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WorksheetsAUBF LONG EXAM 2021_BSMLS3
Total questions: 50
Worksheet time: 40mins
In urinalysis, the image below is reported as ______
Average number seen in 10 oio
Average number seen in 10 hpfs
Average number seen in 10 lpfs
Counted using a Neubauer chamber
This shows a urinary sediment viewed under 400× magnification using bright field microscopy. This colorless crystal is presumptively identified as:
Hippuric acid
Calcium phosphate
Acetaminophen
Cystine
Which is true about the formed element shown below?
May be found in normal alkaline urine
Associated with renal pathology
Characteristic of glomerulonephritis
Associated with lung pathology
Which of the following will be characterized by an increased number of the urinary component seen in below?
Nephrotic syndrome
Contamination from vaginal discharge
Acute glomerulonephritis
Biliary tract obstruction
The formed element in the high-power field shown below is most likely a ________
Waxy cast
Hyaline cast
Granular cast
Fiber artifact
"Glitter cell" is a term used to describe a specific type of _____________
Fatty droplet
Ketone body
Oval fat body
Neutrophil
What condition is suggested by the number of the formed element that predominates in the high-power field of the image below?
Pyelonephritis
Improperly collected specimen
Glomerulonephritis
Normal sample
Below is the most frequent parasite encountered in the urine.
Schistosoma haematobium
Trichomonas vaginalis
Enterobius vermicularis
None of the above
Identify the image below
Calcium oxalate
Cholesterol
Leucine
Ammonium biurate
Identify the image below
Uric acid
Triple phosphate
Amorphous urates
Calcium oxalate
The best way to break the chain of infection is:
Hand sanitizing
Personal protective equipment
Aerosol prevention
Decontamination
Urine specimens must be tested within:
1 hour
2 hours
3 hours
4 hours
This specimen is used for monitoring insulin therapy:
Glucose tolerance specimen
2-hour postprandial
Fasting specimen
First morning specimen
Urine clarity described as "many particulates, print blurred through urine" is reported as:
Turbid
Clear
Hazy
Cloudy
A specimen containing 2 g/dL of protein and 1 g/dL of glucose has a specific gravity reading of 1.035. As the medtech on duty, you will:
Report as 1.035
Report as 1.030
Report as 1.025
Report as 1.020
Which among the following reagent strip reactions require the longest time?
pH
Blood
Nitrite
Leukocyte esterase
What is the cell usually used as reference in focusing the microscope?
Squamous cell
Transitional cell
White blood cell
Red blood cell
On chemical examination, a urine specimen tested positive for protein. Also, the Medtech noted the presence of hyaline casts, granular casts, and a number of RBCs on microscopic examination. This is most probably due to:
Renal failure
Strenuous exercise
Pyelonephritis
Diabetic nephropathy
A urine specimen tested 4+ for protein. On microscopic examination, fatty casts as well as RBCs and renal tubular cells were observed. This could indicate:
Acute tubular necrosis
Acute interstitial nephritis
Nephrotic syndrome
Glomerulonephritis
Tube 2 CSF samples are for_________ and must be maintained in _______________
Microbiology tests, Refrigerated
Hematology tests, Refrigerated
Microbiology tests, Room temp
Chemical tests, frozen
Blood evenly distributed on all three CSF specimen tubes indicate:
Contamination
Traumatic tap
Cerebral hemorrhage
None of the above
Which of the following produce a characteristic starburst pattern on CSF specimens?
N. meningitidis
H. influenza
C. immitis
C. neoformans
Using a 1:20 dilution, sperms counted in RBC squares on each side of the hemocytometer were 80 and 86 on a 3 mL specimen. Calculate the sperm concentration.
80M per mL
83M per mL
86M per mL
169M per mL
Where is the mitochondrial sheath of the sperm located?
Tail
Midpiece
Neckpiece
Head
What color on the diamond-shaped hazardous material classification represent health hazards?
Blue
White
Yellow
Red
A specimen contaminated with toilet paper was delivered by a patient to the laboratory. The med tech on duty must:
Accept the specimen
Ask the patient to remove the toilet paper then accept specimen
Accept the specimen and remove the toilet paper before processing
Reject the specimen
The most valuable initial aid for identifying crystals in a
urine specimen is:
pH
Solubility
Staining
Polarized microscopy
Given the following data, calculate the creatinine clearance. Serum creatinine = 1.2 mg/dL; urine creatinine = 100 mg/dL; urine volume = 1.4 L/day; body surface area = 1.80 m2
47 mL/min
78 mL/min
100 mL/min
116 mL/min
Which of the following would be least affected in a specimen that has remained unpreserved at room temperature for more than 2 hours?
Protein
Glucose
Leukocyte esterase
RBC and WBC casts
A 2 p.m. urinalysis has a trace glucose by the dry reagent strip test. A fasting blood glucose drawn 8 hours earlier is 100 mg/dL. No other results are abnormal. Select the most appropriate course of action.
