Cm chapter 4

1. The concentration of a normal urine

specimen can be
estimated by which of the following?
A. Color
C. Foam

B. Clarity
D. Odor

2. The normal yellow color of urine is

produced by:
A. Bilirubin
Hemoglobin
C. Urobilinogen

B.
D. Urochrome

3. A yellow-brown specimen that

produces a yellow foam
when shaken can be suspected of
containing:
A. Bilirubin
C. Hemoglobin

B. Carrots
D. Rhubarb

4. A urine that turns black after

standing may contain:
A. Homogentisic acid
C. Methemoglobin
above

B. Melanin
D. All of the

5. Specimens that contain intact RBCs

can be visually
distinguished from those that contain
hemoglobin
because:
A. Hemoglobin produces a much
brighter red color
B. Hemoglobin produces a cloudy, pink
specimen
C. RBCs produce a cloudy specimen
D. RBCs are quickly converted to
hemoglobin
6. After eating beets purchased at the
local farmers market, Mrs. Williams
notices that her urine is red, but
Mr. Williams urine remains yellow. The
Williamses
should:
A. Be concerned because red urine
always indicates

the presence of blood

B. Not be concerned because all
women produce red
urine after eating beets
C. Be concerned because both of them
should have
red urine if beets are the cause
D. Not be concerned because only
Mrs. Williams is
genetically susceptible to producing
red urine
from beets
7. Specimens from patients receiving
treatment for urinary
tract infections frequently appear:
A. Clear and red B. Viscous and
orange
C. Dilute and pale yellow D. Cloudy
and red
8. Freshly voided normal urine is
usually clear; however,
if it is alkaline, a white turbidity may
be present due
to:
A. Amorphous phosphates
and carbonates
B. Uroerythrin
C. WBCs
D. Yeast
9. Microscopic examination of a clear
urine that produces
a pink precipitate after refrigeration
will show:
A. Amorphous urates
B.
Porphyrins
C. Red blood cells D. Triple phosphate
crystals
10. Under what conditions will a portwine urine color
be observed in a urine specimen?
A. The patient has eaten Clorets.
B. Melanin is present.
C. Urine contains porphyrins.
D. The patient has a Pseudomonas
infection.

11. Which of the following specific

gravities would be
most likely to correlate with a dark
yellow urine?
A. 1.005
C. 1.020

B. 1.010
D. 1.030

12. True or False: Urine specific

gravity is equally influenced by the
presence of glucose and sodium.
13. In what circumstance might a
sediment be slightly
warmed prior to microscopic
examination?
A. To hemolyze RBCs
B. To dissolve amorphous urates
C. To increase the specific gravity
D. To correct for temperature in
determining the specific
Gravity
14. A urine specific gravity measured
by refractometer is
1.029, and the temperataure of the
urine is 14_C.
The specific gravity should be
reported as:
A. 1.023
B. 1.027
C. 1.029
D. 1.032
15. Refractive index compares:
A. Light velocity in solutions with light
velocity in
solids
B. Light velocity in air with light
velocity in solutions
C. Light scattering by air with light
scattering by
Solutions
D. Light scattering by particles in
solution

17. A correlation exists between a

specific gravity of
1.050 and a:
A. 2_ glucose
B. 2_
protein
C. First morning specimen D.
Radiographic dye infusion
18. An alkaline urine turns black upon
standing, develops
a cloudy white precipitate, and has a
specific
gravity of 1.012. The major concern
about this specimen
would be:
A. Color
B. Turbidity
C. Specific gravity
D. All of the
above
19. The reading of distilled water by
the refractometer is
1.003. You should:
A. Subtract 1.003 from each specimen
reading
B. Add 1.003 to each specimen
reading
C. Use a new refractometer
D. Adjust the set screw
20. A urine specimen with a specific
gravity of 1.008 has
been diluted 1:5. The actual specific
gravity is:
A. 1.008
C. 1.055

B. 1.040
D. 5.040

16. Refractometers are calibrated

using:

21. The method for determining a

urine specific gravity
that is based on the principle that the
frequency of a
sound wave entering a solution
changes in proportion
to the density of the solution is:

A. Distilled water and protein

B. Distilled water and blood
C. Distilled water and sodium chloride
D. Distilled water and urea

A. Colorimetric
B. Harmonic oscillation densitometry
C. Refractometry
D. Urinometry

22. A specimen with a specific gravity

of 1.005 would be
considered:
A. Isosthenuric
B. Hyposthenuric
C. Hypersthenuric
D. Not urine
23. True or False: Specific gravity is of
more diagnostic
value than osmolarity in evaluating
renal concentration
ability.
24. A strong odor of ammonia in a
urine specimen could
indicate:
A. Ketones
B. Normal
C. Phenylketonuria
D. Urinary tract infection
25. The microscopic of a cloudy
amber urine is reported
as rare WBCs and epithelial cells.
What does this
suggest?
A. Urinary tract infection
B. Dilute random specimen
C. Precipitated amorphous urates
D. Possible mix-up of specimen and
sediment
26. A specimen with a strong
ammonia odor and a heavy
white precipitate when it arrives in the
laboratory
may require:
A. Collection of a fresh specimen
B. Centrifugation
C. Dilution for specific gravity
D. Testing under a hood