Practical Clinical Pathology Quiz
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Questions and Answers

What is the first step in the McMaster quantitative test?

  • Filter the solution
  • Count the number of parasites
  • Add 2gm of feces to 28ml of water (correct)
  • Stir the mixture thoroughly

The McMaster test is used for qualitative analysis of parasites.

False (B)

What is the purpose of quantitative tests in parasite analysis?

To provide accurate counting of parasites.

Which of the following conditions can lead to physiological proteinuria? (Select all that apply)

<p>Pregnancy (C), Excess protein (D)</p> Signup and view all the answers

In the McMaster test, _____ grams of feces are added to 28ml of water.

<p>2</p> Signup and view all the answers

Match the following steps with their corresponding actions in the McMaster test:

<p>Step 1 = Add feces to water Step 2 = Stir the mixture Step 3 = Filter the solution Step 4 = Count parasites</p> Signup and view all the answers

Emotional stress can cause a temporary increase in glomerular permeability.

<p>True (A)</p> Signup and view all the answers

Name one physiological condition that can lead to proteinuria in neonates.

<p>Neonates</p> Signup and view all the answers

During ______ in cows, there may be a temporary increase in protein levels in urine.

<p>estrus</p> Signup and view all the answers

Match the physiological conditions with their associated effects on glomerular permeability:

<p>Pregnancy = Temporary increase in permeability Emotional stress = Temporary increase in permeability Anesthesia = Potentially increases permeability Convulsions = Temporary increase in permeability</p> Signup and view all the answers

What term refers to bacteria that can decolorize a stain?

<p>Negative bacteria (D)</p> Signup and view all the answers

Negative bacteria can penetrate the organism.

<p>True (A)</p> Signup and view all the answers

What is the role of negative bacteria in staining?

<p>Decolorizing the stain</p> Signup and view all the answers

Negative bacteria are known to ________ a stain.

<p>decolorize</p> Signup and view all the answers

Match the following terms with their descriptions:

<p>Negative bacteria = Bacteria that decolorize a stain Penetration = The ability to infiltrate organisms Stain = A substance used to enhance visibility of bacteria Gram stain = A common laboratory method for classifying bacteria</p> Signup and view all the answers

What is the purpose of preparing a culture plate containing routine culture media?

<p>To grow and identify bacteria (D)</p> Signup and view all the answers

A culture plate can contain nutrients or blood agar to support the growth of bacteria.

<p>True (A)</p> Signup and view all the answers

What type of antibiotic should be included in the culture preparation?

<p>An antibiotic in a separate tube</p> Signup and view all the answers

A culture plate usually contains _______ media to support the growth of bacteria.

<p>routine culture</p> Signup and view all the answers

Match the type of culture media with its characteristic:

<p>Nutrient agar = Supports general bacterial growth Blood agar = Allows for differentiation of blood-related bacteria Selective media = Inhibits certain bacteria while allowing others to grow Enriched media = Contains additional nutrients for fastidious organisms</p> Signup and view all the answers

What is the minimum distance that should be maintained between each selective antibiotic disc on the plate?

<p>2 cm (D)</p> Signup and view all the answers

The minimum inhibitory concentration (MIC) is a measure used to determine the effectiveness of an antibiotic.

<p>True (A)</p> Signup and view all the answers

What is the significance of maintaining a specific distance between antibiotic discs on an agar plate?

<p>To prevent overlapping inhibition zones.</p> Signup and view all the answers

The MIC stands for _____ concentration, which is crucial in determining antibiotic effectiveness.

<p>minimal inhibitory</p> Signup and view all the answers

Which urine color is associated with bilirubinuria?

<p>Yellowish brown (B)</p> Signup and view all the answers

Diuretics are directly proportional to urine volume.

<p>False (B)</p> Signup and view all the answers

What is the normal specific gravity (Sp.Gr) of urine?

<p>1.020</p> Signup and view all the answers

A sweet fruity odor in urine may indicate the presence of __________.

