intro to urinalysis Flashcards

1
Q

identify

complete cessation of urine flow

A

anuria

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2
Q

types of specimen

  • More preferred than midstream catch for urine culture.
  • Passage of hollow tubing through the urethra into the bladder
A

cathetherized urine specimen

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3
Q

types of specimen

  • Diabetic monitoring (insulin therapy)
  • Specimen collection after a routine meal and 2hours after
  • Comprehensive result is compared to FBS and Fasting Urine
A

2 hours post prandial urine specimen

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4
Q

specimen preservation

formalin

A

cytology

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5
Q

identify:

the organic compound in the urine consists of (?), (?)

A
  • creatinine
  • urea (most abundant)
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6
Q

identify

he published a book for uroscopy

A

hippocrates

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7
Q

types of specimen

  • Collected together with blood GTT
  • Number of spx to be collected depends on the number of GTT’s (also tested for ketones)
A

glucose tolerance urine specimen

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8
Q

identify:

the waste material in the urine consists of (?), (?)

A

organic and inorganic compound

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9
Q

types of specimen

  • For routine and qualitative UA
  • Not reliable due to its diurnal variation, physical activity, and dietary intake
A

random/occasional/single

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10
Q

identify:

1st book published to use the color chart

A

fasciculus medicinae

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11
Q

identify:

he published a book about the charlatans (pisse prophets)

A

thomas bryant/brian

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12
Q

identify:

when urobilinogen is oxidized, it becomes (?)

A

urobilin

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13
Q

identify:

urine is composed of 95% (?), and 5% (?)

A
  • water
  • formed elements
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14
Q

identify

the ultrafiltrate of the plasma

A

urine

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15
Q

identify:

the year when urinalysis becomes a routine test

A

1827 (richard bright)

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16
Q

identify

it uses reagent strip for chemical testing

A

dipstick urinalysis

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17
Q

identify:

the year when urinalysis was excluded as a routine test due to its complexity

A

1930

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18
Q

identify:

factors affecting the composition of urine

A
  • dietary intake
  • physical activity
  • posture
  • metabolism
  • endocrine system
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19
Q

identify:

who invented the addis count?

A

thomas addis

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20
Q

identify:

they are uncertified (frauds), that lowers the credibility of urinalysis

A

pisse prophets (1600)

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21
Q

identify:

the impairment of ADH function/production leading to decrease water reabsorption

A

DI (diabetes insipidus)

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22
Q

specimen preservation

thymol

A

sediment preservation

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23
Q

common urine preservatives

  • no UA interference
  • May cause odor change
  • Use 1drop/ounce of specimen
A

phenol

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24
Q

identify:

how many colors are their in the color chart?

A

20

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25
Q

common urine preservatives

  • Glycolytic agent
  • Good for drug analysis
  • Inhibits Glu rgnt strip
  • Subst with Na Benzoate for glu rgnt strip
A

Na fluoride

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26
Q

identify:

author of the book, fasciculus medicinae

A

johannes de ketham (1491)

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27
Q

types of specimen

  • Aspiration directly from the bladder
  • For urine culture and cytologic examinations
A

suprapubic aspirate

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28
Q

oliguria:

adults:
infants:
children:

A

adults: <500 mL/24hrs (H) or <400 mL/24hrs (S)
infants: <1 mL/kg/hr
children: <0.5 mL/kg/hr

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29
Q

identify

increase urine volume

A

polyuria

30
Q

identify:

  • quantitative: (?)
  • qualitative: (?)
A
  • confirmatory
  • screening
31
Q

identify

the person who boiled his urine

A

frederick dekker (1694)

32
Q

identify:

it was the first to depict urinalysis

A

edwin smith surgical papyrus

33
Q

common urine preservatives

  • for CHON and formed elements
  • No Routine
  • UA interference except pH (pH 6, bacteriostatic) at 18g/L, affects drug and hormones analyses
A

boric acid

34
Q

identify

we can detect microalbuminuria using?

A

micral test

35
Q

types of specimen

  • Difficult to obtain
  • Make use of a soft, clear plastic bags with hypoallergenic skin adhesive to attach to the genitalia for spx collection
  • Spx may also be obtained by catetheriation/aspiration
A

pediatric specimen

36
Q

common urine preservatives

  • for glucose det and sediment preservation
  • Interferes acid ppt for proteins.
A

thymol

37
Q

identify:

it is commonly performed in an expeditious, reliable, accurate, safe, and cost-effective manner

A

urinalysis

38
Q

identify

he discovered albuminuria

A

frederick dekker

39
Q

nocturia:

adult: (?)
specific gravity: (?)

