CM Retake Flashcards
Urinary system is composed of
A pair of kidney, a pair of bladder, and a pair of ureter
b. Urethra, bladder, nephrons
c. Nephron kidney glomerulus
d. A pair of kidney, a pair of
ureter, and a bladder
D. A pair of kidney, a pair of ureter, and a bladder
How many nephrons in the urinary system
a. 130, 000
b. 3 million
c. 1.3 million
d. 13, 000
C. 1.3 million
Who defined reliable practice of urine
CLSI
Cessation of urine flow
Anuria
Method use for preservation
a. Room temp
b. Refrigeration at 37c
c. Using chemicals
d. Refrigeration at 2-8c
Refrigeration at 2-8c
Absorption and excretion of urine
a. Aldosterone
b. Renin
c. Antidiuretic hormone
d. Erythropoietin
Antidiuretic hormone/ADH
Few particles with print can be easily seen
a. Hazy
b. Cloudy
c. Clear
d. Turbid
Hazy
White precipitate after refrigeration
Amorphous Phosphates
Remains red in red litmuspaper
a. Acidic b. Alkaline c. Neutral d. NOTA
acidic
Uncommon form of triple phosphate
a. trapezoid b. fernlike
c. coffin lid d. whetstone
Fernlike
abnormal crystal found in nephrotic syndrone
Cholesterol
Pathologic urine crystal that have ladder shape appearance
Cholesterol
Artifact that could be mistaken as leucine
pollen grain
Odor of a patient’s urine with bacterial infection
Ammoniacal
Term for SG 1.010
a. Hyperstenuria b. Hyposthenuria c. Isosthenuria
Isosthenuria
Calibration if sodium chloride is used?
a. 1.000 b. 1.022 c. 1.034
Sodium chloride - 1.022
Bilirubin reaction
Azo-coupling
Thorny apples
Ammonium biurate
Chemical reaction of Ehrlichs reagent
a. p. dimethylbenzaldehyde
b. p. Dichlorobenze diazonium
salt
p- dimethylaminobenzaldehy de
Which ketone body has the greatest component during ketogenesis but its chemical methods during urinalysis is not available?
a. b hydroxybutyric acid
b. acetoacetic acid
c. acetone
d. dioacetic acid
B-hydroxybutyric acid
What reagent pad correlates with leukocyte esterase
a. ph
b. bilirubin
c. nitrite
d. urobilinogen
Nitrite
White precipitate after refrigeration
a. A amorphous phosphate
b. B bilirubin
c. C leucine
d. D cystine
A amorphous phosphate
Physical chuhu used to check urine clarity
a. -A: throat (?)
b. B nose
c. C eyes
d. D mouth
Eyes
Red litmus paper remains red
a. Acidic
b. Basic
c. Non reactive
d. No clinical significance-
acidic
Ph of a first morning Spx
a. 4.5-8 b. 4.5- 6 c. 5.5-6 d. 6-8??
1 million
Chromogen found in glucose that yields a green to brown color
a. -potassium iodide
b. -p-dimethylaminobenzaldehyd
e
c. -p-arsinilic
Potassium iodide
Frequently seen cast in the urine
Hyaline cast
Most common ketone in the urine
B-hydroxybutyrate
High in semen analysis
ACP
Keywords: NaCl, refractometer, calibration
1.022
Term for a specific gravity of 1.010
Isosthenuric
Specific gravity if urine is contaminated with radiographic
a. 1.002? b. 1.035 c. 1.040 d. >1.050
> 1.050
Urinometer principle
Buoyancy
Description of ammonium biurate
Thorny Apple
What abnormal crystal can be seen with patient of nephrotic syndrome?
a. Cholesterol b. Leucine
c. Cystine
d. Tyrosine
Cholesterol
What abnormal crystal/ pathologic isa described as ladder shaped appearance?
a. Cholesterol
b. Bilirubin
c. Cystine
d. Leucine
Cholesterol
Ketones are useful for monitoring type 2 diabetes mellitus
TRUE
The Kidneys are not involved with these processes
a. - Fat metabolic waste b. Insulin?
c. - Water and electrolytes d. - Waste metabolism
Secret
Ketones - DM Type 2
a. TRUE b. FALSE
FALSE
Causes for ketones in urine:
Alcoholism
Starvation
Acute febrile disease in children Extreme exercise
ALL OF THE ABOVE
Leukocyturia
WBC, Turbid and has a foul odor
Color of RBC (urine microscopy)
Greenish
Mold of hyphae are more refractive that hyalin cast and are branching and joining and can be observed closely
a. TRUE b. FALSE
FALSE
Can be mistaken as YEAST I - Air Bubbles
II - Red Blood Cells
III - Small Oil droplets
IV - Monohydrate calcium oxalate
a. 1&2
b. 3&4
c. 1,2,3
d. 1,2,3,4
1, 2, 3, 4
Urine specimen for pregnancy testing
a. First morning b. Suprapubic c. 24 hours
d. Random
First morning
Equivalent of heavy / large proteins excreted per day/24
> 3-4 mg/dL
Examples of flag that need to check microscopically in fully automated analyze
A. Bacteria
B. Pathological crystals
C. Squamous epithelial cells
D. Pmns
Pathologic Crystals
What specie of yeast seen in diabetes Mellitus
A. Sappromyces
B. Brettanomyces
C. Candidates albicans
D. Schizosapptomyces
Candida albicans
Production or suppression of glucose
DM - insulin
Specimens should be transported and processed within 4 hours. If not, it should be refrigerated or added preservative.
False
Which of the ff is correct in handling specimens?
1. Collection must be in proper container
2. Procedure must be followed
3. Container must be tightly sealed
4. Preservative should be added if the specimen can’t be processed
All of the above
Parameters associated with Leukocyturia
Increased wbc, turbid, aromatic
Decreased wbc, hazy, sweet
Normal wbc, cloudy, ammoniacal
Increased rbc, clear, mousy
Increased wbc, turbid, aromatic
