1.2 Types of Urine specimen and collection techniques Flashcards
The most concentrated type of urine collection that is routinely screened and used for preg test
First-morning specimen
First morning can use to detect O________ Pr________
Orthostatic proteinuria
A persistent benign proteinuria common in young adults after periods of standing and disappears when a horizontal position is assumed
Orthostatic / postural proteinuria
Random spx: + proteins
First morning: - Proteins
This indicates?
Orthostatic proteinuria
Used for routine urinalysis but requires acceptability and no dilutions
Random urine
Timed specimens must starts and end with full bladder
T or F
F
Empty
Timed specimens:
Used for quantitative chemical tests, hormone studies
a. 24-hour
b. 12-hour
c. 2-hour afternoon specimen
a
Timed specimens:
Analytes that undergo diurnal variation
a. 24-hour
b. 12-hour
c. 2-hour afternoon specimen
a
Timed specimens:
Requires for traditional CLEARANCE TEST
a. 24-hour
b. 12-hour
c. 2-hour afternoon specimen
a
Timed specimens:
used in Addis’ Count
a. 24-hour
b. 12-hour
c. 2-hour afternoon specimen
b
What is the preservative for 12 hour specimen?
Formalin
in 2hour afternoon specimen, what is the time required for Bilirubin determination?
2-4 pm
Timed specimens:
Bilirubin determination
a. 24-hour
b. 12-hour
c. 2-hour afternoon specimen
c
Specimen for diabetic screening/monitoring is not routinely used anymore
T or F
T
Specimen for DM:
In fasting, second morning specimen is used instead of First morning
T or F
T
Specimen for DM:
Best test to detect Glycosuria
a. Fasting
b. 2 h post prandial
c. GTT urine
b
Specimen for DM:
Previously used as accompaniment to blood specimens in routine OGTT
a. Fasting
b. 2 h post prandial
c. GTT urine
c
Drug testing specimen:
Standardized form that must document and accompany every step of drug testing
Chain of custody (COC)
Volume for Drug testing?
30 - 45 mL within 4mins
Temp for Drug testing?
32.5-37.7 C
If out of range specimen for Drug testing?
Recollect and Notify the supervisor
This is added to the toilet water reservoir in unwitnessed collection for drug testing
Bluing agent
collection technique:
Midsteam clean-catch, ctheterization, suprapubic aspiration and prostatitis specimen are all can be use for detection of bacteria (Culture)
T or F
F
No prostatitis specimens
collection technique:
Midsteam clean-catch, catheterization, suprapubic aspiration, WHICH AMONG them is preferred?
T or F
Midstream clean-catch
Collection technique:
Routine screening
a. Midstream clean catch
b. Catheterization
c. Suprapubic aspirations
a
Collection technique:
Cytology
a. Midstream clean catch
b. Catheterization
c. Suprapubic aspirations
c
Prostatitis Specimen:
All parts of urine (Mid stream, First stream, etc.) are collected
a. Three-glass collection
b. Four-glass collection
a
Prostatitis Specimen:
In Three-glass collection, WBC and bacterial counts in tube 3 must be 10x ________ than in tube 1
higher
Prostatitis Specimen:
In Three glass collection, control for kidney and bladder infection is what tube?
Tube 2
Four-glass collection is also called?
Istamey - Mears Technique
Difference of Collection for Four and Three glass collection?
Post prostatic massage urine specimen (EPS)
