Determination of Urine Protein Flashcards

1
Q

Amount of Protein in Urine:

A

Less than 10 mg/dl or 100 mg/24 hours

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2
Q

The presence of an increased amount of protein in the urine is termed _____

A

Proteinuria

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3
Q

Fill in the blanks:

Urinary proteins can be detected _____ and _____.

A

Qualitatively
Semiquantitatively

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4
Q

Principle of Protein in the Reagent Strip:

A

Protein error of indicators

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5
Q

Discuss the Protein Precipitation Technique:

A

Protein is denatured upon exposure to extremes of pH or temperature and it is evident by a decrease in their solubility.

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6
Q

Protein Precipitation Technique can also be seen on what tests?

A

Heat and Acetic Acid Test
Sulfosalicylic Acid Test
Robert’s Test
Heller’s Ring Test

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7
Q

Urinary Proteins Principle:

A

Protein Precipitation Techniques

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8
Q

Fill in the blank:

Originally, Heat and Acetic Acid Test was used in the laboratory but it was cumbersome because of _____.

A

The use of Heat

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9
Q

Positive Result for the Detection of Urinary Proteins using Precipitation Techniques:

A

Form of cloudiness or a ring at the junction of the reagents

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10
Q

Test that is now being used in most clinical laboratories to detect Urinary Protein because there is no need to employ heat. It is only done at room temperature.

A

Sulfosalicylic Acid Test

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11
Q

Fill in the blank:

When the pH is held constant by a buffer, certain indicator dyes will release _____ as a result of the presence of proteins (anions) and cause a color change.

A

Hydrogen Ions

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12
Q

What indicates the amount of protein present in a Reagent Strip Test?

A

Intensity of Color

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13
Q

Protein reagent strip results are reported as:

A

Concentrations in mg/dl by matching the resultant reagent pad color to the color chart provided on the reagent strip container.

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14
Q

Materials needed for the Determination of Urine Protein using Precipitation Techniques:

A

Test tubes
Pipettes
Egg albumin solution
Conc. HNO3,
Conc. Acetic acid
Robert’s reagent
Saturated NaCI
Sulfosalicylic acid

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15
Q

List down the step-by-step procedure in the Robert’s Test:

A
  1. Place 3 cc of urine in a test tube.
  2. Add 3 cc of Robert’s reagent to the bottom of the tube and allow to layer beneath.
  3. Note for the formation of a white ring.
  4. Record the results.
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16
Q

In the Robert’s Test, what is the amount of urine placed in the test tube?

A

3 cc

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17
Q

In the Robert’s Test, what is the amount of Robert’s Reagent placed in the test tube with urine?

A

3 cc

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18
Q

Reagent used in the Robert’s Test:

A

Robert’s Reagent

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19
Q

What do we detect in the Robert’s Test?

A

Formation of a white ring

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20
Q

Fill in the blank:

Heller’s Ring Test is also known as _____.

A

HNO3 Test (Nitric Acid Test)

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21
Q

List down the step-by-step procedure for the Heller’s Ring Test:

A
  1. Place 2 cc of concentrated HNO3, in a test tube.
  2. Overlay with urine and observe for a ring at the zone of contact.
  3. Record the result.
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22
Q

In the Heller’s Ring Test, what is the amount of the concentrated HNO3 placed in the test tube?

A

2 cc

23
Q

In the Heller’s Ring Test, what is the reagent or solution that is used?

A

Concentrated HNO3 or Concentrated Nitric Acid

24
Q

What do we detect in the Heller’s Ring Test?

A

Ring at the zone of contact

25
Q

Fill in the blank:

Sulfosalicylic Acid Test is also known as _____.

A

Exton’s Test

26
Q

List down the step-by-step procedure in
Sulfosalicylic Acid Test:

A
  1. Place 10 cc. of urine in a test tube.
  2. Add 3 cc. of 3% aqueous SSA solution.
  3. Note for the presence of cloudiness.
  4. Record the result.
27
Q

In the Sulfosalicylic Acid Test, what is the amount of urine placed in the test tube?

