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Chapter 42

QuestionAnswer
The ___ of urine can be described in terms such as clear, or transparent, hazy ( slightly cloudy) cloudy, turbid ( particles floating within ), and milky ( very cloudy ) Appearance
A ___ urine specimen should appear clear or transparent Fresh
___ that stays on top of a freshly voided specimen may indicate an increase in proteins ( proteinuria ), a clinical symptom for complication of diabetes, and heart or renal disease White foam
___ on an amber specimen may indicate the presence of bilirubin in the urine specimen ( bilirubinuria ); this is one of the clinical signs of hepatitis and other liver disorders Greenish yellow foam
Foods such as garlic and asparagus, can produce a __ odor in the urine Strong
A ___ odor is brought on by a bacteria from a urinary tract infection ( UTI ) Strong unpleasant ( foul )
A ____ scent is characteristic of a patient with uncontrolled diabetes because of ketones ( a byproduct of fat metabolism ) in the urine Sweet- smelling ( fruity )
The normal volume of urine produced by an adult in a 24- hour period is ___ 750 to 2000 mL ( 0.75 to 2L )
__ detect both the presence and approximate amount of these substances in the urine Reagent strips
___ analysis only detect the presence of a particular substance ( e.g., Acetest detects ketones ) and not quantity Reagent tablet
Accurate results require medical assistants to use an appropriate technique and follow the quality control program established by the facility. This includes 3 steps Quality control
Urine specific gravity shows the amount of dissolved substances in the urine. This test indicates the kidneys ability to concentrate urine Specific gravity
Test measuring a patients ability to metabolize food 2 hours after a meal 2-hour Pastprandial Test
Chemical formed when fats are metabolized rather than glucose Acetone
Seaweed extract used to make certain media solid for bacterial cultures Agar
Structures not normally present in a urine specimen Artifacts
Byproduct of hemoglobin breakdown, orange-yellow pigment of bile Bilirubin
Hardened protein material shaped like the lumen of a kidney tubule and washed out by urine Casts
Laboratory test that provides information about red blood cells, white blood cells, and platelets, total count of each blood element Complete blood count ( CBC )
Shrunken; Formation of notches on the edges of red blood cells Crenated
Inflammation of the urinary bladder Cystitis
Profuse or excessive sweating Diaphoresis
Laboratory blood test that determines percentage of each type of white blood cell present in a blood sample Differential Blood Cell Count
Pregnancy test that uses a color-change reaction Enzyme immunoassay ( EIA )
Screening test that confirms an inflammatory process in the body by measuring how quickly red blood cells settle to bottom of calibrated tube; " Sed rate " Erythrocyte Sedimentation rate ESR
Hyaline cast with fatty cells Fatty casts
Galactose in the blood Galactosemia
Presence of glucose ( sugar ) in the urine Glycosuria
Hemoglobin a1c; Test that measures the amount of glucose attached to hemoglobin over a 3 month period Glycosylated Hemoglobin ( GHb) test
Measurement of the percentage of packed red blood cells in a volume of whole blood Hematocrit ( Hct )
Presence of blood in the urine Hematuria
Iron-containing pigment found in red blood cells used to transport oxygen; Gives blood its color Hemoglobin ( Hb or Hgb)
Damaged, burst cells; red blood cells are colorless and cannot be seen under magnification Hemolyzed
Common casts found in urine that are pale and transparent; appear in unchecked hypertension Hyaline casts
Tests used to measure antigen-antibody reactions Immunological Testing
Chemical formed when fats are metabolized Ketones
Globin from damaged muscle cells in urine Myoglobinuria
Salts of nitric acid Nitrates
Tests done in the physician office laboratory for immediate feedback Point-of-care testing ( POCT)
Particles in a solution brought on by a chemical reaction Precipitates
Tests that determines the size, content, and hemoglobin concentration of red blood cells Red cell indices
Solid material that settles to the bottom of a urine specimen Sediment
White, Fatlike substance made in the liver Serum Cholesterol
To inoculate or put a specimen onto a culture plate in an established pattern Streak
Top, Liquid portion of a specimen that has been centrifuged to remove solid particles Supernatant
Created by: abuckler12
 

 



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