Clinical Final Flashcards

1
Q

What goes hand in hand with casts in urine?

A

proteinuria

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2
Q

What could cause a false negative for blood on a dipstick?

A

contamination with betadine

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3
Q

What crystals appear in acid urine?

A

uric acid, calcium oxalate, amorphous rates, calcium sulfate, sodium urates and cholesterol

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4
Q

What crystals appear in alkaline urine?

A

triple phosphate, amorphous phosphate, calcium carbonate, calcium phosphate, and ammonium biurate

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5
Q

What is the principle of the reaction on the N-multistix?

A

at the acid pH of the reagent area, nitrate reacts with p-arsanilic acid to form a diazonium compound, which couples with 1,2,3,4-tetrahydro-benzo(h)quinolin-3-ol to produce a pink color

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6
Q

How may amorphous be dispersed so other sediment may be evaluated?

A

dissolved in alkali or acetic acid and heated to 60C

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7
Q

What organism may be found n the urine of diabetics

A

Candida albicans

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8
Q

What is thymol used for?

A

preserves sediment and inhibits bacterial growth

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9
Q

What is formalin used for?

A

cellular preservative

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10
Q

What is the clinical significance of bilirubin

A

liver disease or biliary obstruction

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11
Q

What is the clinical significance of urobilinogen

A

liver disease

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12
Q

What is the normal SG of urine

A

1.003-1.035

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13
Q

What is the significance of ketone bodies

A

diabetes mellitus, starvation, alcoholism, sever exercise, loss of carbs, fat utilization

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14
Q

How is the urine osmolality determined

A

freezing point or vapor depression

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15
Q

What is the Addis count

A

used to follow progress of renal disease; WBCs, RBCs and casts counted over a 12 hour period of fasting

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16
Q

What sugar is a non-reducing sugar

A

galactose

17
Q

How may myoglobin and hemoglobin be differentiated

A

ammonium sulfate precipitation method