<p>ketone bodies</p> Signup and view all the answers

Match the urine odor with its associated condition:

<p>Strong ammonical odor = Bacterial action on urea Sweet fruity odor = Ketone bodies Normal urine odor = Typical urinary constituents Urinefrous odor = Caprine or volatile acid</p> Signup and view all the answers

Which of the following conditions may result in oliguria?

<p>Renal Failure (B)</p> Signup and view all the answers

Low temperatures increase specific gravity of urine.

<p>False (B)</p> Signup and view all the answers

Name one method used to measure specific gravity of urine.

<p>Refractometer</p> Signup and view all the answers

Normal specific gravity of urine for a healthy individual is approximately __________.

<p>1.020</p> Signup and view all the answers

Which of the following is NOT a chemical examination parameter of urine?

<p>Temperature (C)</p> Signup and view all the answers

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Flashcards

Physiological Proteinuria

A temporary increase in the permeability of the glomerulus, leading to a rise in protein levels in the urine.

Excess Protein in Urine

An increased amount of protein in the urine, often due to a temporary increase in glomerular permeability. This can be observed in various situations like pregnancy and stress.

Proteinuria in Neonates

Newborn animals, especially calves, may experience a temporary increase in protein in their urine due to immature kidney function.

Proteinuria during Estrus

During estrus (heat cycle), cows may show temporary proteinuria due to hormonal changes impacting kidney function.

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Proteinuria during Pregnancy

Pregnancy can lead to temporary proteinuria due to increased blood volume and pressure.

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McMaster Technique

A quantitative test for counting parasites in feces.

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McMaster Technique - Step 1

The first step involves mixing a specific amount of feces with water.

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McMaster Technique - Step 1 - Quantities

2 grams of feces are added to 28 ml of water.

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McMaster Technique - Step 2

A specific type of slide is used to hold the water-feces mixture and then a coverslip is added.

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McMaster Technique - Step 3

The slide is left to settle for a specific time, allowing the parasites to sink.

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Gram-negative bacteria

A type of bacteria that does not retain the crystal violet stain during the Gram staining procedure.

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Gram staining

A staining technique used to classify bacteria based on their cell wall structure.

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Decolorizer

A colorless compound used to remove the primary stain from certain bacteria during the Gram staining procedure.

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Permeable

The ability of a substance to allow a liquid to pass through it.

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Cell membrane

The outermost layer of a cell that encloses the cytoplasm, regulating the passage of substances into and out of the cell.

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Culture plate

A flat, dish-shaped container used to grow microorganisms in a laboratory setting.

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Culture media

A type of growth medium used to cultivate bacteria. It provides the nutrients necessary for bacterial growth.

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Antibiotic

A substance that inhibits the growth of bacteria.

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Blood agar

A growth medium that contains nutrients for bacterial growth and red blood cells.

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Antibiotic tube

A laboratory tube containing only an antibiotic and no bacteria.

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MIC

The smallest amount of an antibiotic that stops the growth of bacteria.

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Antibiotic Disc Diffusion Test

A technique used to measure the effectiveness of antibiotics against bacteria.

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Selective antibiotic

A specific type of antibiotic that targets only certain bacteria.

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Space between discs

The space required between antibiotic discs on a culture plate to avoid interference.

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Urine volume and Specific Gravity

The amount of urine produced is inversely proportional to the specific gravity of the urine.

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Diuretics

Substances used to increase urine production.

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Pyometra

A condition causing infection of the uterus, often leading to pus formation and elevated specific gravity due to protein and cell debris.

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Urinometer

A device that measures specific gravity by comparing the weight of a known volume of urine to the weight of the same volume of water.

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Refractometer

A device that measures specific gravity by assessing the refractive index of urine.

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Urine Strip

A test strip containing various chemicals that react with components of urine, providing a quick assessment of specific gravity and other parameters.

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Pale Yellow Urine

A pale yellow color indicates a high volume of urine (polyuria), suggesting dilution.

