5.1 Chemical Examination of urine

Question 1

60s

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 1

efghi

ppBUN

Question 2

30s

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 2

a,b

Question 3

40s

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 3

c

Question 4

45s

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 4

d

Question 5

2m

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 5

k

Question 6

Double Seq. Enzyme reaction

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 6

a

Question 7

pKa change of a polyelectro

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 7

d

Question 8

Diazo reaction

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 8

b

Question 9

Ehrlich reaction

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 9

h

Question 10

Greiss’ reaction

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 10

i

Question 11

Pseudoperoxidase

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 11

g

Question 12

Sorensen’s error of indicators

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 12

f

Question 13

Leukocyte esterase

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 13

k

Question 14

Double indicator system

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 14

e

Question 15

Na nitroprusside reaction

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 15

c

Question 16

Dip the strip no longer than __ second

Answer 16

1

Question 17

How do you blot the strip?

a. Blot the End part of the strip to remove excess urine
b. Blot the edge of the strip on a disposable absorbent pad
c. Blot facing down
d. Read immediately without bloting

Answer 17

b

Question 18

When comparing the color reaction of the strip pads to manufacturer color, how do you hold the strip?

a. Hold the strip horizontally
b. Hold the strip Vertically
c. Hold the strip Diagonally

Answer 18

a

By the book

Question 19

When caring the reagent strips, which of the following does not belong?

a. Store with dessicant in an opaque tightly closed container
b. Store below Below 30 C
c. Freeze
d. Do not expose to volatile fumes

Answer 19

c

Question 20

What is the Principle of automated Reagent strip readers?

a. Reflectance photometry
b. Chemiluminescence
c. Spectrophotometry
d. Cuvette based Reader

Answer 20

a

Question 21

A measure of the amount of dissolved substance ion a solution

a. Glucose
b. Bilirubin
c. Ketones
d. S.G
e. PH
f. Protein
g. Blood
h. Urobili
i. Nitrite
k. Leuko

Answer 21

d

Question 22

Reference value: 1.003 - 1.035

a. Random urine
b. 1st morning urine
c. 24-hour urine

Answer 22

a

Question 23

If a urine is less than 1.003, is it a urine?

Answer 23

No

except DI

Question 24

If a urine is more than 1.040, what is the cause?

Answer 24

Radiographic dye

Question 25

SG = 1.010 a. Isosthernuria b. Hyposthenuria c. Hypersthenuria

Answer 25

a

Question 26

SG = >1.010 a. Isosthernuria b. Hyposthenuria c. Hypersthenuria

Answer 26

c

Question 27

SG = <1.010 a. Isosthernuria b. Hyposthenuria c. Hypersthenuria

Answer 27

b

Question 28

what is the calibration temp for urinometer? a. 20c b. 30c c. 25c

Answer 28

a

Question 29

What is the correction temp for temp below 20? a. For every 3C - 0.001 b. For every 2 C - 0.001 c. -For every 1C - 0.001

Answer 29

a

Question 30

What is the correction for glucose? a. - 0.001 b. - 0.003 c. - 0.004

Answer 30

c

Question 31

What is the correction for Protein? a. - 0.001 b. - 0.003 c. - 0.004

Answer 31

b

Question 32

Urine volmue required for urinometer? a. 10-15 mL b. 30-45mL c. 5 drops d. 1 or 2 drops

Answer 32

d

Question 33

Urine volmue required for Refractometer? a. 10-15 mL b. 30-45mL c. 5 drops d. 1 or 2 drops

Answer 33

d

Question 34

Calibration for refractometry? Distilled SG?

Answer 34

1.000

Question 35

Instrument based on refractive index? a. Hydrometer b. Reagent strip c. Total solids meter d. Urinometer

Answer 35

c Refractometry

Question 36

Calibration for refractometry? 1.022 +_ 0.001 a. 3% NaCl b. 5% NaCl c.7% NaCl d. 9% Sucrose

Answer 36

b

Question 37

Calibration for refractometry? 1.034 +_ 0.001 a. 3% NaCl b. 5% NaCl c.7% NaCl d. 9% Sucrose

Answer 37

d

Question 38

Calibration for refractometry? 1.035 +_ 0.001 a. 3% NaCl b. 5% NaCl c.7% NaCl d. 9% Sucrose

