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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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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 B)
G) C) and D)

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A urine specimen for culture 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 C)
G) A) and E)

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Which of the following would you include in teaching a female patient how to collect a clean-catch midstream urine specimen?


A) Remove the lid of the specimen container and place the lid facing down a flat surface
B) Wipe down one side of the perineal area with the first towelette, down the other side with the second towelette, and down the middle with the third towelette
C) Void directly into the specimen container without discarding any urine
D) Keep the urine specimen warm while bringing it to the physician's office
E) Wipe around the inside edge of the collection container to clean it after collecting the specimen.

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

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A pregnant patient who tells you that she is having pain during urination or in the kidney area may be experiencing ____.


A) a urinary infection or kidney stones
B) preeclampsia
C) diabetes mellitus
D) weak bladder muscles
E) alkalosis

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

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

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Which of the following statements about refrigerating urine specimens is true?


A) It causes changes in the physical, chemical, and microscopic makeup of the urine, causing the test to be invalid.
B) It may affect the sediment and specific gravity.
C) It should never be used as a method of storing or preserving urine.
D) It is acceptable only if the urine must be kept for 2 or more days.
E) It causes bacterial growth to accelerate.

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

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With adequate fluid intake, the average adult daily urine output is ____ mL per 24 hours.


A) 460
B) 720
C) 950
D) 1100
E) 1250

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

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When you instruct a patient about how to collect a 24-hour urine specimen, which patient should you ask about possible 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) All of the above
G) A) and B)

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

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

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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) B) and C)

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Urinary ______ is a measure of the degree of acidity or alkalinity of the urine and can provide information about a patient's metabolic status, diet, and medications being taken.

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39.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) B) and D)
G) B) and E)

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Urine ________ is a measure of the concentration or amount of substances dissolved in urine.

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The normal urine value for protein is ____.


A) negative to trace
B) few
C) moderate
D) <100 mcg
E) 10 to 100 mcg

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

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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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Which of the following may indicate polycystic kidney disease?


A) Anuria
B) Oliguria
C) Proteinuria
D) Hematuria
E) Ketonuria

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

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Which of the following would you include in patient instruction about collecting a 24-hour urine specimen?


A) Tell the patient to collect all urine starting with the first voided specimen
B) Encourage the patient to use a bedpan
C) Explain to the patient that the small collection container must not be washed between uses
D) Instruct the patient to keep the specimen covered and in the refrigerator throughout the test
E) Return the sample to the office or deliver it to the laboratory within 1 week of collection

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

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