microscpic 1 (sediment constituent) Flashcards

1
Q

most difficult to recognize cell on urine

a. rbc
b. epithelial cell
c. wbc

A

rbc

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2
Q

acanthocytes is associated with?

a. renal calculi
b. glomerular bleeding
c. malignancy of the urinary tract

A

Dysmorphic or Distorted rbc — vary is sizes, MAINLY THEY ARE ACANTHOCYTES, associated with GLOMERULAR BLEEDING

ANS: B

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3
Q

when rbc are viewed from the SIDE its shape is?

a. biconcace
b. hourglass shape
c. disk with central pallor

A

when rbc are viewed from the SIDE its shape is HOURGLASS SHAPED ( look like caox); when viewed from ABOVE they appear DISK WITH CENTRAL PALLOR

ANS: B

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4
Q

when rbc are viewed above what shape u will see

a. biconcace
b. hourglass shape
c. disk with central pallor

A

when rbc are viewed from the SIDE its shape is HOURGLASS SHAPED ( look like caox); when viewed from ABOVE they appear DISK WITH CENTRAL PALLOR

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5
Q

hypotonic and alkaline urine promotes what kind of rbc?

a. ghost cell
b. glitter cell
c. crenated

A

ghost cell / swollen cell

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6
Q

concentrated and hypersthenuric urine promotes?

a. crenated
b. swollen
c. ghost

A

CONCENTRATED AND HYPERstenuric : crenated , ECHINOCYTES , irregularly shaped

DILUTED AND HYPOstenuric : ghost and swollen

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7
Q

this rbc it appears crenated, small, rough cells and crinkles cells

a. diluted urine
b. hypersthenuric urine
c. hyposthenuric urine

A

hypertonic urine
- rough

normal rbc - smooth

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8
Q

glitter cells

a. hypertonic urine wbc
b. hypotonic urine wbc
c. hypertonic urine rbc
d. hypotonic urine rbc

A

hypotonic urine

glitter cells with SPARKLING APPEARANCE because of bowmian movement

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9
Q

what color of neutrophil if it will stain with Steinheimer malbin stain

a. violet
b. light blue
c. red orange

A

steinheimer malbin stain- neutrophil will turn LIGHT BLUE instead of violet that usually seen neutrophil

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10
Q

this cell is primarily associated with drug induced interstitial nephritis

a. neutrophil
b. eosinophil
c, lymphocytes

A

eosinophil
- it can seen on drug induced interstitial nephritits
uti
renal transplant rejection (eo and lympho)

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11
Q

term used in increase urinary wbcs

a, pyuria

b. anuria
c. leukocyturia

A

pyuria and leukocyturia

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12
Q

most predominant wbc cells can be seen

a. lymphocytes
b neutrophil
c. eosinphild

A

neutrophil - most predominant

lymphocytes - predominant in urine patients experiencing renal transplant rejection

eosinophil - not normally seen

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13
Q

it originates form the lower portion of male urethra

a. SEC
b. TEC
c. RTE

A

SEC - originates from lining of vaginal and female urethra and also in lower portion of male urethra

TEC - originates from the lining of renal pelvis, calyces ureters and bladder and from the upper portion of male urethra

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14
Q

originates from lining of vaginal and female urethra

a. SEC
b. TEC
c. RTE

A

SEC - originates from lining of vaginal and female urethra and also in lower portion of male urethra

TEC - originates from the lining of renal pelvis, calyces ureters and bladder and from the upper portion of male urethra

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15
Q

it originates form the upper portion of male urethra

a. SEC
b. TEC
c. RTE

A

SEC - originates from lining of vaginal and female urethra and also in lower portion of male urethra

TEC - originates from the lining of renal pelvis, calyces ureters and bladder and from the upper portion of male urethra

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16
Q

they are largest cells can be found in urine.
they appear as flagstone shaped with distinct shaped borders

a. SEC
b. TEC
c. RTE

A

a. squamous epithelial cells

17
Q

it is pathologic squamous epithelial cell covered with Gardnerella vaginalis cocobacillus

a. blue cells
b. clue cells
c. synctia

A

a. clue cells
- secc covered with G. vaginalis

synctia (clumps) is a rte cells that will undergo catherization

18
Q

forms of transitional epithelial cells that may appear large

a. caudate
b. spherical
c. polyhedral

A

spherical - cells with direct contact with urine and it absorb large of water

19
Q

epithelial cells that may have several forms polyhedral, caudate, spherical, pear shape an may have tail like projections

a. SEC
b. TEC
c. RTE

A

transitional epithelial cells

20
Q

larger RTE cells came from what tubules?

a. pct
b. dct
e. collecting ducts

A

pct- larger than other rte cells may form a rectangular shape

DCT- smaller than those came from pct; round or oval

collecting duct - may have 3 groups; large sheet of cells

21
Q

this RTE cells is indication of severe tubular injury with basement disruption

a. renal fragments
b. synctia
c. leukocyturia

A

renal fragments - came from collecting duct with a group of three or more
- indication of severe tubular basement membrane drisruption

22
Q

how to differentiate RTE cells from Spherical forms of TEC

a. supravital stain
b. stainheimer malbin stain
c. wright stain

A

supravital stain and centrally located nucleus

23
Q

most clinically significant epithelial cells

a. SEC
b. TEC
c. RTE

24
Q

this epithelial cell is precursor of oval fat bodies

a. SEC
b. TEC
c. RTE

25
RTE cells containing Large, NON lipid filled vacuoles that is mainly associated with acute tubular necrosis a. oval fat bodies b. bubble cells c. fat laden histiocytes
bubble cells - vacuoles without fats ofb - vacuoles with fats fat laden histiocytes - macrophage with fats
26
highly refractile rte cells a. oval fat bodies b. bubble cells c. fat laden histiocytes
ofb
27
appearance of ofb when viewed in polarized microscopy a. dumbell shaped b. hexagonal c. maltese cross
maltese cross formation
28
yeast FAVORABLE URINE CONDITION A. acidic urine with glucose b. alkali urine with glucose c. acodoc urine with sucrose
acidic urine with glucose
29
most frequent parasite encounter in urine a. trichomonas vaginalis b. schistosoma haematobium c. enterobius vermicularos
a. trichomonas vaginalis - most frequent parasite encounter in urine b. schistosoma haematobium - bladder parasite c. enterobius vermicularis - most common contaminant ova
30
sperm that is expelled into the bladder instead at the urethra, it is called a. retrogression ejaculation b. male fertility c, male infertility
male INfertility or retrogression ejaculation nasa ihi lahat nang sperm
31
it is the test to identify the hemosiderin in urine sediment and tissues a. rouss test b. steinheimer malbin c. oil red o
rouss test or prussian blue