PRELIM-physical examination of urine Flashcards

1
Q

observation of these
characteristics provides preliminary information concerning
disorders such as___

A

glomerular bleeding,
liver disease,
inborn errors of metabolism,
and urinary tract infection

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2
Q

Measurement
of ___ aids in the evaluation of renal tubular function.

A

specific gravity

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3
Q

The results of the physical portion of the urinalysis also
can be used to confirm or to explain findings in the ___
and ____ areas of urinalysis

A

chemical; microscopic

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4
Q

normal color of the urine are

A

pale yellow,
yellow, and dark yellow.

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5
Q

The yellow color
of urine is caused by the presence of a pigment, which Thudichum named ___

A

urochrome

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6
Q

__ is a product of
endogenous metabolism, and under normal conditions the body
produces it at a constant rate

A

Urochrome

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7
Q

the presence of uroerythrin can indicate that the specimen have been preserve using

A

refrigerator

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8
Q

refrigerated specimen as well will produce what kind of crystals

A

amorphous urates

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9
Q

an oxidation prod
uct of the normal urinary constituent urobilinogen, imparts an
orange-brown color to urine that is not fresh.

A

urobilin

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10
Q

A urine specimen that contains bilirubin may also contain __, reinforcing the need to follow standard precautions.

A

hepatitis virus

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11
Q

Dark yellow colored urine yellow foam appears when shaken is a positive physical characteristic of

A

bilirubin

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12
Q

also produces a yellow-orange urine; however,
yellow foam does not appear when the specimen is shaken

A

urobilin

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13
Q

Photo-oxidation of bilirubin imparts a yellow-green color to
the urine caused by the presence of ___

A

biliverdin

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14
Q

yellow-orange specimen caused by the administration of
___ (brand name Pyridium) or azo-gantrisin
compounds to people who have urinary tract infections

A

phenazopyridine

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15
Q

Specimens containing
____ produce a yellow foam when shaken, which
could be mistaken for bilirubin.

A

phenazopyridine

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16
Q

This thick, orange pigment not only obscures the natural color of
the specimen but also interferes with chemical tests that are
based on color reactions. It is important to recognize the presence of ___ in a specimen so that laboratories can
use alternative testing procedures.

A

phenazopyridine

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17
Q

Red blood cells (RBCs) remaining in an acidic urine for several hours produce a ___ color due to the oxidation of hemoglobin to methemoglobin

A

brown urine

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18
Q

A FRESH brown urine containing blood may also indicate
___ resulting from the conversion of hemoglobin to methemoglobin

A

glomerular bleeding

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19
Q

Besides RBCs, two other substances, __and ____, produce a red urine and result in a positive chemical test result for blood

A

hemoglobin ; myoglobin

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20
Q

When RBCs are present,
the urine appears

A

red and cloudy

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21
Q

if hemoglobin or myoglobin is present, the specimen appears

A

red and clear

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22
Q

Urine specimens containing ____also may appear
RED, resulting from the oxidation of porphobilinogen

