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Urinalysis & Body Fluids UPDATED ACTUAL Questions and CORRECT Answers

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Urinalysis & Body Fluids UPDATED ACTUAL Questions and CORRECT Answers After receiving a 24 hour urine for quantitative total protein analysis, the technician must first: A. subculture the urine for bacteria B. add the appropriate preservative C. screen for albumin using a dipstick D. measur...

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  • November 28, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Urinalysis and Body Fluids
  • Urinalysis and Body Fluids
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Urinalysis & Body Fluids UPDATED
ACTUAL Questions and CORRECT
Answers
After receiving a 24 hour urine for quantitative total protein analysis, the technician must first:
A. subculture the urine for bacteria
B. add the appropriate preservative
C. screen for albumin using a dipstick

D. measure the total volume - CORRECT ANSWER- measure the total volume


False results in urobilinogen testing may occur if the urine specimen is:
A. exposed to light
B. adjusted to a neutral pH
C. cooled to room temperature

D. collected in a nonsterile container - CORRECT ANSWER- exposed to light


A 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:
A. be centrifuged, and the supernatant cultured
B. be rejected due to time delay
C. not be cultured if no bacteria are seen

D. be processed for culture only if the nitrate is positive - CORRECT ANSWER- be rejected
due to the time delay


Which of the following urine results is most apt to be changed by proloinged exposure to light?
A. pH
B. protein
C. ketones

,D. bilirubin - CORRECT ANSWER- bilirubin


Urine samples should be examined within 1 hour of voiding because:
A. RBCs, leukocytes and casts agglutinate on standing for several hours at room temperature
B. urobilinogen increases and bilirubin decreases after prolonged exposure to light
C. bacterial contamination will cause alkalinization of the urine

D. ketones will increase due to bacterial and cellular metabolism - CORRECT ANSWER-
bacterial contamination will cause alkalinization of the urine


A urine speciment comes to the laboratory 7 hours after it is obtained. It is acceptable for culture
only if the specimen has been stored:
A. at room temperature
B. at 4-7 degrees C
C. frozen

D. with a preservative additive - CORRECT ANSWER- 4-7*C


Which of the following would be affected by allowing a urine specimen to remain at room
temperature for 3 hours before analysis?
A. occult blood
B. specific gravity
C. pH

D. protein - CORRECT ANSWER- pH


Failure to observe RBC casts in a urine specimen can be caused by:
A. staining the specimen
B. centrifuging an unmixed specimen
C. mixing the sediment after decantation

D. examining the sediment first under low power - CORRECT ANSWER- centrifuging an
unmixed specimen

,The creatinine clearance is reported in:
A. mg/dL
B. mg/24 hours
C. mL/min

D. mL/24 hours - CORRECT ANSWER- mL/min


Microalbumin can be measured by a random urine collection. An increase microalbumin is
predictive of:
A. diabetes mellitus
B. nephropathy
C. hypertension

D. nephrotic syndrome - CORRECT ANSWER- nephropathy


A patient with uncontrolled diabetes mellitus will most likely have:
A. pale urine with a high specific gravity
B. concentrated urine with a high specific gravity
C. pale urine with a low specific gravity

D. dark urine with a high specific gravity - CORRECT ANSWER- pale urine with a high
specific gravity


While performing an analysis of a baby's urine, the technologist notices the specimen to have a
"mousy" odor. Of the following substances that may be excreted in urine, the one that most
characteristically produces this odor is:
A. phenylpyruvic acid
B. acetone
C. coliform bacilli

D. porphyrin - CORRECT ANSWER- phenylpyruvic acid

, Urine that develops a port wine color after standing may contain:
A. melanin
B. porphyrins
C. bilirubin

D. urobilinogen - CORRECT ANSWER- porphyrins


Urine from a 50-year-old man was noted to turn dark red on standing. This change is caused by:
A. glucose
B. porphyrins
C. urochrome

D. creatinine - CORRECT ANSWER- porphyrins


The clarity of a urine sample should be determined:
A. using glass tubes only; never plastic
B. following thorough mixing of the specimen
C. after addition of sulfosalicylic acid

D. after the specimen cools to room temperature - CORRECT ANSWER- following
thorough mixing of the specimen


Milky urine from a 24-year-old woman would most likely contain:
A. spermatozoa
B. many white blood cells
C. red blood cells

D. bilirubin - CORRECT ANSWER- many white blood cells


A brown-black urine would most likely contain:
A. bile pigment
B. porphyrins

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