Platings routine chemical examination Flashcards

1
Q

Urine specimen tested for protein by reagent strip and Exton test. This mean that the specimen possibly contains.
A. Bence Jones protein
B. Moderate amount of albumin
C. Albumin and globullin
D. Small amount of albumin

A

Bence jones protein

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2
Q

Which of the following can possibly make the urine alkaline?

A

Diet rich in vegetables

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3
Q

Which of the following can possible cause of pre-renal type of proteinuria?

A

Bence jones protein

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4
Q

Which is true about reagent strip testing for glucose?

A

Positive result is green brown

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5
Q

Which of the following statements about bence jones protein is correct?
A. Elevated in multiple myeloma
B. The protein dissolves at 100 c
C. Both
D. Neither

A

both
A. Elevated in multiple myeloma
B. The protein dissolves at 100 c

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6
Q

Methyl red and bromothymol blue are the reagents present in the test pad for
a. pH
b. glucose
c. protein
d. sp gravity

A

pH

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7
Q

Which of the following is true about benedicts test?
a. detects glucose only
b. detects glucose & reducing sugars
c. most sensitive test test for glucose

A

b. detects glucose & reducing sugars

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8
Q

What is the reagent used in Exton’s test?

A

3% sulfosalicylic acid

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9
Q

In exton test, presence of turbidity with granulation and flocculation should be reported as

A

3 +

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10
Q

Renal associated glucosuria

A

Fanconi syndrome

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11
Q

Positive result in Micral Test

A

pink to red

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12
Q

To preserve the integrity of reagent strips, it is necessary that they are

A

Stored in a tightly capped container

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13
Q

Which of the following is a source of erroeous results when reagent strips are used?
a. Timing using a clock without a second hand
b. Allowiing excess urine to remain on the reagent strip

A

both
a. Timing using a clock without a second hand
b. Allowiing excess urine to remain on the reagent strip

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14
Q

After dipping the reagent strip into the urine, how long do you have to wait before reading glucose result?

A

30 seconds

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15
Q

Which of the following tests uses the principle, enzyme immunoassay?

A

Micral test

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16
Q

Which of the following is an acid precipitation test for protein?

A

Exton test

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17
Q

The color of the reagent strip test pad if urine does not contain protein

A

Yellow

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18
Q

Effect of Vitamin C on reagent strip test for protein

A

may cause false neegative result

19
Q

Effect of highly alkaline urine on reagent strip test for protein

A

may cause false positive result

20
Q

Effect of radiographic media on exton test

A

may cause false positive result

21
Q

Leaving a rgt strip in the specimen for too long will

A

cause reagent strip to leach from the pads

22
Q

All of the ff. are important to protect the integrity of reagent strips except
a. removing the desiccant from the bottle
b. Storing on an opaque bottle
c. Storing at room temperature
d. Resealing the bottle after removing a strip

A

removing the desiccant from the bottle

23
Q

Leaving excess urine on the reagent strip after removing it from the specimen will

A

cause run-over bet reagent pads

24
Q

Testing a refrigerated specimen that has not warmed to room temparature will adversely affect

A

enzmatic reactions

25
All of the following will cause false-positive protein reagent strip values except: a. highly buffered alkaline urines b. Delay in removing the rgt strip from the urine c. microalbuminuria d. contamination by quaternary ammonium compounds
microalbuminuria
26
The principle of the rgt strip test for pH is
double indicator system
27
Urine specimen with a ph of 9.0
should be recollected
28
The purpose of performing an albumin: creatinine ratio is to
Correct for hydration in random specimens
29
Quality control of rgt strips is performed a. using positive and negative controls b. At least once every 24 hours
both a. using positive and negative controls b. At least once every 24 hours
30
The principle of the protein error indicators reaction is that
Albumin accepts H+ ions from the indicator
31
Testing for microalbuminuria is valuable for monitoring patients with a. Hypertension b. Diabetes mellitus
both a. Hypertension b. Diabetes mellitus
32
All of the following are true for micral test except a. It is run on first morning specimens b. it contains an antibody enzyme conjugate c. Two blue bands are formed on the strip d. Unbound antibody attaches to immobilized albumin
c. Two blue bands are formed on the strip
33
Failure to mix specimen prior to inserting the reagent strip will primarly affect the
Leucocyte reading
34
All of the following are true for immunodip test for microalbumin except a. blue latex particles are coated with antibody b. Bound antibody migrates further than unbound antibody c. it utilizes an immunochromagraphic principle d. Unbound antibody migrates farther than bound antibody
d. Unbound antibody migrates farther than bound antibody
35
A patient with a 2+ protein reading in the afternoon is asked to submit a first morning specimen. The second specimen has negative protein reading.
positive for orthostatic proteinuria
36
The princple of protein low reagent pad on the Multisix Pro is the
binding of albumin to sulphonaphtalein
37
The princple of the creatinine reagent pad on microalbumin reagent strips is the
Pseudoperoxidase reaction
38
A patient of the reagent srip for glucose is the
double sequential enzyme reaction
39
A positive clinitest and a negative reagent strip glucose are indicative of
non-glucose reducing substances
40
In the laboratory, a primary consideration associated with pH is a. Identification of urinary crystals b. Monitoring of vegetarian c. Determination of specimen acceptability
all a. Identification of urinary crystals b. Monitoring of vegetarian c. Determination of specimen acceptability
41
Orthostatic proteinuria
renal
42
Prostatis
postrenal condition
43
Acute phase reactants
preranal
44
Glomerulonephritis
renal