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Practice Sheet AUBF


UERM CAHP 2023 First Semester LEC 6
Medical Technology Assessment Program 1 TOPIC 1 – 6
I. RENAL ANATOMY AND PHYSIOLOGY II. INTRODUCTION TO URINALYSIS
AND RENAL FUNCTION TESTS 11. What is the average daily urine output?
1. The kidney receives _____ of the cardiac output a. 1,000mL – 1,300mL
a. 15% b. 1,200mL – 1,500mL
b. 25% c. 1,400mL – 1,700mL
c. 35% d. 1,700mL – 2,000mL
d. 55%
12. Urinary composition: _____ water and _____ solutes
2. How much is the total renal blood flow? a. 15% and 85%
a. 1,000 mL b. 85% and 15%
b. 1,200 mL c. 5% and 95%
c. 1,400 mL d. 95% and 5%
d. 1,600 mL
13. What is the primary organic compound?
3. What is the renal threshold of glucose? a. Urea
a. 120 mg/dL – 140 mg/dL b. Creatinine
b. 140 mg/dL – 160 mg/dL c. Sodium
c. 160 mg/dL – 180 mg/dL d. Chloride
d. 180 mg/dL – 200 mg/dL
14. What is the time required for the specimen to be delivered
4. What is the only electrolyte that can be absorbed by active in the laboratory and tested?
and passive mechanism? a. 1 hour
a. Na b. 2 hours
b. K c. 3 hours
c. Cl d. 4 hours
d. Ca
15. What is the most routinely used method of preservation?
5. What mechanism maintains the osmotic gradient of the a. Refrigeration
medulla? b. Boric acid
a. Acid-base mechanism c. Formaldehyde
b. Renin-angiotensin-aldosterone system d. Sodium fluoride
c. Countercurrent mechanism
d. Active reabsorption mechanism 16. What is the ideal screening specimen?
a. Random specimen
6. Where does the final concentration of urine occur? b. Midstream clean catch
a. PCT c. 24-hour urine
b. DCT d. First morning
c. Loop of Henle
d. Collecting duct 17. What is/are the specimen/s used for bacterial culture?
a. Catheterized
7. What is the original reference method for clearance test? b. Midstream clean catch
a. Clearance test c. Suprapubic aspiration
b. Inulin clearance d. Pediatric specimen
c. Creatinine clearance e. None of the above
d. Free water clearance f. All of the above

8. What is used in the actual measurement of PAH? 18. In 24-hour urine, the patient must be and end the collection
a. Renal blood flow with a full bladder
b. Renal plasma flow a. True
c. None of the above b. False
d. Both
19. In unpreserved urine, bilirubin photo oxidizes into
9. What is creatinine clearance is corrected for? biliverdin
a. Sex a. True
b. Age b. False
c. Body surface
d. Ethnicity 20. What are the disorders usually associated with polyuria?
a. Diabetes mellitus
10. What is the effective range of renal plasma flow? b. Diabetes insipidus
a. 600 mL/min – 700 mL/min c. None of the above
b. 700 mL/min – 800 mL/min d. All of the above
c. 800 mL/min – 900 mL/min
d. 900 mL/min – 1,000 mL/min

