Introduction to Urinalysis Flashcards

1
Q

Aqueous solution of various organic and inorganic substances

A

Urine

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2
Q

Substance may be either waste products resulting from body metabolism or products derived directly from the food eaten resulting from metabolism.

A

Urine

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3
Q

Urine is composed of ___ % water and ____% solids

A

95, 5

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4
Q

Why choose urine for urinalysis?

A

● It is readily available and easily collected.
● Contains information about the body’s major metabolic functions
● Inexpensive laboratory testing can be performed.

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5
Q

Why choose urine for urinalysis?

A

● It is most useful in ascertaining evidence of disease or disturbing function
of the kidneys
● Pathological lesion of the ureters, bladder or urethra
● In male, lesion of the prostate and seminal vesicles.

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6
Q

primary organic component. product of protein and amino acid metabolism

A

urea

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7
Q

product of creatine metabolism by muscles

A

creatinine

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8
Q

product of nucleic acid breakdown in food and cells

A

uric acid

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9
Q

primary inorganic component. found in combination with sodium (table salt) and mant other inorganic substances

A

chloride

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10
Q

primarily from salt varies by intake

A

Sodium

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11
Q

Combined with chloride
and other salt

A

Potassium

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12
Q

Combines with sodium
to buffer the blood

A

Phosphate

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13
Q

Regulates blood and
tissue fluid acidity

A

Ammonium

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14
Q

Combines with chloride,
sulfate, and phosphate

A

Calcium

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15
Q

Routine Screening

A

Random

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16
Q

Routine screening
Pregnancy tests
Orthostatic protein

A

First Morning

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17
Q

Quantitative chemical
tests

A

24-hour (or timed)

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18
Q

Bacterial culture

A

Catheterized

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19
Q

Routine screening
Bacterial culture

A

Midstream clean-catch

20
Q

Bladder urine for
bacterial culture
Cytology

A

Suprapubic aspiration

21
Q

Prostatic infection

A

Three-glass collection

22
Q

Does not interfere with
chemical tests
Precipitates amorphous
phosphates and urates
Prevents bacterial growth
for 24 hours2

A

Refrigeration

23
Q

Prevents bacterial growth and
metabolism

A

Boric acid

24
Q

Interferes with drug and
hormone analyses

A

Boric acid

25
Q

Keeps pH at about 6.0
Can be used for urine
culture transport

A

Boric acid

26
Q

Excellent sediment preservative
Acts as a reducing agent,
interfering with chemical
tests for glucose, blood,
leukocyte esterase, and
copper reduction
Rinse specimen container
with formalin to preserve
cells and casts

A

Formalin (formaldehyde)

27
Q

Is a good preservative for drug
analyses
Inhibits reagent strip tests
for glucose, blood, and
leukocytes

A

Formalin (formaldehyde)

28
Q

Convenient when refrigeration
not possible
Have controlled concentration
to minimize interference

A

Commercial preservative
tablet

29
Q

Check tablet composition
to determine possible
effects on desired tests

A

Commercial preservative
tablet

30
Q

Contains collection cup,
transfer straw, culture and
sensitivity (C&S) preservative tube, or UA tube

A

Urine Collection Kits4
(Becton, Dickinson,
Rutherford, NJ)

31
Q

Sample stable at room temperature (RT) for 48 hours; prevents bacterial growth and
metabolism
Do not use if urine is below
minimum fill line
Preservative is boric acid,
sodium borate and
sodium formate.
Keeps pH at about 6.0

A

Light gray and gray C&S
tube

32
Q

Use on automated instruments
Must refrigerate within
2 hours
Round or conical bottom,
no preservative

A

Yellow UA Plus tube

33
Q

Stable for 72 hours at RT; instrument-compatible
Must be filled to minimum
fill line.
Bilirubin and urobilinogen
may be decreased if
specimen is exposed to
light and left at RT
Preservative is sodium propionate, ethyl paraben,
and chlorhexidine;
round or conical bottom

A

Cherry red/yellow
Preservative Plus tube

34
Q

Modified/darkened, Oxidation or reduction of metabolites

A

Color

35
Q

Decreased, Bacterial growth and precipitation of amorphous material

A

Clarity

36
Q

Increased, Bacterial multiplication causing breakdown of urea to ammonia

A

Odor

37
Q

Increased, Breakdown of urea to ammonia by urease-producing bacteria/loss
of CO2

A

pH

38
Q

Decreased, Glycolysis and bacterial use

A

Glucose

39
Q

Decreased, Volatilization and bacterial metabolism

A

Ketones

40
Q

Decreased, Exposure to light/photo oxidation to biliverdin

A

Bilirubin

41
Q

Urobilinogen, Oxidation to urobilin

A

Urobilinogen

42
Q

Increased, Multiplication of nitrate-reducing bacteria

A

Nitrite

43
Q

Decreased, Disintegration in dilute alkaline urine

A

Red and white blood
cells and casts

44
Q

Increased, Multiplication

A

Bacteria

45
Q

Decreased, Loss of motility, death

A

Trichomonas