German Blue Ram 1 Flashcards

1
Q

WBC casts are indicative of…

A

Pyelonephritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Patient presents with a bee sting and severe edema (an indication of nephrotic syndrome); What would you expect to find in the urine?

A

Protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Patient has been in the office on a few occasions, and on each occasion the UA results show a SpG of 1.010. What does this indicate or how is it significant?

A

Renal failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which test evaluates the ability of the kidneys to concentrate the urine?

A

Specific gravity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Your patient is an alcoholic, their UA - dark yellow urine, increased bilirubin. What do you suspect? (There is also increased tyrosine)

A

Liver disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

If your patient has microhematuria what findings might you expect to see on the UA?

A

Occult blood, RBC’s and Yellow colored urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

You take a lateral lumbar film on your patient who has a renal calculi. Where would you expect to find the stone?

A

Overlying the vertebral body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The UA you took on a patient was left out at room temperature. What might you expect to find present?

A

RBC lysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What do RBC casts indicate?

A

Glomerular nephritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a primary indicator of renal disease?

A

Proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Patient presents with left arm pain, there is an occult blood present. What do you expect to find in the urine?

A

Myoglobinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Patients UA shows yellow color urine which is hazy, pH of 6, frequent epithelial cells, +2 bacteria. What is your diagnosis?

A

Vaginal contamination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Patient has pain on urination, increased bacteria, cloudy urine, 20-40 WBC’s. What is your diagnosis?

A

Cystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

6 year old patient with smoked colored urine, +2 proteins, 3 RBC casts, and occult blood. What is your diagnosis?

A

Glomerulonephritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

40 year old male patient with pH 6, 1.5 urobilinogen, greenish brown colored urine, patient complains of right upper quadrant pain. What is the diagnosis?

A

Liver dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the confirmatory test for protein?

A

SSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Orthostatic Proteinuria indicates normal urine when _____ and proteinuria when _____ and may be associated with _____?

A
  • -Supine
  • -Standing
  • -Hyperlordosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Flank pain might be associated with what color of urine?

A

Smoky

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Right upper quadrant pain might be associated with ____ problems and urine colored _____?

A
    • Liver

- - Brownish/Green

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Isothenuria is indicated with what measurement and indicates what?

A

Specific gravity of 1.010, End Stage renal failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What does an SSA study confirm?

A

Proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Where are casts formed?

A

Renal tubules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Excess Glucose in the urine may indicate?

A

Diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Increased RBC’s and change in color indicate what?

25
Increased RBC's and no change in color indicate what?
Microhematuria
26
Increased WBC's and buining upon urination indicate what?
Lower UTI
27
What is the normal range for specific gravity?
1.015 - 1.035
28
A fruity or sweet odor to urine may indicate what?
Diabetes mellitus
29
A foul or fishy smell to urine may indicate what?
UTI
30
A feces odor to urine may indicate what?
Asparagus, enterobladder fistula
31
What is the normal pH range for urine?
4.5 - 7.5
32
What is the normal pH range for blood?
7.35 - 7.45
33
A patient presents with pH 5, +2 sugar and some ketones. What might the diagnosis be?
Diabetic acidosis
34
A patient presents with pH 5 but everything else is within the normal ranges and the patient has emphysema what might be the diagnosis?
Respiratory acidosis
35
What stones are most likely to form in acidic urine?
- - Xanthine, - - Cysteine, - - Uric acid
36
What stones are most like to form in alkaline urine?
- - Calcium carbonate - - Ca+ and Mg+ - - Magnesium phosphate
37
A diet high in what promotes alkaline pH in the urine?
Diet high in vegetable and citrus fruit
38
A diet high in what promotes acidic pH in the urine?
Diet high in meats and cranberries
39
In diabetic patients ketonuria suggests what?
Uncontrolled disease
40
How much of hematuria in children is idiopathic?
1/3
41
Protein in the urine suggest what type of urinary tract infection?
Upper UTI
42
Is urolithiasis more common in males or females?
Males
43
Pain starting in the kidney and radiating in the abdomen, genitalia, and legs may be indicative of what?
Renal calculi
44
Which amino acids present in the urine may indicate severe liver disease?
- - Tyrosine, - - Leucine - - Cytosine
45
When the report does not indicate what type of epithelial cells was found what type is generally assumed?
Squamous
46
Renal epithelial cells present in the urine may indicate what?
Kidney disease
47
If bacteria and epithelial cells are present without any other findings indicating infection (no WBC's, no mucous or nitrites) what may be indicated?
Contamination (especially vaginal)
48
RBC blood casts come from what?
Upper urinary tract bleeding
49
WBC blood casts come from what?
Upper UTI (pyelonephritis)
50
A very low specific gravity to the urine may indicate what?
The kidney is not functioning properly
51
Pyelonephritis is an infection of what part of the kidney?
Interstitium
52
A milky coloring of the urine urine may indicate what?
Hyperlipidemia
53
Proteins are usually present with what type of UTI?
Upper UTI
54
Pubic pain is usually present with what type of UTI?
Lower UTI
55
Casts are not usually present with what type of UTI?
Lower UTI
56
Flank pain is usually associated with what type of UTI?
Lower UTI
57
Glitter cells might indicate what?
UTI
58
Waxy, broad and fatty casts might indicate what?
Chronic renal failure