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Ch 32 CMA
| Question | Answer |
|---|---|
| Urine suspected of having high levels of what substance should be stored in dark place before testing? | Bilirubin |
| A cloudy urine specimen may be the result of what? | Crystals |
| What condition could lead to a blue-green colored urine? | Pseudomonas |
| 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? | Kidney |
| A medical assistant instructs a patient to collect a first morning specimen for what type test? | Pregnancy, culture for possible UTI & protein |
| What is one of the detachable signs of renal disease? | Proteinuria |
| The specific gravity of a urine specimen reads 1,035. This value is considered to be what? | Abnormally high |
| Using a urine dipstick test on a urine specimen from a female with a UTI, which test will most likely be positive? | Nitrite & leukocyte esterase |
| You open a urine a sample for testing and immediately detect a fruity order. Which test result do you expect to be elevated using a urine dipstick? | Ketones |
| What is the pH of urine? | Urine pH is usually alkaline if bacteria is in the urine |
| A 24 hour urine sample is ordered to determine what? | Creatine clearance rates |
| What is one of the first detectable signs of the liver disease? | Bilirubinuria |
| A child whose urine smell like wet fur most likely would diagnose with what? | Pku (phenylalanine) |
| A CLIA-waived urine pregnancy test result can detect hCG AS early as what? | 1 week after implantation, or 4-5 days before a missed period |
| What are tubular Structures found in the urine and composed mainly of mucoprotein produced in the kidney? | Casts |
| A small amount of what is always present in normal urine? | Urobilinogen |
| In the microscope observation of ursine sediment, yeast most resembles what? | Red blood cells |
| A urine specimen is tested and shown to have a pH of 8.0. This value is considered to be? | Midrange normal |
| Abnormal urine color may be related to what? | Diet, medication and disease |
| Urine sample that can be collected at any given time | Random sample |
| A turbid urine sample means that the specimen is what? | Cloudy |
| You are examining a patient’s urinalysis report. What factors are normal? | Shade of yellow, ranging from, pale straw to yellow to amber |
| Which substances when found in urine may indicate kidney damage? | Protein |
| Analyte that is the end products of fat metabolism and detected in the urine samples of patients with uncontrolled diabetes testing programs | Ketone |
| What urine specimens are used in diabetes screening and for home diabetes testing programs? | 2 hr postprandal urine specimens |
| Polyuria is common in what clinical situations? | Diabetes millitus |
| T he specific gravity of most urine samples falls between what? | 1.010 and 1.025 |
| Which cells are usually oval and may show budding? ( They are common in urine of diabetes patients.) | Yeast cells |
| Which urinary cast is often present when a person has glomerulonephritis? | Red blood cell casts |
| What is a common finding in cystitis and in individual passing kidney stones? | Hematuria |
| An ammonia or putrid smell in the urine can be caused by what? | Infection |
| A ruined reagent dipstick is highly sensitive to what? | Urinary albumin |
| What is NOT a recommendation from the CLINICAL AND Laboratory Standards Institute for urine specimens? | Specimens should not be centrifuged |
| What could lead to greenish yellow urine? | Hepatitis |
| What could lead to whitish milky colored urine? | Pseudomonas |
| The sugar most commonly found in urine. | Glucose |
| The pigment that is responsible for the color of urine is called what? | Urochrome |
| The study of poisonous substances and their effects on the body. | Toxicology |
| What is the most common test method used for urine pregnancy testing? | Lateral flow immunoassy |
| Which conditions causes an elevated urobilinogen in the urine? | Increased red blood cell destruction, liver disease and total obstruction of the bile duct |
| What could lead to an amber colored urine? | Dehydration |
| A change in specific gravity is one of the first indications of kidney disease. | True |
| The presence of casts in urine may be caused by strenuous exercise. | True |
| When urine is fresh and warm, Trichomonas organisms may be motile and appear to be darting about rapidly when the specimen is examined under a microscope. | True |
| Reagent strip urine testing must be preserved specimen within 1 hour of collection | False |
| Hematuria is the presence of intact red blood cells in the urine. | True |
| Ketones may not be present in a urine sample, that us, at room temp. | True |
| For the most accurate results, urine specimens should be kept refrigerated and processed within 2 hours of collection. | False |