Question 1

The following results are obtained on a urinalysis from a student athlete:
 
-Based on the information given,what is causing the crenated RBCs?

Accepted Answer

A)   Elevated protein
B)   Presence of hyaline casts
C)   High specific gravity
D)   Presence of granular castsE) B) and C)
F) A) and B)

Question 2

Urothelial cells routinely occur in all of the following shapes except:

Accepted Answer

A)   Spherical
B)   Cylindroid
C)   Polyhedral
D)   CaudateE) A) and C)
F) None of the above

Question 3

Oval fat bodies are:

Accepted Answer

A)   Squamous epithelial cells that contain lipids
B)   Renal tubular epithelial cells that contain lipids
C)   WBCs that have phagocytized lipids
D)   People who fail to work out regularlyE) All of the above
F) A) and B) B

Question 4

Specimens containing mucus may be erroneously reported as containing:

Accepted Answer

A)   Bacteria
B)   Yeast
C)   Hyaline casts
D)   Oval fat bodiesE) A) and B)
F) A) and C)

Question 5

The following results are obtained on a urinalysis from a student athlete:
 
-Based on the information provided,what type of specimen should the student be asked to collect for retesting?

Accepted Answer

A)   First morning
B)   Timed 8-hour
C)   Midstream clean-catch
D)   Second morningE) B) and D)
F) C) and D)

Question 6

The type of cast most closely associated with tubular damage is the:

Accepted Answer

A)   WBC cast
B)   Epithelial cell cast
C)   RBC cast
D)   Fatty castE) None of the above
F) B) and C)

Question 7

An increase in urinary WBCs is called:

Accepted Answer

A)   Pyelonephritis
B)   Cystitis
C)   Urethritis
D)   PyuriaE) All of the above
F) C) and D)

Question 8

Under polarized light,all of the following will exhibit the Maltese cross formation except:

Accepted Answer

A)   Starch granules
B)   Oval fat bodies
C)   Pollen grains
D)   Fatty castsE) A) and B)
F) B) and C) C

Question 9

Choose the appropriate urine sediment stain for the following functions:
-Stain eosinophils.

Accepted Answer

A)   Sudan III
B)   Hansel stain
C)   Prussian blue
D)   Toluidine blueE) A) and B)
F) A) and C)

Question 10

The following results are obtained on a catheterized specimen from a patient with symptoms of urinary tract infection:
 
-Based on the information provided,what is the most probable cause of an error in the report?

Accepted Answer

A)   Specimen mix-up
B)   RTEs are spherical transitional cells
C)   Analyzing a catheterized specimen
D)   Both B and CE) A) and C)
F) None of the above

Question 11

What is the probable composition of the yellow-brown granules based on the information provided?

Accepted Answer

A)   Hemoglobin
B)   Uric acid
C)   Hemosiderin
D)   Disintegrating RTE cellsE) B) and C)
F) B) and D)

Question 12

In ascending order,the location of epithelial cells in the urinary tract is:

Accepted Answer

A)   Squamous, transitional, renal tubular
B)   Transitional, renal tubular, squamous
C)   Renal tubular, transitional, squamous
D)   Squamous, renal tubular, urothelialE) B) and C)
F) None of the above

Question 13

The presence of crenated RBCs in the urine sediment is associated with:

Accepted Answer

A)   Rrauma
B)   Hypersthenuria
C)   Hyposthenuria
D)   Urinary tract infectionE) A) and B)
F) C) and D)

Question 14

Crystals found in the urine that are associated with pathogenic disease include:

Accepted Answer

A)   Calcium oxalate and uric acid
B)   Leucine and tyrosine
C)   Heavy amorphous phosphates
D)   Triple phosphate and ammonium biurateE) All of the above
F) A) and B)

Question 15

Cystine crystals are often confused with:

