問題一覧
1
Refers to the increase amount of crystals in urine
CYLINDRURIA
2
The only body fluid which contains cast
URINE
3
Refractivity index of Urine casts
LOW
4
Urinary sediment unique to the kidneys
CAST
5
Cast are primarily formed in the
DISTAL CONVOLUTED TUBULE, COLLECTING DUCT
6
Cast are seen primarily in what part of the slide w/ subdued light
COVERSLIP EDGE
7
Manner of reporting of casts
NUMERICAL RANGE/10 LOW POWER FIELD
8
The major constituent of casts produced by the Renal Tubular Epithelial cell
UROMODULIN, TAMM HORSFALL PROTEIN
9
This are irregular or tapered shape casts
CYLINDROID
10
Enumerate factors enhancing cast formation
ACIDIC PH, INCREASED SOLUTE CONCENTRATION, URINE STASIS, INCREASED PLASMA PROTEIN
11
Protein particularly contributes to the formation of casts
ALBUMIN
12
Width od the cast is dependent on the size of the___ where it is formed
TUBULE
13
Order of cast degeneration (in order manner)
HYALINE, CELLULAR, GRANULAR, WAXY
14
Importance of Cast
STATUS OF RENAL TUBULE
15
Most frequently seen cast formed by interweaving of protein fibrils into a mesh-like pattern.
HYALINE
16
Cast formed due to the possible attachment of urinary sediments to the matrix
CELLULAR CAST
17
Cast that is remain in Renal Tubular Epithelial Cell for a long period of time
GRANULAR CAST
18
Cast of final stage of degeneration
WAXY CAST
19
What is the normal value of Hyaline cast
0-2/LPF
20
Hyaline cast are mainly composed of what protein
UROMODULIN, TAMM HORSFALL PROTEIN
21
Enumerate physiologic clinical significance of Hyaline cast
STRENOUS EXCERCISE, DEHYDRATION, HEAT EXPOSURE, EMOTIONAL STRESS
22
Enumerate pathologic clinical significance of Hyaline cast
ACUTE GLOMERULONEPHRITIS, PYELONEPHRITIS, CHRONIC RENAL DISEASE, CONGESTIVE HEART FAILURE
23
Microscope used to view Hyaline cast
PHASE CONTRAST
24
Stain used for Hyaline cast
STERNHEIMER MALBIN
25
Refractivity index of Hyaline cast
LOW
26
Brittle, highly refractile w/ jagged edges that is degenerative form of all cast
WAXY CAST
27
Stain and color of waxy cast
STERNHEIMER MALBIN, DARK PINK
28
Microscope preferred for viewing waxy cast
BRIGHTFIELD
29
What is the appearance of waxy cast in microscope
GROUND GLASS
30
Significance of Waxy cast
SEVERE KIDNEY DISEASE, RENAL TRANSPLANT REJECTION
31
+ chemical examination of waxy cast
PROTEIN, BLOOD
32
What could be the color imparted in RBC cast due to the released of hemoglobin
MUDDY BROWN
33
Stain used for RBC cast; what color could be imparted
STERNHEIMER MALBIN, LAVENDER IN PINK MATRIX
34
Cast that may represent bleeding in the nephron
RBC CAST
35
RBC cast that could represent Glomerulonephritis are associated w/
PROTEINURIA, DYSMORPHIC RBC
36
Clinical significance of RBC cast
TUBULAR INJURY, BLEEDING NEPHRON, GLOMERULAR BLEEDING AND DAMAGE
37
RBC cast manner of reporting
NUMBER/LPF
38
+ chemical examination of RBC cast
PROTEIN, BLOOD
39
Cast that can be seen during infection or inflammation within the nephron
WBC CAST
40
+ chemical examination of WBC cast
BLOOD, NITRITE, LE
41
Term refering to upper UTI
PYELONEPHRITIS
42
Aside from the Infection or inflammation of the nephron, what are the other conditions where WBC Cast alone can be seen
PYELONEPHRITIS, INTERSTITIAL NEPHRITIS
43
Condition where both RBC and WBC cast can be seen
GLOMERULONEPHRITIS
44
Cast that could represent advanced tubular destruction
RENAL TUBULAR EPITHELIAL CELL CAST
45
Enumerate conditions where RTE cell cast alone can be seen
TOXICITY, VIRAL INFECTION, ALLOGRAFT REJECTION
46
Normal Value for RTE cast
>2 RTE/HPF
47
Condition where RTE,WBC, and BACTERIAL cast can be seen
PYELONEPHRITIS
48
Refractivity index of RTE cast
HIGH
49
+ chemical examination of RTE cast
BLOOD, NITRITE, LE, PROTEIN
50
Casts containing multiple cell types
MIXED CELLULAR CAST
51
Which of these conditions where bacterial cast could be present
UPPER UTI
52
This casts resembles granular casts
BACTERIAL CAST
53
A condition where bacterial casts containing bacilli both within and bound to the protein matrix
PYELONEPHRITIS
54
Microscope preferred for Bacterial casts
BRIGHTFIELD
55
+ chemical examination of Bacterial cast
BLOOD, NITRITE, LE
56
Stain used for identification of bacterial casts
GRAM STAIN
57
Granules are derived from the lysosomes of RTE cells during normal metabolism
GRANULAR CAST
58
Clinical Significance of Granular Cast
GLOMERULONEPHRITIS, PYELONEPHRITIS, STRESS, STRENOUS EXERCISE
59
Refractivity index of Granular cast
HIGH
60
Microscope used for the identification of Granular cast
BRIGHTFIELD
61
+ chemical examination of Granular cast
BLOOD, LE, PROTEIN
62
Cast that can be present in nephrotic syndrome or lipiduria
FATTY CAST
63
Fatty cast stain and microscope used
LIPID STAIN, POLARIZING
64
+ chemical examination of Fatty cast
LE, PROTEIN, GLUCOSE
65
Clinical significance of Fatty cast
TOXIC TUBULAR NECROSIS, DIABETES MELLITUS, CRUSH INJURY
66
Broad cast are also known as___ which is also a indicative of this condition.
RENAL FAILURE CAST
67
Most c'mon broad cast
WAXY, GRANULAR
68
This indicates widening of the tubular walls
RENAL FAILURE CAST, BROAD CAST
69
Seen as the result of the tubular necrosis caused by viral hepatitis
BILE STAINED BROAD, WAXY
70
Hyaline matrix w/ coloration due to pigmentation incorporation
PIGMENTED CAST
71
What color of the pIgmented casts incorporated w/ bilirubin
GOLDEN BROWN
72
What color of the pIgmented casts incorporated w/ hemoglobin or myoglobin
YELLOW-RED BROWN
73
Hemoglobin pigmented cast are caused by
HEMOLYTIC ANEMIA
74
Myoglobin pigmented cast are caused by
RHABDOMYOLYSIS
75
Crystal cast are occasionally seen in
URATE, CALCIUM OXALATE, SULFONAMIDE