Urinary anatomy quiz Flashcards

1
Q

what is the definition of urine?

A

liquid waste produced by kidneys

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2
Q

what is the expected transparency of urine?

A

expected: clear
can be: cloudy (microbes/solutes)

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3
Q

what is the expected color of urine? where does this color come from?

A

pale yellow
urochrome

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4
Q

what is the expected pH of healthy urine?

A

6.0

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5
Q

what can be the potential odors of urine?

A

odorless, food, sweet, ammonia, musty

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6
Q

urine is filtered ______________…?

A

blood plasma

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7
Q

what is the structure within the nephron that filters blood plasma? located where?

A

filtration membrane
location: at the glomerulus

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8
Q

what is the size of solutes that can pass through the filtration membrane?

A

< 5 nm

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9
Q

what are solutes that are < 5 nm? name examples

A
  1. ions: Cl-, SO4-, NO3-
  2. organic nutrients: glucose, amino acids, vitamins, nucleotides
  3. nitrogenous wastes: uric acid, urea, creatinine
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10
Q

what will happen to the organic nutrients that pass through the filtration membrane?

A

will be reabsorbed in the proximal convoluted tubule

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11
Q

what are the solutes that are > 5 mm? name examples?

A
  1. protein: albumin, antibodies
  2. formed elements: RBC, WBC, platelets
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12
Q

what was the reagent in the chloride test? what was a positive result?

A

silver nitrate
cloudy (white precipitate)

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13
Q

what was the reagent in the sulfate test? what was a positive result?

A
  • dilute hydrochloric acid
  • 10% barium chloride
    cloudy (white precipitate)
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14
Q

what is the expected results in the leukocyte dipstick test? why?

A

negative
size exclusion

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15
Q

what is the expected results in the nitrite dipstick test? why?

A

negative
nitrite (NO2) is only produced by bacteria

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16
Q

what is the expected results in the urobilinogen dipstick test? why?

A

0.1 - 2.0 mg/ dL
comes from bilirubin which kidneys then eliminate

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17
Q

what is the expected results in the protein dipstick test? why?

A

little to none
size exclusion

18
Q

what is the expected results in the pH dipstick test? why?

A

6.0
acid mantel of the innate immunity

19
Q

what is the expected results in the blood dipstick test? why?

A

negative
size exclusion

20
Q

what is the expected results in the specific gravity dipstick test? why?

A

1.001 - 1.035
has to have some solutes (cannot be equal to water, has to be more)

21
Q

what is the expected results in the ketone dipstick test? why?

A

negative
carb metabolism does not produce

22
Q

what is the expected results in the bilirubin dipstick test? why?

A

negative
should go out in bile (not directly to kidneys)

23
Q

what is the expected results in the glucose dipstick test? why?

A

negative
should be 100% reabsorbed in PCT

24
Q

what does a positive result in the leukocyte dipstick test indicate?

A

pyuria: pus in urine
means UTI

25
what does a positive result in the nitrite dipstick test indicate?
nitrituria: nitrite in urine means UTI due to bacterial waste presence
26
what does a low/high result in the urobilinogen dipstick test indicate?
low: blocked bile duct high: hemolytic crisis (lots of RBC waste)
27
what does a excess presence of protein in the protein dipstick test indicate?
proteinuria: protein in urine means extreme dehydration balancing osmolarity
28
what does a low/high result in the pH dipstick test indicate?
low: high protein diet high: UTI, vegetarian diet, vomiting
29
what does a positive result in the blood dipstick test indicate?
hematuria: blood in urine bleeding in urinary tract, infection, mensuration, kidney stones
30
what does a low/high result in the specific gravity dipstick test indicate?
low: not bad, just well hydrated high: dehydrated
31
what does a positive result in the ketone dipstick test indicate?
ketonuria: ketones in urine starving for carbs
32
what does a positive result in the bilirubin dipstick test indicate?
bilirubinuria: bilirubin in blood blocked bile duct
33
what does a positive result in the glucose dipstick test indicate?
glycosuria: glucose in urine diabetes mellitus
34
what does size exclusion mean?
too big to cross the filtration membrane
35
describe two dipstick tests that would indicate a UTI
positive for leukocytes positive for nitrite
36
describe a dipstick test that would indicate kidney stones
positive for blood
37
what does specific gravity measure and how does it change with dehydration?
measures the density of urine given by the dissolved solutes increases with dehydration because the body is reabsorbing water so the urine is concentrated
38
describe how we prepared our samples for microscopic analysis
1. centrifuge to separate solute from supernatant 2. pour out supernatant 3. resuspend solute (sediment) in sedi-stain dye
39
what was the purpose of the centrifugation?
separate pellets from supernatant
40
what was the name of the dye we added? what color?
sedi-stain dye purple
41
describe the difference between organized and unorganized sediments
organized: made of cells (organic) and take to stain unorganized: made of inorganic salt crystals and do not take to stain but instead are reflective
42
what are examples of organized/unorganized sediments?
organized: RBC/ epithelial cells/ bacteria unorganized: inorganic salt crystals