Clinical History: A 45-year-old man of African ancestry with…

Clinical History: A 45-year-old man of African ancestry with sickle cell disease presents with a delayed hemolytic transfusion reaction. Antibody screen reveals anti-Fy3. RBC phenotype is Fy(a–b–).  Question: What does the presence of anti-Fy3 suggest about this patient’s genotype? (M1.3)

Clinical History: A 29-year-old pregnant woman is found to h…

Clinical History: A 29-year-old pregnant woman is found to have anti-K antibodies at 24 weeks gestation. The fetus shows signs of anemia, but amniotic fluid bilirubin is low and reticulocyte count is suppressed.  Question: What is the most likely mechanism of fetal anemia in this case? (M1.2)