AUBF 2 - Urinary Sediment

Question 1

Smooth, non-nucleated, biconcave - 7mm

Answer 1

RBC cell

Question 2

Hypersthenuric; RBC

Answer 2

Crenated

Question 3

Hyposthennuric RBC

Answer 3

Ghost cell
Cell membrane is left

Question 4

When there is a GLOMERULAR BLEEDING, RBC APPEARS?

Answer 4

Dysmorphic (cell protrusion, fragmented)

Question 5

Normal RBC cell value

Answer 5

0-2/ 10 hpf

Question 6

Clinical significance of RBC Cell

Answer 6

Damage in glomerular membrane
Vascular injury in genitourinary tract

Question 7

Macroscopic hematuria appears

Answer 7

Red-brown urine
Cloudy

Question 8

Microscopic hematuria appears

Answer 8

Normal color urine w/ microscopic RBC

Question 9

Clinical significance of Macroscopic Hematuria

Answer 9

Advanced damage of glomerular membrane
And damage in vascular integrity of UT

Due to TRAUMA, ACUTE INFECTION, INFLAMMATION AND COAGULATION DISORDERS

Question 10

Clinical significance of Microscopic Hematuria

Answer 10

Early diagnosis of glomerular disorder, malignancy and presence of renal calculi

Question 11

Predominant WBC in WBC cell

Answer 11

Neutrophils

Question 12

WBC that resembles RBCS

Answer 12

Lymphocyte

Question 13

Eosinophil appears in

Answer 13

Drug-induced interstitial nephritis
Renal transplant rejection
UTI

Question 14

Vacuolated WBC

Answer 14

Monocyte, macrophage, histiocytes

Question 15

Neutrophils under Hypotonic solution will

Answer 15

Bloat/swell

Question 16

Swelled Neutrophils is called as

Answer 16

Glitter cells

Question 17

Pyuria

Answer 17

Increased WBC; infection and inflammation of genitourinary tract

Question 18

Clinical significance: lymphocyte

Answer 18

Early renal transplant rejection

Question 19

Differences of mononuclear cell and disentragrated neutrophil from round RTE cells

Answer 19

RTE is LARGER THAN WBC

Question 20

What is being added to determine the differences of RTE FROM WBC

Answer 20

Supravital stain
Acetic acid

Question 21

Three types of epithelial cells

Answer 21

Squamous
Transitional
Renal tubular

Question 22

Normal, sloughing off epithelial cells

Answer 22

Squamous

Question 23

Transitional epithelial cells are found in

Answer 23

RCUB
Renal pelvis
Calyces
Ureters
Bladders
Upper portion of male urethra

Question 24

Different shape of Transitional

Answer 24

Spherical, polyhedral, caudate

Question 25

Different shape of transitional is due to

Answer 25

Ability to absorb large amount of water

Question 26

Transitional is increased

Answer 26

Non pathogenic, urological procedure

Question 27

Increased abnormal morphology of Transitional

Answer 27

Viral infection, malignancy

Question 28

Clinical significance of RTE

Answer 28

Tissue destruction/necrosis

Question 29

There are how many Renal fragments

Answer 29

Three - PCT - DCT -CD

Question 30

PCT

Answer 30

Larger Rectangular (columnar/convulated) Resembles a cast

Question 31

DCT

Answer 31

Smaller, oval/round Resembles WBC/spherical TEC

Question 32

CD

Answer 32

Cuboidal Never round

Question 33

Lipid containing RTE

Answer 33

Oval fat bodies

Question 34

RTE w/o lipid

Answer 34

Bubble cell

Question 35

Squamous EC; Associated with Bacterial Vaginosis

Answer 35

Clue cells

Question 36

Bacteria associated with Clue cells

Answer 36

Gardnerella coccobacillus

Question 37

Bacteria is normal encountered in urine?

Answer 37

No

Question 38

Most frequently associated with UTI

Answer 38

Enterobacteriacae

Question 39

Significant UTI should be with

Answer 39

WBC

Question 40

Budding yeast appears like

Answer 40

RBC

Question 41

Primary yeast usually encountered

Answer 41

Candida albicans

Question 42

Patient with candida albicans is usually with

Answer 42

DM Vaginal Monoliasis Immunocompromised

Question 43

Yeast identication method

Answer 43

Addition of KOH

Question 44

Parasite usually encountered in urine

Answer 44

Trichomonas vaginalis

Question 45

Trichomonas vaginalis appears like

Answer 45

WBC (once it lose its motility)

Question 46

Bladder parasite

Answer 46

Schistosoma haematobium

Question 47

Common parasite contaminant

Answer 47

Enterobius vermicularis

Question 48

Major constituent of Mucus

Answer 48

Uromodulin

Question 49

Structure of Mucus

Answer 49

Thread-like structure; low refreatice index

Question 50

Structure made unique from kidney

Answer 50

Cast

Question 51

Condition where cast is present in urine

Answer 51

Cylinduria

Question 52

True geometrically structure

Answer 52

Crystals

Question 53

High refractive spherical and dimple shaped artifacts

Answer 53

Starch

Question 54

Spheres with cell wall, concentric circle

Answer 54

Pollen grains

Question 55

Pollen grains appears like

Answer 55

Taenia eggs

Question 56

Fiber/hair resembles

Answer 56

Cast

Question 57

Difference of hair/fiber from cast

Answer 57

Fiber polarized, Cast do not