Answer 38

c

Question 39

Calibration for refractometry? 1.015 +_ 0.001 a. 3% NaCl b. 5% NaCl c.7% NaCl d. 9% Sucrose

Answer 39

a

Question 40

What is the SG of Triple distilled water? a. 1.003 b. 3.000 c. 1.000 d.1.010

Answer 40

c

Question 41

Urine SG by urinometer = 1.025 Urine Temp: 26 C Urinometer Calibration temp = 20C What is the corrected SG

Answer 41

1.027

Question 42

Urine SG by urinometer = 1.025 Glucose: 2g/dl Protein: 2g/dl What is the corrected SG

Answer 42

1.011

Question 43

Urine specimen diluted 1:4 has a reading of 1.014. what is the actual reading?

Answer 43

1.056

Question 44

What is SG range that can be read in reagent strip? a. 1.000 b. 1.001 c. 1.002 d. 1.003

Answer 44

a

Question 45

What is SG range that can be read in reagent strip? a. 1.040 b. 1.050 c. 1.045 d. 1.030

Answer 45

d

Question 46

Reagent: Polyelectrolyte, bromothymol blue a. Glucose b. Bilirubin c. Ketones d. S.G e. PH f. Protein g. Blood h. Urobili i. Nitrite k. Leuko

Answer 46

d

Question 47

Add _______ to reading when pH is more than or equal to 6.5 a. 0.005 b. 0.003 c. 0.001 d 0.002

Answer 47

a

Question 48

Which of the following affects SG? a. pH b. Glucose c. Protein d. Radio. dye

Answer 48

a

Question 49

Example of Harmonic oscillation densitometry where it is based on the frequency of a soundwave a. Red IRIS b. Yellow IRIS c. Blue IRIS d. Green IRIS

Answer 49

b

Question 50

Meaning of IRIS? a. International Remote Imaging system b. International Remote Identifying system c. International Remote Inquiring system d. International Remote Interference system

Answer 50

a

Question 51

In IRIS: IRIS mass Gravity meter a. 6mL b. 4mL c. 2mL

Answer 51

c

Question 52

In IRIS: IRIS slide microscope a. 6mL b. 4mL c. 2mL

Answer 52

b

Question 53

In IRIS: Required volume a. 6mL b. 4mL c. 2mL

Answer 53

a

Question 54

pH: The normal pH for Random is: a. 4.5-8.0 b. 5.0-6.0 c. 3.0-7.0 d. 5.5-6.5

Answer 54

a

Question 55

pH: The normal pH for 1st morning is: a. 4.5-8.0 b. 5.0-6.0 c. 3.0-7.0 d. 5.5-6.5

Answer 55

b

Question 56

pH of 9,0 in urine is an indicative of? a. Unpreserved urine b. Old urine c. Contaminated urine d. A and B

Answer 56

d

Question 57

Cranberry juice can treat UTI T or F

Answer 57

T

Question 58

Decrease in pH is caused by increased in ketone bodies which can cause?

Answer 58

DM

Question 59

Cause of Alkaline urine are the following except: a. Renal tubular acidosis b. Vegetarian diet c. Vomiting d. Coffee drinker

Answer 59

d

Question 60

Methyl red and Bromothymol blue a. Glucose b. Bilirubin c. Ketones d. S.G e. PH f. Protein g. Blood h. Urobili i. Nitrite k. Leuko

Answer 60

e

Question 61

Most indicative of renal disease

Answer 61

Protein

Question 62

Indicative of White foam in urine? a. Glucose b. Albumin c. Bilirubin d. Nitrite

Answer 62

b

Question 63

Normal value of protein secreted in urine: a. <150 mg/ 24 hrs b. <100 mg/24 hrs c. <10 mg/ 24 hrs d. None

Answer 63

a

Question 64

Most abundant protein in normal urine? a. Albumin b. Microalbumin c. THP (UM) d. Enzymes

Answer 64

c

Question 65

Major Serum protein found in urine? a. Albumin b. Microalbumin c. THP (UM) d. Enzymes

Answer 65

a

Question 66

<1g/day a. Normal urinary protein b. Mild/minimal proteinuria c. Moderate proteinuria d. Large/Heavy proteinuria

Answer 66

b

Question 67

>3 or 4 g/day a. Normal urinary protein b. Mild/minimal proteinuria c. Moderate proteinuria d. Large/Heavy proteinuria

