Physical Examination Flashcards

1
Q

3 Criteria for Urine Containers

A
  1. Disposable
  2. Wide-Mouth
  3. Flat-Bottom
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2
Q

Atleast what volume capacity for Urine Containers?

A

50 Ml

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3
Q

What bag is used for pediatrics patients?

A

Wee-bag / Adhesive Bags

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4
Q

What container is used for 24-hour specimens?

A

Large Plastic Containers

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5
Q

4 Main Information on the Label of Urine Containers?

A
  1. Name
  2. ID
  3. Date
  4. Time
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6
Q

3 Additional information added on the Label

A
  1. Age
  2. Location
  3. Physician
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7
Q

Where should the label be placed on the container?

A

Side of Container

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8
Q

6 Criteria for Specimen Rejection

A
  1. Unlabeled
  2. Unmatched
  3. Contaminated with feces and toilet paper
  4. Contaminated container
  5. Insufficient Quantity
  6. Improper Transport
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9
Q

This checks for metabolic end products that provides useful information on the disease state of the individual

A

Urinalysis

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10
Q

This is the first information contained on a routine urinalysis report

A

Physical Examination

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11
Q

What are the 6 parameters in Urine Physical Examination ?

A
  1. Odor
  2. Color
  3. Clarity
  4. pH
  5. Specific Gravity
  6. Volume
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12
Q

What is the odor of freshly voided urine?

A

Aromatic

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13
Q

What is the result of a sweet or fruity odor urine?

A

Diabetic Ketosis

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14
Q

Normal Color of urine?

A

Yellow

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15
Q

The urine color depends on the concentration of what pigment?

A

Urochrome

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16
Q

4 Factors that causes variation in Urine Color

A
  1. Diet
  2. Physical Activity
  3. Medication
  4. Disease
17
Q

What colors can indicate Pathological Processes? (6)

A
  1. Orange
  2. Yellow Green
  3. Green
  4. Pink
  5. Red
  6. Black
18
Q

It is the general term pertaining to the clarity of the specimen

A

Transparency

19
Q

Common terms used to report the transparency of urine? (5)

A
  1. Clear
  2. Hazy
  3. Cloudy
  4. Turbid
  5. Milky
20
Q

A white cloudiness urine may appear because of the presence of? (5)

A
  1. Amorphous Urates
  2. Phosphates
  3. Carbonates
  4. Calcium Oxalate
  5. Uric Acid Crystals
21
Q

This urine clarity reports as “Many Particulates, print blurred through urine”

22
Q

This urine clarity reports as “May precipitate or be clotted”

23
Q

This urine clarity reports as “Few Particulates, print easily seen through urine”

24
Q

The 4 most common substances that causes turbidity?

A
  1. WBC
  2. RBC
  3. Epithelial Cells
  4. Bacteria
25
It is the reflection of the ability of the kidney to maintain normal hydrogen ion concentration in plasma and extracellular fluid
pH
26
Normal adult will produce urine with specific gravity of how many?
1.016 - 1.022
27
4 Methods used to Measure Specific Gravity
1. Refractometer 2. Reagent Strip 3. Hydrometry 4. Urinometer
28
It is based on the measurement of the refractive index of a solution
Refractometry
29
What is used to calibrate the Refractometer?
Distilled Water
30
Principle of Reagent Strip for Specific Gravity?
Indirect Colorimetric determination of specific gravity
31
This method detects only the ionic solutes present in the urine
Reagent Strip
32
The reagent test pad is impregnated with? (2)
1. Polyelectrolyte 2. pH indicator
33
Reagent strip is maintained at _______ pH
Alkaline
34
It is based on the determination of Urine's Density at room temperature
Hydrometry
35
Principle of Urinometer?
Density
36
Less accurate than other methods
Urinometer
37
Major disadvantage of Urinometer?
Requires large volume (10-15ml)
38
Steps to Adjust Scale of Refractometer (6)
1. Raise Daylight Plate 2. Place few drops of Distilled Water 3. Close the cover 4. Bring the scale to focus 5. If boundary line not coincide with 1.000 line of 1.333 line 6. Make adjustments by turning the scale adjusting screw
39
Steps to read Refractometer (6)
1. Put one or two drops of sample on the prism 2. Close Daylight Plate Gently 3. Sample must spread all over the prism surface 4. Look at the scale through the eyepiece 5. Read scale where boundary line intercepts it. 6. Wipe sample from the prism clean with tissue paper and water