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In which condition would the odor of urine be characterized as "fruity"?


A) Uncontrolled diabetes
B) Phenylketonuria
C) Urinary tract infection
D) Bladder infection
E) Polycystic kidney disease

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

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Which of the following is a general urine collection guideline?


A) Label the lid of a urine specimen container with the patient's name
B) If the collection container contains liquid or powdered preservative, pour it out before obtaining the specimen
C) Explain the procedure to the patient using technical terminology
D) Tell patients to refrigerate the labeled collection container or keep it in a cooler or pail filled with ice
E) Instruct patients to add alcohol to a sample collected at home to preserve the sample

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

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A(n) ________ urine specimen contains greater concentrations of substances that collect overnight than do specimens taken during the day.

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The microscopic cast found in urine and pictured here is a(n) ________ cast. The microscopic cast found in urine and pictured here is a(n) ________ cast.

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The evaluation of urine to obtain information about body health and disease is called a(n) ________.

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Which of the following statements is true about patient collection of a stool sample?


A) The sample can be collected in a clean waxed-paper carton.
B) The sample should be kept warm if transport to the lab is delayed.
C) A stool sample cannot be collected from a diaper.
D) Using a tongue depressor to transfer the specimen will contaminate it.
E) The sample must not be contaminated with urine.

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

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Which of the following is one of the first signs of liver disease?


A) Glycosuria
B) Anuria
C) Bilirubinuria
D) Phenylketonuria
E) Proteinuria

F) None of the above
G) A) and E)

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Which of the following is important when obtaining a urine specimen from a patient for drug and alcohol testing?


A) Tell the patient that the results will be released only with his permission.
B) Inform the patient that any drugs consumed longer than 7 days before the test will not show up.
C) Explain to the patient that no water may be running in the bathroom while he is providing the sample.
D) Instruct the patient to take the specimen to the laboratory as soon as possible.
E) Measure and record the temperature within 30 minutes of collection.

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

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Catheters used to withdraw fluids, including Foley, retention, ureteral, and straight versions, are collectively known as ________ catheters.

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In your office, patients collect samples using the patient restroom and leave the samples on the back of the toilet. You send April into the restroom after giving her the collection kit, including three towelettes, and instructing her on how to perform a clean-catch midstream urine specimen. After she returns to the exam room and you go into the restroom to collect the specimen, you notice the three towelette packages, unopened, in the trashcan. What should you do?


A) Process the urine sample as usual; the towelettes are not important.
B) Let April know that you know she did not follow instructions, but proceed to process the sample.
C) Process the urine sample as usual, but make a note in April's record that this is not a clean-catch sample.
D) Explain the instructions again and send April back to the restroom to produce another sample.
E) Inform the physician or your supervisor and ask whether you should process the sample.

F) None of the above
G) A) and B)

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The presence of free hemoglobin in the urine is known as ________, a rare condition caused by transfusion reactions, malaria, drug reactions, snakebites, or severe burns.

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Which type of catheter is used to collect specimens or to instill medications?


A) Splinting
B) Retention
C) Straight
D) Urethral
E) Indwelling

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

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Tyrone has provided a random urine sample, and you are performing a routine urinalysis. The specific gravity of the urine is 1.043. Which of the following conditions might the physician suspect based on this result?


A) Hepatic disease
B) Overhydration
C) Diabetes insipidus
D) Chronic renal disease
E) Systemic lupus erythematosus

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

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If the practitioner suspects that a patient has a protozoal or parasitic infection, what type of specimen may be ordered?


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

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Hematuria is ____.


A) protein in the urine
B) white blood cells in the urine
C) glucose in the urine
D) ketones in the urine
E) blood in the urine

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

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Which method of collecting a urine specimen is required when performing a urine culture to identify the number and the types of pathogens present?


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

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

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Which type of catheter is inserted after plastic repair of the ureter and must remain in place for at least a week after surgery?


A) Straight
B) Urethral
C) Retention
D) Indwelling
E) Splinting

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

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Normal urine color ranges from ____.


A) orange to dark red
B) yellow-brown to brown
C) salmon pink to light red
D) pale yellow to yellow
E) pale orange to brown

F) None of the above
G) B) and E)

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Renal or urethral obstruction and renal failure can cause ____.


A) nocturia
B) anuria
C) ketonuria
D) pentosuria
E) glycosuria

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

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The presence of which of the following in the urine suggests a bacterial infection in the urinary tract?


A) Nitrite
B) Blood
C) Glucose
D) Protein
E) Bilirubin

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

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