Question

Question 1

In the following list a positive result in which parameter requires a urine microscopic.

pH

Blood

Bilirubin

Leukocyte esterase

Nitrite

Glucose

Ketone

	A.	1,2,3,5 and 6
	B.	2,4,5,6, and 7
	C.	1,2,3, and 6
	D.	2,4,5, and 6
	E.	All of the above

5 points

Question 2

Initial screening of the urine sediment is performed using an objective power of:

	A.	4X
	B.	10X
	C.	40X
	D.	100X

5 points

Question 3

Which of the following are reported as number per HPF?

RBCs

WBCs

Crystals

Casts

	A.	None - all are reported on LPF
	B.	1,3, and 4
	C.	1,2, and 3
	D.	All are reported on HPF

5 points

Question 4

WBC casts in the urine sediment are associated with which of the following conditions.

	A.	) glomerulonephritis
	B.	end stage renal disease
	C.	pylonephritis
	D.	kidney stones

5 points

Question 5

Adding acetic acid to urine will do which of the following?

	A.	enhance the nucleus of the WBC
	B.	lyse the RBCs
	C.	clears amorphous phosphates
	D.	all of the above
	E.	none of the above

5 points

Question 6

What cells are found in a epithelial cell cast?

	A.	squamous epithelial cells
	B.	transitional epithelial cells
	C.	renal tubular epithelial cells
	D.	a combination of all three types of epithelial cells

5 points

Question 7

An epithelial cast indicates which condition?

	A.	pyelonephritis
	B.	end stage renal disease
	C.	glomerulonephritis
	D.	advanced tubular destruction

5 points

Question 8

Finding dysmorphic RBCs is indicative of:

	A.	traumatic injury
	B.	renal calculi
	C.	glomerular bleeding
	D.	coagulation disease

5 points

Question 9

Casts are formed mostly in the:

	A.	Proximal convoluted tubules
	B.	Ascending loop of Henle
	C.	Desending loop of Henle
	D.	Distal convoluted tubules
	E.	Collecting ducts

5 points

Question 10

What are "glitter cells"?

	A.	epithelial cells that are disintergrating
	B.	amorphous crystals that are caught in WBCs
	C.	WBCs in hypotonic urine that have swollen
	D.	None of the above

5 points

Question 11

Prior to identifying an RBC cast, all of the following should be observed except:

	A.	Free-floating RBCs
	B.	Presence of a cast matrix
	C.	Intact RBCs in the cast
	D.	A positive reagent strip blood reaction

5 points

Question 12

Which of the following can be observed in a normal urine of a person who has just finished strenous exercise?

	A.	RBC casts
	B.	Hyaline casts
	C.	WBC casts
	D.	Granular casts

5 points

Question 13

Casts are formed from whict type of protein?

	A.	Bence Jones Protein
	B.	Albumin
	C.	Tamm-Horsfall Protein
	D.	Orthostatic protein

5 points

Question 14

Oval Fat Body come from which of the following:

	A.	WBC
	B.	RBC
	C.	RTE
	D.	A transitional Epi

5 points

Question 15

Waxy casts are indicative of which of the following:

	A.	Pylonephritis
	B.	extreme urinary stasis
	C.	glomerulonephritis
	D.	chronic renal failure
	E.	Both B and D

5 points

Question 16

Which cast is considered "Renal Failure Cast"?

	A.	Mixed cellular cast
	B.	RBC cast
	C.	Fine Granular cast
	D.	Broad cast
	E.	Waxy cast

5 points

Question 17

Which of the following crystals are associated with severe liver disease

Bilirubin

Leucine

Cystine

Tyrosine

Uric Acid

	A.	1,3,5
	B.	3,5
	C.	1,2,4
	D.	All may be seen in severe liver disease
	E.	None of these are seen in severe liver disease

5 points

Question 18

Which of the following is a description of amorphous phosphates

	A.	dumbbell shape
	B.	white precipitate
	C.	coffin lids
	D.	thorny apple
	E.	yellow granules

5 points

Question 19

All of the following contribute to the formation of urinary crystals except:

	A.	temperature
	B.	solute concentration
	C.	pH
	D.	protein concentration
	E.	none of the above

5 points

Question 20

Urate crystals are seen in which type of urine?

	A.	alkaline urine
	B.	acidic urine
	C.	improperly preserved urines
	D.	refrigerated urines

5 points

Answer 1

ANSWERS

1. E.All of the above.

2. C. 40X Power field is needed.

3 D. All are reported on HPF.

4. C.Pyelonephritis

5. B. Lysis the RBCs.

6. D. A combination all three type of cells found in cast.

7. D. Advanced tubular destruction.

8. C. Glomerular bleeding.

9. D.Distal convoluted tubules.

10.C WBC in hypotonic urine that are swollen.

11.A. Free floating RBCs.

12.B. Hyalin casts.

13. C. Tamm-Horsfall protein.

14. D. From a transitional epitheilum.

15. D. Extreme urine stasis and chronic renal failure.

16. E. Waxy casts.

17. C. Bilirubin,Leucin and tyrosine.

18. B . White precipitate.

19. E. None of the above.

20. B. Acidic urine.