Baby - CM Flashcards

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1
Q

Moderate Bacteria

A

10-50 HPF

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2
Q

Many mucus seen

A

> 10 LPF

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3
Q

RBCs, WBCs

A

Average number per 10 HPF

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4
Q

Casts

A

Average number per LPF

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5
Q

Squamous epithelial cells

A

Rare, few, moderate or many per LPF

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6
Q

Transitional epithelial cells

A

Rare, few moderate or many per HPF

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7
Q

RTE cells

A

Average number per 10 HPF

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8
Q

Oval fat bodies

A

Average number per HPF

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9
Q

Bacteria, yeast

A

Rare, few, moderate or many per HPF, presence of WBC’s may be required

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10
Q

Trichomonas

A

Rare, few, moderate or many per HPF

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11
Q

Spermatozoa

A

Present, based on laboratory protocol

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12
Q

Mucus

A

Rare, few moderate or many per LPF

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13
Q

Normal crystals

A

Rare, few moderate or many per HPF

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14
Q

Abnormal cyrstals

A

Average and reported per LPF

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15
Q

Serious hazard degree

A

3

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16
Q

Turn around time (TAT)

A

Time from ordering a test through analysis in the lab to the charting of the report

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17
Q

Chain of custody (chain of evidence)

A

Step by step documentation of handling and testing of legal specimens. It begins with patient identification and continues until testing is completed and results reported

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18
Q

Drug testing, COC

A

30 to 45 mL urine (60 mL container capacity)

32.5 to 37.7°C temperature

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19
Q

Routine urinalysis

A

10 to 15 mL urine, ave. 12 mL

50 mL container capacity

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20
Q

Glucose reabsorption

A

Proximal convoluted tubules

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21
Q

Normally, 60% to 75% of filtered Na+

A

Reabsorbed in PCT

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22
Q

Active transport of sodium

A

PCT and DCT

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23
Q

Passive transport of sodium

A

Ascending loop of Henle

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24
Q

Impermeable to water

A

Ascending loop of Henle

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25
Q

Highly permeable to water but poorly permeable to solutes

A

Descending loop of Henle

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26
Q

Urine color

A

Good light source, looking down through the container against a white background

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27
Q

Urine clarity

A

Visually examining the mixed specimen while holding it in front of a light source, clear container

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28
Q

Carotene

A

Yellow urine, orange CSF

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29
Q

Red-brown urine, children

A

Fuchsin (candy, food)

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30
Q

Brown or black urine on standing but negative chemical test for blood

A
Melanin (melanoma)
Homogentisic acid (alkaptonuria)
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31
Q

Print blurred through urine

A

Cloudy

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32
Q

Calibration of refractometer, 5% NaCl

A

1.022 ± 0.001

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33
Q

Calibration of refractometer, 9% sucrose

A

1.034 ± 0.001

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34
Q

Cabbage odor urine

A

Methionine malabsorption

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35
Q

Bence Jones protein coagulates at

A

40-60°C

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36
Q

Bence Jones protein dissolves at

A

100°C

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37
Q

Significant value of AER (Albumin excretion rate)

A

20-200 ug/min

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38
Q

Principle of Micral test

A

EIA

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39
Q

11th pad in the reagent strip

A

Vitamin C, ascorbic acid

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40
Q

Differentiates hemoglobin from myoglobin

A

Blondheim’s test

Ammonium sulfate ppt. hemoglobin

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41
Q

Nomarski microscope

A

Interference contrast microscope

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42
Q

RBC’s in hypotonic urine

A

Ghost cells

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43
Q

WBC’s in hypotonic urine

A

Glitter cells

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44
Q

Lipid-containing RTE cells

A

Oval fat bodies, lipidura - nephrotic syndrome

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45
Q

RTE cells with non-lipid-containing vacuoles

A

Bubble cells, acute tubular necrosis

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46
Q

Casts

A

Fromed in DCT and CT

47
Q

Lemon-shaped crystal

A

Uric acid

48
Q

Ethylene glycol poisoning

A

Monohydrate calcium oxalate, oval or dubbell

49
Q

Ampicillin crystals

A

colorless needles that tend to form bundles following refrigeration

50
Q

Sulfonamide crystals

A

Yellow-brown, occasionally colorless sheaves of wheat, rosettes, needles, confirmed by diazo reaction

51
Q

Flat, rectangular plates or prisms

A

Calcium phosphate, apatite

52
Q

Apatite

A

Calcium phosphate

53
Q

Weddelite

A

Dihydrate calcium oxalate, envelope or pyramidal

54
Q

Whewellite

A

Monohydrate calcium oxalate, oval, dumbbell

55
Q

Struvite

A

Triple phosphate magnesium ammonium phosphate

56
Q

Renal calculi may form in the

A

Calyces and pelvis of the kidney, ureters, and bladder

57
Q

Cacluli: yellow to brownish red, mod. hard

A

Uric acid and urate stones

58
Q

Calculi: pale and friable

A

Phosphate stones

59
Q

Calculi: very hard, dark color, rough surface

A

Calcium oxalate stones

60
Q

Calculi: yellow-brown resembling an old soap, somewhat greasy

A

Cystine stones

61
Q

CTAB, cetyltrimethyl ammonium bromide

A

Mucopolysaccharides

(+) White turbidity

62
Q

Crystal seen in Fanconi’s syndrome

A

Cystine

63
Q

Dilution of bloody CSF

A

1:200 (may be 1:20 in board exams)