A

10 cc

28
Q

In the Sulfosalicylic Acid Test, what is the amount of 3% aqueous SSA solution placed in the test tube?

A

3 cc

29
Q

What is the solution or the reagent used in the Sulfosalicylic Acid Test?

A

3% aqueous Sulfosalicylic Acid Solution

30
Q

What do we detect in the Sulfosalicylic Acid Test?

A

Presence of cloudiness

31
Q

What is the other term for the Modified Heat and Acetic Acid Test?

A

Purdy’s Test

32
Q

List down the step-by-step procedure in the Purdy’s Test:

A
  1. Fill the test tube with 10 cc of urine.
  2. Add about 2 cc of saturated aqueous solution of NaCI to raise the specific gravity.
  3. Add 2 or 5 drops of glacial acetic acid.
  4. Mix well and boil the upper portion gently. Rotate the tube to prevent cracking.
33
Q

In the Purdy’s Test, what is the amount of urine placed in the test tube?

A

10 cc

34
Q

In Purdy’s Test, what is the amount of the saturated aqueous solution of NaCI in the test tube?

A

2 cc

35
Q

In Purdy’s Test, what is the reason why we add about 2 cc of saturated aqueous solution of NaCI?

A

To raise the specific gravity

36
Q

What is the reagent or solution used in the Purdy’s Test?

A

2 cc of saturated aqueous solution of NaCl (Sodium Chloride)

37
Q

In Purdy’s Test, what is the amount of glacial acetic acid needed?

A

2 to 5 drops

38
Q

In Purdy’s Test, what do we do to prevent cracking?

A

Rotate the tube

39
Q

Fill in the blank:

In Purdy’s Test, if cloudiness persist, _____ is present.

A

Albumin

40
Q

In Purdy’s Test, cloudiness appears due to:

A

Phosphates
Carbonates

41
Q

In the Manner of Reporting for the Ring or Cloudiness Test, Negative Result indicates:

A

No ring or cloudiness appears at the zone of contact.

42
Q

In the Manner of Reporting for the Ring or Cloudiness Test, Trace Result indicates:

A

Ring or cloudiness is just perceptible against a black background (less than 0.05 gm%).

43
Q

In the Manner of Reporting for the Ring or Cloudiness Test, +1 Result indicates:

A

Ring or cloudiness is distinct against a black background (0.05 to 0.2 gm%).

44
Q

In the Manner of Reporting for the Ring or Cloudiness Test, +2 Result indicates:

A

Ring or cloudiness is distinct and granular against light (0.2 to 0.5 gm%).

45
Q

In the Manner of Reporting for the Ring or Cloudiness Test, +3 Result indicates:

A

Ring or cloudiness is heavy against light with distinct flocculi (0.5 to 2 mg%).

46
Q

In the Manner of Reporting for the Ring or Cloudiness Test, +3 Result indicates:

A

Ring or cloudiness is thick and dense against light, opaque and may solidify (2 mg% and over).

47
Q

No ring or cloudiness appears at the zone of contact. What is the result?

A

Negative

48
Q

Ring or cloudiness is just perceptible against a black background (less than 0.05 gm%). What is the result?

A

Trace

49
Q

Ring or cloudiness is distinct against a black background (0.05 to 0.2 gm%). What is the result?

A

1+

50
Q

Ring or cloudiness is distinct and granular against light (0.2 to 0.5 gm%). What is the result?

A

2+

51
Q

Ring or cloudiness is heavy against light with distinct flocculi (0.5 to 2 mg%). What is the result?

A

3+

52
Q

Ring or cloudiness is thick and dense against light, opaque and may solidify (2 mg% and over). What is the result?

A

4+

53
Q

List down the step-by-step procedure in the Determination of Urine Protein using Reagent Strip:

A
  1. Dip a reagent strip into the urine.
  2. Remove and stand for one minute.
  3. Compare the color of the strip to the color chart.
  4. Record the result.