Introduction to urinalysis Flashcards
urea is a product of
protein and amino acid metabolism
to determine whether a specimen is urine, measure the concentration of
urea and creatinine
the average daily volume of urine produced by a normal adult is approximately
1200 mL
a person exhibiting obliguria would have a urine volume of
200 to 500 mL
which of the following terms is correctly matched with urine output
polyuria 3000 mL in 24 hours
the polyuria associated with diabetes mellitus is caused by
the presence of excess glucose in the urine
urine from a patient with diabetes insipidus has
increased volume and decreased specific gravity
a patient with polyuria shows a high specific gravity in the urine. The patient should be evaluated for
diabetes mellitus
persons taking diuretics can be expected to produce
polyuria
a urine specimen may be rejected by the laboratory because
nonmatching label and requisition form
an unpreserved urine specimen left at room temperature overnight will have decreased
glucose and ketones
which of the following will be least affected in an unpreserved specimen left at room temperature overnight
protein
red blood cells will disintegrate more rapidly in urine that is
dilute and alkaline
the primary cause of the changes that take place in unpreserved urine is
bacterial growth
which of the following urine chemicals will deteriorate when exposed to light
bilirubin
which of the following is least likely to occur if a urine specimen stands at room temperature for more than 2 hours
decreased pH
sodium fluoride used as a preservative for urinalysis best protects
drugs
a urine specimen containing a large amount of precipitated amorphous material may have been preserved using
refrigeration
in the laboratory, the preferred method of urine preservation is
refrigeration
a specimen for routine urinalysis and culture can be preserved using
boric acid
all of the following are good preservatives of urinary cellular elements except
sodium fluoride
before analysis a refrigerated urine specimen must be
returned to room temperature
the recommended specimen for routine urinalysis testing is the
first morning specimen
the required specimen for quantitative analysis of urinary constituents is the
timed specimen
first morning specimen is frequently requested to confirmed
orthostatic proteinuria
the first morning specimen from a patient with no history of symptoms for diabetes is positive for glucose, The patient should
be asked to collect the second morning specimen
the specimen of choice for routine urinalysis is the first morning urine because it
is more concentrated to better detect abnormalities
all of the following specimens are acceptable for urine culture except
timed specimen
quantitation of a substance that varies with daily activities should be performed on a
timed specimen
failure to empty the bladder before beginning the collection of a timed urine specimen will
cause falsely increased results
an alternative to the catheterized specimen is the
midstream clean catch specimen
the least contaminated specimen for bacterial culture is the
suprapubic aspiration
the three glass collection is used to diagnosis of
prostate infection
documentation of appropriate handling of specimens for drug analysis is provided by the
chain of custody form
the liver breaks down protein to form what waste product
amino acids
an increase in urine production during the night is described as
nocturia
where should labels on urine specimen containers be placed
container
increased turbidity in urine stored at room temperature is usually caused by
bacterial growth
what is the maximum length of time a urine specimen can remain unpreserved at room temperature before testing
2 hours
urine contains organic and inorganic chemicals that can vary with body metabolic functions
true
medical laboratory scientists performing urinalysis can determine whether a specimen is urine from the presence of formed elements
true
dietary intake does not influence urine volume
false
polydipsia is symptom of both diabetes mellitus and diabetes insipidus
true
urine specimen label should include the date and time of collection
true
urine that remains unpreserved at room temperature will show an increase in the concentrations of nitrate, glucose, and white blood cells
false
a specimen delivered to the laboratory in a gray-top vacutainer is acceptable for urinalysis
false
a urine bacterial culture should not be performed on a catheterized specimen
false
random urines are preferred over first morning for testing
false
chloride is an organic substance found in urine
true