The quizzes about Microscopic Examination of Urine (46 questions)

Select the one best response to each question!

Macroscopic screening of urine specimens is used to:

Provide results as soon as possible

Predict the type of urinary casts present

Increase cost-effectiveness of urinalysis

Decrease the need for polarized microscopy

Correct! Wrong!

Variations in the microscopic analysis of urine include all of the following except:

Preparation of the urine sediment

Amount of sediment analyzed

Method of reporting

Identification of formed elements

Correct! Wrong!

All of the following can cause false-negative microscopic results except:

Braking the centrifuge

Failing to mix the specimen

Dilute alkaline urine

Using midstream clean-catch specimens

Correct! Wrong!

The two factors that determine relative centrifugal force are:

Radius of rotor head and rpm

Radius of rotor head and time of centrifugation

Diameter of rotor head and rpm

RPM and time of centrifugation

Correct! Wrong!

When using the glass slide and coverslip method, which of the following might be missed if the coverslip is overflowed?

Casts

RBCs

WBCs

Bacteria

Correct! Wrong!

Initial screening of the urine sediment is performed using an objective power of:

100

Correct! Wrong!

Which of the following should be used to reduce light intensity in bright-field microscopy?

Centering screws

Aperture diaphragm

Rheostat

Condenser aperture diaphrgam

Correct! Wrong!

Which of the following are reported as number per LPF?

RBCs

WBCs

Crystals

Casts

Correct! Wrong!

The Sternheimer-Malbin stain is added to urine sediments to do all of the following except:

Increase visibility of sediment constituents

Change the constituents refractive index

Decrease precipitation of crystals

Delineate constituent structures

Correct! Wrong!

Nuclear detail can be enhanced by:

Prussian blue

Toluidine blue

Acetic acid

Both B and C

Correct! Wrong!

Which of the following lipids is/are stained by Sudan III?

Cholesterol

Neutral fats

Triglycerides

Both B and C

Correct! Wrong!

Which of the following lipids is/are capable of polarizing light?

Cholesterol

Neutral fats

Triglycerides

Both A and B

Correct! Wrong!

The purpose of the Hansel stain is to identify:

Neutrophils

Renal tubular cells

Eosinophils

Monocytes

Correct! Wrong!

Crenated RBCs are seen in urine that is:

Hyposthenuric

Hypersthenuric

Highly acidic

Highly alkaline

Correct! Wrong!

Differentiation among RBCs, yeast, and oil droplets may be accomplished by all of the following except:

Observation of budding in yeast cells

Increased refractility of oil droplets

Lysis of yeast cells by acetic acid

Lysis of RBCs by acetic acid

Correct! Wrong!

The finding of dysmorphic RBCs is indicative of:

Glomerular bleeding

Renal calculi

Traumatic injury

Coagulation disorders

Correct! Wrong!

Leukocytes that stain pale blue with SternheimerMalbin stain and exhibit brownian movement are:

Indicative of pyelonephritis

Basophils

Mononuclear leukocytes

Glitter cells

Correct! Wrong!

Mononuclear leukocytes are sometimes mistaken for:

Yeast cells

Squamous epithelial cells

Pollen grains

Renal tubular cells

Correct! Wrong!

When pyuria is detected in a sediment, the slide should be carefully checked for the presence of:

RBCs

Bacteria

Hyaline casts

Mucus

Correct! Wrong!

Transitional epithelial cells are sloughed from the:

Collecting duct

Vagina

Bladder

Proximal convoluted tubule

Correct! Wrong!

The largest cells in the urine sediment are:

Squamous epithlial cells

Urothelial epithelial cells

Cuboidal epithelial cells

Columnar epithelial cells

Correct! Wrong!

A clinically significant squamous epithelial cell is the:

Cuboidal cell

Clue cell

Caudate cell

Columnar cell

Correct! Wrong!

Forms of transitional epithelial cells include all of the following except:

Spherical

Caudate

Convoluted

Polyhedral

Correct! Wrong!

