4.1 Physical Examination of Urine Flashcards

1
Q

Normal Urine Volume per 24 hrs

a. 600- 2000ml
b. 1200-1500mL

A

a

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2
Q

Avergae urine volume per 24 hrs

a. 600- 2000ml
b. 1200-1500mL

A

b

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3
Q

Day : Night Ratio for urine?

A

2-3:1

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4
Q

volume requirment for urine:

Capacity?
Required mL?

a. 50mL, 10-15mL
b. 50mL, 20-30mL
c. 60mL, 10-15mL
d. 60mL, 30-45mL

A

a

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5
Q

> 2000 mL / 24hrs, Increased volume

a. Polyuria
b. Oliguria
c. Anuria
d. Nocturia
e. Diuresis

A

a

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6
Q

Increased SG

a. DM
b. DI

A

a

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7
Q

Decreased SG

a. DM
b. DI

A

b

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8
Q

Decreased urine volume

<500mL or < 400mL

a. Polyuria
b. Oliguria
c. Anuria
d. Nocturia
e. Diuresis

A

b

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9
Q

Complete cessation of urine flow

a. Polyuria
b. Oliguria
c. Anuria
d. Nocturia
e. Diuresis

A

c

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10
Q

<100 mL

a. Polyuria
b. Oliguria
c. Anuria
d. Nocturia
e. Diuresis

A

c

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11
Q

Excretionof more than 500 mL of urine at night

a. Polyuria
b. Oliguria
c. Anuria
d. Nocturia
e. Diuresis

A

d

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12
Q

Has a spceific gravity of SG <1.018

a. Polyuria
b. Oliguria
c. Anuria
d. Nocturia
e. Diuresis

A

d

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13
Q

Causes: Pregnancy, Prostate enlargement

a. Polyuria
b. Oliguria
c. Anuria
d. Nocturia
e. Diuresis

A

d

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14
Q

Any change in urine excretion

a. Polyuria
b. Oliguria
c. Anuria
d. Nocturia
e. Diuresis

A

e

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15
Q

High specific grabity with colorless urine may be an indicative of?

A

DM

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16
Q

How to distinguish Urine color properly?

a. Read against a dark background
b. Bird eye view at the top of the tube
c. Look down though the container agains a white background

A

c

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17
Q

Present in old specimen (Dark yellow or orange)

a. Urochrome
b. uroerythin
c. Urobilin

A

c

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18
Q

Present in old specimen (Dark yellow or orange)

a. Urochrome
b. uroerythin
c. Urobilin

A

c

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19
Q

May deposit in amorphous urates and uric acid crystals

a. Urochrome
b. uroerythin
c. Urobilin

A

b

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20
Q

Major Pigment

Directly proportional to metabolic rate

a. Urochrome
b. uroerythin
c. Urobilin

A

a

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21
Q

Contains RBC

a. Dark Yellow
b. Orange - Yellow
c. Green
d. Pink or red

A

d

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22
Q

A Red / pink urine with cloudy or smoky red (Hematuria) may contain?

a. Hemoglobin
b. Myoglobin
c. RBC

A

c

23
Q

CLEAR red

a. Hemoglobin
b. Myoglobin
c. RBC

A

a

24
Q

Contains Pyridium (Ohenazopyridine

a. Dark Yellow
b. Orange - Yellow
c. Green
d. Pink or red

A

b

25
Q

Contains Yellow foam with tea-colored urine

a. Dark Yellow
b. Orange - Yellow
c. Green
d. Pink or red

A

b

26
Q

Contains phenol

a. Dark Yellow
b. Orange - Yellow
c. Green
d. Pink or red

A

c

27
Q

Contains Carotene

a. Dark Yellow
b. Orange - Yellow
c. Green
d. Pink or red

A

a

28
Q

Contains porphyrin / looks like port wine

a. Burgundy / Purplish-red
b. Brown / Black
c. Milky white

A

a

29
Q

Increase WBC

a. Burgundy / Purplish-red
b. Brown / Black
c. Milky white

A

c

30
Q

Methemoglobin, homogentisic acid

a. Burgundy / Purplish-red
b. Brown / Black
c. Milky white

A

b

31
Q

Melanin

a. Burgundy / Purplish-red
b. Brown / Black
c. Milky white

A

b

32
Q

Methemoglobin = Alkaline urine

Homogentisic acid = Alkaptonuria

Melanin = Upon air exposure

These are the following causes black urine, which of them is wrong?

