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MATCHING TYPE * diabetes mellitus

Glucose - Double sequential enzyme reaction hepatitis


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).

https://www.coursehero.com/file/p52edvc/Put-the- diluted-urine-in-the-urinometer-and-measure-

its- specific-gravity-The/

Micral test sensitivity: *


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

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