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Urinalysis Internship Study Questions Part 1
Cells, Sediment, and Everything Else That Floats
53
Biology
Undergraduate 4
09/10/2015

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Term
Given the structure, name the MAJOR Disease Correlations associated with it:
RBC
Definition
AGN
Infection
Trauma
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
WBC
Definition
Infection
Inflammation
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Transitional Epis
Definition
Catherized Urine
Bladder Infections
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Renal Tubular Epis
Definition
Tubular Necrosis
Viral Infections
Transplant Rejection
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Oval Fat Bodies
Definition
Nephrotic Syndrome
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Hyaline Cast
Definition
Fever
Stress
Dehydration
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Granular Cast
Definition
Various Renal Diseases
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
RBC Cast
Definition
Acute Glomeronephritis
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
WBC Cast
Definition
Pyelonephritis
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Epithelial Cast
Definition
Tubular Necrosis
Toxins
Viral Infections
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Fatty Cast
Definition
Nephrotic Syndrome
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Waxy/Broad Cast
Definition
Renal Failure
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Uric Acid Crystal
Definition
Chemotherapy
Leukemia
Gout
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Calcium Oxalate
Definition
Kidney Stones
Ethylene Glycol Poisoning
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Cystine Crystal
Definition
Kidney Stones
AA Reabsorption Defect
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Tyrosine Crystal
Definition
Liver Disease
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Leucine Crystal
Definition
Liver Disease
MSUD
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Bilirubin Crystal
Definition
Liver Disease
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Cholesterol Crystal
Definition
Nephrotic Syndrome
Term
Given the structure, name the MAJOR Disease Correlations associated with it:
Dye or Drug Crystals
Definition
Dehydration Following Therapy
Term
What is a ghost cell?
Definition
An enlarged eosinophilic epithelial cell with eosinophilic cytoplasm but without a nucleus
Term
What is a glitter cell?
Definition
Neutrophils that are found in the urine, most commonly associated with urinary tract infections and pyelonephritis.
Term
What protein makes up the matrix of a cast?
Definition
Tamm-Horsfall
Term
Fatty casts under polarized light display a unique phenomenon. What is the descriptive term for this phenomenon?
Definition
Maltese Cross
Term
Fatty casts under polarized light display a unique phenomenon. What type of lipid does it represent?
Definition
Cholesterol
Term
What light conditions should be used when viewing urine sediment for the presence of cells and casts?
Definition
Low Light
Term
What Magnification Power should be used when scanning urine sediment for the presence of cells and casts?
Definition
10x
Term
What Magnification Power should be used when you need to get a closer view of urine sediment for the presence of cells and casts?
Definition
40x
Term
Should oil ever be used when viewing urine sediment for the presence of cells and casts?
Definition
No
Term
What sexually transmitted MO is sometimes seen in urine specimens that has a characteristic undulating membrane and is often confused with WBCs?
Definition
Trichomonas
Term
How will a high urine pH affect the protein dipstick results?
Definition
Falsely elevated Protein
Term
Describe the appearance of urine (when shaken) that contains a large amount of protein?
Definition
White Foam
Term
Which major protein is detected by the dipstick?
Definition
Albumin
Term
List 2 Major Conditions where Ketones may be detected in the Urine
Definition
Unmanaged Diabetes Mellitus
Starvation
Vomiting
Term
What 3 substances can cause a positive dipstick for blood?
Definition
Intact RBCs
Hemoglobin
Myoglobin
Term
Why would a dipstick be nitrate negative if many bacteria are seen in the microscopic exam?
Definition
Lack of dietary nitrates in urine.
Urine didn't sit long enough in bladder.
Bacteria present don't reduce nitrate to nitrite.
Term
In what situation would the following be seen:
Urine Bilirubin =
Urine Urobilinogen +
Definition
Healthy
Term
In what situation would the following be seen:
Urine Bilirubin =
Urine Urobilinogen +++
Definition
Hemolytic Disease
Term
In what situation would the following be seen:
Urine Bilirubin +
Urine Urobilinogen +
Definition
Hepatic Disease
Term
In what situation would the following be seen:
Urine Bilirubin +
Urine Urobilinogen =
Definition
Biliary Obstruction
Term
Describe the appearance of urine which contains bilirubin
Definition
Icteric
Yellow foam when shaken
Term
Other than proteins, what substances will cause a positive SSA?
Definition
Drugs or Dyes
Term
What specific protein (often present in the urine of patients with multiple myeloma) is NOT detected by Routine Protein Dipstick?
Definition
Bence Jones
Term
Compare the test sensitivities of glucose by dipstick vs Clinitest:
Dipstick +
Clinitest +
Definition
Large amount of glucose
Term
Compare the test sensitivities of glucose by dipstick vs Clinitest:
Dipstick +
Clinitest =
Definition
Small amount of glucose
Term
Compare the test sensitivities of glucose by dipstick vs Clinitest:
Dipstick =
Clinitest +
Definition
Galactose present
Term
What is the clinical significance of galactose in a child's urine?
Definition
Metabolic Defect;
Can cause permanent retardation if not detected/treated
Term
What is the basic principle of operation of automated dipstick readers?
Definition
Reflectance photometry
Term
True or False:
The following solution be used to calibrate a refractometer - 9% Sucrose, 5% NaCl, 6% NaCl, d-H20
Definition
True
Term
What is the expected refractometer reading for the following:
d-H20
Definition
1.000
Term
What is the expected refractometer reading for the following:
5% NaCl
Definition
1.002 +/= 0.001
Term
What is the expected refractometer reading for the following:
6% NaCl
Definition
1.026 +/= 0.001
Term
What is the expected refractometer reading for the following:
9% Sucrose
Definition
1.034 +/= 0.001
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