MICROSCOPIC EXAMINATION OF URINE

Question 1

In microscopic examination, what should be the volume of the specimen that should be collected?

Answer 1

10 - 15mL

Question 2

Why is 12 mL volume frequently used in microscopic examination?

Answer 2

The multiparameter reagent strips are easily immersed

Question 3

Proper centrifugation of the specimen should be at?

Answer 3

400 RCF for 5 minutes

Question 4

The usage of this mechanism to slow centrifuge causes disruption of the sediment prior to decantation and should not be used

Answer 4

Braking mechanism

Question 5

How much volume should be should in sediment preparation?

Answer 5

0.5 to 1.0 mL

Question 6

What should be the recommended volume when using the conventional - glass method?

Answer 6

22 uL or 0.02 mL

Question 7

What method requires 20uL of sample?

Answer 7

Conventional glass - slide method

Question 8

This is primarily used to monitor the course of diagnosed cases of renal disease

Answer 8

Addid COunt

Question 9

What is the specimen used in Addis count?

Answer 9

12 hour urine sample

Question 10

What is the preservative used in Addis count?

Answer 10

Sodium Fluoride

Question 11

What elements has the same refractive index with urine?

Answer 11

Hyaline casts and mucus threads

Question 12

What elements should be the first to look for in a specimen?

Answer 12

Epithelial cells

Question 13

This is not part of the routine examination of the urine sediment

Answer 13

Cytodiagnostic Urine Testing

Question 14

What do cytodiagnostic urine testing provides?

Answer 14

Definitive information about RT changes and provides additional method for detecting and moniroting renal disease

Question 15

What is the specimen used in Cytodiagnostic Urine TEsting?

Answer 15

First morning urine

Question 16

What is the stain used in Cytodiagnostic Urine Testing?

Answer 16

Papanicolaou stain

Question 17

This will happen to concentrated urine as the cells will shrink due to loss of water and may appear crenated or irregularly shaped RBCs

Answer 17

Hypersthenuric

Question 18

Diuted urine is often called?

Answer 18

Ghost cells

Question 19

What do you call a diluted urine?

Answer 19

Hyposthenuria

Question 20

RBCs varies in size, have cellular protrusions or are fragmented

Answer 20

Dysmorphic RBCs

Question 21

Dysmorphic RBCs is associated with?

Answer 21

Glomerular bleeding

Question 22

The macroscopic hematuria is frequently associated with?

Answer 22

Advanced glomerular damage

Question 23

This is also seen with damage to the vascular integrity of the urinary tract

Answer 23

Macroscopic hematuria

Question 24

This predominant WBC found in the urine sediment

Answer 24

Neutrophils

Question 25

This contains granules and is multilobed

Answer 25

Neutrophils

Question 26

This is a neutrophil that is exposed to a hypotonic urine that absorbs water and swell

Answer 26

Glitter cell

Question 27

This is the random motion of a particle as a result of the collision with the surrounding gaseous molecules

Answer 27

Brownian movement

Question 28

This WBC Is often associated with drug - induced interstitial nephritis

Answer 28

Eosinophils

Question 29

What is the preferred stain of eosinophil?

Answer 29

Hansel

Question 30

This is the smallest WBC

Answer 30

Lymphocytes

Question 31

This WBC is increased in the early stages of renal transplant rejection

Answer 31

Lymphocytes

Question 32

This indicated infection or inflammation in the gut

Answer 32

Monocytes, MAcrophages and HIstiocytes

Question 33

The WBCs undergo this motion which makes them difficult to distinguish from EC

Answer 33

Amoeboid motion

Question 34

This is a condition that is characterized by increase in urinary WBCs

Answer 34

Pyuria

Question 35

What do pyuria indicates?

Answer 35

Inflammation and infection in the genitourinary system

Question 36

They represent normal sloughing of the old cells

Answer 36

Epithelial cells

Question 37

This is the largest cell that is found in the urine

Answer 37

Squamous epithelial cell

Question 38

This cell can be a good reference for focusing of the microscope

Answer 38

Epithelial cells

Question 39

This is indicative of vaginal infection

Answer 39

Clue cell

Question 40

The vaginal infection is caused by what bacteria?

Answer 40

Gardnerella coccobacillus

Question 41

siGNIFICANT numbers of TEC can be seen after?

Answer 41

Catheterization

Question 42

This results from tissue destruction or necrosis

Answer 42

Renal TUbular Epithelial cells

Question 43

This is a lipid containing RTE cells and is seen in free floating fat droplets

Answer 43

Oval fat bodies

Question 44

Oval fat bodies is seen in?

Answer 44

Lipiduria

Question 45

What is he confirmation stain used in Oval fat bodies?

Answer 45

Sudan III or Oil Red O

Question 46

Oval fat bodies is examined using?

Answer 46

Polarized microscopy

Question 47

What do the Oval fat bodies indicates?

Answer 47

Nephrotic syndrome

Question 48

What pattern do oval fat bodies show?

Answer 48

Maltese cross pattern