Quiz
Urinanalysis
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Fragen in diesem Quiz (40)
1After receiving a 24-hour urine for quantitative total protein analysis, the technician must first:
- Asubculture the urine for bacteria
- Badd the appropriate preservative
- Cscreen for albumin using a dipstick
- Dmeasure the total volume
2False results in urobilinogen testing may occur if the urine specimen is:
- AExposed to light
- BAdjusted to a neutral pH
- CCooled to room temperature
- DCollected in a non sterile container
3A clean-catch urine is submitted to the laboratory for routine urinalysis and culture. The routine urinalysis is done first, and 3 hours later, the specimen is sent to the microbiology department for culture. The specimen should:
- Abe centrifuged, and the supernatant cultured
- Bbe rejected due to the time delay
- Cnot be cultured if no bacteria are seen
- Dbe processed for culture only if the nitrate is positive
4Which of the following urine results is most apt to be changed by prolonged exposure to light
- ApH
- Bprotein
- Cketones
- Dbilirubin
5Urine samples should be examined within 1 hour of voiding because
- ARBCs, leukocytes and cast agglutinate on standing for several hours at room temperature
- Burobilinogen increases and bilirubin decreases after prolonged exposure to light
- Cbacterial contamination will cause arlkalinization of the urine
- Dketones will increase due to bacterial and cellular metabolism
6If this urine specimen was stored uncapped at 5°C without preservation and retested at 2 PM, which of the following test results would be changed due to these storage conditions?

- AGlucose
- BKetones
- CProtein
- DNitrite
7A urine specimen comes to the laboratory 7 hours after it is obtained. It is acceptable for culture only if the specimen has be stored
- Aat room temperature
- Bat 4°-7°C
- Cfrozen
- Dwith a preservative additive
8Which of the following would be affected by allowing a urine specimen to remain at room temperature for 3 hours before analysis?
- AOccult blood
- BSpecific gravity
- CpH
- DProtein
9A 24-hour urine from a man who had no evidence of kidney impairment was sent to the laboratory for hormone determination. The volume was 600ml, but there was some question as to the completeness of the 24-hour collection. The next step would be to
- Aperform the hormone determination, since 600ml is a normal 24-hour urine volume
- Bcheck the creatinine level; if it is <1g, do the procedure
- CReport the hormone determination in mg/dl in case the specimen was incomplete
- Dcheck the creatinine level, if it is >1g, do the procedure
10Failure to observe RBC casts in a urine specimen can by caused by
- AStaining the specimen
- BCentrifuging an unmixed specimen
- CMixing the sediment after decantation
- DExamining the sediment first under low power
11eGFR calculated by the MDRD formula takes into account the age, BUN, race, albumin and what else for its calculations?
- Aurea
- Bammonia
- Ccreatinine
- Dcystatin C
12The creatinine clearance is reported in
- Amg/dL
- Bmg/24 hours
- CmL/min
- DmL/24 hours
13Microalbumin can be measured by a random urine collection. An increased micro albumin is predictive of:
- ADiabetes mellitus
- BNephropathy
- CHypertension
- DNephrotic syndrome
14A patient with uncontrolled diabetes mellitus will most likely have:
- APale urine with a high specific gravity
- BConcentrated urine with a high specific gravity
- CPale urine with a low specific gravity
- DDark urine with a high specific gravity
15While performing an analysis of a baby's urine, the technologist notices the specimen to have a "mousy" door. Of the following substances that may be excreted in urine, the one that most characteristically produces this odor is:
- Aphenylpyruvic acid
- Bacetone
- Ccoliform bacilli
- Dporphyrin
16An ammonia-like door is characteristically associated with urine from patients who:
- Aare diabetic
- Bhave hepatitis
- Chave an infection with Proteus sp
- Dhave a yeast infection
17Urine that develops a port wine color after standing may contain:
- AMelanin
- BPorphyrins
- CBilirubin
- DUrobilinogen
18Acid urine that contains hemoglobin will darken on standing due to the formation of:
- AMyoglobin
- BSulfhemoglobin
- CMethemoglobin
- DRed blood cells
19Urine from a 50-year-old man was noted to turn dark red on standing. This change is caused by:
- AGlucose
- BPorphyrins
- CUrochrome
- DCreatinine
20The clarity of a urine sample should be determined
- Ausing glass tubes only; never plastic
- Bfollowing thorough mixing of the specimen
- Cafter addition of sulfosalicylic acid
- DAfter the specimen cools to room temperature
21Milky urine from a 24-year-old woman would most likely contain:
- ASpermatozoa
- BMany white blood cells
- CRed blood cells
- DBilirubin
22A brown-black urine would most likely contain:
- Abile pigment
- Bporphyrins
- Cmelanin
- Dblood cells
23The yellow color of urine is primarily due to
- AUrochrome pigment
- BMethemoglobin
- CBilirubin
- DHomogenistic acid
24Red urine may be due to:
- ABilirubin
- BExcess urobilin
- CMyoglobin
- DHomogenistic acid
25A urine specimen collected on an apparently healthy 25-year-old man shortly after he finished eating lunch was loudly but showed normal results on a multiple reagent strip analysis. The most likely cause of the turbidity is:
- AFat
- BWhite blood cells
- CUrates
- DPhosphates
26In which of the following metabolic diseases will urine turn dark brown to black upon standing ?
