Urine Microscopic Evaluation Flashcards

1
Q

What is the primary purpose of urine microscopic examination?

A

To identify and evaluate cellular and non-cellular elements in urine.

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2
Q

True or False: Urine microscopic examination can help diagnose urinary tract infections.

A

True

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3
Q

Which type of cells are commonly examined in urine microscopy?

A

Epithelial cells, red blood cells, white blood cells.

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4
Q

What is the normal range for red blood cells in urine?

A

0-3 red blood cells per high power field (HPF).

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5
Q

Fill in the blank: The presence of _______ in urine may indicate a kidney stone or injury.

A

crystals

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6
Q

What does the term ‘casts’ refer to in urine microscopic examination?

A

Cylindrical structures formed from protein that can indicate kidney disease.

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7
Q

Which type of cast is associated with acute tubular necrosis?

A

Granular casts.

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8
Q

True or False: The presence of bacteria in urine is always indicative of an infection.

A

False

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9
Q

What is the significance of finding hyaline casts in urine?

A

They may indicate dehydration or concentrated urine but are generally considered normal.

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10
Q

What is the recommended volume of urine for microscopic examination?

A

10-20 mL.

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11
Q

Which staining technique is often used to enhance the visibility of cellular elements in urine?

A

Papanicolaou stain.

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12
Q

What type of epithelial cells are typically found in normal urine?

A

Squamous epithelial cells.

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13
Q

True or False: Urinary crystal formation can be affected by urine pH.

A

True

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14
Q

What is the clinical significance of finding white blood cells in urine?

A

It may indicate inflammation or infection in the urinary tract.

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15
Q

Fill in the blank: The presence of _______ in urine is suggestive of glomerular damage.

A

protein

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16
Q

What are transitional epithelial cells indicative of in urine analysis?

A

They can indicate a urinary tract infection or a malignancy.

17
Q

What is the maximum number of white blood cells considered normal in urine?

A

0-5 white blood cells per high power field (HPF).

18
Q

True or False: Urine microscopic examination can provide information on systemic diseases.

19
Q

What is the significance of finding bacteria in a urine sample?

A

It may indicate a urinary tract infection, but further tests are needed for confirmation.

20
Q

Which type of crystals are commonly associated with gout?

A

Uric acid crystals.

21
Q

What is the main role of urine microscopy in the context of kidney disease?

A

To assess the presence and type of casts and cells that indicate specific renal pathologies.

22
Q

Fill in the blank: The presence of _______ in urine can be a sign of liver disease.

23
Q

Which type of urine sample is preferred for microscopic examination?

A

Midstream clean-catch urine sample.

24
Q

True or False: A high number of epithelial cells in urine can indicate contamination.

25
What is the significance of finding oval fat bodies in urine?
They may indicate nephrotic syndrome.
26
Which type of cast is known to be associated with nephritis?
Waxy casts.
27
What is the normal pH range of urine?
4.5 to 8.0.
28
Fill in the blank: The presence of _______ can indicate hematuria in urine.
red blood cells
29
What type of urine microscopy finding is used to assess for kidney stones?
Crystals.
30
True or False: Urine microscopy is a definitive test for diagnosing urinary tract infections.
False
31
What is the clinical importance of urine specific gravity in conjunction with microscopy?
It helps assess hydration status and kidney concentrating ability.
32
Which type of white blood cell is most commonly found in urine during infection?
Neutrophils.
33
Fill in the blank: The presence of _______ in urine can suggest a possible malignancy.
malignant cells
34
What are the two main categories of urine sediment?
Cellular elements and non-cellular elements.
35
What does a 'positive nitrite test' in urine suggest?
The presence of certain bacteria that convert nitrate to nitrite, often indicating infection.
36
Which type of microscopy is often employed for urine analysis?
Bright field microscopy.