URINALYSIS AND BODY FLUIDS 7TH EDITION TEST BANK LATEST REVISED
- ans
A 2-year-old child had a positive urine ketone. This would most likely be caused by:
A. vomiting
B. anemia
C. hypoglycemia
D. biliary tract obstruction - ansA
A 17-year-old girl decided to go on a starvation diet. After 1 week of starving herself,
what substance would most likely be found in her urine?
A. protein
B. ketones
C. glucose
D. blood - ansB
A 21-year-old woman had glucose in her urine with a normal blood sugar. These
findings are most consistent with:
A. renal glycosuria
B. diabetes insipidus
C. diabetes mellitus
D. alkaline tide - ansA
A 24-hour urine from a man who had no evidence of kidney impairment was sent to the
laboratory for hormone determination. The volume was 600 mL, but there was some
question as to the completeness of the 24-hour collection. The next step would be to:
A. perform the hormone determination, since 600 mL is a normal urine 24-hour volume
B. check the creatinine level; if it is less than 1 g do the procedure
C. report the hormone determination in milligrams per deciliter in case the specimen
was incomplete
D. check the creatinine level; if it is greater than 1 g do the procedure - ansD
A 24-year-old obese diabetic woman had the following blood and urine test results from
specimens obtained at the same time:
pH = 7.5
Protein =30 mg/dL
Glucose = negative
Ketones = 15 mg/dL
Bilirubin = negative
Blood = negative
Nitrite = negative
Urobilinogen = 1 EU/dL
Specific gravity = 1.008
Microscopic:
Epithelial cells = 3-5
Bacteria = many
,URINALYSIS AND BODY FLUIDS 7TH EDITION TEST BANK LATEST REVISED
Yeast = many
Amorphous = moderate
Blood sugar = 195 mg/dL
Which of the following is the MOST likely explanation for the negative urine glucose
finding?
A. There is a false-negative glucose due to oxidizing contaminants.
B. There is a false-negative glucose due to the alkaline pH.
C. The specimen is probably old and the bacteria and yeast have consumed the
glucose.
D. Glucose would not be present in the urine specimen since the blood sugar was
normal. - ansC
A 42-year-old man is admitted to the emergency room with multiple abrasions, several
broken bones, a fractured pelvis, and a crushed femur. The following urinalysis results
are obtained:
Clarity - Hazy
Color - Red-brown
Specific gravity - 1.026
pH - 6.0
Protein - 300 mg/dL
Glucose - Negative
Ketones - Negative
Blood - 4+
Bilirubin - Negative
Nitrite - Negative
Urobilinogen - 0.1 EU/dL
Microscopic:
Hemoglobin granular casts 3-5
What is the MOST likely explanation for the discrepancy between the 4+ blood result,
hemoglobin granular casts, and the complete absence of red cells on the microscopic?
A. There is a false-positive reaction for blood on the urine strip due to the large amount
of protein.
B. The blood portion of the urine reagent strip is more sensitive to hemoglobin than
intact red cells.
C. Red blood cells have been lysed due to the pH and the specific gravity.
D. The hemoglobin granular casts which were re - ansB
A 59-year-old man is evaluated for back pain. Urine studies (urinalysis by multiple
reagent strip) include:
Urinalysis
Specific gravity - 1.017
pH - 6.5
Protein - Negative
,URINALYSIS AND BODY FLUIDS 7TH EDITION TEST BANK LATEST REVISED
Glucose - Negative
Blood - Negative
Microscopic - Rare epithelial cells
Urine protein electrophoresis:
Monoclonal spike in gamma globulin region
Which of the following statements best explains these results?
A. The urine protein is falsely negative due to the specific gravity.
B. The urine protein is falsely negative because the method is not sensitive for Bence
Jones protein.
C. The microscopic examination is falsely negative due to the specific gravity.
D. The electrophoresis is incorrect and should be repeated. - ansB
A 62-year-old patient with hyperlipoproteinemia has a large amount of protein in his
urine. Microscopic analysis yields moderate to many fatty, waxy, granular, and cellular
casts. Many oval fat bodies are also noted. This is most consistent with:
A. nephrotic syndrome
B. viral infection
C. acute pyelonephritis
D. acute glomerulonephritis - ansA
A centrifuge head has a diameter of 60 cm and spins at 3000 rpm. What is the
maximum achievable g force (g = 0.00001 x radius in cm x rpm2)?
