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renal function and urinalysis

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Question
Answer
The primary pigment responsible for normal urine color is   urochrome  
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Which of the following specific gravity readings correlates with a pale yellow urine?   1.005  
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The presence of a white precipitate in freshly voided urine can be caused by:   amorphous phosphates in alkaline urine  
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The addition of dilute acetic acid to a cloudy urine specimen will dissolve:   amorphous phosphate  
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The specific gravity of urine is directly proportional to its:   dissolved solids  
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Diabetes mellitus produces a urine with:   increased volume and increased specific gravity  
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The refractive index compares:   light velocity in air with light velocity in solutions  
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Methemoglobin   Black  
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Clorets   Green  
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Polydipsia   pale yellow  
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Porphobilinogen   red  
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Pseudomonas infection   green  
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beets   red  
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Bilirubin   dark yellow  
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normal urine   aromatic  
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Bacterial infection   Ammonia  
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Diabetes mellitus   Fruity  
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Quality control on reagent strips must be performed whenever a/an:   new bottle of strips is opened  
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The reagent strip reaction that should be read last is the:   leukocyte esterase  
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Failure to blot the edge of the reagent strip may result in errors in color interpretation caused by:   runover  
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The principle of the reagent strip test for pH is:   a double indicator reaction  
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The normal range of urine pH is   4.5 to 8.0  
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Which of the following is a cause of prerenal proteinuria?   Multiple myeloma  
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The protein section of the reagent strip is most sensitive to:   albumin  
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To detect the presence of early renal disease, diabetic patients are tested for:   microalbuminuria  
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The principle of the reagent strip test for protein is the:   protein error of indicators  
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The SSA test should be performed on:   urine that has been centrifuged  
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The test on the Multistix Pro reagent strip that uses a dye-binding principle is:   creatinine  
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A first morning specimen is frequently requested to confirm:   a negative urine pregnancy test  
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Pediatric urine specimens are additionally tested for the presence of:   galactose using Clinitest  
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Reagent strip tests for glucose use:   double sequential enzyme reactions  
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A 1+ reagent strip reaction and a 4+ Clinitest reaction could indicate the presence of:   glucose and other reducing substances  
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The primary purpose of the Acetest tablets is to:   test serum for increased ketones  
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A spotted reaction on the reagent strip reaction for blood indicates:   hematuria  
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Which of the following is not true about the Ictotest?   It is less sensitive than the reagent strip test.  
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A positive nitrite test suggests the presence of a minimum of:   105 organisms/mL  
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The reagent strip test for nitrite is based on the:   reduction of nitrate in urine to nitrite by bacteria  
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Which of the following can produce a negative nitrite test in the presence of significant bacteriuria   Production of nitrogen from the presence of many bacteria  
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The cells most frequently associated with urinary tract infection are:   neutrophils  
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The number of fields that should be examined when quantitating urinary sediment constituents is:   10  
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Identification of oval fat bodies can be verified using:   polarized light  
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To detect the presence of casts, the sediment is examined using   reduced light under low power  
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The presence of crenated RBCs in the urine sediment is associated with:   hypersthenuria  
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A patient with severe back pain and 15 to 20 RBCs/hpf in the urine sediment may have:   renal calculi  
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Differentiation among RBCs, yeast, and oil droplets may be accomplished by all of the following except:   lysis of yeast cells by acetic acid  
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Ghost RBCs most frequently occur with   high pH, low specific gravity  
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The presence of hypochromic, irregularly shaped RBCs in the urine sediment indicates:   glomerular bleeding  
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Glitter cell is a term used to describe a specific type of:   neutrophil  
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An increase in urinary WBCs is called:   pyuria  
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Oval fat bodies are:   renal tubular epithelial cells that contain lipids  
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The type of cells that line the bladder and ureters are:   transitional  
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The location of epithelial cells in the urinary tract in ascending order is:   squamous, transitional, renal tubular  
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Clue cells are derived from:   squamous epithelial cells  
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The organisms attached to a clue cell are:   Gardnerella vaginalis  
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Collection of a midstream clean-catch specimen will alleviate contamination by:   squamous epithelial cells  
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Spherical transitional epithelial cells can be differentiated from renal tubular epithelial cells by observing the:   centrally located nucleus in transitional cells  
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The primary factor that favors the formation of casts is:   urinary stasis  
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The major constituent of casts is:   Tamm-Horsfall protein  
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Waxy casts are most easily differentiated from hyaline casts by their:   refractivity  
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Hyaline casts are found in the urine sediment:   following strenuous exercise  
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Identification of crystals is based on shape and:   urine pH and crystal solubility  
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Normal crystals found in acidic urine include:   calcium oxalate, uric acid, amorphous urates  
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All of the following crystals are found in acid urine except:   ammonium biurate  
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Abnormal crystals are most frequently seen in urine that is:   acid  
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Which of the following crystals occurs in two very distinct forms?   Calcium oxalate  
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Normal crystals found in alkaline urine include:   triple phosphate, calcium carbonate, ammonium biurate  
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Crystals found in the urine that are associated with disease include:   leucine and tyrosine  
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Which of the following is most likely to be found in the urine of a diabetic patient?   Candida albicans  
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Ammonium biurate   Thorny apple  
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Calcium carbonate   Dumbbell  
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Triple phosphate   Coffin lid  
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Cystine   Hexagonal  
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Cholesterol   Notched corners  
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