Urinalysis (Lab Practical) Flashcards

1
Q

Functions of the urinary system:

A

removal of toxic waste products, regulation of blood volume, regulation of electrolyte balance, regulation of acid-base balance, regulation of fluid/electrolytes in tissue fluid, production of erythropoieten

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2
Q

What are the primary wastes removed by the urinary system?

A

nitrogenous wastes

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3
Q

What is the main function of the kidneys?

A

Make sure the physical and chemical properties of blood is maintained.

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4
Q

Organic molecules always contain ____.

A

carbon

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5
Q

Organic molecules always follow the ____ to ____ rule.

A

monomer; polymer

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6
Q

What is the monomer of carbohydrates?

A

monosaccharide

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7
Q

What is the monomer of proteins?

A

amino acids

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8
Q

What is the monomer of lipids?

A

fatty acid, glycerol

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9
Q

What is the monomer of nucleic acids?

A

nucleotide

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10
Q

What is the polymer of carbohydrates?

A

polysaccharide

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11
Q

What is the polymer of proteins?

A

polypeptide

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12
Q

What is the polymer of lipids?

A

lipid

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13
Q

What is the polymer of nucleic acids?

A

nucleic acid

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14
Q

Sum total of all chemical reactions in the body:

A

metabolism

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15
Q

Metabolism can be broken down into two groups:

A

anabolism and catabolism

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16
Q

build things up

A

anabolism

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17
Q

break things down (big molecule to smaller molecule)

A

catabolism

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18
Q

Process of going from monomer to polymer:

A

anabolism

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19
Q

Process of going from polymer to monomer:

A

catabolism

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20
Q

Physical properties of urine:

A

pH, osmolarity (density), specific gravity (weight of urine, H20=1). Urine is slightly heavier than water at about 1.03

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21
Q

Nitrogenous Wastes:

A

urea, creatinine, uric acid, ammonia, urobilin, bilirubin

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22
Q

All nitrogenous wastes contain _____.

A

nitrogen

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23
Q

Four main nitrogenous wastes:

A

ammonia, urea, uric acid, creatinine

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24
Q

NH3

25
Term for the transfer of a nitrogen group from one chemical to another that is needed to synthesize many of the amino acids:
transamination
26
Conversion of keto acids into an amino acid:
transamination
27
Where does transamination mainly take place?
liver
28
LFT (liver function test) shows:
transaminases (AST, ALT)
29
Process by which amino acids are broken down if there is an excess of protein intake:
deamination
30
Where does deamination primarily take place?
liver
31
What process removes an amine group and converts it into ammonia?
deamination
32
ammonia is converted to:
urea
33
How many grams of urea is typically eliminated in urine per day?
21g/day (almost an ounce)
34
The ____ prevents nitrogenous waste from building up?
kidneys
35
BUN test:
blood-urea-nitrogen
36
Condition if BUN is abnormally high:
azotemia
37
Why does azotemia occur?
build up of nitrogen containing compounds in the waste because kidneys can't remove it fast enough which could indicate kidney problem
38
Untreated azotemia can progress to:
uremia
39
Azotemia with symptoms or signs of renal failure:
uremia
40
Ammonia and urea come from ____. So an increase in these shown in blood test would suggest the patient needs to decrease ____ intake.
protein; protein
41
Uric acid comes from:
nucleic acids
42
The monomer of nucleic acid:
nucleotides
43
Nucleotides are the basic building blocks of:
DNA and RNA
44
The purines____ and___ are found in both RNA and DNA.
adenine; guanine
45
Pyrimidines include:
cytosine, thymine, Uracil
46
Uric acid comes from the conversion of ____.
purines
47
Uric acid can ____ and cause the condition ____.
crystallize; gout
48
Four nitrogenous wastes:
ammonia, nitrogen, uric acid, creatinine
49
Creatine Phosphate is one of the ways the body produces:
ATP
50
Primary tissues that produce ATP by way of creatine phosphate:
skeletal muscles
51
The waste product of ATP is:
creatinine
52
Ketones come from the break down of ____ and ____.
fats; triglycerides
53
ketones are also referred to as ____.
acids/keto acids
54
Ketone synthesis occurs in the ____.
liver
55
Examples of ketone bodies:
acetone, acetoacetate, hydroxybutyrate
56
DKA
diabetic-keto-acidosis
57
How do you reverse DKA?
give insulin so the body uses glucose for energy instead of fats
58
Keto-acids can also end up in urine, but in normal circumstances their numbers are low unless someone is _____ because the kidneys aren't able to get rid of metabolic wastes and maintain pH of blood.
diabetic