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
Q

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

A

nitrituria: nitrite in urine
means UTI due to bacterial waste presence

26
Q

what does a low/high result in the urobilinogen dipstick test indicate?

A

low: blocked bile duct
high: hemolytic crisis (lots of RBC waste)

27
Q

what does a excess presence of protein in the protein dipstick test indicate?

A

proteinuria: protein in urine
means extreme dehydration balancing osmolarity

28
Q

what does a low/high result in the pH dipstick test indicate?

A

low: high protein diet
high: UTI, vegetarian diet, vomiting

29
Q

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

A

hematuria: blood in urine
bleeding in urinary tract, infection, mensuration, kidney stones

30
Q

what does a low/high result in the specific gravity dipstick test indicate?

A

low: not bad, just well hydrated
high: dehydrated

31
Q

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

A

ketonuria: ketones in urine
starving for carbs

32
Q

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

A

bilirubinuria: bilirubin in blood
blocked bile duct

33
Q

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

A

glycosuria: glucose in urine
diabetes mellitus

34
Q

what does size exclusion mean?

A

too big to cross the filtration membrane

35
Q

describe two dipstick tests that would indicate a UTI

A

positive for leukocytes
positive for nitrite

36
Q

describe a dipstick test that would indicate kidney stones

A

positive for blood

37
Q

what does specific gravity measure and how does it change with dehydration?

A

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
Q

describe how we prepared our samples for microscopic analysis

A
  1. centrifuge to separate solute from supernatant
  2. pour out supernatant
  3. resuspend solute (sediment) in sedi-stain dye
39
Q

what was the purpose of the centrifugation?

A

separate pellets from supernatant

40
Q

what was the name of the dye we added? what color?

A

sedi-stain dye
purple

41
Q

describe the difference between organized and unorganized sediments

A

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
Q

what are examples of organized/unorganized sediments?

A

organized: RBC/ epithelial cells/ bacteria
unorganized: inorganic salt crystals