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CMA SG Chapter 32
| Question | Answer |
|---|---|
| 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 |