Answer 67

d

Question 68

Intravascular hemolysis a. Hemoglobin b. Myoglobin c. APR

Answer 68

a

Question 69

Muscle injury a. Hemoglobin b. Myoglobin c. APR

Answer 69

b

Question 70

severe inflammation a. Hemoglobin b. Myoglobin c. APR

Answer 70

c

Question 71

What protein can be seen in multiple myeloma? a. Bence Jones protein b. Albumin c. Microlbuminuria d. Hyperglobinuria

Answer 71

a

Question 72

Bence jones Proteins are: a. Ig Light chanins b. Ig Heavy chains

Answer 72

a

Question 73

Urine that comprises of Bence- jones Protein will a precipitated urine at what temp? a. 40-60 C b. 57 C c. 37 C d. 100 C

Answer 73

a

Question 74

Urine that comprises of Bence- jones Protein will Dissolve in a urine at what temp? a. 40-60 C b. 57 C c. 37 C d. 100 C

Answer 74

d

Question 75

Indicator for Diabetic nephropathy that cannot be detected by reagent strip? a. Microalbumninura b. Albumin c. C-protein d. Bence-Jones protein

Answer 75

a

Question 76

In Albumin excretion rate, what is the normal values? a. 0-20 ug/min b. 20-200 ug/min c. >200 ug/min

Answer 76

b

Question 77

If the AER (Albumin Excretion Rate ) Values is 20-200 ug/min, the urine contains?

Answer 77

Microalbuminuria

Question 78

An Ab-enzyme conjugate that binds albumin which is the Micral test, what is the Principle? a. Reflectance photometry b. Spectrophotometry c. Enzymeimmunoassay d. Immunoelectrophoresis

Answer 78

c

Question 79

What is the positive and negative indicator for micral test? a. N: Red ; P: White b. N: White ; P: Red c. N: White ; P: Blue d. N: Blue ; P: White

Answer 79

b

Question 80

Orthostatic / Cadet / Proteinuria What happens in First morning specimen? a. Positive b. Negative

Answer 80

b

Question 81

Orthostatic / Cadet / Proteinuria What happens in 2hrs standing? a. Positive b. Negative

Answer 81

a

Question 82

Clinical proteinuria What happens in First morning specimen and 2hrs standing? a. Positive b. Negative

Answer 82

a

Question 83

Tetrabromphenol blue Tetrachlorophenol Tetrabromo sulfonophthalein a. Glucose b. Bilirubin c. Ketones d. S.G e. PH f. Protein g. Blood h. Urobili i. Nitrite k. Leuko

Answer 83

f

Question 84

Citrate buffer for Protein reagent strip contains about what pH? a. 6 b. 5 c. 4 d. 3

Answer 84

d

Question 85

The protein indicator is sensitive to albumin T or F

Answer 85

T

Question 86

A cold precipitation test that tracts equally with all forms of protein a. Exon's test b. Exton's Tests c. Exo test d. Extent Tests

Answer 86

b

Question 87

The procedure for Extons tests includes: 3 mL of _______ + 3mL centrifuged urine (10 mins incubation a. 3% SSA b. 5% SSA c. 7% SSA d. 9% SSA

Answer 87

a

Question 88

In Grading for Exton's Test: Turbidity with granulation but no flocculation a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 88

d

Question 89

In Grading for Exton's Test: Turbidity with granulation and flocculation a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 89

e

Question 90

In Grading for Exton's Test: Distinct turbidity with no granulation a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 90

c

Question 91

In Grading for Exton's Test: Clumps of protein a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 91

f

Question 92

In Grading for Exton's Test: 6-30 a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 92

b

Question 93

In Grading for Exton's Test: 100 - 200 a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 93

d

Question 94

In Grading for Exton's Test: 30-100 a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 94

c

Question 95

In Grading for Exton's Test: 200-400 a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 95

e

Question 96

In Grading for Exton's Test: 50 mg/dl a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 96

c

Question 97

In Grading for Exton's Test: 500 mg/dL a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 97

e

Question 98

In Grading for Exton's Test: 1.0g/dL or more a. Neg b. Trace c. 1+ d. 2+ e. 3+ f. 4+

Answer 98

f

Question 99

What happens to the protein if the urine is highly alkaline? a. False positive b. False negative

Answer 99

b

Question 100

Most frequently tested parameter in Urine? a. Urea b. Blood c. Bilirubin d. Glucose

