Normal UA
Reagent strip principal
Reagent strip quality& misc
UA case studies
Abnormal UA
100

The normal yellow color of urine is produced by?

Urochrome

100

Reagent strip reaction based on blood is based on?

The psuedoperoxidase activity of hgb

100

clinitest is used to test for?

All reducing sugars

100

What would these results indicate?

color/clarity: yellow/hazy

PH-8.0

glucose-neg

protein- trace

ketone- neg

bilirubin- neg

urobilinogen-normal

blood- neg

nitrite- pos

leukocyte- pos

UTI

100

An amber colored specimen produces a yellow foam when shaken would be suspected to have?

Billirubin


200

The normal S.G. range is?

1.002-1.035

200

The principal reaction of bilirubin is based on?

Diazo reaction

bilirubin is coupled with a diazonium salt to form a colored complex

200

reagent strip reactivity should be tested when and with what?

every 24 hours

when a new lot of strips are opened 

positive and negative QC

200

A patient who has been on a medical fast for several weeks has brought in a urine sample. How would you expect it to smell? and what would likely be positive on the dipstick?

Sweet/fruity/positive for ketones

200

A specimen that has intact red blood cells will appear?

Cloudy & red


300
The normal PH of urine is?

4.5-8.0


300

The principal reaction for nitrites is based on?

Griess reaction

nitrite at an acidic PH reacts with an aromatic amine to produce a diazonium salt

300

 The test performed to confirm a positive bilirubin on the reagent strip is the

Ictotest 

300

The technician receives the following results on a urine specimen from a 1-month-old patient. What additional testing, if any, is required?

Color: Pale yellow 

Clarity: Clear Sp. Gr. 1.015

pH 6.0

Blood: Negative


Protein: Negative

LE: Negative

Nitrite: Negative

Glucose: Negative

Ketones: Negative

Bilirubin: Negative

Urobilinogen: 1.0 EU

Microscopic: 0-1 WBCs

clinitest

300

a baby's urine has a mousy odor what is the most likely reason for this?

PKU (phenylketonuria) 

400
Ascorbic acid does not affect what test?

Urobilinogen

400

The reagent reaction for glucose is based on?

double sequential enzyme reaction.

glucose oxidase/peroxidase


400

What should be done if pads on the reagent strips are discolored?

They should be discarded because they have been compromised

400

The technician performs a UA and a copper reduction test on a 19-month-old child. The reagent strip shows a negative result for glucose; the copper reduction test produces a positive result. What sugar is most likely present in the urine?

Galactose

400

A urine sample has a large amount of white foam when shaken and the foam does not dissipate quickly will likely contain?

Protein


500

What is the correct procedure for performing a chemical exam of a urine specimen?

Test a well mixed room temp specimen

500

The principle of the "protein error of indicators" is based upon?

protein accepting hydrogen ions from the indicator dye resulting in color change.

500

Confirmatory test for protein in urine is?

SSA

500

Urine bilirubin would be positive and urine urobilinogen would be normal to decreased in what clinical disorder?

Bile duct obstruction

500

what pigment is responsible for the pink color of amorphous urates?

Uroerythrin 

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