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CAST-MCQ
  • Jef Marc Valencia

  • 問題数 73 • 3/29/2025

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    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

    COLLECTING DUCT, DISTAL CONVOLUTED TUBULE

  • 6

    Cast are seen primarily in what part of the slide w/ subdued light

    COVERSLIP EDGE

  • 7

    Manner of reporting of casts

    NUMERICAL RANGE/LOW POWER FIELD

  • 8

    The major constituent of casts produced by the Renal Tubular Epithelial cell

    TAMM HORSFALL PROTEIN, UROMODULIN

  • 9

    This are irregular or tapered shape casts

    CYLINDROID

  • 10

    Enumerate factors enhancing cast formation

    INCREASED PLASMA PROTEIN, URINE STASIS, INCREASED SOLUTE CONCENTRATION, ACIDIC PH

  • 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

    TAMM HORSFALL PROTEIN, UROMODULIN

  • 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/

    DYSMORPHIC RBC, PROTEINURIA

  • 36

    Clinical significance of RBC cast

    TUBULAR INJURY, GLOMERULAR BLEEDING AND DAMAGE, BLEEDING NEPHRON

  • 37

    + chemical examination of RBC cast

    BLOOD, PROTEIN

  • 38

    Cast that can be seen during infection or inflammation within the nephron

    WBC CAST

  • 39

    + chemical examination of WBC cast

    LE, NITRITE, BLOOD

  • 40

    Term refering to upper UTI

    PYELONEPHRITIS

  • 41

    Aside from the Infection or inflammation of the nephron, what are the other conditions where WBC Cast alone can be seen

    INTERSTITIAL NEPHRITIS, PYELONEPHRITIS

  • 42

    Condition where both RBC and WBC cast can be seen

    GLOMERULONEPHRITIS

  • 43

    Cast that could represent advanced tubular destruction

    RENAL TUBULAR EPITHELIAL CELL CAST

  • 44

    Enumerate conditions where RTE cell cast alone can be seen

    ALLOGRAFT REJECTION, VIRAL INFECTION, TOXICITY

  • 45

    Condition where RTE,WBC, and BACTERIAL cast can be seen

    PYELONEPHRITIS

  • 46

    Refractivity index of RTE cast

    HIGH

  • 47

    + chemical examination of RTE cast

    PROTEIN, LE, NITRITE, BLOOD

  • 48

    Casts containing multiple cell types

    MIXED CELLULAR CAST

  • 49

    Which of these conditions where bacterial cast could be present

    UPPER UTI

  • 50

    This casts resembles granular casts

    BACTERIAL CAST

  • 51

    A condition where bacterial casts containing bacilli both within and bound to the protein matrix

    PYELONEPHRITIS

  • 52

    Microscope preferred for Bacterial casts

    BRIGHTFIELD

  • 53

    + chemical examination of Bacterial cast

    LE, NITRITE, BLOOD

  • 54

    Stain used for identification of bacterial casts

    GRAM STAIN

  • 55

    Granules are derived from the lysosomes of RTE cells during normal metabolism

    GRANULAR CAST

  • 56

    Clinical Significance of Granular Cast

    STRENOUS EXERCISE, STRESS, PYELONEPHRITIS, GLOMERULONEPHRITIS

  • 57

    Refractivity index of Granular cast

    HIGH

  • 58

    Microscope used for the identification of Granular cast

    BRIGHTFIELD

  • 59

    + chemical examination of Granular cast

    PROTEIN, LE, BLOOD

  • 60

    Cast that can be present in nephrotic syndrome or lipiduria

    FATTY CAST

  • 61

    Fatty cast stain and microscope used

    POLARIZING, LIPID STAIN

  • 62

    + chemical examination of Fatty cast

    GLUCOSE, PROTEIN, LE

  • 63

    Clinical significance of Fatty cast

    CRUSH INJURY, DIABETES MELLITUS, TOXIC TUBULAR NECROSIS

  • 64

    Broad cast are also known as___ which is also a indicative of this condition.

    RENAL FAILURE CAST

  • 65

    Most c'mon broad cast

    WAXY, GRANULAR

  • 66

    This indicates widening of the tubular walls

    BROAD CAST, RENAL FAILURE CAST

  • 67

    Seen as the result of the tubular necrosis caused by viral hepatitis

    WAXY, BILE STAINED BROAD

  • 68

    Hyaline matrix w/ coloration due to pigmentation incorporation

    PIGMENTED CAST

  • 69

    What color of the pIgmented casts incorporated w/ bilirubin

    GOLDEN BROWN

  • 70

    What color of the pIgmented casts incorporated w/ hemoglobin or myoglobin

    YELLOW-RED BROWN

  • 71

    Hemoglobin pigmented cast are caused by

    HEMOLYTIC ANEMIA

  • 72

    Myoglobin pigmented cast are caused by

    RHABDOMYOLYSIS

  • 73

    Crystal cast are occasionally seen in

    SULFONAMIDE, CALCIUM OXALATE, URATE