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CM Post Test 1

The document contains 30 multiple choice questions about urine analysis and kidney function. It covers topics like urine specimen collection, factors in infection transmission, substances that can be present in urine samples, urine properties, urinalysis procedures and equipment calibration, urine sediment identification, and kidney functions like glomerular filtration and tubular reabsorption.

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Glennford Acoba
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241 views3 pages

CM Post Test 1

The document contains 30 multiple choice questions about urine analysis and kidney function. It covers topics like urine specimen collection, factors in infection transmission, substances that can be present in urine samples, urine properties, urinalysis procedures and equipment calibration, urine sediment identification, and kidney functions like glomerular filtration and tubular reabsorption.

Uploaded by

Glennford Acoba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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1. A physician suspected a lower urinary tract infection and requests a routine urinalysis and urine culture.

What type of urine specimen should be collected from a neonate coma patient with distended bladder?
A. Random urine specimen
B. Catheterized urine specimen
C. Suprapubic-aspirated urine
D. Midstream clean catch
2. Following the correct chain of infection, which three factors should be considered for it to be
completed?
A. Source of infection
B. Mode of transmission
C. Susceptible host
D. All of the above
3. A urine sample was shaken and produced a white foam. What possible substance is present in the
sample?
A. Bilirubin
B. Protein
C. Urobilin
D. Urochrome
4. Post-prandial urine specimen was tested. What phenomenon is expected?
A. It contains the most formed elements
B. It is fresh
C. It is most likely to contain protein
D. It will display the phenomenon “alkaline tide”
5. 600 to 700 ml/min is the ________.
A. Renal blood flow
B. Renal plasma flow
C. Countercurrent mechanism
D. Any of the above
6. Which part of the kidney are staghorn calculous commonly seen?
A. Hilus
B. Great curvature
C. Pelvis
D. Pyramid
7. What is the gold standard for measuring glomerular filtration rate?
A. Creatinine
B. Inulin
C. Urea
D. None of the above
8. Reagent strips are controlled _______.
A. Every 24 hrs
B. For every newly opened bottle
C. Every week
D. Every 4 hours
9. What is the color of the garbage bag for infectious waste?
A. Yellow
B. Yellow with black band
C. Green
D. Black
10. A urine specific gravity of 1.045 can be seen in _________.
A. Hyposthenuria
B. Hypersthenuria
C. Post-imaging studies with injected dye
D. Normosthenuria
11. What parameter in the reagent strip has the longest reaction time?
A. Ascorbic acid
B. Leukocyte esterase
C. Nitrite
D. Nitrate
12. Which of the following is synthetically derived?
A. IL-1RA
B. Creatine
C. Cystatin C
D. Urea
13. Centrifuge has to undergo calibration every ___________.
A. Week
B. Month
C. 3 months
D. 6 months
14. Clean catch urine is submitted to the laboratory for routine urinalysis and bacterial culture. The routine
urinalysis is done first. Two hours later, the specimen is sent to the microbiology department for
bacterial culture. The specimen should:
A. Be centrifuged, and the supernatant should be cultured
B. Be rejected
C. Not be cultured if no bacteria are seen in the routine urinalysis
D. Be processed for culture only if the nitrate is positive
15. Synovial fluid crystals are best seen using what microscopic technique?
A. Fluorescent Microscopy
B. Polarized Microscopy
C. Brightfield Microscopy
D. Compensated Light Microscopy
16. A urine with an elevated concentration of ascorbic acid will affect all of the following EXCEPT.
A. Glucose
B. Leukocytes
C. Nitrate
D. Protein
17. Which of the following is a supravital stain capable of staining WBCs, epithelial cells, and casts?
A. Prussian Blue
B. Toluidine Blue
C. Acetic Acid
D. Sternheimer-Malbin Stain
18. What is the preferred preservative for 24-hr urine specimen?
A. Toluene
B. Refrigeration
C. Formalin
D. Boric acid
19. These are small, refractile sediments which sometimes mistaken as microcytic RBCs.
A. Bacteria
B. Yeast
C. Both
D. Neither
20. Urine from a DM1 patient has which of the following?
A. Urine specific gravity of 1.031
B. Low urine specific gravity
C. High urine specific gravity
D. Variable urine specific gravity
21. Copper reduction method for the screening of urinary sugar is capable of detecting any of the following
except
A. Maltose
B. Galactose
C. Sucrose
D. Lactose
22. Which of the following urinary crystals is a key differentiation of an old specimen from a freshly
collected urine?
A. Uric acid
B. Calcium carbonate
C. Ammonium biurate
D. Cystine
23. A reagent strip area impregnated with stabilized p-arsanilic acid will yield a positive reaction with
A. Bilirubin
B. Nitrite
C. Ketones
D. Urobilinogen
24. Which of the following is a pathognomonic feature/s of glomerulonephritis?
A. WBC, WBC cast, Bacteria, bacterial cast, RBC, RBC casts
B. WBC casts, bacterial casts, RBC casts
C. RBC, RBC casts, bacteria, Bacterial casts
D. RBC, RBC casts
25. In cases of uncontrolled serotonin synthesis, which of the following substances can be found in urine?
A. 5,6-dihydroxyindole
B. 1-HIAA
C. 5,6-dioxyindole
D. 5-HIAA
26. Leucine buildup in the circulation in newborns, that can easily be detected in newborn screening, can
result to
A. Isovaleric acidemia
B. Propionic acidemia
C. Methylmalonic acidemia
D. All of the above
27. Guthrie Bacterial Inhibition Test is for the detection of
A. PKU
B. MSUD
C. Congenital hypothyroidism
D. Galactosemia
28. An increased number of bacteria with a non-detectable level of nitrite is indicative of
A. False positive bacteriuria
B. Sepsis
C. Urease negative bacteria
D. All of the above
29. What is the major organic solute found in urine?
A. Urea
B. Chloride
C. Potassium
D. Ammonium
30. The process by which the nephron removes water and other solute from the tubular fluid and returning
them into the circulation is termed as
A. Glomerular filtration
B. Tubular reabsorption
C. Tubular secretion
D. Renal blood flow

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