Increased transitional cells are indicative of:

Catheterization

Malignancy

Pyelonephritis

Both A and B

Correct! Wrong!

A primary characteristic used to identify renal tubular epithelial cells is:

Elongated structure

Centrally located nucleus

Spherical appearance

Eccentrically located nucleus

Correct! Wrong!

Following an episode of hemoglobinuria, RTE cells may contain:

Bilirubin

Hemosiderin granules

Porphobilinogen

Myoglobin

Correct! Wrong!

The predecessor of the oval fat body is the:

Histiocyte

Urothelial cell

Monocyte

Renal tubular cell

Correct! Wrong!

A structure believed to be an oval fat body produced a Maltese cross formation under polarized light but does not stain with Sudan III. The structure:

Contains cholesterol

Is not an oval fat body

Contains neutral fats

Is contaminated with immersion oil

Correct! Wrong!

The finding of yeast cells in the urine is commonly associated with:

Cystitis

Diabetes mellitus

Pyelonephritis

Liver disorders

Correct! Wrong!

The primary component of urinary mucus is:

Bence Jones protein

Microalbumin

Tamm-horsfall protein

Orthostatic protein

Correct! Wrong!

The majority of casts are formed in the:

Proximal convoluted tubules

Ascending loop of Henle

Distal convoluted tubules

Collecting ducts

Correct! Wrong!

Cylindroiduria refers to the presence of:

Cylindrical renal tubular cells

Mucus resembling casts

Hyaline and waxy casts

All types of casts

Correct! Wrong!

A person submitting a urine specimen following a strenuous exercise routine can normally have all of the following in the sediment except:

Hyaline casts

Granular casts

RBC casts

WBC casts

Correct! Wrong!

Prior to identifying an RBC cast, all of the following should be observed except:

Free-floating RBCs

Intact RBCs in the cast

Presence of a cast matrix

A positive reagent strip blood reaction

Correct! Wrong!

WBC casts are primarily associated with:

Pyelonephritis

Cystitis

Glomerulonephritis

Viral infections

Correct! Wrong!

The shape of the RTE cell associated with renal tubular epithelial casts is primarily:

Elongated

Cuboidal

Round

Columnar

Correct! Wrong!

When observing RTE casts, the cells are primarily:

Embedded in a clear matrix

Embedded in a granular matrix

Attached to the surface of a matrix

Stained by components of the urine filtrate

Correct! Wrong!

The presence of fatty casts is associated with:

Nephrotic syndrome

Crush injuries

All of the above

Correct! Wrong!

Nonpathogenic granular casts contain:

Cellular lysosomes

Degenerated cells

Protein aggregates

Gram-positive cocci

Correct! Wrong!

All of the following are true about waxy casts except they:

Represent extreme urine stasis

May have a brittle consistency

Require staining to be visualized

Contain degenerated granules

Correct! Wrong!

The observation of broad casts represents:

Destruction of tubular walls

Dehydraton and high fever

Formation in the collecting ducts

Both A and C

Correct! Wrong!

All of the following contribute to the formation of urinary crystals except:

Protein concentration

Solute concentration

Temperature

Correct! Wrong!

The most valuable initial aid for the identification of crystals in a urine specimen is:

Solubility

Staining

Polarized microscopy

Correct! Wrong!

Crystals associated with severe liver disease include all of the following except:

Bilirubin

Leucine

Cystine

Tyrosine

Correct! Wrong!

All of the following crystals routinely polarize except:

Uric acid

Cholesterol

Radiographic dye

Cystine

Correct! Wrong!

Differentiation between casts and fibers can usually be made using:

Solubility characteristics

Patient history

Polarized light

Fluorescent light

Correct! Wrong!

The quizzes about Microscopic Examination of Urine (46 questions)

You need to try more!

You are pretty good!

You are very good!

