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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