A. 1.8g
B. 2700g
C. 27,000g
D. 90,000g - ansB
A clean-catch urine sample is submitted to the laboratory for routine urinalysis and
culture. The routine urinalysis is done first, and the specimen is then sent to
microbiology for culture. The specimen should:
A. be centrifuged and the supernatant cultured
B. be rejected due to possible contamination from routine urinalysis
C. not be cultured if no bacteria are seen
D. be immediately processed for culture regardless of urinalysis results - ansB
A component seen during a microscopic urinalysis stains positively with Sudan III stain
but does not polarize. This most likely is a:
A. cholesterol ester
B. neutral fat
C. lipid
D. leucine - ansB
A micropipet graduated to the tip and calibrated to contain should:
A. be drained
B. be rinsed
, URINALYSIS AND BODY FLUIDS 7TH EDITION TEST BANK LATEST REVISED
C. not be blown out
D. not be rinsed - ansB
A milky colored urine from a 24-year-old woman would most likely contain:
A. spermatozoa
B. many white blood cells
C. red blood cells
D. bilirubin - ansB
A patient has glucosuria, hyperglycemia, and polyuria. These findings would be
associated with:
A. renal glucosuria
B. diabetes mellitus
C. emotional stress
D. eating a heavy meal - ansB
A patient with renal tubular acidosis would most likely excrete a urine with a:
A. low pH
B. high pH
C. neutral pH
D. variable pH - ansB
A patient with uncontrolled diabetes mellitus will most likely have:
A. pale urine with a high SG
B. concentrated urine with a high SG
C. pale urine with a low SG
D. dark urine with a high SG - ansA
A patient with uncontrolled diabetes mellitus will most likely have:
A. pale urine with a high specific gravity
B. concentrated urine with a high specific gravity
C. pale urine with a low specific gravity
D. dark urine with a high specific gravity - ansA
A patient's urinalysis revealed a positive bilirubin and a decreased urobilinogen level.
These results are associated with:
A. hemolytic disease
B. biliary obstruction
C. hepatic disease
D. urinary tract infection - ansB
A physician attempts to aspirate a knee joint and obtains 0.1 mL of slightly bloody fluid.
Addition of acetic acid results in turbidity and a clot. This indicates that:
A. the fluid is synovial fluid
B. plasma was obtained
C. red blood cells caused a false positive reaction
- ans
A 2-year-old child had a positive urine ketone. This would most likely be caused by:
A. vomiting
B. anemia
C. hypoglycemia
D. biliary tract obstruction - ansA
A 17-year-old girl decided to go on a starvation diet. After 1 week of starving herself,
what substance would most likely be found in her urine?
A. protein
B. ketones
C. glucose
D. blood - ansB
A 21-year-old woman had glucose in her urine with a normal blood sugar. These
findings are most consistent with:
A. renal glycosuria
B. diabetes insipidus
C. diabetes mellitus
D. alkaline tide - ansA
A 24-hour urine from a man who had no evidence of kidney impairment was sent to the
laboratory for hormone determination. The volume was 600 mL, but there was some
question as to the completeness of the 24-hour collection. The next step would be to:
A. perform the hormone determination, since 600 mL is a normal urine 24-hour volume
B. check the creatinine level; if it is less than 1 g do the procedure
C. report the hormone determination in milligrams per deciliter in case the specimen
was incomplete
D. check the creatinine level; if it is greater than 1 g do the procedure - ansD
A 24-year-old obese diabetic woman had the following blood and urine test results from
specimens obtained at the same time:
pH = 7.5
Protein =30 mg/dL
Glucose = negative
Ketones = 15 mg/dL
Bilirubin = negative
Blood = negative
Nitrite = negative
Urobilinogen = 1 EU/dL
Specific gravity = 1.008
Microscopic:
Epithelial cells = 3-5
Bacteria = many
,URINALYSIS AND BODY FLUIDS 7TH EDITION TEST BANK LATEST REVISED
Yeast = many
Amorphous = moderate
Blood sugar = 195 mg/dL
Which of the following is the MOST likely explanation for the negative urine glucose
finding?
A. There is a false-negative glucose due to oxidizing contaminants.
B. There is a false-negative glucose due to the alkaline pH.
C. The specimen is probably old and the bacteria and yeast have consumed the
glucose.
