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urinalysis Ch 6

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Question
Answer
you should examine a minimum of this number of fields when performing microscopic settlement examination.   10  
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A urine specimen maybe referred for a cytodiagnostic testing to detect?   unusual malignant pathological cells  
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scanning the edge of the slide cover ensures that you won't miss these sediment constituents:   the presence of cast  
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all sediment constituents are reported as quantity per high power field except   squamous, mucus, casts  
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the chemical test for glucose may provide significant information regarding the presence of this microscopic element   yeast because yeast eat sugar  
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using polarized microscopy what elements are birefringent (able to reflect)   cholesterol, fatty acids, triglycerides  
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using standard bright field microscopy high power of magnification is   40x or 400  
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low light microscope levels are used to detect   sediment and casts  
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crenated RBC's are associated with   hypersensitive (concentrated) urine  
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dilute alkaline urine may have what elements present microscopically   ghost cells RBCs  
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RBC in urine sediment and symptoms of back pain may indicate?   kidney stones or renal calculi  
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RBCs, yeast, and oil droplets may be differentiated by   adding acidic acid to lysed RBCs, oil is refractile, yeast budding  
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hypo chromic irregular shaped RBC's in urine sediment may indicate   glomerular bleeding  
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what is a glitter cell   neutrophil  
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an increase in urinary WBC's is known as   pyuria  
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urinary sediment containing increase WBCs may also have this element present   bacteria  
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when eosinophils are found in urine it indicates   interstitial nephritis - inflammation of kidney in the space between the tubules  
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what are oval fat bodies   RTE cells containing lipid  
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what type of cell lines the bladder   transitional epithelial cells -flexible  
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when focusing the microscope use this element as a reference point   epithelial cell  
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clue cells are   veriation of the squamous epithelial cell  
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what organism may be found attached to clue cells   gardnerella vaginitis bacteria  
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these cells are found in increased numbers in urine sediment only when kidney damage has occurred   renal tubular epithelial cells  
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bilirubin is most likely to stain this type of cell   renal tubular epithelials cells  
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collection of a mid stream clean catch will eliminate contamination with   squamous cells  
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what element may be found in both a urine sediment and a vaginal wet prep   clue cells  
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the formation of casts are enhanced by   stasis of urine (how long it sits)  
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the major constituent of casts is   Tammy-horsfall protein  
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how are waxy cast different from hyaline cast   hyaline casts have a higher refractive index  
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where are cast formed   distal convoluted tubules and collecting ducts  
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the presence of this element can differentiate between upper and lower UTI   WBC casts are formed in the upper track  
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how can you differentiate a bacterial cast from a granular casts   gram-stain  
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broad casts form as a result of   renal failure, urinary stasis, and tubular destruction  
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bleeding in the nephron is associated with this sediment element   RBC cast  
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Urinary stasis results in the formation of these elements   Waxy, Broad, WBC Casts  
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Identification of crystals are based on   solubility and pH  
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Normal acidic urine crystals are   Amorphous urates, uric acid, calcium oxalate  
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Abnormal crystals are found in what type of urine pH   acid urine  
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What information is helpful when identifying crystals   PH and solubility  
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these crystals are found in alkaline urine   Amorphis phosphates, calcium phosphate, triple phosphate, ammonium biurates, calcium carbonate  
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Crystals most often associated with disease are   leucine and tyrosine  
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Refrigeration of urine causes the formation of   amorphous urates, amorphous phosphates  
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Medication crystal formation are most often formed because   of dehydration  
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the significance of bacteria is increased when   Accompanied by WBC's  
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Used may appear in these forms   Buds refractile oval structures or myCelia branched  
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Motility is a key factor in assisting with the identification of   Trichomonas vagionitis  
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Urine artifacts differ from True sediment element by   Larger size and more refractability  
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Mucus may be confused with   Hyline casts  
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