urinary CRYSTALS Flashcards

1
Q

this is formed by the precipitation of urine solutes including inorganic salts, organic solvents and medications

a. casts
b. crystals
c. artifacts

A

crystals

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2
Q

crystals are affected by changes in the following except

a. ph
b. temperature
c. solute concentration
d. aota
e. nota

A

ans: e

crystals are affected by changes in (PTS)
PH
TEMPERATURE
SOLUTE CONCENTRATION

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3
Q

abnormal crystals are reported per?

a. lpf
b. hpf
c. oio

A

lpf

normal crystals: hpf

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4
Q

acidic urine or alkaline urine

uric acid

A

acidic urine

amorphous urates
calcium oxalate
uric acid
abnormal crystals

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5
Q

acidic urine or alkaline urine

amorphous urates

A

acidic urine

amorphous urates
calcium oxalate
uric acid
abnormal crystals

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6
Q

acidic urine or alkaline urine

amorphous phosphate

A

alkaline urine

amorphous phosphate
amorphous biurates
calcium carbonate
calcium phosphate
triple phosphate
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7
Q

what crystal to be form if you ingests food that is rich in oxalic acid or vitamin c

a, amorphous urates

b. oxalic acid
c. uric acid
d. calcium oxalate

A

calcium oxalate

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8
Q

who is APATITE

a, amorphous urates

b. oxalic acid
c. uric acid
d. calcium phosphate

A

calcium phosphate

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9
Q

this crystal has a pink sediment

a. amorphous urates
b. amorphous phosphate
c. uric acid

A

amorphous urates
- pink sediment (uroerythrin)

amorphous phosphate
- whiteprecipitate

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10
Q

it has a variety of shapes

a. amorphous urates
b. amorphous phosphate
c. uric acid

A

uric acid

rhombic, wedge, hexagonal, whetsone, lemon shaped, and nipple shaped

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11
Q

it can be seen in patients suffering from leukemia receiving chemotherapy

a. amorphous urates
b. amorphous phosphate
c. uric acid

A

uric acid

can be seen in patients receiving chemotherapy ( LESCH NYLAN SYNDROME) and sometimes in persons witgh gout

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12
Q

most common form of calcium oxalate

a. whedellite
b. whewelite

A

dihydrate (whedelite)

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13
Q

form of caox most frequently seen by children and pets

a. dihydrate
b. monohydrate

A

the MONOHYDRATE form is most frequently seen in children and pets because anti freeze tastes sweet and uncovered containers left in garages has a massive amounts of crystals

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14
Q

it porduces WHITE PPT

a. amorphous urates
b. amorphous phosphate
c. uric acid

A

AMORPHOUS PHOSPHATES

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15
Q

it produces FEATHERY APPEARANCE when crystal disintegrates

a. uric acid
b . triple phosphate
c, calcium phosphate

A

triple phosphate

  • colorless
  • easily to see when it is prism shape
  • frequently it is seen as coffin lid
  • when it is disintegrate it produces feathery appearance
    fern leaf shape
    sheets or flakes
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16
Q

this crystal is associated with P. vulgaris

a. uric acid
b. apatite
c. struvite

A

triple phosphate / magnesium ammonium phosphate / struvite

17
Q

this crystal can be differentiated by the formation of gas after the addition of acetic acid

a. calcium oxalate
b. calcium phosphate
c. calcium carbonate

A

calcium carbonate

  • produce gas after the addition of acetic acid
18
Q

colorless hexagonal plates

a. cysteine
b. cholesterol
c. tyrosine

19
Q

it is associated with liver disease

a. bilirubin
b. leucine
c. tyrosine

A

aota

associated with liver disease (BLT)
blilrubin
leucine
tyrosine

20
Q

this crystal has a staircase patter

a. cysteine
b. tyrosine
c. cholesterol

A

cholesterol

- rectangular shape with notch in one or more corners (staircase pattern)

21
Q

tyrosine and leucine can be seen in patients that is positive on what chemical test

a. protein
b. bilirubin
c. ascorbic acid

A

bilirubin
- indicator of liver disease

protein
- kidney disease

22
Q

clumped needles that has a bright yellow color

a. bilirubin
b. tyrosine
c. leucine

23
Q

sheaves of wheat

a. bilirubin
b. sulfonamides
c. penicillin

A

sulfonamides

24
Q

(+) on lignin tests

a. sulfonamides
b. calcium phosphates
c. bilirubin

A

sulfonamides

(+) on lignin test —-> yellow

25
positive in the test cyanide nitroprusside test' a. cholesterol b. uric acid c. cystine
cystine
26
it appears as larger granules and may have spicules similar to ammonium biurate seen in alkaline urine a, acid urates b. sodium urates c. triple phosphate
acid urates
27
this crystals are needle shaped and can be seen in synovial fluid a, acid urates b. sodium urates c. triple phosphate
sodium urates | - needle shaped and can be seen in synovial fluid during episodes of gout
28
manner of reporting which of the following is not reported as rfmoma per LPF a. mucus b. sec c. tec d. bacteria
ans: c and d rfmoma per LPF - squamous epithelial cell - mucus
29
which of the following is not reported as average number per lpf a. casts b. abnormal crystals c. normal crystals d. mucus
ans: c and d normla crystals - average number per hpf mucus - rfmoma per lpf average number per lpf - casts - abnormal crystals
30
spheres with dimpled center a. starch granules b. oil droplets c. air bubbles
starch granaules