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DIS1-MICRO EXAMINATION-URINARY SEDIMENT CONSTITUENTS
  • Jef Marc Valencia

  • 問題数 93 • 2/26/2025

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    問題一覧

  • 1

    A screening test before microscopic examination which may indicate the presence of certain sediments

    COLOR

  • 2

    A screening test before microscopic examination that can be pathologic or non pathologic cause of turbidity

    CLARITY

  • 3

    Darker urine color will___urine specific gravity

    INCREASE

  • 4

    Most c'mon non pathologic cause of turbidity in female urine

    SQUAMOUS EPITHELIAL CELL

  • 5

    These are present/significance if +BLOOD in screening test

    RBC, RBC CAST

  • 6

    These are the significance/present in urine if +NITRITE in screening test

    BACTERIA, WBC

  • 7

    The c'mon cause of +NITRITE in urine screening test

    UTI

  • 8

    These are the significance/present in urine if +LE in screening test

    BACTERIA, WBC, WBC CAST

  • 9

    This may become positive in urine screening test in the presence of yeast. This is also the environment in which favors bacteria to thrive

    GLUCOSE

  • 10

    + in chem exam which subject to RBC-micro exam

    BLOOD

  • 11

    + in chem exam which subject to WBC-micro exam

    PROTEIN, NITRITE, LE

  • 12

    + in chem exam which subject to EPITHELIAL CELLS AND CAST-micro exam

    PROTEIN

  • 13

    + in chem exam which subject to BACTERIA micro exam

    pH, NITRITE, LE

  • 14

    + in chem exam which subject to CRYSTALS-micro exam

    pH

  • 15

    Color of bilirubin foam in urine

    YELLOW

  • 16

    What pH of urine do abnormal crystals c'monly found

    ACIDIC

  • 17

    Give the volume RANGE of urine needed for microscopic examination

    10-15 ML

  • 18

    Average/specific volume of urine for microscopic examination

    12 ML

  • 19

    What is the settings of the centrifuge for microscopic urine centrifugation

    400 RCF FOR 5 MINS

  • 20

    Volume of urine that should remain after decantation

    0.5-1 ML

  • 21

    Volume of urine that should be transferred to the glass slide

    20 UL

  • 22

    How many fields per power field is applied for microscopic examination of urine

    10

  • 23

    What microscope power fields is applied in microscopic examination of urine

    HIGH POWER, LOW POWER

  • 24

    Quantitative measurement of formed elements of urine for diagnosis of renal dx.

    ADDIS COUNT

  • 25

    The glassware used for addis count

    HEMOCYTOMETER

  • 26

    Specimen for addis count

    12 HOUR URINE

  • 27

    Preservative for addis count

    SODIUM FLUORIDE

  • 28

    Normal value of RBC in 12 hour urine

    0-500,000

  • 29

    Normal value of WBC and Epithelial cells in 12 hour urine

    0-1,800,000

  • 30

    Normal value of Hyaline casts in 12 hour urine

    0-5,000

  • 31

    Who introduced addis count

    THOMAS ADDIS

  • 32

    Most needed equipment and material for microscopic examination of urine

    MICROSCOPE, STAIN

  • 33

    Stain that delineates structure and contrasting colors of the nucleus and cytoplasm. It is also classified under supravital stains

    STERNHEIMER MALBIN

  • 34

    Stain good for low refractile index sediments

    STERNHEIMER MALBIN

  • 35

    What is the composition of Sternheimer Malbin stain

    CRYSTAL VIOLET, SAFRANIN O

  • 36

    Give at least 3 low refractile index sediments c'monly examined in urine

    WBC, EPITHELIAL CELL, HYALINE CAST

  • 37

    Stain which Action-enhance nuclear details Function-diff. WBCs and Reticulo Endothelial cells

    0.5% TOLUIDINE BLUE

  • 38

    Stain which Action-lyse RBCs and Accentuates Nucleus of WBCs Function-distinct. RBC from WBCs, yeast, oil, droplets, & crystals

    2% ACETIC ACID

  • 39

    Stain which Action-Stains triglycerides & neutral fats Function-ID free fat droplets and lipid containing cells and casts

    LIPID STAIN

  • 40

    What are the lipid stains used in Micro-examination

    OIL RED O, SUDAN III

  • 41

    Lipid stains triglycerides and neutral fats which appears what color

    ORANGE RED

  • 42

    Stain which Action-Diff. Gram -/+ bacteria Function-Bacterial and Fungal casts

    GRAM STAIN

  • 43

    Stain which Action-Stains eosinophilic granules Function-I.D Urinary eosinophils

    HANSEL STAIN

  • 44

    Stain which Action-Stains sediments containing iron Function-I.D Hemosiderin granules in casts and cells