A

Methemoglobin

Can be seen in acidic urine

33
Q

The clarity of the urine should be viewed a

a. Blank white paper
b. Newspaper
c. Dark colored newspaper

A

b

34
Q

Few Particulates, print easily seen

a. Clear
b. Hazy
c. Turbid
d. Milky

A

b

35
Q

Print CANNOT be seen

a. Clear
b. Hazy
c. Turbid
d. Milky

A

c

36
Q

Precipitated or Clotted

a. Clear
b. Hazy
c. Turbid
d. Milky

A

d

37
Q

Which of the following is non pathogenic:

  • Bacteria
  • Yeast
  • Amorphous Urates
  • RTE
A

Amorphous urates

38
Q

Soluble in dilute acetic acid:

  1. RBCs
  2. Spermatozoa
  3. Amorphous urates
  4. Carbonates

a. 1,2 and 3
b. 1,3 and 4
c. 2,3 and 4
s. 1,2,3, and 4

A

b

39
Q

Insoluble in dilute acetic acid:

  1. WBCs
  2. Bacteria
  3. Yeasts
  4. Spermatozoa

a. 1,2 and 3
b. 1,3 and 4
c. 2,3 and 4
s. 1,2,3, and 4

A

d

40
Q

Soluble in Ether

  1. Lipids
  2. Lymphatic Fluid
  3. Chyle
  4. Spermatozoa

a. 1,2 and 3
b. 1,3 and 4
c. 2,3 and 4
s. 1,2,3, and 4

A

a

41
Q

Soluble with heat

  1. Amorphous urates
  2. Uric acid crystals
  3. Chyle
  4. Spermatozoa

a. 2 and 3
b. 1 and 4
c. 1 and 2
s. 1,2,3, and 4

A

c

42
Q

Alkaline urine

  1. Amorphous Phosphate
  2. Uric acid crystals
  3. Chyle
  4. Carbonates

a. 2 and 3
b. 1 and 4
c. 1 and 2
s. 1,2,3, and 4

A

b

43
Q

Urine odor:

Normal

a. Aromatic, Fragrant
b. Odorless
c. Foul, ammonical, pungent
d. Fruity, Sweet

A

a

44
Q

Urine odor:

Old urine or UTI (P. vulgaris)

a. Aromatic, Fragrant
b. Odorless
c. Foul, ammonical, pungent
d. Fruity, Sweet

A

c

45
Q

Urine odor:

Acute tubular necrosis

a. Aromatic, Fragrant
b. Odorless
c. Foul, ammonical, pungent
d. Fruity, Sweet

A

b

46
Q

Urine odor:

DM

a. Aromatic, Fragrant
b. Odorless
c. Foul, ammonical, pungent
d. Fruity, Sweet

A

d

47
Q

Maple syrup urine disease

a. Caramel, curry
b. Mousy, musty
c. Rancid butter
d. Sweaty feet

A

a

48
Q

Isovaleric acidemia

a. Caramel, curry
b. Mousy, musty
c. Rancid butter
d. Sweaty feet

A

d

49
Q

Tyrosinemia

a. Caramel, curry
b. Mousy, musty
c. Rancid butter
d. Sweaty feet

A

c

50
Q

Phenylketonuria

a. Caramel, curry
b. Mousy, musty
c. Rancid butter
d. Sweaty feet

A

b

51
Q

Trimethylaminuria

a. Cabbage
b. S, Rotten egg
c. Rotting fish
d. Pungent, fetid

A

c

52
Q

Asparagus

a. Cabbage
b. S, Rotten egg
c. Rotting fish
d. Pungent, fetid

A

d

53
Q

Methionine malabsorption

a. Cabbage
b. S, Rotten egg
c. Rotting fish
d. Pungent, fetid

A

a

54
Q

Cystine disorder

a. Cabbage
b. S, Rotten egg
c. Rotting fish
d. Pungent, fetid

A

b