Leukocytes - Leukocyte esterase Proteus infection Specific Gravity - pKa change of polyelectrolyte Choose the incorrect match between metabolic Biilirubin - Diazo reaction urine disorder and the corresponding urine Protein - Sorensen's error of indicator pH - Double Indicator system abnormality. * alkaptonuria: dark blue urine Nitrite - Greiss reaction Lesch-Nyhan disease: orange sand in diaper Urobilinogen - Ehrlich reaction PKU: mousy odor Blood - Pseudoperoxidase activity of Hemoglobin cystinuria: sulfur odor Ketones - Sodium nitroprusside reaction Mousy urine is associated with which of the Matching Type * following disorders? * Glucose - Green to Brown methionine malabsorption Bilirubin - Violet Trimethylaminuria Ketones - Purple PKU Specific Gravity - Blue to Yellow Tyrosinemia Leukocytes - Purple What is the characteristic odor of urine in Nitrite - Pink trimethylaminoaciduria? * pH - Orange to Blue rancid Protein - Blue mousy Blood - Speckled or spotted rotting fish sweaty feet Urobilinogen - Red Which of the following medications can be Which of the following substances contributes to associated with a red urine color? * specific gravity but not to osmolality? * Rifampin glucose Methyldopa protein Mepacrine salt Phenindione urea Which biochemical component is likely to be You should add 0.005 to SG reading when pH is
present in an increased amount in an amber >6.5. *
True urine? * False urobilinogen Maybe urobilin I Don't know bilirubin Soluble in Butanol and Chloroform: * biliverdin Other Ehrlich Reactive Compounds An ammonia-like odor is is characteristically Urobilinogen associated from a patient who has: * Porphobilinogen yeast infection NOTA Match the descriptions found in the row with their corresponding crystals in the column. * Yellow-brown, spherical; "Thorny apple" - Ammonium biurate "X" of this crystal pops out of the field; envelope shaped crystal - Calcium oxalate colorless, refractile, hexagonal plates with equal or unequal sides - Cystine Large, flat, transparent, with notched corners - Cholesterol Yellow or red-brown, six sides, diamond or rhombic prisms - Uric acid Salts of Sodium, Magnesium, Potassium, Calcium; brick dust, yellow in color; soluble in heat/alkali - Amorphous urates Dumbbell, spherical, in alkaline urine; may form gas in acetic acid - Calcium carbonate Acetic acid soluble, whote or colorless, grave/sandlike - Amorphous phosphates highly refractile, yellow or brown spheroids, with radial and concetric striations - Leucine Ammonium-magnesium phosphate; 3-6 sides with oblique coffin-lid ends - Triple phosphate Which of the following conditions presents with 2.016 1.008 polyuria ang hypersthenuria? * 1.004 diabetes insipidus diabetes mellitus In calibrating the refractometer using 9% sucrose, dehydration it should read: * intake of diuretics 1.021-1.023 Acidic urine containing hemoglobin darkens due to 1.015 1.033-1.035 the formation of: * 1.000 homogentisic acid methhemoglobin The following are pathological causes of urine bilirubin turbidity, EXCEPT: * carboxyhemoglobin Bacteria Identify the urine constituents below. * Lipids None of the choices Erythrocytes Which of the following may be responsible for the non-pathologic white turbidity of an alkaline urine? * spermatozoa squamous cells amorphous phosphates phenazopyridine Isovaleric acidemia will cause the urine to smell: * sweaty feet ammoniacal rancid fecaloid Effect of improperly preserved urine specimen on nitrite reagent strip: * False decrease False negative False positve Either false positive or negative A urine specimen diluted 1:2 with a reading of 1.025, would have an actual specific gravity reading of: * 1.012 1.025 16 - Epithelial cell cast 1.050 1.075 9 - Ammonium biurate 13 - Uric acid Test for microalbuminuria: * 12 - Tyrosine crystal SSA Precipitation Test Micral Test 2 - Transitional ECs Clinitest 3 - Transitional ECs Ictotest 14 - Cholesterol The normal value for albumin excretion rate is: * 6 - Calcium oxalate 20-200 ug/min 15 - Hyaline cast 0-20 ug/min 19 - Bacteria >200 ug/min 5 - Struvite 10-100 ug/min 7 - CaOx monohydrate Calculate the corrected specific gravity given the 20 - RBCs following data: Urinometer reading=1.017; 4 - RTE cells temperature=23 deg. C; Glucose=1 g/dL; 1 - SEC 17 - Waxy cast Protein=2000mg/dL; dilution 1:2 * 1.016 18 - Yeast 2.016 11 - Leucine 1.008 10 - Cystine 1.018 8 - Bilirubin crystal Feedback A urine specimen has a specific gravity of 1.025 When the urine is diluted, multiply the decimal points only with the dilution factor. The result is the specific measured by a refractometer. If the specimen gravity of the undiluted urine. contains 2g/dL glucose and 3 g/dL protein, how For example: Dilute urine specific gravity=1.015; dilution=1:5; should the actual specific gravity be reported? * SOLUTION: 0.015 (5) = 0.075. The specific gravity of 1.016 the UNDILUTED urine is 1.075 (Probably due to radiographic contrast media).
0-10 mg/dL 160-180 mg/dL 10-150 mg/dL 0-100 mg/dL Which of the following is the main pigment of a normal urine? * Uroeryhtrin Urobilin Bilirubin Urobilinogen Urochrome Ketone not detected with sodium nitroprusside reagent pad: * Acetoacetic acid Betahydroxybutyric acid Acetone NOTA Which of the following tests is least affected by standing or improperly stored urine? Glucose Protein pH Bilirubin What is the relationship between pH and Hydrogen ions? * Directly proportional Inversely proportional AOTA NOTA Match the following descriptions in the row with their corresponding casts/cells in the column. * Most common epithelial cells to form syncytia - Transitional cells Exhibit Brownian movement - WBCs Most clinically significant of all epithelial cells in the urine - RTE cells Most common casts in routine, strenuous activities - Hyaline Ghost cells - RBCs May have vacuoles and irregular nuclei due to viral infection - Transitional cells Composed entirely of uromodulin - Hyaline fat droplets and oval fat bodies attached to protein matrix and are highly refractile - Fatty casts Most common epithelial cells in urologic procedures - Transitional cells Representative casts of extreme urine stasis - Waxy casts Most common cast associated with pyelonephritis - WBCs End-stage renal disease casts - Waxy casts Most brittle casts, may appear jagged, and have notches - Waxy casts An epithelial cell with absorbed lipids - RTE cells Largest cells in the urine - SECs Glitter cells - WBCs Identification is difficult due to several elements present in the matrix - Mixed cellular casts May have Gardnerella vaginalis in the cytoplasm - SECs Casts commonly associated with renal tubular necrosis - RTE cells