1. Macroscopic screening of urine specimens is used to:
A. Provide results as soon as possible
B. Predict the type of urinary casts present
C. Increase cost-effectiveness of urinalysis
D. Decrease the need for polarized microscopy

2. Variations in the microscopic analysis of urine include all of the following except:
A. Preparation of the urine sediment
B. Amount of sediment analyzed
C. Method of reporting
D. Identification of formed elements

3. All of the following can cause false-negative microscopic results except:
A. Braking the centrifuge
B. Failing to mix the specimen
C. Dilute alkaline urine
D. Using midstream clean-catch specimens

4. The two factors that determine relative centrifugal force are:
A. Radius of rotor head and rpm
B. Radius of rotor head and time of centrifugation
C. Diameter of rotor head and rpm
D. RPM and time of centrifugation

5. When using the glass slide and coverslip method, which of the following might be missed if the coverslip is overflowed?
A. Casts
B. RBCs
C. WBCs
D. Bacteria

6. Initial screening of the urine sediment is performed using an objective power of:
A. 4
B. 10
C. 40
D. 100

7. Which of the following should be used to reduce light intensity in bright-field microscopy?
A. Centering screws
B. Aperture diaphragm
C. Rheostat
D. Condenser aperture diaphrgam

8. Which of the following are reported as number per LPF?
A. RBCs
B. WBCs
C. Crystals
D. Casts

9. The Sternheimer-Malbin stain is added to urine sediments to do all of the following except:
A. Increase visibility of sediment constituents
B. Change the constituents refractive index
C. Decrease precipitation of crystals
D. Delineate constituent structures

10. Nuclear detail can be enhanced by:
A. Prussian blue
B. Toluidine blue
C. Acetic acid
D. Both B and C

11. Which of the following lipids is/are stained by Sudan III?
A. Cholesterol
B. Neutral fats
C. Triglycerides
D. Both B and C

12. Which of the following lipids is/are capable of polarizing light?
A. Cholesterol
B. Neutral fats
C. Triglycerides
D. Both A and B

13. The purpose of the Hansel stain is to identify:
A. Neutrophils
B. Renal tubular cells
C. Eosinophils
D. Monocytes

14. Crenated RBCs are seen in urine that is:
A. Hyposthenuric
B. Hypersthenuric
C. Highly acidic
D. Highly alkaline

15. Differentiation among RBCs, yeast, and oil droplets may be accomplished by all of the following except:
A. Observation of budding in yeast cells
B. Increased refractility of oil droplets
C. Lysis of yeast cells by acetic acid
D. Lysis of RBCs by acetic acid

16. The finding of dysmorphic RBCs is indicative of:
A. Glomerular bleeding
B. Renal calculi
C. Traumatic injury
D. Coagulation disorders

17. Leukocytes that stain pale blue with SternheimerMalbin stain and exhibit brownian movement are:
A. Indicative of pyelonephritis
B. Basophils
C. Mononuclear leukocytes
D. Glitter cells

18. Mononuclear leukocytes are sometimes mistaken for:
A. Yeast cells
B. Squamous epithelial cells
C. Pollen grains
D. Renal tubular cells

19. When pyuria is detected in a sediment, the slide should be carefully checked for the presence of:
A. RBCs
B. Bacteria
C. Hyaline casts
D. Mucus

20. Transitional epithelial cells are sloughed from the:
A. Collecting duct
B. Vagina
C. Bladder
D. Proximal convoluted tubule

21. The largest cells in the urine sediment are:
A. Squamous epithlial cells
B. Urothelial epithelial cells
C. Cuboidal epithelial cells
D. Columnar epithelial cells

22. A clinically significant squamous epithelial cell is the:
A. Cuboidal cell
B. Clue cell
C. Caudate cell
D. Columnar cell

23. Forms of transitional epithelial cells include all of the following except:
A. Spherical
B. Caudate
C. Convoluted
D. Polyhedral

24. Increased transitional cells are indicative of:
A. Catheterization
B. Malignancy
C. Pyelonephritis
D. Both A and B

25. A primary characteristic used to identify renal tubular
epithelial cells is:
A. Elongated structure
B. Centrally located nucleus
C. Spherical appearance
D. Eccentrically located nucleus

