Which of the following statements about Transfusion-Related Acute Lung Injury (TRALI) is false?
ALeucocytes aggregate in the pulmonary vasculature
BDevelops signs of non cardiogenic pulmonary edema
CAnti-HLA antibodies are never implicated in TRALI.
DImplicated donors are frequently multiparous women
A 62-year-old male patient with heart failure is scheduled for a heart transplant. His renal function test is deranged, and haemoglobin is $6 \mathrm{gm} \%$. The physician ordered 2 units of whole blood. Four hours after transfusion, he developed severe respiratory distress. On examination, he is hypoxemic, has tachycardia and his mean arterial pressure is elevated. Which of the following are the best investigations for the above scenario? 1. Chest X-ray 2. Brain natriuretic peptide (BNP) level 3. Absolute neutrophil count 4. Leucocyte antibodies 5. Platelets
A3 and 5
B4 and 5
C1 and 2
D2 only
Which of the following is the complication of massive blood transfusion?
ARespiratory alkalosis
BMetabolic acidosis
CRespiratory acidosis
DMetabolic alkalosis
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