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When you obtain a urine specimen for drug or alcohol analysis, you must establish a proper ________.

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Which type of specimen is collected for a urine culture and sensitivity test?


A) First morning urine specimen
B) Clean-catch midstream urine specimen
C) 24-hour urine specimen
D) Random urine specimen
E) O&P specimen

F) A) and E)
G) A) and B)

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A rare condition caused by transfusion reactions, malaria, drug reactions, snakebites, or severe burns is ____.


A) myoglobinuria
B) hemoglobinuria
C) bilirubinuria
D) phenylketonuria
E) glycosuria

F) A) and C)
G) D) and E)

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You are performing a microscopic examination of Mr. Henderson's urine sample. Under high-power magnification, you see the items shown in the picture. Which of the following is the most likely cause? You are performing a microscopic examination of Mr. Henderson's urine sample. Under high-power magnification, you see the items shown in the picture. Which of the following is the most likely cause?   A)  Vigorous exercise B)  Pyelonephritis C)  Heavy-metal poisoning D)  Renal ischemia E)  Allergic reaction


A) Vigorous exercise
B) Pyelonephritis
C) Heavy-metal poisoning
D) Renal ischemia
E) Allergic reaction

F) B) and E)
G) A) and D)

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When instructing a patient about how to collect a 24-hour urine specimen, which patient should be asked about possible urine leakage when laughing or coughing?


A) 5-year-old female patient
B) 30-year-old male patient
C) 60-year-old female patient
D) 18-year-old male patient
E) 12-year-old female patient

F) C) and E)
G) B) and C)

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A(n) ________ is an optical instrument that measures the refraction, or bending, of light as it passes through a liquid and is used to measure specific gravity of the liquid.

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refractometer

An excess of protein in the urine is called ________ and usually indicates renal disease. However, it may occur in pregnant patients or after heavy exercise.

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The ________ urine specimen is the most common type of sample and may be obtained at any time of the day.

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Which of the following measures the concentration of substances dissolved in urine?


A) Urinary volume
B) Specific gravity
C) Turbidity
D) Urinary pH
E) Urinary culture

F) A) and C)
G) A) and E)

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Which of the following is the most common type of urine sample?


A) Timed urine specimen
B) Random urine specimen
C) First morning urine specimen
D) Clean-catch midstream urine specimen
E) 24-hour urine specimen

F) All of the above
G) A) and B)

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The centrifuge is used to spin the urine to force the solids (cells, casts, and crystals) to the bottom of the tube. Most of the liquid portion, called the ________, is poured off, and the remaining sediment is examined by microscope.

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supernatant

The procedure in which a sterile plastic tube is inserted into the kidney, ureter, or bladder to provide urinary drainage is called ________.

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Which of the following are frequently associated with vaginitis, urethritis, and prostatitis?


A) Red blood cells
B) Yeast cells
C) Glucose
D) Protein
E) Ketones

F) B) and D)
G) D) and E)

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A urine specimen collected for a culture and sensitivity test can be obtained either through catheterization or by obtaining a ____.


A) random urine specimen
B) clean-catch midstream urine specimen
C) first morning urine specimen
D) 24-hour urine specimen
E) timed urine specimen

F) B) and E)
G) A) and B)

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B

The epithelial cells found in urine and pictured here are ________ cells. The epithelial cells found in urine and pictured here are ________ cells.

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Bacterial infections caused by _______ species can cause loose, bloody, or mucus-tinged stools.


A) protozoal
B) parasitic
C) Salmonella genus
D) fecal occult
E) intestinal

F) B) and D)
G) C) and D)

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The liquid portion from the tube of urine that is discarded down the drain after the centrifuge stops is called the ____.


A) supernatant
B) urinalysis
C) specific gravity
D) urinary pH
E) sediment

F) A) and E)
G) B) and C)

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Which of the following refers to an insufficient production of urine?


A) Oliguria
B) Nocturia
C) Anuria
D) Ketonuria
E) Glycosuria

F) A) and B)
G) A) and C)

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Renal or urethral obstruction and renal failure can cause absence of urine production, known as ________.

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When collecting a urine specimen for drug and alcohol analysis for legal purposes, a transfer bag that is permanently sealed is used to ensure that there has been no tampering with the specimen. Then for legal purposes, a chain of ______ must be established to document the handling of this type of specimen.

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