Answer 100

d. Glucose

Question 101

Decreased in glucose in the blood and increased in Urine a Hyperglycemia-associated b. Renal associated glycosuria

Answer 101

b

Question 102

Increased glucose on both urine and blood a Hyperglycemia-associated b. Renal associated glycosuria

Answer 102

a

Question 103

Fanconi syndrome a Hyperglycemia-associated b. Renal associated glycosuria

Answer 103

b

Question 104

DM a Hyperglycemia-associated b. Renal associated glycosuria

Answer 104

a

Question 105

Oxidizing reagent used in glucose strip causes a. F (+) b. F (-)

Answer 105

a

Question 106

Glucose + oxygen--- ________ --> Gluconic acid + H2O2 a. Peroxidase b. Glucose oxidase

Answer 106

b

Question 107

H2O2 + Chromogen --______--> Oxidized chromogen + H2O a. Peroxidase b. Glucose oxidase

Answer 107

a

Question 108

A non specific test that detects carbohydrate sugars? a. Copper reduction test b. Benedict's test c. Clinitest d. All of the above

Answer 108

d

Question 109

What is the Principle for Benedict's test? a. Spectrophotometry b. Electrophoresis c. Neutralization d. Copper reduction

Answer 109

d

Question 110

Reporting for Benedi'ts Test Bluish green color a. Neg b. Tr c. 1+ d. 2+ e. 3+ f. 4+

Answer 110

b

Question 111

Reporting for Benedi'ts Test Green color, green, or yellow precipitate a. Neg b. Tr c. 1+ d. 2+ e. 3+ f. 4+

Answer 111

c

Question 112

Reporting for Benedi'ts Test Yellow Orange color a. Neg b. Tr c. 1+ d. 2+ e. 3+ f. 4+

Answer 112

e

Question 113

Reporting for Benedi'ts Test Brick red a. Neg b. Tr c. 1+ d. 2+ e. 3+ f. 4+

Answer 113

f

Question 114

Reporting for Benedi'ts Test Yellow Green / Yellow a. Neg b. Tr c. 1+ d. 2+ e. 3+ f. 4+

Answer 114

d

Question 115

Reducing agent for Benedict's test causes a. F (+) b. F (-)

Answer 115

a

Question 116

Oxidizing agent for Benedict's test causes a. F (+) b. F (-)

Answer 116

b

Question 117

Result from increased metabolism due to inability to catabolize carbs a. Glucose b. Bilirubin c. Ketones d. Urobilinogen

Answer 117

c

Question 118

▪ β-hydroxybutyric acid - ___% ▪ Diacetic acid / Acetoacetic acid - ___% ▪ Acetone - 2% a. 78, 20 b. 79, 19 c. 76, 22 d. 77. 21

Answer 118

a

Question 119

What is the color for the principle of Sodium nitropruside in the strip for ketones? a. violet b. Blue c. Red d. Green

Answer 119

a

Question 120

Cloudy red urine a. Hematuria b. Hemoglobinuria c. Myoglobinuria

Answer 120

a

Question 121

Clear red or red brown a. Hematuria b. Hemoglobinuria c. Myoglobinuria

Answer 121

c

Question 122

Clear red a. Hematuria b. Hemoglobinuria c. Myoglobinuria

Answer 122

b

Question 123

Hematuria is caused by crenated cells T or F

Answer 123

T

Question 124

Which of the following is toxic to the renal tubules? a. Hemoglobin b. Myoglobin c. Bilirubin d. Porphyrin

Answer 124

b Hemoglobin is toxic but myoglobin is more toxic

Question 125

Pale yellow plasma a. Hemoglobin b. Myoglobin

Answer 125

b

Question 126

Red or pink plasma a. Hemoglobin b. Myoglobin

Answer 126

a

Question 127

How do you differentiate Hemoglobin and myoglobin? a. Beer's test b. Clinitest c. Blondheim's test d. Watson-Schwartz test

Answer 127

c

Question 128

Blondheim's test Reagent? a. Sodium peroxidase b. Myosulfate c. Ammonium Sultate d. Sulfuric acid

Answer 128

c

Question 129

In Blondheim's test which among the following is precipitated when added ammonium sulfate? a. Hemoglobin b. Myoglobin

