Blood Transfusion Reactions · Pharmacology

Which laboratory finding supports a diagnosis of acute hemolytic transfusion reaction?

  1. Elevated haptoglobin
  2. Decreased bilirubin
  3. Positive direct Coombs test
  4. Normal lactate dehydrogenase
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Correct answer: Positive direct Coombs test

A positive direct Coombs (direct antiglobulin) test indicates antibodies bound to red blood cells. This supports immune-mediated hemolysis. Other findings include elevated LDH and decreased haptoglobin.

Difficulty: Medium Question 8 of 20

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