Accepted Answer

A)   Cholesterol crystals
B)   Leucine crystals
C)   Uric acid crystals
D)   Triple phosphate crystalsE) None of the above
F) A) and D) C

Question 16

Spherical transitional epithelial cells can be differentiated from renal tubular epithelial cells by observing the:

Accepted Answer

A)   Centrally located nucleus in renal tubular cells
B)   Granular cytoplasm in renal tubular cells
C)   Centrally located nucleus in transitional cells
D)   Granular cytoplasm in transitional cellsE) B) and C)
F) C) and D)

Question 17

State if a urinalysis supervisor would be concerned or not concerned about the following results:
-Many budding yeasts in a clear,red specimen from a bedridden,diabetic patient

Accepted Answer

A)  Concerned
B)  Not concernedC) A) and B)
D) undefined

Question 18

The presence of hypochromic,irregularly shaped RBCs in the urine sediment can indicate:

Accepted Answer

A)   A coagulation disorder
B)   Menstrual contamination
C)   Urinary tract infection
D)   Glomerular bleedingE) A) and B)
F) A) and C)

Question 19

Clue cells are derived from:

Accepted Answer

A)   Renal tubular epithelial cells
B)   Trichomonas vaginalis
C)   Histiocytes
D)   Squamous epithelial cellsE) B) and C)
F) A) and D)

Question 20

In an unpreserved and old urine specimen,there could be difficulty differentiating between bacteria and:

Accepted Answer

A)   Yeast
B)   Mucus
C)   Amorphous phosphates
D)   Pollen grainsE) B) and D)
F) All of the above

Exam 6: Microscopic Examination of Urine

The following results are obtained on a urinalysis from a student athlete: -Based on the information given,what is causing the crenated RBCs?

Correct AnswerverifiedShow Answer

Urothelial cells routinely occur in all of the following shapes except:

Correct AnswerverifiedShow Answer

Oval fat bodies are:

Correct AnswerverifiedB

Specimens containing mucus may be erroneously reported as containing:

Correct AnswerverifiedShow Answer

The following results are obtained on a urinalysis from a student athlete: -Based on the information provided,what type of specimen should the student be asked to collect for retesting?

Correct AnswerverifiedShow Answer

The type of cast most closely associated with tubular damage is the:

Correct AnswerverifiedShow Answer

An increase in urinary WBCs is called:

Correct AnswerverifiedShow Answer

Under polarized light,all of the following will exhibit the Maltese cross formation except:

Correct AnswerverifiedC

Choose the appropriate urine sediment stain for the following functions: -Stain eosinophils.

Correct AnswerverifiedShow Answer

The following results are obtained on a catheterized specimen from a patient with symptoms of urinary tract infection: -Based on the information provided,what is the most probable cause of an error in the report?

Correct AnswerverifiedShow Answer

What is the probable composition of the yellow-brown granules based on the information provided?

Correct AnswerverifiedShow Answer

In ascending order,the location of epithelial cells in the urinary tract is:

Correct AnswerverifiedShow Answer

The presence of crenated RBCs in the urine sediment is associated with:

Correct AnswerverifiedShow Answer

Crystals found in the urine that are associated with pathogenic disease include:

Correct AnswerverifiedShow Answer

Cystine crystals are often confused with:

Correct AnswerverifiedC

Spherical transitional epithelial cells can be differentiated from renal tubular epithelial cells by observing the:

Correct AnswerverifiedShow Answer

State if a urinalysis supervisor would be concerned or not concerned about the following results: -Many budding yeasts in a clear,red specimen from a bedridden,diabetic patient

Correct AnswerverifiedShow Answer

The presence of hypochromic,irregularly shaped RBCs in the urine sediment can indicate:

Correct AnswerverifiedShow Answer

Clue cells are derived from:

Correct AnswerverifiedShow Answer

In an unpreserved and old urine specimen,there could be difficulty differentiating between bacteria and:

Correct AnswerverifiedShow Answer

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B

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C

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C

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