Quizzes Flashcards

0
Q

What is the pathological cause related to protein being added to the urine as it passes through the lower urinary tract?

A

Postrenal

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1
Q

Two precautions that will ensure a proper interpretation when performing chemical examination on a urine specimen

A

Proper timing

Proper storage

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2
Q

What is the best indicator of renal disease?

A

Protein

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3
Q

Name the three ketones that represent an intermediate product of fat metabolism

A

Acetone
Acetoacetic acid
Beta-hydroxybutyric acid

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4
Q

What is the purpose of the clinitest?

A

To detect other sugars in the urine especially with children under the age of 2 to detect inborn metabolic disorders

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5
Q

What confirmatory test is used for ketones?

A

Acetest

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6
Q

What confirmatory test is used for bilirubin?

A

Ictotest

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7
Q

What confirmatory test is used with protein?

A

SSA test

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8
Q

What chemical on the dipstick uses 2 separate charts using peroxidase activity?

A

Blood

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9
Q

What chemical on the dipstick uses the Ehrlich’s Aldehyde reaction?

A

Urobilinogen

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10
Q

What chemical on the dipstick has a double sequential enzyme reaction with oxidase and peroxidase?

A

Glucose

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11
Q

What chemical on the dipstick utilizes a double indicator system?

A

pH

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12
Q

What is Pyuria

A

Increase of WBCs in the urine

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13
Q

What is the chemical that is measured based on a change in pKa of polyelectrolytes in solution?

A

Specific Gravity

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14
Q

What is the functional unit of the kidney?

A

Nephron

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15
Q

Reabsorption Definition

A

Absorbing substances from tubular filtrate into blood stream

16
Q

What component makes up nearly half of the solutes dissolved in urine?

A

Urea

17
Q

Oliguria

A

Decrease in urine output

18
Q

What is one difference of diabetes mellitus and diabetes insipidus

A

Diabetes mellitus has high specific gravity so its falsely dilute urine whereas diabetes insipidus has truly dilute urine

19
Q

An increase in ADH results in what happening to the amount of water being released into urine?

A

Decrease

20
Q

What urine type is most commonly used?

A

Random

21
Q

What is the name of the main pigment in urine?

A

Urochrome

22
Q

What are 4 changes that occur in unpreserved urine?

A

Increase in pH
Decrease in glucose
Decrease in bilirubin
Changes in color

23
Q

Hematuria

A

Intact RBCs in the urine giving the urine a red, cloudy appearance

24
Q

The odor of fresh normal urine is…

A

aromatic

25
Q

What stain is used to identify white blood cells, epithelial cells, and casts?

A

Kova stain

26
Q

Ghost Cell

A

Lysed RBC with only cell membrane left due to loss of hemoglobin

27
Q

Glitter Cell

A

Swelled neutrophils due to a hypotonic urine state inducing “brownian movement” of granules

28
Q

Birefringent

A

Property to refract light in two directions

29
Q

What type of epithelial cell is from the linings of the vagina and female urethra and the lower portion of the male urethra?

A

Squamous

30
Q

Small, oval, refractile cells with budding and are not lysed by acetic acid would be…

A

Yeast

31
Q

What is the major protein associated with cast formation?

A

Tamm-Horsfall

32
Q

Most frequently seen cast which are colorless and easy to miss under the microscope are..

A

Hyaline Casts

33
Q

What is the pH most commonly associated with abnormal crystal formation?

A

Acid

34
Q

Name 2 artifacts that may interfere with microscopic identification of urine elements

A

Air bubbles and fecal material