26. Following an episode of hemoglobinuria, RTE cells may contain:
A. Bilirubin
B. Hemosiderin granules
C. Porphobilinogen
D. Myoglobin

27. The predecessor of the oval fat body is the:
A. Histiocyte
B. Urothelial cell
C. Monocyte
D. Renal tubular cell

28. A structure believed to be an oval fat body produced a Maltese cross formation under polarized light but
does not stain with Sudan III. The structure:
A. Contains cholesterol
B. Is not an oval fat body
C. Contains neutral fats
D. Is contaminated with immersion oil

29. The finding of yeast cells in the urine is commonly associated with:
A. Cystitis
B. Diabetes mellitus
C. Pyelonephritis
D. Liver disorders

30. The primary component of urinary mucus is:
A. Bence Jones protein
B. Microalbumin
C. Tamm-horsfall protein
D. Orthostatic protein

31. The majority of casts are formed in the:
A. Proximal convoluted tubules
B. Ascending loop of Henle
C. Distal convoluted tubules
D. Collecting ducts

32. Cylindroiduria refers to the presence of:
A. Cylindrical renal tubular cells
B. Mucus resembling casts
C. Hyaline and waxy casts
D. All types of casts

33. A person submitting a urine specimen following a strenuous exercise routine can normally have all of the following in the sediment except:
A. Hyaline casts
B. Granular casts
C. RBC casts
D. WBC casts

34. Prior to identifying an RBC cast, all of the following should be observed except:
A. Free-floating RBCs
B. Intact RBCs in the cast
C. Presence of a cast matrix
D. A positive reagent strip blood reaction

35. WBC casts are primarily associated with:
A. Pyelonephritis
B. Cystitis
C. Glomerulonephritis
D. Viral infections

36. The shape of the RTE cell associated with renal tubular epithelial casts is primarily:
A. Elongated
B. Cuboidal
C. Round
D. Columnar

37. When observing RTE casts, the cells are primarily:
A. Embedded in a clear matrix
B. Embedded in a granular matrix
C. Attached to the surface of a matrix
D. Stained by components of the urine filtrate

38. The presence of fatty casts is associated with:
A. Nephrotic syndrome
B. Crush injuries
C. Diabetes mellitus
D. All of the above

39. Nonpathogenic granular casts contain:
A. Cellular lysosomes
B. Degenerated cells
C. Protein aggregates
D. Gram-positive cocci

40. All of the following are true about waxy casts except they:
A. Represent extreme urine stasis
B. May have a brittle consistency
C. Require staining to be visualized
D. Contain degenerated granules

41. The observation of broad casts represents:
A. Destruction of tubular walls
B. Dehydraton and high fever
C. Formation in the collecting ducts
D. Both A and C

42. All of the following contribute to the formation of urinary crystals except:
A. Protein concentration
B. pH
C. Solute concentration
D. Temperature

43. The most valuable initial aid for the identification of crystals in a urine specimen is:
A. pH
B. Solubility
C. Staining
D. Polarized microscopy

44. Crystals associated with severe liver disease include all of the following except:
A. Bilirubin
B. Leucine
C. Cystine
D. Tyrosine

45. All of the following crystals routinely polarize except:
A. Uric acid
B. Cholesterol
C. Radiographic dye
D. Cystine

46. Differentiation between casts and fibers can usually be made using:
A. Solubility characteristics
B. Patient history
C. Polarized light
D. Fluorescent light

47. Match the following crystals seen in acidic urine with their description/identifying characteristics:
____Amorphous urates 1. Envelopes
____Uric acid 2. Thin needles
____Calcium oxalate 3. Yellow-brown, monhydrate whetstone
____Calcium oxalate 4. Pink sediment dihydrate 5. Ovoid

