AUBF CHEM QUIZ Flashcards

1
Q

simple, rapid means, for performing medically significant chemical analysis of urine

A

reagent strip

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2
Q

2 types of reagent strip

A

multistix
chemstrip

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3
Q

siemens healthcare diagnostics, deerfield , IN

A

multistix

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4
Q

Roche diagnostics, indianapolis, IN

A

chemstrip

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5
Q

Reagent strip Techniques

A
  1. Dip the reagent strip in the urine
  2. Remove excess urineby touching the edge of the strip
  3. Blot the reangent strip in the disposable pad
  4. Wait for the specific time
  5. Compare the color reaction in the manufacturer chart
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6
Q

used to protect the reagent strip from light and moisture

A

opaque containers with a desicant

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7
Q

strip are remove ?

A

just prior to testng, and the bottle is tightlty sealed immediately

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8
Q

bottles must?

A

not just open in the prrssence of volatile fumes

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9
Q

storage temperature for reagent strip

A

below 30 degrees celcius

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10
Q

all bottles must ?

A

have a stamped with expiration date

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11
Q

reagent strip must not?

A

be used past the expiration date

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12
Q

care must be taken ?

A

not to touch the chemical pad when removing strips

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13
Q

checked with?

A

positive and negative controls a minimum of once every 24 hours

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14
Q

when a new bottle of reagent strip is open

A

testing is also perform

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15
Q

all readings negative controls must be?

A

negative

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16
Q

and all readings of positive controls should be?

A

agree with the published value

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17
Q

not recommended as a negative control

A

distilled water

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18
Q

interfering substance technical ? and ? is also ?

A

carelessness
color blindness
produce error

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19
Q

healthy individual urine ph must varies ? according to ?

A

4.6 to 8.0 ( Henry`s)

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20
Q

first morning specimen with a ? has ph of ? accorinf to

A

slightly acidic
5.0- 6 .0
Strasinger

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21
Q

more alkaline ph found following meals

A

alkaline tide

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22
Q

ph of normal random urine

A

4.5 - 8.0

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23
Q

measurement of ph

A

must always be made on freshly voided specimen

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24
Q

ph above 8.5 is associated with?

A

improperly preserve specimen

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25
parameter- ph principle- ? RT- ? Reagent- methyl red, bromthymol blue
double indicator system 60 secs
26
normal excreted protein in daily urine
150 mg of protein
27
ave. urine protein concentration
2-10 mg/dL depending to the volume urine
28
normal urine:
usually less than 10 mg/dL or 100 mg per 24 hours excreted
29
test is more sensitive
albumin
30
major source of error
highly buffered alkaline urine
31
parameter- protein principle- ? RT- ? reagents-
protein error of indicators 60 secs
32
a cold precipitation test that is equally from all protein
sulfosalicylic acid
33
at temperature between 40 degree celcuis and 60 degree celcuis and dissolves when trhe temperature reach ?
Bence Jones proteinb 100 degree celcius
34
a specimen with a ? and clear ? is suspected with a ?
turbid between 40 degree celcius clear at 100 degre celcius bence jones protein
35
a specimen with a ? and clear ? is suspected with a ?
turbid between 40 degree celcius clear at 100 degre celcius bence jones protein
36
microalbuminuria testing
24 hours urine specimen method: quantitative procedures of albumin results: repory in a mg albumin/ 24 hours or as Aer ( albumin excretion in ug/ min
37
microalbumin is considered significant when?
when a 30- 300 mg/ dL of albumin is excreted 24 hours or the AER is 20-200 ug/ min
38
reagent strip in bence jones protein
micral immuno dip
39
renal threshold, blood type at tubular reabsorption is stops
160-180 mg/dL
40
pressence in the detectable amount of glucose in the urine
glycosuria
41
fasting prior to the collection of specimen on the screening testing is ?
recommended
42
For DM monitoring
specimens usually tested 2 hours after meal
43
parameter- glucose principle- ? RT- ? Reagents- glucose oxidase, peroxidase, potassium iodide (multistix) glucose oxidase, peroxidase, tetramethybendidine
glucose oxidase reaction 30 secs
44
ability of glucose and other substances to reduce copper sulfate to cuprous oxide in the presence of alkali anf heat
clinitest
45
the test that does not measure ? and slightly sensitive to ? when glycine is also present
B- hydorxybutyrate acetone
46
provides sodium nitroprusside, glycerine, disodium phosphate, and lactose in ?
Acetest Tablet form
47
provides sodium nitroprusside, glycerine, disodium phosphate, and lactose in ?
Acetest Tablet form
48
parameter- ketones principle-? RT-? reagents- sodium nitroprosside glycerine (chemstrip)
sodium nitroprosside reaction 40 secs
49
hematuria, hemoglobinuria and myoglobinuria
blood
50
2 colored charts
Free hemoglobin and myoglobin Intact RBC
51
uniform color
Free hemoglobin/ myoglobin
52
speckled pattern
Intact Rbc
53
a highly pugmeneted yellow compund is a degration product of hemoglobin
bilirubin
54
only ? bilirubin can appear in the urine when the normal degradation cycle is disrupted
conjucated
55
with colors ranging from increasing degrees of tan or pink to violet
AZODYE
56
confirmatory test for bilirubin
ICTOTEST
57
parameter- bilirubin priciple- ? RT- 30 sec Reagent- 2,4 dichloroaniline (multistix) 2,6
57
parameter- bilirubin priciple- ? RT- 30 sec Reagent- 2,4 dichloroaniline (multistix) 2,6 dichlorobenzenen- diazoniumsalc
diazo reaction
58
Urobilinogen appears to the urine because?
as it circulate in the blood back to the liver, it passes through the kidney and is filtetered by the glomerulus
59
small amount of urobilinogen ? or ehrlich unit is ?
less than 1 mg/ dL normlly found in the urine
60
does not measure the degree of bacteriuria
nitrite
61
detects the presence of leukocytes that have been lysed, partriculary in dilute alkaline urine, and would not appear in dilute alkaine urine, and would not appear in the microscopic examination
leukocyte esterase
62
is excreted daily, but after ingestion of large amounts of ascorbic acid, levels in urine may rise to 200 mg/dL
2 to 10 mg/dL
63
C-stix detects ? of ascorbic acid in urine after 10 secs
5 mg/dL
64
STIX detects about / of ascorbic acids to 60 secs
25 mg/dL
65
used to separate causes of a positive Ehrlich reacting test and to give an indication of large amounts of urobilinogen or the presence of porphobilinogen
watson- schwartz differentiation test
66
detects ? of porphobilinogen
6 mg/liter
67
a positive results for porphobilinogen in the watson- schwartz test can be further confirmed by the
hoesch test