Intro Urinalysis: Specimen And Collection

Question 1

Specimen collection containers

Answer 1

Specimens must be collected
In clean, dry, leak-proof
containers.

Question 2

Labels must be attached to the
___________, _____________and should
not become detached if the container
is _________ or ________

Answer 2

container, not to the lid, detached if container is refrigerated or frozen

Question 3

must accompany
specimens delivered to the laboratory

Answer 3

Requisition

Question 4

Specimen Rejection

Answer 4

• Specimens in unlabeled containers
• Nonmatching labels and requisition forms
• Specimens contaminated with feces or toilet paper
• Containers with contaminated exteriors
• Specimens of insufficient quantity
• Specimens that have been improperly transported

Question 5

Routine urinalysis protocols typically require

Answer 5

10-15 ml of urine

Question 6

Less than ____mL hinder performance of microscopic examination.

Answer 6

12 ml

Question 7

Containers for urine collection must be clean, dry and made of clear or
translucent disposable material such as plastic or glass

Answer 7

clean, dry and made of clear or
translucent disposable material such as plastic or glass

Question 8

The container should stand upright have an opening of at least _______ cm and have a capacity of 50 to 100 mL.

Answer 8

4-5cm

Question 9

The container should stand upright have an opening of at least 4-5cm and have a capacity of ________ to ________mL.

Answer 9

50 to 100 mL

Question 10

Specimens should be delivered to the laboratory promptly and tested within

Answer 10

2 hours

Question 11

Also known as the 8 hour specimen

Answer 11

First morning specimen

Question 12

The ideal screening specimen

Answer 12

First morning specimen

Question 13

It is a concentrated specimen thereby assuring detection of chemicals and formed elements not seen in random specimen.

Answer 13

First morning specimen

Question 14

Essential for preventing false- negative pregnancy tests

Answer 14

First morning specimen

Question 15

First morning specimen For evaluating

Answer 15

Orthostatic proteinuria

Question 16

Can be collected at any time and usually during daytime hours, and without prior patient preparation

Answer 16

Random specimen

Question 17

The most commonly received specimen

Answer 17

Random specimen

Question 18

Usually satisfactory for routine screening
And capable of detecting abnormalities that indicate disease process

Answer 18

Random specimen

Question 19

The second voided specimen after a period of fasting.

Answer 19

Fasting specimen/ send morning

Question 20

This specimen will not contain any metabolites from food ingested before the
beginning of the fasting period.

Answer 20

Fasting specimen/ second morning

Question 21

Fasting specimen/second morning Recommended for

Answer 21

Glucose

Question 22

The patient is instructed to void shortly before consuming a routine meal and
to collect a specimen 2 hours after eating.

Answer 22

2 hour postprandial specimen

Question 23

2 hour postprandial specimen Specimen is tested for

Answer 23

Glucose

Question 24

2 hour postprandial specimen Results are used primarily for

Answer 24

Insulin therapy monitoring

Question 25

Collected correspond with blood samples drawn during glucose tolerance test (GTT)

Answer 25

Glucose tolerance specimen

Question 26

Number of specimens varies with the length of the test.

Answer 26

Glucose tolerance specimen

Question 27

Glucose tolerance specimen Urine is tested for __________ and _________

Answer 27

glucose and ketones

Question 28

Specimen used for urine quantitative
assay.

Answer 28

24 hour (timed) specimen

Question 29

Many solutes exhibit diurnal variation.

Answer 29

Catecholamines, 17- hydroxysteroids, electrolytes

Question 30

24 hour timed specimen All specimen should be _________ or kept on _______ during the collection period.

Answer 30

refrigerated or kept on ice

Question 31

The most common error encountered are related to specimen collection

Answer 31

24 hour timed specimen

Question 32

Less traumatic method for obtaining urine
– for bacterial culture and routine urinalysis.

Answer 32

Midstream specimen/ clean catch specimen

Question 33

Used to avoid contamination

Answer 33

Midstream specimen

Question 34

insertion of a sterile catheter
through urethra into the bladder

Answer 34

Catheterized specimen

Question 35

Urine flows directly from the
bladder through the indwelling
catheter and accumulates in a
plastic reservoir bag.

Answer 35

Catheterized specimen

Question 36

Catheterized specimen Most often these specimen are sent
for

Answer 36

Bacterial culture

Question 37

Involves collecting urine directly from the bladder by puncturing the abdominal wall and distended bladder using needle and syringe.

Answer 37

Suprapubic aspiration specimen

Question 38

provides a sample for bacterial culture that is completely free of extraneous contamination.

Answer 38

Suprapubic aspiration specimen

Question 39

Suprapubic aspiration specimen The specimen can also be used for

Answer 39

Cytologic examination

Question 40

Pediatric and newborn infants pose a challenge in collecting an
appropriate urine specimen

Answer 40

Pediatric collection

Question 41

Commercially available plastic urine collection bags with
hypoallergenic skin adhesive are used

Answer 41

Pediatric collection

Question 42

The bag is placed over the penis in the male and around the
vagina (exluding the anus) in the female, and the adhesive is
firmly attached to the perineum.

Answer 42

Pediatric collection

Question 43

Also known as “three glass collection”

Answer 43

Prostatitis specimen

Question 44

Chain of custody

Answer 44

Drug specimen collection

Question 45

provides this documentation of proper sample identification
from the time of collection to the receipt of laboratory results

Answer 45

Drug specimen collection

Question 46

is a standardized form that must document and
accompany every step of drug testing.

Answer 46

Chain of custody

Question 47

withstand legal scrutiny

Answer 47

No tampering of spx
Spx handled securely
Proper id
30-45ml amount
Check within 4mins (32.5-37.7)