Hematology: transfusion reactions: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Hematology: transfusion reactions

Sample item

During red-cell transfusion, a child develops fever, flank pain, hypotension, and dark urine. What is the immediate action?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Stop the transfusion and begin reaction protocol

An acute hemolytic transfusion reaction is an emergency. Stop the transfusion, maintain IV access with compatible fluid, assess the patient, notify the blood bank, and retain the blood product for investigation.

Option by option

  • A. Stop the transfusion and begin reaction protocol (correct)

    Correct. Stopping the suspected product is the immediate safety step.

  • B. Increase the transfusion rate

    Increasing the rate increases exposure to the reaction.

  • C. Give oral iron and continue

    Iron does not treat acute hemolysis.

  • D. Discard the blood bag immediately

    The bag may be required for investigation and should not be discarded.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is A, Stop the transfusion and begin reaction protocol. An acute hemolytic transfusion reaction is an emergency.

Why is "Increase the transfusion rate" not the answer?

Increasing the rate increases exposure to the reaction.

Why is "Give oral iron and continue" not the answer?

Iron does not treat acute hemolysis.

Why is "Discard the blood bag immediately" not the answer?

The bag may be required for investigation and should not be discarded.

What concept does this question test?

It tests Hematology: transfusion reactions in Pediatrics. Stop the transfusion, maintain IV access with compatible fluid, assess the patient, notify the blood bank, and retain the blood product for investigation.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hematology: transfusion reactions?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.