32 Questions
What specimen collection technique is recommended for testing urinary tract infection in adults?
Clean-catch technique
What warrants more invasive urine collection in febrile infants with suspected urinary tract infection?
The presence of leukocyte esterase or nitrites
What does urinary pH levels indicate?
Diet, metabolism, or the presence of stones
What does glucosuria often indicate?
Uncontrolled diabetes mellitus
What should proteinuria on dipstick testing be followed by?
A quantitative test such as a spot urine albumin/creatinine ratio
In patients with symptoms of a urinary tract infection, what is more specific for bacterial infection?
The presence of nitrites
When is urine culture useful without symptoms of urinary tract infection?
In pregnancy and preparation for endoscopic urologic procedures
What is a simple, inexpensive means of detecting urologic and systemic conditions?
Urinalysis
What is an important diagnostic skill for family physicians?
Familiarity with visual inspection of urine, dipstick testing, and point-of-care microscopy
When is follow-up urinalysis required for infants and children?
When leukocyte esterase or nitrites are present in a urine collection bag urinalysis
What should be assessed in patients with urolithiasis to help determine the type of stone?
Urinary pH
What should be used to confirm dipstick testing positive for blood?
Microscopic analysis
What does the presence of nitrites in a symptomatic patient's urine strongly suggest?
Urinary tract infection (UTI)
According to the Choosing Wisely Campaign, what should not be used to diagnose microhematuria?
Results of one urine dipstick test (macroscopic urinalysis)
Before initiating a workup for hematuria or proteinuria, what should be done?
Repeating an abnormal urine dipstick analysis
What should not be ordered in healthy, asymptomatic children as part of routine well-child examinations?
Screening urinalysis
What does the presence of bilirubin and urobilinogen in urine suggest?
Hepatobiliary disease or hemolysis
What does glucosuria often indicate?
Uncontrolled diabetes mellitus
When should a urine collection bag specimen be used for infants with suspected urinary tract infection?
For clinically stable febrile infants
What test should be used to confirm hematuria on dipstick testing in the office setting?
Spun urine sample
When is the presence of nitrites more specific for bacterial infection in patients with symptoms of urinary tract infection?
In symptomatic patients
What should proteinuria on dipstick testing be followed by for further evaluation?
Quantitative test such as a spot urine albumin/creatinine ratio
What is the recommended specimen collection technique for testing urinary tract infection in infants and children?
Clean urine collection by urethral catheterization or suprapubic aspiration
What should be used to confirm dipstick testing positive for blood?
Microscopic analysis
What does glucosuria often indicate?
Glucose in the urine, which may indicate diabetes or kidney disease
When is urine culture useful without symptoms of urinary tract infection?
In pregnancy and preparation for endoscopic urologic procedures
What is a simple, inexpensive means of detecting urologic and systemic conditions?
Urinalysis
What should proteinuria on dipstick testing be followed by?
A quantitative test such as a spot urine albumin/creatinine ratio
What should not be ordered in healthy, asymptomatic children as part of routine well-child examinations?
Screening urinalysis
What warrants more invasive urine collection in febrile infants with suspected urinary tract infection?
The presence of leukocyte esterase or nitrites in a urine collection bag urinalysis
What does urinary pH levels indicate?
The type of stone in patients with urolithiasis
In patients with symptoms of a urinary tract infection, what is more specific for bacterial infection?
The presence of nitrites in the urine
Test your knowledge of comprehensive urinalysis, including inspection, dipstick chemical analysis, and microscopy, as well as urine collection techniques such as clean-catch and urine bag specimens for infants. Explore the importance of midstream urine collection for testing urinary tract infections.
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