A

adult: >500 mL/night
specific gravity: <1.018

40
Q

specimen preservation

refrigeration

A

storage before and after

41
Q

identify:

the inorganic compound in the urine consists of (?), (?)

A
  • chloride (most abundant)
  • sodium
42
Q

identify

the impairment of insulin function/production

A

DM (diapbetes mellitus)

43
Q

identify

increased urine volume at night

A

nocturia

44
Q

identify:

urine comes from the latin word (?)

A

urina

45
Q

identify:

the book that thomas bryant published

A

certain pisse-pot lectures / the pisse prophet (1627)

46
Q

specimen preservation

concentrated HCl

A

for quantitative analysis

47
Q

identify

decrease urine volume

A

oliguria

48
Q

identify:

a test to count cells in the urine

A

addis count

49
Q

specimen volume needed:

  • routine analysis (?)
  • drug testing (?)
  • microscopic analysis (?)
  • glass slide method microscopic exam (?)
A
  • 15 mL
  • 16 mL
  • 12 mL
  • 0.02 mL (20 uL)
50
Q

identify:

diagnosing illness by examining the patient’s urine

A

uroscopy

51
Q

identify:

excessive urine hunger

A

polyphagia

52
Q

common urine preservatives

  • no routine UA interference
  • Floats on suface and clings to glasswares
A

toluene

53
Q

types of specimen

  • Most ideal for routine and pregnancy testing
  • Most concentrated and most acidic
  • Best for cast and crystal retrieva
A

1st morning urine/8 hours specimen

54
Q

specimen preservation

saccomano fixative

A

cytology

55
Q

never use (?) and (?) because it affects urine chem

A
  • betadine
  • hexacholophene
56
Q

identify

the century when the invention of microscope happen

A

17th century

57
Q

types of specimen

  • Contains least amt of normal floral contaminants from the distal urethra and external genitalia.
  • Alternative to catetherized spx
  • For routine and CS/GS
  • Make use of antiseptic towelletes
A

midstream clean-catch urine specimen

58
Q

specimen preservation

sodium carbonate

A

quantitative analysis of porphyrins, porphobilinogen

59
Q

identify

what are the 4 corners (humors) in the color chart?

A
  • sanguineous (red) - blood
  • choleric (yellow) - yellow bile
  • phlegmatic (green) - phlegm/sputum
  • melancholic (black) - black bile
60
Q

identify

this exposed the fraudality of the pisse prophets, that led to the development of medicine licensure (examination)

A

certain pisse-pot lectures / the pisse prophet (1627)

61
Q

identify

he invented the microscope

A

zaccharias-hans jannsen

62
Q

identify

how many grams are there in both organic and inorganic compound in the urine?

A
  • organic (35g)
  • inorganic (25g)
63
Q

idenitfy:

it reflects an individual’s state of hydration

A

urine volume

64
Q

identify

the addis count is processed within?

A
  • 2 hrs
  • > 2 hrs: preservative (formalin)
65
Q

anuria:

adults: (?)

A

adults: <100 mL/24hrs for 2-3 days

66
Q

identify:

common urine preservatives

A
  • thymol
  • boric acid
  • toluene
  • Na flouride
  • phenol
67
Q

identify:

  • uses a reagent strip + microscopic exam (routine)
  • provides real-time snapshot
A

basic urinalysis

68
Q

types of specimen

  • 2nd voided urine after the first morning urine
  • For glucose determination
A

fasting urine/2nd morning

69
Q

polyuria:

adults: (?)
children: (?)

A

adults: 2000 mL/24hrs (H) or 2500 mL/24hrs (S)
children: 25-30 mL/kg/hr

70
Q

identify

a condition where there is a presence of hemoglobin in the urine?

A

paroxysmal nocturnal hemoglobinuria (PNH)

71
Q

identify:

normal urine volume

A
  • 1200 - 1500 mL (S) or 600 to 2000 mL (H)
  • 1 - 2.5 mL/kg/hr (children)
72
Q

identify:

excessive urine thirst

A

polydypsia