S1 [LAB]: Tests for Albumin (Quantitative and Qualitative) Flashcards
In heat and acetic test of albumin determination, this is the buffering component important to prevent the formation of soluble acid and alkali albumates, and the precipitation of phosphates
Acetate
In heat and acetic test of albumin determination, precipitation of protein is done by adding ___
5% or 10% Acetic acid
In heat and acetic test of albumin determination, the specimen of choice is ___
First morning urine sample
Positive result for heat and acetic test of albumin determination
Cloudy solution
Give the grading in the qualitative determination of albumin in terms of turbidity:
No cloudiness
(-); Negative
Give the grading in the qualitative determination of albumin in terms of turbidity:
Barely visible cloudiness
(+/-); Trace
Give the grading in the qualitative determination of albumin in terms of turbidity:
Distinct cloudiness but non-granular against light with urine visible through it
(+); Positive
Give the grading in the qualitative determination of albumin in terms of turbidity:
Distinct cloudiness, granular against light
(++); Positive
Give the grading in the qualitative determination of albumin in terms of turbidity:
Heavy cloudiness with distinct floccule
(+++); Positive
Give the grading in the qualitative determination of albumin in terms of turbidity:
Dense heavy clouds with large floccules, may solidify
(++++); Positive
In the Exton’s test of albumin determination, the specimen of choice is ___
Freshly voided/ random specimen
In the Exton’s test of albumin determination, the reagent used it ___
Sulfosalicylic acid
Sodium sulfate
In the Exton’s test of albumin determination, the positive result is ___
Cloudy solution
In the Heller’s test of albumin determination, the specimen of choice is ___
Freshly voided/ random urine
In the Heller’s test of albumin determination, the reagent used is ___
Concentrated nitric acid
In the Heller’s test of albumin determination, the positive result is the appearance of ___
Ring
In the Robert’s test of albumin determination, protein in urine samples is precipitated by ___ and ___
Magnesium sulfate
Nitric acid
In the Robert’s test of albumin determination, the specimen of choice is ___
First morning urine specimen
In the Robert’s test of albumin determination, the positive result is the appearance of ___
Ring
Give the grading in the qualitative determination of albumin in terms of ring appearance:
No ring at the point of contact
(-); Negative
Give the grading in the qualitative determination of albumin in terms of turbidity:
Barely perceptible ring against a black background
(+/-); Trace
Give the grading in the qualitative determination of albumin in terms of turbidity:
Ring is distinct against a black background and can be seen when held up to the light
(+); Positive
Give the grading in the qualitative determination of albumin in terms of turbidity:
Ring is definite against light and faintly visible when viewed from above
(++); Positive
Give the grading in the qualitative determination of albumin in terms of turbidity:
Ring is heavy against light and has distinct cloudiness when viewed from above
(+++); Positive
Give the grading in the qualitative determination of albumin in terms of turbidity:
Ring is thick and dense against light and opaque when viewed from above
(++++); Positive
The qualitative albumin determination method most often used in the laboratory
Exton’s/ Sulfosalicylic acid Test
In the Kwalecki’s modification of Esbach’s method of albumin determination, the used reagent is ___
Esbach’s rgt:
Picric acid
Citric acid
10% Ferric chloride
In the Kingsbury and Clark method of albumin determination, the reagent used is ___
3% Sulfosalicylic acid
Give the grading in the quantitative determination of albumin:
No definite flocculation; the cloud is distinguishable but not granular
(+); 0.01-0.03 gram%
Give the grading in the quantitative determination of albumin:
No definite flocculation; the cloud is distinct and granular
(++); 0.04-0.1 gram%
Give the grading in the quantitative determination of albumin:
Marked flocculation with dense cloud
(+++); 0.2-0.3 gram%
Give the grading in the quantitative determination of albumin:
Heavy thick precipitate to solid mass
(++++); 0.5 gram% albumin or higher; 3 gram% boils solid
Identify whether qualitative or quantitative albumin detection method:
Heat and Acetic Acid Test
Qualitative
Identify whether qualitative or quantitative albumin detection method:
Exton’s/ Sulfosalicylic Acid Test
Qualitative
Identify whether qualitative or quantitative albumin detection method:
Heller’s Test
Qualitative
Identify whether qualitative or quantitative albumin detection method:
Robert’s Test
Qualitative
Identify whether qualitative or quantitative albumin detection method:
Kwilecki’s modification of Esbach’s method
Quantitative
Identify whether qualitative or quantitative albumin detection method:
Kingsbury and Clark method
Quantitative
Normal amount of protein in the urine
1-14 mg/dL per day
Molecular weight of protein that can readily pass through the kidney
<40 000 Dalton
Fibrinolytic enzyme secreted by liver
Urokinase
Protein component forming renal cast
Tamm-Horsfall
Uromodulin
Immunoglobulin present in the renal tubular epithelia
Secretory IgA
Presence/ high level of protein in the urine
Proteinuria
Identify the type of proteinuria:
Overflow of low molecular weight proteins
Pre-renal
Identify the type of proteinuria:
Muscle injury
Pre-renal
Protein released in muscle injury
Myoglobin
Identify the type of proteinuria:
Intravascular hemolysis
Pre-renal
Protein released during intravascular hemolysis
Hemoglobin
Identify the type of proteinuria:
Infection/ inflammation
Pre-renal
Identify the type of proteinuria:
Multiple myeloma
Pre-renal
Proteins composed of immunoglobulin light chain in multiple myeloma patients
Bence Jones Proteins
Identify the type of proteinuria:
Defective glomerular filtration barrier
Glomerular
Identify the type of proteinuria:
Cancer
Glomerular
Identify the type of proteinuria:
Drug intake
Glomerular
Identify the type of proteinuria:
Tubules cannot regulate proteins to be reabsorbed
Tubular
Identify the type of proteinuria:
Pyelonephritis
Tubular
Identify the type of proteinuria:
Related to orthostatic proteinuria
Tubular
Identify the type of proteinuria:
Affected excretion
Post-renal
A cold precipitation technique to determine the presence of proteins
Exton’s test
T/F: Sulfosalicylic acid precipitates protein irreversibly
True
Cause of (+) strip; (-) SSA in albumin determination that is false positive to the strip
Alkaline urine without albumin
Cause of (+) strip; (-) SSA in albumin determination that is false negative to SSA
Alkaline urine with albumin
Cause of (-) strip; (+) SSA in albumin determination that is false positive to the strip
Presence of other proteins
Resolution for (+) strip; (-) SSA in albumin determination
Acidify the urine
Resolution for (-) strip; (+) SSA in albumin determination
Centrifuge and get the sediments
T/F: In Heller’s test of albumin determination, the urine needs to be centrifuged
False
In the Kingsbury and Clark method of albumin determination, the preferred specimen is ___
24-hour urine
T/F: In Kingsbury and Clark Method of albumin determination, the urine needs to be centrifuged
True
T/F: All precipitation tests must be performed on centrifuged specimen
True
T/F: In the SSA precipitation test, the mixture is heated to allow optimal turbidity visualization
False
Concentration of sulfosalicylic acid in SSA precipitation test
3%
In Kwilecki’s quantification method of Albumin, the reagent and urine mixture is heated in a water bath at what conditions?
72C for 5 minutes
In Kingsbury and Clark method of albumin determination, the reagent and urine mixture is allowed to stand for how long?
10 mins