A

porphyrins

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23
Q

They are often referred to as having the color of PORT WINE

A

porphyrins

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24
Q

Nonpathogenic causes of red urine include

A

menstrual contamination
ingestion of highly pigmented foods,
medications

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25
other non pathogenic causes of red urine based on acidity and alkalinity of the urine
eating fresh beets causes a red color in alkaline urine Ingestion of blackberries can produce a red color in acidic urine
26
examples of medication that will result in red colored urine
Many medications, including rifampin, phenolphthalein, phenindione, and phenothiazines, produce red urine
27
is an oxidation product of the colorless pigment, melanogen, produced in excess when a malignant melanoma is present
melanin
28
melanogen are prevalent in diseased called
malignant melanoma
29
brown or black on standing and have negative chemical test results for blood, inasmuch as they may contain ___ or __
melanin; homogentisic acid
30
__, a metabolite of phenylalanine, imparts a black color to alkaline urine
Homogentisic acid
31
homogentisic acid will cause the rine turned black is prevalent in a disease associated with in-born error of metabolism called
alkaptonuria
32
example of medication causing black urine
Medications producing brown/black urines include levodopa, methyldopa, phenol derivatives, and metronidazole
33
Pathogenic causes of __ urine are limited to bacterial infections
blue/green
34
the one responsible for a blue green color of a urine and infecting the URINARY TRACT
pseudomonas species
35
the one responsible for a blue green color of a urine and infecting the INTESTINAL TRACT
urinary indican
36
Ingestion of breath deodorizers (____) can result in a green urine.
Clorets
37
Ingestion of breath deodorizers (Clorets) can result in a ___
green urine.
38
medications involve in blue urine are
methocarbamol (Robaxin), methylene blue, and amitriptyline (Elavil) may cause blue urine.
39
A purple staining may occur in catheter bags and is caused by indican in the urine or a bacterial infection, frequently caused by ___ species.
Klebsiella or Providencia
40
causes of colorless urine
Recent fluid consumption
41
clinical or lab correlation of colorless urine
Commonly observed with random specimen
42
causes of pale yellow urine
Polyuria or diabetes insipidus Diabetes mellitus Dilute random specimen
43
clinical or lab correlation of pale yellow
Increased 24-hour volume and low specific gravity (DI) Elevated specific gravity and positive glucose test result (DM) Recent fluid consumption ( Dilute random specimen)
44
causes of dark yellow
Concentrated specimen B complex vitamins Dehydration Bilirubin Acriflavine Nitrofurantoin
45
correlation of concentrated specimen
May be normal after strenuous exercise or in first morning specimen
46
correlation of dehydration / dark yellow specimen
fever or burns
47
correlation of dark yellow/ bilirubin in clinical or lab set up
Yellow foam when shaken and positive chemical test results for bilirubin
48
correlation of dark yellow. acriflavine
Negative bile test results and possible green fluorescence
49
correlation of nitrofurantoin /dark yellow
Antibiotic administered for urinary tract infections
50
causes of orange yellow urine
Phenazopyridine (Pyridium) Phenindione
51
correlation of Phenazopyridine (Pyridium) / orange yellow
Drug commonly administered for urinary tract infections
52
correlation of phenindione. orange yellow
Anticoagulant, orange in alkaline urine, colorless in acid urine
53
color of th eurine if the phenindione is inacidic urine
colorless
54
color of teh urine if the phenindione is in alkaline urine
orange - yellow
55
causes of yellow green urine
Bilirubin oxidized to biliverdin
56
correlation of bilirubin oxidized to biliverdin / yellow green
Colored foam in acidic urine and false-negative chemical test results for bilirubin
57
cause of green colored urine
Pseudomonas infection
58
causes of the blue gren urine
Amitriptyline Methocarbamol (Robaxin) Clorets Indican Methylene blue Phenol
59
anti deprepressant under the blue green
amitrityline
60
Muscle relaxant, may be green-brown
Methocarbamol (Robaxin)
61
Fistulas
methylene blue
62
causeof pink colored urine
rbcs
63
correlation of the pink urine
Cloudy urine with positive chemical test results for blood and RBCs visible microscopically
64
causes of red colored urine
Hemoglobin Myoglobin Beets Rifampin Menstrual contamination
65
correlation of hemoglobin// red colored urine
Clear urine with positive chemical test results for blood; intravascular hemolysis
66
correlation of myoglobin// red colored urine
Clear urine with positive chemical test results for blood; muscle damage
67
correlation of beets//red colored urine
Alkaline urine of genetically susceptible persons
68
Tuberculosis medication
rifampin
69
Tuberculosis medication, rifampin is causing what color of the urine?
red
70
correlation of the menstrual contamination// red colored urine
Cloudy specimen with RBCs, mucus, and clots
71
a red colored urine but is not positive with blood in chem test
Porphyrins
72
Nonpathologic Causes of Urine Turbidity
Squamous epithelial cells Mucus Amorphous phosphates, carbonates, urates Semen, spermatozoa Fecal contamination Radiographic contrast media Talcum powder Vaginal creams
73
Pathologic Causes of Urine Turbidity
RBCs WBCs Bacteria Yeast Nonsquamous epithelial cells Abnormal crystals Lymph fluid Lipid
74
The clarity of a urine specimen certainly provides a key to the microscopic examination results, because the amount of turbidity should correspond with the amount of material observed under the microscope. true or false
true
75
“_” is a general term that refers to the transparency or turbidity of a urine specimen
Clarity
76
The evaluation of urine concentration is included in the routine urinalysis by measuring the ___ of the specimen.
specific gravity
77
Normal random specimens may range from approximately ____
1.002 to 1.035
78
Specimens measuring lower than 1.002 probably are ___
not urine
79
Most random specimens fall between SG
1.015 and 1.030.___
80
___ is defined as the density of a solution com pared with the density of a similar volume of distilled water (SG 1.000) at a similar temperature.
Specific gravity
81
determines the concentration of dissolved particles in a specimen by measuring refractive index.
Refractometry
82
---- is a comparison of the velocity of light in air with the velocity of light in a solution. T
Refractive index
83
the one responsible for the urine odor of ammoniacal
the breakdown of urea
84
Aromatic
normal
85
Foul, ammonia-like
Bacterial decomposition, urinary tract infection
86
Fruity, sweet
Ketones (diabetes mellitus, starvation, vomiting)
87
Maple syrup
Maple syrup urine disease
88
Mousy
Phenylketonuria
89
Rancid
Tyrosinemia
90
Sweaty feet
Isovaleric acidemia
91
Cabbage
Methionine malabsorption
92
Bleach
Contamination