Repeat the urine glucose and report if positive
Perform a test for reducing sugars and report the result
Perform a quantitative urine glucose; report as trace if greater than 100 mg/dL
Request a new urine specimen
Given the following urinalysis results, select the most appropriate course of action:
Recheck urine pH
Report these results, assuming acceptable quality control
Repeat the dry reagent strip tests to confirm the ketone result
Request a new sample and repeat the urinalysis
Urinalysis results from a 35-year-old woman are:
Recheck the blood reaction; if negative, look for budding yeast
Repeat the WBC count
Request a list of medications
Report all results except blood
A urine specimen is dark orange and turns brown after storage in the refrigerator overnight. The technologist requests a new specimen. The second specimen is bright orange and is tested immediately. Which test result would differ between the two specimens?
Nitrite
Urobilinogen
Ketone
Leukocyte esterase
A patient’s random urine consistently contains a trace of protein but no casts, cells, or other biochemical abnormality. The first voided morning sample is consistently negative for protein. These findings can be explained by:
Microalbuminuria
Orthostatic or postural albuminuria
Early glomerulonephritis
Normal diurnal variation in protein loss
A urine sample with a pH of 8.0 and a specific gravity of 1.005 had a small positive blood reaction, but is negative for protein and no RBCs are present in the microscopic examination of urinary sediment. What best explains these findings?
An error was made in the microscopic examination
Hemoglobin is present without intact RBCs due to hemolysis
The blood reaction and protein reaction are discrepant
High pH and low SG caused a false-positive blood reaction
A quantitative serum hCG is ordered on a male patient. The technologist should:
Perform the test and report the result only if greater than 25 IU/L
Perform the test and report the result if negative
Request that the order be cancelled
Perform the test and report the result
A CSF sample submitted for cell counts has a visible clot. What is the best course of action?
Count RBCs and WBCs manually after diluting the fluid with normal saline
Tease the cells out of the clot before counting, then dilute with WBC counting fluid
Request a new sample
Perform a WBC count without correction
Total hemolytic complement and glucose are ordered on a synovial fluid sample that is too viscous to pipet. What is the best course of action?
Request a new specimen
Warm the sample to 65°C for 10 minutes
Add 1 mg/mL hyaluronidase to the sample and incubate at room temperature for 30 minutes
Dilute the sample in saline
A CSF CytoPrep smear shows many smudge cells and macrophages with torn cell membranes. What most likely caused this problem?
Improper alignment
Centrifuge speed too low
Failure to collect the CSF in EDTA
Failure to add albumin to the cytospin cup
A 5-mL urine specimen is submitted for routine urinalysis and analyzed immediately. The SG of the sample is 1.012 and the pH is 6.5. The dry reagent strip test for blood is a large positive (3+) and the microscopic examination shows 11–20 RBCs per HPF. The leukocyte esterase reaction is a small positive (1+), and the microscopic examination shows 0–5 WBCs per HPF. What is the most likely cause of these
results?
Myoglobin is present in the sample
Some WBCs have been misidentified as RBCs
Insufficient volume is causing microscopic results to be underestimated
Free hemoglobin is present
What is the most likely cause of the following CSF results?
Viral meningitis
Viral encephalitis
Cryptococcal meningitis
Acute bacterial meningitis
Which of the following stains is used to determine sperm viability?
Eosin Y
Hematoxylin
Papanicolaou
Methylene blue
Which of the following results are discrepant?
Small blood but negative protein
Moderate blood but no RBCs in microscopic exam
Negative blood but 6–10 RBCs/HPF
Negative blood, positive protein
The diagnosis of multiple sclerosis is often based upon which finding?
An increased level of CSF β microglobulin
The presence of oligoclonal bands by electrophoresis
A decreased IgG index
The presence of elevated protein and low glucose
Urine that is dark red or port wine in color may be caused by:
Lead poisoning
Porphyria cutanea tarda
Alkaptonuria
Hemolytic anemia
Urine production of less than 400 mL/day is:
Consistent with normal renal function and H2O balance
Termed isosthenuria
Associated with diabetes mellitus
Defined as oliguria
A urine specimen is tested by a reagent strip test and the sulfosalicylic acid test to determine whether protein is present. The former yields a negative protein, whereas
the latter results in a reading of 2+ protein. Which of the following statements best explains this difference?
The urine contained an excessive amount of amorphous urates or phosphates that caused the turbidity seen with the sulfosalicylic acid test.
The urine pH was greater than 8, exceeding the buffering capacity of the reagent strip, thus causing a false-negative reaction.
A protein other than albumin must be present in the urine.
The reading time of the reagent strip test was exceeded (the reading being taken at 2 minutes), causing a false-negative reaction to be detected.
Each of the following is included in the quality assurance program for a urinalysis laboratory. Which one represents a preanalytical component of testing?
Setting collection guidelines for 24-hour urines
Setting a maintenance schedule for microscopes
Reporting units to be used for crystals
Requiring acceptable results for control specimens before any patient results are reported out
If a urine specimen is left standing at room temperature for several hours, which of the following changes may occur?
An increase in the glucose concentration
Multiplication of bacteria
Production of an acid urine
Deterioration of any albumin present
The presence of ketone bodies in urine specimens may be detected by use of a reagent strip impregnated with sodium nitroprusside. This strip test is sensitive to the presence of
Acetoacetic acid and beta- hydroxybutyric acid
Acetoacetic acid and acetone
Diacetic acid and beta-hydroxybutyric acid
Beta-hydroxybutyric acid and acetone