- APhenylketonuria
- BAlkaptonuria
- CMaple syrup disease
- DAminoaciduria
27Urine osmolality is related to:
- ApH
- BFiltration
- CSpecific gravity
- DVolume
28Urine specific gravity is an index of the ability of the kidney to:
- AFilter the plasma
- BConcentrate the urine
- CAlter the hydrogen ion concentration
- DReabsorb sodium ions
29Osmolality is a measure of:
- ADissolved particles, including ions
- BUndissociated molecules only
- CTotal salt concentration
- DMolecule size
30A patient urine sample has an increased protein and a high specific gravity. Which of the following would be a more accurate measure of urine concentration?
- AOsmolality
- BKetones
- CRefractive index
- DpH
31To prepare a solution appropriate for quality control of the refractometer, a technician should use:
- Aurea with a specific gravity of 1.040
- Bwater with a specific gravity of 1.005
- Csodium chloride with a specific gravity of 1.022
- Dcalcium chloride with an osmolarity of 460
32A urine's specific gravity is directly proportional to its:
- ATurbidity
- BDissolved solids
- CSalt content
- DSugar content
33Isosthenuria is associated with a specific gravity which is usually:
- AVariable between 1.001 and 1.008
- BVariable between 1.015 and 1.022
- CFixed around 1.010
- DFixed around 1.020
34The fluid leaving the glomerulus normally has a specific gravity of:
- A1.001
- B1.010
- C1.020
- D1.030
35An antidiuretic hormone deficiency is associated with a:
- ASpecific gravity around 1.031
- BLow specific gravity
- CHigh specific gravity
- DVariable specific gravity
36Use of a refractometer over a urinometer is preferred due to the fact that the refractometer uses:
- ALarge volume of urine and compensates for temperature
- BSmall volume of urine and compensates for glucose
- CSmall volume of urine and compensates for temperature
- DSmall volume of urine and compensates for protein
37Calibration of refractometers is done by measuring the specific gravity of distilled water and:
- AProtein
- BGlucose
- CSodium chloride
- DUrea
38The method of choice for performing a specific gravity measurement of urine following administration of a x-ray contrast dyes is
- AReagent strip
- BRefractometer
- CUrinometer
- DDensitometer
39Which of the following urinary parameters are measured during the course of concentration and dilution tests to assess renal tubular function?
- AUrea, Nitrogen, and Creatinine
- BOsmolality and specific gravity
- CSodium and Chloride
- DSodium and Osmolality
40Refractive index is a comparison of:
- ALight velocity in solutions to light velocity in solids
- BLight velocity in air to light velocity in solutions
- CLight scattering by air to light scattering by solutions
- DLight scattering by particles in solution
Informationen
- Beschreibung
- Quiz am Urinanalysis, erstellt von Louisa Bauer am 23/11/2022.
- Autor
- Louisa Bauer
- Sprache
- Deutsch
- Aufrufe
- 63
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