (Rh⁻). Individuals who are Rh-positive have the Rh antigen and do not produce anti-Rh antibodies unless exposed to Rh-positive blood. This factor is important in pregnancy and transfusion medicine, as Rh incompatibility can lead to serious complications.
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