D. Glucose would not be present in the urine specimen since the blood sugar was
normal. - ansC
A 42-year-old man is admitted to the emergency room with multiple abrasions, several
broken bones, a fractured pelvis, and a crushed femur. The following urinalysis results
are obtained:
Clarity - Hazy
Color - Red-brown
Specific gravity - 1.026
pH - 6.0
Protein - 300 mg/dL
Glucose - Negative
Ketones - Negative
Blood - 4+
Bilirubin - Negative
Nitrite - Negative
Urobilinogen - 0.1 EU/dL
Microscopic:
Hemoglobin granular casts 3-5
What is the MOST likely explanation for the discrepancy between the 4+ blood result,
hemoglobin granular casts, and the complete absence of red cells on the microscopic?
A. There is a false-positive reaction for blood on the urine strip due to the large amount
of protein.
B. The blood portion of the urine reagent strip is more sensitive to hemoglobin than
intact red cells.
C. Red blood cells have been lysed due to the pH and the specific gravity.
D. The hemoglobin granular casts which were re - ansB
A 59-year-old man is evaluated for back pain. Urine studies (urinalysis by multiple
reagent strip) include:
Urinalysis
Specific gravity - 1.017
pH - 6.5
Protein - Negative
,URINALYSIS AND BODY FLUIDS 7TH EDITION TEST BANK LATEST REVISED
Glucose - Negative
Blood - Negative
Microscopic - Rare epithelial cells
Urine protein electrophoresis:
Monoclonal spike in gamma globulin region
Which of the following statements best explains these results?
A. The urine protein is falsely negative due to the specific gravity.
B. The urine protein is falsely negative because the method is not sensitive for Bence
Jones protein.
C. The microscopic examination is falsely negative due to the specific gravity.
D. The electrophoresis is incorrect and should be repeated. - ansB
A 62-year-old patient with hyperlipoproteinemia has a large amount of protein in his
urine. Microscopic analysis yields moderate to many fatty, waxy, granular, and cellular
casts. Many oval fat bodies are also noted. This is most consistent with:
A. nephrotic syndrome
B. viral infection
C. acute pyelonephritis
D. acute glomerulonephritis - ansA
A centrifuge head has a diameter of 60 cm and spins at 3000 rpm. What is the
maximum achievable g force (g = 0.00001 x radius in cm x rpm2)?
A. 1.8g
B. 2700g
C. 27,000g
D. 90,000g - ansB
A clean-catch urine sample is submitted to the laboratory for routine urinalysis and
culture. The routine urinalysis is done first, and the specimen is then sent to
microbiology for culture. The specimen should:
A. be centrifuged and the supernatant cultured
B. be rejected due to possible contamination from routine urinalysis
C. not be cultured if no bacteria are seen
D. be immediately processed for culture regardless of urinalysis results - ansB
A component seen during a microscopic urinalysis stains positively with Sudan III stain
but does not polarize. This most likely is a:
A. cholesterol ester
B. neutral fat
C. lipid
D. leucine - ansB
A micropipet graduated to the tip and calibrated to contain should:
A. be drained
B. be rinsed
, URINALYSIS AND BODY FLUIDS 7TH EDITION TEST BANK LATEST REVISED
C. not be blown out
D. not be rinsed - ansB
A milky colored urine from a 24-year-old woman would most likely contain:
A. spermatozoa
B. many white blood cells
C. red blood cells
D. bilirubin - ansB
A patient has glucosuria, hyperglycemia, and polyuria. These findings would be
associated with:
A. renal glucosuria
B. diabetes mellitus
C. emotional stress
D. eating a heavy meal - ansB
A patient with renal tubular acidosis would most likely excrete a urine with a:
A. low pH
B. high pH
C. neutral pH
D. variable pH - ansB
A patient with uncontrolled diabetes mellitus will most likely have:
A. pale urine with a high SG
B. concentrated urine with a high SG
C. pale urine with a low SG
D. dark urine with a high SG - ansA
A patient with uncontrolled diabetes mellitus will most likely have:
A. pale urine with a high specific gravity
B. concentrated urine with a high specific gravity
C. pale urine with a low specific gravity
D. dark urine with a high specific gravity - ansA
A patient's urinalysis revealed a positive bilirubin and a decreased urobilinogen level.
These results are associated with:
A. hemolytic disease
B. biliary obstruction
C. hepatic disease
D. urinary tract infection - ansB
A physician attempts to aspirate a knee joint and obtains 0.1 mL of slightly bloody fluid.
Addition of acetic acid results in turbidity and a clot. This indicates that:
A. the fluid is synovial fluid
B. plasma was obtained
C. red blood cells caused a false positive reaction
