Urinalysis Practice Questions Flashcards

Urinalysis questions that could be useful on the exam!

1
Q

A patient with uncontrolled diabetes mellitus will most likely have?

A

A pale urine with a high specific gravity

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2
Q

While performing an analysis of a baby’s urine, the tech notices the specimen has a “mousy” odor. Of the following substances that may be excreted in urine, the one that most characteristically produces this odor is?

A

Phenylpyruvic acid

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3
Q

An ammonia-like odor is characteristically associated with urine from patients who:

A

Have an infection with Proteus spp.

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4
Q

Urine that develops a port wine color after standing may contain:

A

Porphyrin

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5
Q

Acid urine that contains hemoglobin will darken on standing due to the formation of?

A

Methemoglobin

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6
Q

Urine from a 50 year old man was noted to turn dark red on standing. This change is caused by the presence of ?

A

Porphyrins = red

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7
Q

The clarity of a urine sample should be determined:

A

Following thorough mixing of the specimen

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8
Q

Milky urine from a 24 year old woman would most likely contain?

A

Many white blood cells

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9
Q

A brown-black urine would most likely contain?

A

Melanin

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10
Q

The yellow color of urine is primarily due to:

A

Urochrome pigment

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11
Q

Red urine may be due to:

A

Myoglobin

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12
Q

A urine specimen collected on an apparently healthy 25 year old man shortly after he finished eating lunch was cloudy but showed normal results on a multiple reagent test strip analysis. The most likely cause of the turbidity:

A

Phosphates (this can occur shortly after finishing a meal)

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13
Q

In which of the following metabolic diseases will urine turn dark brown to black upon standing?

A

Alkaptonuria

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14
Q

Urine osmolality is related to?

A

Specific gravity

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15
Q

Urine specific gravity is an index of the ability of the kidney to?

A

Concentrate the urine

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16
Q

Osmolality is a measure of?

A

Dissolved particles, including ions

17
Q

A patient urine sample has an increased protein and a high specific gravity. Which of the following would be a more accurate measure of urine concentration?

A

Osmolality

18
Q

To prepare a solution appropriate for quality control of the refractometer, the lab tech should use?

A

Sodium Chloride with a specific gravity of 1.022

19
Q

A urine’s specific gravity is directly proportional to its?

A

Dissolved solids

20
Q

Isothenuria is associated with a specific gravity which is usually?

A

Fixed around 1.010

21
Q

The fluid leaving the glomerulus normally has a specific gravity of ?

22
Q

A deficiency in arginine vasopressin (antidiuretic hormone ADH) is associated with an…..

A

Low urine specific gravity

23
Q

When using a refractometer to measure urine concentration, the lab tech must correct for which of the following in their calculations?

24
Q

Calibration of refractometers is performed by measuring the specific gravity of distilled water and:

A

Sodium Chloride

25
Q

The method of choice for performing a specific gravity measurement of urine following administration of x-ray contrast dye is:Regent test stri

A

Reagent test strip

26
Q

Which of the following urinary parameters are measured during the course of concentration and dilution tests to assess renal tubular function?

A

Osmolality and specific gravity

27
Q

Which of the following urine results is most likely to be affected by prolonged exposure to light?

28
Q

eGFR calculated by the MDRD-IDMS traceable study equation takes into account the patient’s age, race, gender, and serum concentration of which of the following?

29
Q

The creatinine clearance is reported in:

30
Q

Which of the following can give a false-negative urine protein reading?

31
Q

Which of the following substances may interfere with the reagent test strip pad for leukocyte esterase and yield a false-negative result?

32
Q

Excess urine on the reagent test strip can turn a normal pH result into a falsely acidic pH when which of the following reagents runs into the pH pad?

33
Q

A urine specimen with an elevated urobilinogen and a negative bilirubin may indicate: