CLINICAL PATHOLOGY | 2022

1
FINALS QUIZ: BASIC EXAMINATION OF URINE

11/ 28/ 22 IN DICATE TU B U LAR DILATION AN D/ OR S TAS IS IN THE

DIS TAL COLLECTIN G DU CT.
1. Dysmorphic RBCs in the urine is indicative of which of the
following? 6. The normal yellow color of urine is mainly due to which
a. Coagulation disorders of the following?
b. Renal glomerular bleeding a. Urochrome
c. Trauma b. Bilirubin
d. Renal calculi c. Urobilinogen
d. Uroerythrin
R ED B LOOD CELLS W ITH IN TH E U R IN E CAN COME F R OM
AN Y POIN T ALON G TH E U R IN AR Y TR ACT. DYS MOR PH IC TH E YELLOW COLOR OF U R IN E IS DU E LAR G ELY TO THE
R ED B LOOD CELLS AR E OF TEN A S IG N OF G LOMER U LAR PIG MEN T U R OCH R OME, EXCR ETION OF W H ICH IS
DIS EAS E. G EN ER ALLY PR OPOR TION AL TO TH E METAB OLIC R ATE.
R B CS W ITH CELLU LAR PR OTR U S ION S OR 7. A dark green urine can be seen in which of the following
F R AG MEN TATION AR E TER MED DYS MOR PH IC. S OME conditions?
AU TH OR S H AVE S U G G ES TED TH AT TH EIR PR ES EN CE IN a. Hartnup disease
U R IN E S AMPLES IS S TR ON G LY S U G G E S TIVE OF R EN AL b. Viral hepatitis
G LOMER U LAR B LEEDIN G . c. Severe obstructive jaundice
2. Which of the following is associated with multiple d. Rhabdomyolysis
myeloma, macroglobulinemia, primary amyloidosis, and IN S EVER E OB S TR U CTIVE JAU N DICE, TH E U R IN E MAY BE
malignant lymphomas? DAR K G R EEN .
a. Minimal proteinuria 8. “Cola-colored” urine can be seen in what condition?
b. Overflow proteinuria a. Pseudomonas infection
c. Microalbumineria b. Obstructive jaundice
d. Bence Jones proteinuria c. Hartnup disease
JON ES PR OTEIN U R IA IS AS S OCIATED W ITH MU LTIPLE d. Rhabdomyolysis
MYELOMA, MACR OG LOB U LIN EMIA, PR IMAR Y ( AL) “COLA- COLOR ED” U R IN E MAY BE S EEN W ITH
AMYLOIDOS IS , AN D MALIG N AN T LYMPH OMAS . R H AB DOMYOLYS IS .
3. Which of the following is most indicative of renal disease? 9. What is the most preferred for urine specimen
a. Casts in urine collection?
b. Blood in urine a. First voided morning urine
c. Protein in urine b. Catheterized specimen
d. Urine pH c. Random specimen
d. 24-hour specimen
DETECTION OF AN AB N OR MAL AMOU N T OF PR OTEIN IN
TH E F IR S T VOIDED MOR N IN G U R IN E, W H ICH IS TH E MOST
U R IN E IS AN IMPOR TAN T IN DICATOR OF R EN AL DIS EAS E
CON CEN TR ATED, IS B ES T F OR R OU TIN E U R IN ALYSIS .
B ECAU S E PR OTEIN H AS A VER Y LOW MAXIMAL TU B U LAR
R ATE OF R EAB S OR PTION ; IN CR EAS ED F ILTR ATION OF 10. Physical examination of the urine does not include which
of the following?
PR OTEIN QU ICKLY S ATU R ATES TH E R EAB S ORPTIVE
a. Urine pH
MECH AN IS M. b. Specific gravity
4. Which of the following is TRUE about casts? c. Color
a. Casts are abnormal urine sediments d. Clarity
b. Tamm-Horsfall protein constitutes about 1/3 of the Physical Examination Chemical Screening
total urinary protein in normal person Gross/Physical Examination: Urine pH
c. The length of the cast depends on the length of the Appearance – color, clarity Protein in urine
tubule where it was formed Odor Glucose and other sugars in
d. They are formed elements that can be seen in the Urine Volume urine
urinary bladder Specific Gravity Blood, Hemoglobin,
TAMM- H OR S F ALL PR OTEIN IS TH E G LYCOPR OTEIN Hemosiderin, and Myoglobin
S ECR ETED B Y TH E TH ICK PAR T OF TH E AS CEN DIN G LOOP in Urine
OF H EN LE ( AN D POS S IB LY TH E DIS TAL TU B U LE) , W H ICH Bilirubin in Urine
CON S TITU TES AB OU T ON E - TH IR D OF TH E TOTAL U R INARY Urobilinogen in Urine
PR OTEIN IN N OR MAL IN DIVIDU ALS .
5. Which of the following is indicative of tubular dilation
and/or stasis in the distal collecting duct, and can be a
sign of poor prognosis?
a. RTE cast
b. RBC cast
c. Bilirubin cast
d. Broad cast
B R OAD CAS TS AR E DEF IN ED AS TH OS E W ITH A DIAMETER
TW O TO S IX TIMES TH AT OF N OR MAL CAS TS . TH EY

L (2022)