    PRUSSIAN BLUE

  • 45

    What is the composition of Hansel Stain

    EOSIN Y, METHYLENE BLUE

  • 46

    Most c'mon microscope in CM used for routine urinalysis

    BRIGHTFIELD

  • 47

    What is the principle of Bright Field Microscope

    KOHLER ILLUMINATION

  • 48

    What is the formula in calculating the total mag. pwr of Bright field microscopy

    EYEPIECE MAGNIFICATION POWER X OBJECTIVE POWER

  • 49

    Give the total mag power if EP. pwr=10x Obj. pwr= 40x

    400X

  • 50

    Microscope used to visualize low refractive index elements (eg. hyaline, mixed cellular cast, mucous thread, trichomonas). Also used for examing Living cells

    PHASE CONTRAST

  • 51

    What is the principle of Phase contrast microscopy

    WAVE THEORY OF LIGHT

  • 52

    It used under phase contrast miscroscopy which stops cellular processes

    FIXATIVE

  • 53

    Microscopy in which vibrates light in 1 direction only but when it hits image, it splits into 2 beams

    POLARIZING

  • 54

    Microscope used for the I.D of cholesterol molecules in OFB, fatty casts, and crystals

    POLARIZING

  • 55

    What are the 2 beams produced by polarizing microscope after hitting an image

    ORIGINAL LIGHT PATH, 90 DEGREE LIGHT ANGLE

  • 56

    A feature of polarizing microscope which produces 2 refractive indices

    BIREFRINGENT

  • 57

    Microscope capable of producing 3 dimensional images

    INTERFERENCE CONTRAST

  • 58

    A class of Interference Contrast Microscopy that allows three modifications at the back of its objectives

    HOFFMAN, MODULATION CONTRAST

  • 59

    A class of inteference contrast microscope which intensity differences in the specimen image are attain through birefringent crystal prism.

    NOMARSKI, DIFFERENTIAL CONTRAST

  • 60

    What are the 3 modifications of Hoffman contrast microscopy

    SPECIAL SPLIT APERTURE, POLARIZER, MODULATOR

  • 61

    An special amp filter utilized by Hoffman Contrast Microscopy

    MODULATOR

  • 62

    Microscope used for I.D of spirochetes eg. Treponema spp.

    DARK FIELD

  • 63

    Microscope that utilizes 2 filters which specimen examined should be injected w/ flourescent dyes

    FLUORESCENCE

  • 64

    Term used to define presence of RBCS in urine

    HEMATURIA

  • 65

    Normal value range of RBC in urine

    0-4/HPF

  • 66

    Average diameter of RBC

    7 UM

  • 67

    Smooth, non nucleated biconcave disks shaped sediments

    RBC

  • 68

    What may happened to RBCs in Hypertonic Urine

    CRENATE, SHRINK

  • 69

    What maybe the appearance if RBC is in Hypotonic Urine

    GHOST CELL, LARGE EMPTY CELL

  • 70

    Term used to define the movement of water from lower to higher concentrations

    OSMOSIS

  • 71

    What could be present in urine in case of Glomerular Bleeding/Damage

    RBC, RBC CAST

  • 72

    Sources of error Hematuria-microscopic examination

    YEAST, OIL DROPLET, AIR BUBBLE, CALCIUM OXALATE MONOHYDRATE

  • 73

    Dumbbell shaped sediment in which could be a source of error in hematuria-microscopic examination

    CALCIUM OXALATE MONOHYDRATE

  • 74

    A reagent used as a remedy in hematuria which lyse rbcs

    2% ACETIC ACID

  • 75

    Term used to define the presence of WBCs in urine

    PYURIA

  • 76

    Normal value range of WBCs in urine

    0.5/HPF

  • 77

    Most predominant WBC in urine

    NEUTROPHIL

  • 78

    Normal value range of Eosinophils in urine

    <1%

  • 79

    Increase number of WBC may indicate

    INFECTION, INFLAMMATION

  • 80

    >1% of WBC or Eosinophils may indicate what clinical significance

    DRUG INDUCED INTERSTITIAL NEPHRITIS

  • 81

    WBC that may appear like granulated and multilobed

    NEUTROPHIL

  • 82

    Neutrophils may swell in what osmosis and pH or urine

    HYPOTONIC, ALKALINE

  • 83

    The cell sparkling apperance of neutrophil granules is due to

    BROWNIAN MOVEMENT

  • 84

    Present in small amount but may indicate inflammatory response or renal transplant rejection or infection and inflammation in the GUT

    MONONUCLEAR CELL

  • 85

    Infection of the urinary bladder is termed as

    CYSTITIS

  • 86

    Increase of WBC in bacterial infx

    CYSTITIS, PYELONEPHRITIS, PROSTATITIS, URETHRITIS

  • 87

    Increase of WBC in non bacterial infx

    SLE, GLOMERULONEPHRITIS, TUMOR

  • 88

    Give at least 3 clinical significance of hematuria

    RENAL CALCULI, MALIGNANCY, SCHISTOSOMIASIS

  • 89

    In hypotonic solution, which is more conc

    CELL

  • 90

    In hypertonic solution, which is more conc

    ENVIRONMENT

  • 91

    Color of Glitter Cells in SMS

    PALE BLUE

  • 92

    Color of Leukocytes in SMS

    PALE PINK

  • 93

    What do WBCs becaomr when exposed to Hypertonic or Acidic Urine

    SHRINK