48. Match the following crystals seen in alkaline urine with their description/identifying characteristics:
____Triple phosphate 1. Yellow granules
____Amorphous phosphate 2. Thin prisms
____Calcium phosphate 3. “Coffin lids”
____Ammonium biurate 4. Dumbbell shape
____Calcium carbonate 5. White precipitate
6. Thorny apple

49. Match the following abnormal crystals with their description/identifying characteristics:
____Cystine 1. Bundles following refrigeration
____Tyrosine 2. Highly alkaline pH
____Cholesterol 3. Bright yellow clumps
____Leucine 4. Hexagonal plates
____Ampicillin 5. Flat plates, high specific gravity
____Radiographic 6. Concentric circles, radial
dye striations
____Bilirubin 7. Notched corners
8. Fine needles seen in liver disease

50. Match the following types of microscopy with their descriptions:
____Bright-field 1. Indirect light is reflected off the object
____Phase 2. Objects split light into two beams
____Polarized 3. Low refractive index objects may be overlooked
____Dark-field 4. Three-dimensional images
____Fluorescent 5. Forms halo of light around object
____Interference 6. Detects electrons emitted contrast from objects
7. Detects specific wavelengths of light emitted from objects

The quizzes about Microscopic Examination of Urine (46 questions)

Select the one best response to each question!

Macroscopic screening of urine specimens is used to:

Variations in the microscopic analysis of urine include all of the following except:

All of the following can cause false-negative microscopic results except:

The two factors that determine relative centrifugal force are:

When using the glass slide and coverslip method, which of the following might be missed if the coverslip is overflowed?

Initial screening of the urine sediment is performed using an objective power of:

Which of the following should be used to reduce light intensity in bright-field microscopy?

Which of the following are reported as number per LPF?

The Sternheimer-Malbin stain is added to urine sediments to do all of the following except:

Nuclear detail can be enhanced by:

Which of the following lipids is/are stained by Sudan III?

Which of the following lipids is/are capable of polarizing light?

The purpose of the Hansel stain is to identify:

Crenated RBCs are seen in urine that is:

Differentiation among RBCs, yeast, and oil droplets may be accomplished by all of the following except:

The finding of dysmorphic RBCs is indicative of:

Leukocytes that stain pale blue with SternheimerMalbin stain and exhibit brownian movement are:

Mononuclear leukocytes are sometimes mistaken for:

When pyuria is detected in a sediment, the slide should be carefully checked for the presence of:

Transitional epithelial cells are sloughed from the:

The largest cells in the urine sediment are:

A clinically significant squamous epithelial cell is the:

Forms of transitional epithelial cells include all of the following except:

Increased transitional cells are indicative of:

A primary characteristic used to identify renal tubular epithelial cells is:

Following an episode of hemoglobinuria, RTE cells may contain:

The predecessor of the oval fat body is the:

A structure believed to be an oval fat body produced a Maltese cross formation under polarized light but does not stain with Sudan III. The structure:

The finding of yeast cells in the urine is commonly associated with:

The primary component of urinary mucus is:

The majority of casts are formed in the:

Cylindroiduria refers to the presence of:

A person submitting a urine specimen following a strenuous exercise routine can normally have all of the following in the sediment except:

Prior to identifying an RBC cast, all of the following should be observed except:

WBC casts are primarily associated with:

The shape of the RTE cell associated with renal tubular epithelial casts is primarily:

When observing RTE casts, the cells are primarily:

The presence of fatty casts is associated with:

Nonpathogenic granular casts contain:

All of the following are true about waxy casts except they:

The observation of broad casts represents:

All of the following contribute to the formation of urinary crystals except:

The most valuable initial aid for the identification of crystals in a urine specimen is:

Crystals associated with severe liver disease include all of the following except:

All of the following crystals routinely polarize except:

Differentiation between casts and fibers can usually be made using:

Share this:

Related

The quizzes about Chemical Examination of Urine (47 questions)

Quality Assessment and Management in the Urinalysis Laboratory

You may also like

1 comment

Leave a Comment Cancel Reply