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CMA SG Chapter 32

QuestionAnswer
Urine suspected of having high levels of what substance should be stored in a dark room before testing? Bilirubin
A cloudy urine specimen may be the result of what? Presence of white or red blood cells
What condition could lead to a blue-green colored urine? Med, infection , metabolic disorders
If a urine specimen cannot be analyzed within 1 hour, what is the best course of action? Refrigerate the specimen
Casts in a urine specimen develop in what part of the urinary tract? Renal tubes
A medical assistant instructs a patient to collect a first morning specimen for what test? Pregnancy test and protein
What is one of the detachable signs of renal disease? Proteinuria, hematuria
The specific gravity of a urine specimen reads 1035. This value is considered to be what? High or concentrated
Using a urine dipstick test on a urine specimen from a female with a UTI, which test will most likely be positive? Leukocytes, Nitrites
You open a urine sample for testing and immediately detect a fruity odor. Which test result do you expect to be elevated using a urine dipstick? Ketones
What is the PH of urine? Typically ranges from 4.5 to 8.0 with the average being 6.0
A 24 hour urine sample is determined what? Total amount of substance
What is one of the first detectable signs of liver disease? Elevated enzymes
A child whose urine smells like wet fur most likely would be diagnosed with what? Phenylketouria
A CLIA-waived urine pregnancy test result can detect hCG as early as what? 6-8 days after cohreption
What are tubular structure found in the urine and composed mainly of mucoprotein produced in the kidney? Urinary cast
A small amount of what is always present in normal urine? Urea
In the microscopic observation of urine sediment, yeast most resembles what? Budding oval cells(fungi, yeast)
A urine specimen is tested and shown to have a pH of 8.0. This value is considered to be? Alkaline
Abnormal urine color may be related to what? Diet, meds, or disease
What is define as a urine sample that can be collected at any given time? Random urine specimen
A turbid urine sample means that the specimen is what? Cloudy (not clear)
You are examining a patients urinalysis report. What factors are normal? Color, clarity, odor, pH, and specific gravity
Which substances when found in urine may indicate kidney damage? Protein
What are Analyte that is the end-products of fat metabolism ad detected in the urine samples of patients with uncontrolled diabetes. Ketones
What urine specimens are used in diabetes screening and for home diabetes testing programs? First morning urine specimen
Polyuria is common in what clinical situations? Diabetes mellitus and Diabetes insipidus
The specific gravity for most urine samples fall between what? 1,005-1.030
Which cells are usually oval and may show budding? Yeast cells
Which urinary cast is often present when a person has glomerulonephritis? Red blood cells
What is a common finding in cystitis and in individuals passing kidney stones? Hematuria
An ammonia or putrid smell in the urine can be caused by what? Bacterial Infection(UTI)
A urine reagent dipstick is highly sensitive to what? Glucose
What is NOT a recommendation from Clinical and Laboratory Standards Institute for urine specimens? Allowing urine to stand at room temp for long periods before testing
What could lead to a greenish-yellow urine? Bile pigment(Bilirubin)
What could lead to whitish, milky colored urine? Pus(WBC), bacteria, or chyle
What is defined as the sugar most commonly found in urine. Glucose
The pigment that is responsible for the color of urine is called what? Urochrome
What is defined as the study of poisonous substances and their effects on the body. Toxicology
What is the most common test method used for urine pregnancy testing? Immunoassay( Enzymes Immunoassay Test) EIA
Which condition causes an elevated urobilinogen in the urine? Liver disease and hemolytic disorders
What could lead to an amber colored urine? Concentrated Urine ( Dehydration)
A change in specific gravity is one of the first indications of kidney disease. T
The presence of castas in the urine may be caused by strenuous exercise. T
When urine is fresh and warm, trichomonas organisms may be motile. T
Reagent strip urine testing must be preserved specimen within 1 hr of collection. F
Hematuria is the presence of intact red blood cells in the urine. T
Ketones may not be present in a urine sample, that is, at room temperature. T
For the most accurate results, urine specimens should be kept refrigerated and processed within 2 hrs of collection. T
Created by: Kalu.Jayla1
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