64
Q

Red, brown seminal fluid

A

blood

65
Q

Critical to ovum penetration

A

Acrosomal cap

66
Q

Size of the acrosomal cap

A

1/2 of the head and covers 2/3 of the nucleus

67
Q

Most common cause of male infertility

A

Varicocele, hardening of the veins that drain the testes

68
Q

Undiluted seminal fluid, sperms immobilized by heat

A

Makler counting chamber

69
Q

Traditional diluting fluid for seminal fluid

A

Formalin, sodium bicarbonate

70
Q

Other diluting fluid for seminal fluid

A

Distilled water, saline

71
Q

Kruger’s strict criteria

A

Measurement of the size of the head, neck and tail of the sperm using a micrometer or morphometer, not a routine but recommended by WHO

72
Q

Test for seminal fluid fructose

A

Analyzed within 2 hours or frozen

73
Q

Florence test, choline

A

Iodine, potassium iodide

(+) Dark brown rhombic crystals

74
Q

Barbiero’s test, spermine

A

Picric acid, tricholoroacetic acid

(+) Yellow leaf-shaped crystals

75
Q

Synovial fluid

A

Clear and pale yellow, does not clot

Normal volume <3.5 mL

76
Q

Diluents for synovial fluid

A
Normal saline (with methylene blue to stain WBC nuclei)
To lyse the RBC's, hypotonic saline (0.3% NaCl) or saline with saponin
77
Q

Normal synovial fluid glucose

A

Should not be more than 10 mg/dL lower than the blood value

78
Q

Gout, monosodium urate, uric acid

A

Yellow (-) birefringence under a compensated polarizing light

79
Q

Pseudogout, Calcium pyrophosphate

A

Blue (+) birefringence under a compensated polarizing light

80
Q

Calcified cartilage degeneration, osteoarthritis, Calcium phosphate

A

No birefringence

81
Q

Normal appearance of pleural, peritoneal, and pericardial fluid

A

Clear and pale yellow

82
Q

Tuberculous pleuritis

A

Adenosine deaminase 40 U/L or greater

83
Q

Mesothelial cells are pleomorphic

A

Res. lymphocytes, plasma cells, and malignant cells

84
Q

Reactive mesothelial cells (pleural)

A

Closely resembling malignant cells

85
Q

Increased mesothelial cells

A

Pneumonia malignancy

86
Q

Lack of mesothelial cells

A

Tuberculosis

87
Q

Psammoma bodies

A

Concentric striations of collagen-like materials

Benign conditions, ovarian and thyroid carcinoma

88
Q

Peritoneal fluid, bacterial peritonitis, cirrhosis

A

> 500 WBCs/uL

89
Q

Peritoneal lavage, blunt trauma

A

> 100,000 RBCs/uL

90
Q

Peritoneal fluid, amylase

A

Increased in pancreatitis and G.I. perforation

91
Q

Peritoneal fluid, alkaline phosphatase

A

Increased in G.I. perforation

92
Q

Dark green amniotic fluid

A

Meconium

93
Q

Dark red brown amniotic fluid

A

Fetal death

94
Q

Secreted by the type II pneumocytes of the fetal lungs

A

Lamellar bodies which are densely packed layers of phospholipids that represent a storage form of pulmonary surfactant. Increases O.D. of amniotic fluid (O.D. 650)

95
Q

Inserted through the nose (Leah Navarro)

A

Levin Tube

96
Q

Inserted through the mouth

A

Rehfuss tube

97
Q

Tubeless test for gastric acidity

A

Diagnex tubeless test, urine sp., Azure blue; breath test

98
Q

Positive result with guaiac

A

Blue

99
Q

Creola bodies

A

Cluster of columnar cells, bronchial asthma

100
Q

Normal stool pH

A

pH 7-8

101
Q

Carbohydrate disorders, stool pH

A

pH below 5.5

102
Q

Number of fecal leukocytes indicative of an invasive condition

A

≥ 3 neutrophils/hpf

103
Q

Blue quadrant

A

Health

104
Q

Red quadrant

A

Fire

105
Q

White quadrant

A

Specific hazard

106
Q

Yellow quadrant

A

Reactivity

107
Q

RACE

A

Rescue
Alarm
Contain
Extinguish/Evacuate

108
Q

PASS

A

Pull
Aim
Squeeze handles (trigger)
Sweep

109
Q

PDCA

A

Plan-Do-Check-Act

110
Q

PDSA

A

Plan-Do-Study-Act

111
Q

Calibration of centrifuge

A

Every 3 month

112
Q

Disinfection of centrifuge

A

weekly basis

113
Q

IRIS

A

International Remote Imaging System; 2 mL