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6. Practice Sheet AUBF


III. PHYSICAL EXAMINATION OF URINE IV. CHEMICAL EXAMINATION OF URINE
21. What is the pigment responsible for the normal color of 31. Dip the reagent strip briefly in a completely mixed
urine? centrifuged urine specimen
a. Bilirubin a. True
b. Biliverdin b. False
c. Urochrome
d. Uroerythrin 32. Chemical parameter with the shortest reading time
a. Glucose
22. Yellow foam when shaken indicates the presence of? b. Protein
a. Bilirubin c. Specific gravity
b. Acriflavine d. Leukocyte esterase
c. Urochrome
d. Phenol 33. Chemical parameter with the longest reading time
a. Glucose
23. What is the color of urine of a patient with porphyria? b. Protein
a. Yellow c. Specific gravity
b. Blue d. Leukocyte esterase
c. Pink
d. Port wine 34. What is the principle for blood?
a. Sodium nitroprusside
24. What is the color of urine of a patient who takes indican? b. Pseudoperoxidase
a. Dark yellow c. Diazo
b. Blue d. Griess
c. Brown
d. Black 35. What is the principle for nitrite?
a. Sodium nitroprusside
25. Many particulates, print blurred through the urine is? b. Pseudoperoxidase
a. Hazy c. Diazo
b. Cloudy d. Griess
c. Turbid
d. Milky 36. What is the principle for urobilinogen?
a. Sodium nitroprusside
26. Specimen with a specific gravity of <1.002 is? b. Pseudoperoxidase
a. Normal random specimen c. Diazo
b. Hyposthenuria d. Griess
c. Hypersthenuria
d. Probably not urine 37. What color would an alkaline pH produce?
a. Blue-green
27. What is the odor of patients with phenylketonuria? b. Yellow-green
a. Fruity c. Red-green
b. Mousy d. Orange-green
c. Cabbage
d. Sweaty feet 38. Stix can detect _____ of ascorbic acid at _____ seconds
a. 5mg/dL at 10 seconds
28. What is the odor of patients with methionine b. 5mg/dL at 60 seconds
malabsorption? c. 25mg/dL at 10 seconds
a. Fruity d. 25mg/dL at 60 seconds
b. Mousy
c. Cabbage 39. What is soluble at butanol but insoluble in chloroform?
d. Sweaty feet a. Urobilinogen
b. Porphobilinogen
29. In using refractometer, the correction of glucose is c. Ehrlich’s reactive
calculated by subtracting _____ d. None of the above
a. 0.002
b. 0.003 40. What is the confirmatory test for bilirubin?
c. 0.004 a. Reagent strip
d. 0.005 b. Wash through tablets
c. Ictotest tablets
30. What is the odor of normal urine? d. Acetest tablets
a. Aromatic
b. Ammonia-like
c. Mousy
d. Bleach

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6. Practice Sheet AUBF


V. MICROSCOPIC EXAMINATION OF URINE
41. What is the frequently used volume in microscopic
examination?
a. 10mL – 15mL
b. 15mL – 20mL
c. 20mL – 25mL
d. 25mL – 30mL

42. What is the frequently used urine sediment volume?


a. 0.2mL
b. 0.5mL
c. 1.5mL
d. 2mL

43. Observation of minimum of _____ fields under LPF and


HPF is recommended
a. 1
b. 5
c. 10
d. 30

44. What is the most commonly used stain?


a. Sternheimer-Malbin
b. Sudan III
c. Hansel stain
d. Prussian blue

45. What identifies urinary eosinophils?


a. Sternheimer-Malbin
b. Sudan III
c. Hansel stain
d. Prussian blue

46. What stains structures containing iron?


a. Sternheimer-Malbin
b. Sudan III
c. Hansel stain
d. Prussian blue

47. What is the appearance of RBC in hypotonic urine called


a. Crenated
b. Ghost cells
c. Dysmorphic
d. Glitter cells

48. What is the major constituent of casts?


a. Urochrome
b. Uromodulin

49. The three crystals seen in liver disease include all EXCEPT
a. Cystine
b. Leucine
c. Tyrosine
d. Bilirubin

50. Cholesterol crystal is very similar in appearance to what


crystal?
a. Cystine
b. Sulfonamides
c. Ampicillin
d. Radiographic dye

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6. Practice Sheet AUBF


ANSWERS
I. B, B, C, A, C, D, B, B, C, A
II. B, D, A, B, A, D, F, B, A, D
III. C, A, D, B, B, D, B, C, C, A
IV. B, A, D, B, D, C, A, A, C, C
V. A, B, C, A, C, D, B, B, A, D

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