Final Flashcards

1
Q

What are dysmorphic RBCs?

A

RBCs with abnormal morphology

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2
Q

What do dysmorphic RBCs indicate in urine?

A

Glomerulonephritis

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3
Q

Does a positive pregnancy test always indicate a patient is pregnant?

A

No, can have increased hCG levels from trophoblastic disease, or some non-trophoblastic neoplasms, like testicular tumors, prostate cancer, breast cancer or lung cancer

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4
Q

Positive bile, negative glucose, Clinitest of 3+
What possible condition?

A

Galactosemia

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5
Q

What test do you check bile with?

A

Ictotest

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6
Q

Causes for a clear red urine with a 4+ dipstick for blood, but no RBCs microscopically

A

Hemoglobin or myoglobin

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7
Q

Results indicating glomerularnephritis

A

Dysmorphic RBCs, RBCs in microscope exam, RBC casts

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8
Q

What type of urine specimen is most concentrated?

A

First morning

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9
Q

Type of urine Triple Phosphate is found in

A

Alkaline

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10
Q

Why does type of epithelial cell matter in female patients with a large number of cells in urine?

A

Squamous point to contamination, transitional point to serious conditions

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11
Q

Significance of Hyaline casts

A

Strenuous exercise, dehydration, emotional stress, kidney issues, congestive heart failure

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12
Q

Significance of RBC casts

A

Acute glomerulonephritis, lupus nephritis, subacute bacterial endocarditis

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13
Q

significance of WBC casts

A

pyelonephritis

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14
Q

Significance of granular casts

A

damaged glomeruli, cellular degeneration, strenuous exercise, stress, dehydration, fever

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15
Q

Significance of waxy casts

A

prolonged sepsis, tubular obstruction, transplant rejection, chronic renal rejection

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16
Q

Bilirubin crystal pathological conditions

A

Bilirubinemia associated with liver disease or obstruction, severe liver disease, jaundice

17
Q

Leucine crystal pathological conditions

A

Severe liver disease, maple syrup urine disease, amino aciduria

18
Q

Tyrosine crystal pathological conditions

A

Liver disease, amino aciduria

19
Q

Cholesterol crystal pathological conditions

A

Lipiduria, proteinuria, nephrotic syndrome, renal tubular disease

20
Q

Cystine crystal pathological conditions

A

Cystinosis, cystinuria, cysteine metabolic disorders

21
Q

Bilirubin crystal appearance

A

Fine needles forming clusters

22
Q

Leucine crystal appearance

A

Spheres with concentric circles or striation

23
Q

Tyrosine crystal appearance

A

Fine, delicate needles in clusters or sheaves

24
Q

Cholesterol crystal appearance

A

Flat, rectangular plates with notched corners

25
Q

Cystine crystal appearance

A

hexagonal plates

26
Q

What is the purpose of the color compensation field on the strips?

A

The color compensation pad assesses urine color and modifies the test results by subtracting the urine color from the color change obtained on the test reaction pads

27
Q

What pigment gives urine its yellow color?

A

urochrome

28
Q

What are the critical values?

A

4+ glucose, 3+ ketones, positive legionella

29
Q

Does a negative nitrite rule out a UTI?

A

No, bacteria may not reduce nitrates, may not have sat in bladder long enough, ascorbic acid may be interfering, and patient may not eat enough nitrates

30
Q

Does a negative legionella antigen test rule out legionella?

A

No, it only detects legionella sero group 1

31
Q

Why does an increase of Gardnerella indicate bacterial vaginosis?

A

In a bacterial vaginosis infection, the lactobacillus population decreases, so the environment is not as acidic, allowing overgrowth of Gardnerella and other anaerobic bacteria

32
Q

Why must a positive leuko on a one year old baby be marked as an unconfirmed positive?

A

False positives can occur in breast fed babies

33
Q

Round refractile globules with perfect maltese crosses

A

Oval fat bodies

34
Q

An antibiotic would be most effective in an acidic pH, should eat more

A

protein

35
Q

Colorless, clear, hexagonal crystals infer what condition?

A

Cystinosis

36
Q

Elevated urobilinogen and negative bilirubin indicate

A

Hemolytic disease of the newborn

37
Q

Method of choice for SG in patient with x-ray contrast dye?

A

Reagent strip

38
Q

Multiple myeloma with 3+ protein with large amount of Bence Jones proteins

A

Prerenal proteinuria

39
Q

ketone body that doesn’t appear in urine

A

Acetophenone