Answer 129

a

Question 130

In Blondheim's test which among the following is NOT precipitated when added ammonium sulfate? a. Hemoglobin b. Myoglobin

Answer 130

b

Question 131

In Blondheim's test which among the following is positive when strip is added? a. Hemoglobin b. Myoglobin

Answer 131

b

Question 132

What is the color for Hemoglobin in Blood strip test? a. Violet b. Blue-Red c. Green / Blue d. Yellow

Answer 132

c

Question 133

In bilirubin, Conjugated Bilirubin is being excreted in urine T or F

Answer 133

T

Question 134

Color of urine with bilirubin a. Yellow foam b. Tea-colored Urine c. Both d. Neither

Answer 134

c

Question 135

Positive reaction of Bilirubin in Reagent strip a. Yellow b. Pink - Violet c. Violet d. Red

Answer 135

b

Question 136

Differentiate Urobilinogen, porphobilinogen and Ehrlich reactive compounds a. Hoersch test b. Clinitest c. Blondheim's test d. Watson-Schwartz test

Answer 136

d

Question 137

In Watson-Schwartz test Soluble in Chloroform and Butanol indicates? a. Urobilinogen b. porphobilinogen c. Ehrlich reactive

Answer 137

a

Question 138

In Watson-Schwartz test Insoluble in Chloroform and Butanol indicates? a. Urobilinogen b. porphobilinogen c. Ehrlich reactive

Answer 138

b

Question 139

In Watson-Schwartz test insoluble in Chloroform but soluble in Butanol indicates? a. Urobilinogen b. porphobilinogen c. Ehrlich reactive

Answer 139

c

Question 140

screening test for porphobilinogen a. Hoersch test b. Clinitest c. Blondheim's test d. Watson-Schwartz test

Answer 140

a

Question 141

Inverse Ehrlich reaction a. Hoersch test b. Clinitest c. Blondheim's test d. Watson-Schwartz test

Answer 141

a

Question 142

Specimen for nitrite determination a. 1st morning b. Random c. 4 hour urine d. A and c

Answer 142

d

Question 143

Dietary nitrates is found in a. Juice b. Water c. Meat d. Vegetables

Answer 143

d

Question 144

* Multistix (M): Polymethylvinyl ether maleic anhydride * Chemstrip (C): Ethylene glycol diaminoethyl ether tetraacetic acid * pH indicator: Bromthymol blue a. SG b. pH c. Protein d. Glucose e. Ketones f. Blood g. Bilirubin h. Urobilinogen i. Nitrite J. Leukocyte esterase

Answer 144

a

Question 145

M: Tetrabromophenol blue C: tetrachlorophenoltetrabromosulfon-phtalein a. SG b. pH c. Protein d. Glucose e. Ketones f. Blood g. Bilirubin h. Urobilinogen i. Nitrite J. Leukocyte esterase

Answer 145

c

Question 146

Sodium nitroprusside a. SG b. pH c. Protein d. Glucose e. Ketones f. Blood g. Bilirubin h. Urobilinogen i. Nitrite J. Leukocyte esterase

Answer 146

e

Question 147

* Multistix: Diisopropyl-benzenedihydro-peroxide * Chemstrip: Dimethyl-dihydroperoxyhexane Tetramethylbenzidine a. SG b. pH c. Protein d. Glucose e. Ketones f. Blood g. Bilirubin h. Urobilinogen i. Nitrite J. Leukocyte esterase

Answer 147

f

Question 148

* Multistix: Dichloroaniline diazonium salt * Chemstrip: Dichlorobenzene diazonium salt a. SG b. pH c. Protein d. Glucose e. Ketones f. Blood g. Bilirubin h. Urobilinogen i. Nitrite J. Leukocyte esterase

Answer 148

g

Question 149

M: p-arsanilic acid tetrahydrobenzo-quinolinol C: Sulfanilamide-hydroxy THBQ a. SG b. pH c. Protein d. Glucose e. Ketones f. Blood g. Bilirubin h. Urobilinogen i. Nitrite J. Leukocyte esterase

Answer 149

i

Question 150

* Multistix: Pdimethylaminobenzaldehyde * Chemstrip: Methoxyenzene-diazoniumtetrafluoroborate a. SG b. pH c. Protein d. Glucose e. Ketones f. Blood g. Bilirubin h. Urobilinogen i. Nitrite J. Leukocyte esterase

Answer 150

h