URINALYSIS

Question 1

The one who is responsible for quantitating urine sediments

Answer 1

Thomas Addis

Question 2

What are the inorganic compounds found in urine?

Answer 2

Chloride
Sodium
Potassium
Calcium
Sulfate
Phosphate
Ammonium

Question 3

Urea comes from what

Answer 3

protein and amino acids metabolism

Question 4

Constituents that indicate that a fluid is URINE

Answer 4

Urea and Creatinine

Question 5

Factors that influence urine concentration

Answer 5

Physical activity
Water
Diet
Disease
Endocrine
Body position

Question 6

Factors that influence urine volume

Answer 6

fluid intake
fluid loss from nonrenal sources
antidiuretic hormone

Question 7

Normal urine daily output

Answer 7

600-2000 mL/day

Question 8

Urine is <400mL/day

Answer 8

Oliguria

Question 9

Causes of Oliguria

Answer 9

Dehydration
Vomiting
Diarrhea
Severe perspiration
Burns
Renal obstruction

Question 10

Complete cessation of urine flow

Answer 10

Anuria

Question 11

Increase urine at night

Answer 11

Nocturia

Question 12

Disease/cause associated that can cause nocturia

Answer 12

Pregnancy
Bladder stone
Prostate enlargement

Question 13

Urine volume is greater than 2500 mL/day

Answer 13

Polyuria

Question 14

Polyuria and polydipsia are often the 1st symptom of either ___________

Answer 14

Diabetes mellitus or Diabetes insipidus

Question 15

What tubes are used for sediment analysis?

Answer 15

tubes with conical bottoms

Question 16

Needed specimen volume for Urinalysis

Answer 16

12 mL

Question 17

Before rejecting or reporting a urine specimen, what should you do first?

Answer 17

Report first to the supervisor

Question 18

Handling and testing of urine should be done within ——

Answer 18

2 hours

Question 19

The following parameters are increased when the urine is unpreserved

Answer 19

Bacteria
pH
Odor
Nitrite

Question 20

These parameters will disintegrate in an alkaline urine

Answer 20

RBC/WBC and casts

Question 21

Least affected parameter in unpreserved urine

Answer 21

Protein

Question 22

Temperature required in refrigeration for preserving the urine

Answer 22

2-8’C

Question 23

This chemical preservative is excellent for preservation of sediment

Answer 23

Formalin

Question 24

Boric acid is for

Answer 24

preventing bacterial growth and metabolism

Question 25

Good preservative for drug analyses

Answer 25

Sodium fluoride

Question 26

A cloudy specimen received in the laboratory may have been preserved using: a) boric acid b) chloroform c) refrigeration d) formalin

Answer 26

c) Refrigeration

Question 27

If a routine urinalysis and a culture are requested on a catheterized specimen, then: A. Two separate containers must be collected B. The routine urinalysis is performed first C. The patient must be recatheterized D. The culture is performed first

Answer 27

D.) The culture is performed first

Question 28

Type of urine specimen for obvious abnormalities and for routine screening test

Answer 28

Random specimen

Question 29

Pregnancy and orthostatic proteinuria are medical conditions seen in what type of urine specimen

Answer 29

1st morning urine

Question 30

In 24 hour urine specimen, what test is read here?

Answer 30

Quantitative chemical tests

Question 31

In 24 hour urine specimen, procedure must begin and end the collection period with an ______________

Answer 31

empty bladder

Question 32

Preservative used for Addis count

Answer 32

Formalin

Question 33

Instrument used for Addis count

Answer 33

Hemacytometer

Question 34

Type of collection for bacterial culture and routine urinalysis

Answer 34

Midstream clean catch

Question 35

Most sterile type of collection for bacterial culture

Answer 35

Suprapubic aspiration

Question 36

Explain the 3 Glass collection for prostatitis specimen

Answer 36

1st urine passed, next is midstream (used as a control), last is remaining urine with prostate fluid

Question 37

5 hour urine is for

Answer 37

D-xylose absorption

Question 38

Procedure used for drug screening

Answer 38

Thin Layer Chromatography

Question 39

Procedure used for drug confirmatory

Answer 39

Gas chromatography mass spectrometry

Question 40

This is the process that provides this (it should be “the”) documentation of proper sample ID from the time of collection to the receipt of lab results. All handling personnel is noted.

Answer 40

Chain of Custody

Question 41

Urine volume for drug testing

Answer 41

30-45 mL

Question 42

4 glass method for prostatitis infection or also known as

Answer 42

Stamey-Mears