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Dark Yellow Urine

A dark yellow color indicates a low volume of urine (oliguria), suggesting concentration.

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Normal Specific Gravity (Sp.Gr.)

The normal range for urine specific gravity is around 1.020.

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Isosthenuria

Urine with a fixed specific gravity between 1.008 and 1.012, often associated with conditions like Diabetes Mellitus and renal failure.

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Study Notes

Practical Clinical Pathology

  • Clinical Pathology involves analysis of bodily fluids and tissues for diagnosis
  • Indications of Urine analysis include urolithiasis, painful urination, renal colic, oliguria, polyuria, red urine (pyuria), dehydration, and renal failure.
  • Urine sample collection methods include voided urine, catheterization, cystocentesis, and collection in cages, depending on the animal and circumstances.

Sample Collection, Preservation, and Physical Examination

  • Voided Urine (Normal Urination): Clean the prepuce/vulva, discard the first drop of urine to avoid contamination. Collect a midstream sample for microbiological examination.
  • External Pressure on U.B: Avoid urolithiasis by not applying too much pressure; use local analgesia and suitable catheters..
  • Catheterization: Use sterile lubricants and suitable size catheters, avoiding unnecessary trauma. Ensure patient safety, especially in animals with thrombocytopenia.
  • Collection Time: Urine samples are ideally collected in the early morning.
  • Preservation Methods: Formalin (40%), boric acid, and metaphosphoric acid are used for preservation.
  • Physical Examination of Urine: Color, volume, transparency, foam, odor, and specific gravity are assessed for abnormal findings.

Volume

  • Sample collected over 24 hours (e.g., bovine 20-40ml/kg body weight/24 hrs)
  • Anuria (absence of urine output) vs. Dysuria (painful urination)
  • Important factors affecting volume include age, climate, exercise, and water/feed intake
  • Important clinical conditions for volume analysis include high water intake, parental injection, and Chronic interstitial Nephritis.

Color

  • Urine color ranges from pale yellow to dark yellow; other abnormal colors could indicate various conditions as referenced in the text.

Odor

  • Normal urine has a slightly aromatic odor; abnormal odors could indicate bacterial action on urea, ketone bodies, or other metabolic problems.

pH

  • pH varies based on species and diet.
  • Acidic urine is common in carnivores.
  • Alkaline urine is typically found in herbivores

Protein

  • Normal urine is normally protein-free.
  • Physiological proteinuria occurs due to temporary increase in glomerular permeability in cases like estrus in cows or pregnancy, and newborns.

Glucose

  • Normally glucose is absent in urine.
  • Glucose can appear if blood glucose exceeds 180 mg/dL (renal threshold for glucose)
  • Transient glucosuria can occur with excessive carb intake, stress, or certain conditions (like anesthetics in ruminants).

Ketone Bodies

  • Presence of ketone bodies in the urine can indicate metabolic conditions like high-fat diets, ketosis, pregnancy toxemia, diabetes mellitus, and starvation/fasting.

Bilirubin

  • Normally conjugated bilirubin is not present in the urine.
  • Bilirubinuria may indicate issues such as biliary obstruction, liver disease, or hemolysis.

Urobilinogen

  • Elevated urobilinogen can suggest intrahepatic or hemolytic jaundice, however absence suggests biliary obstruction.

Blood/Hb/Myoglobin

  • Hematuria (blood in urine) can originate from inflammation in the urinary tract, from certain kidney ailments, from trauma, or estrus in bitches.
  • Hemoglobinuria (free hemoglobin in urine) can occur with certain conditions such as post-parturient hemoglobinuria, bacterial infection (e.g., C. perfringens), and infectious diseases.
  • Myoglobinuria (myoglobin in urine) might indicate severe conditions, and is also associated with certain conditions like muscle damage, and equine azotemia.

Ascorbic Acid

  • Ascorbic acid in urine can lead to false negative results in glucose tests.

Nitrite

  • Positive results in nitrite tests are indicative of bacterial infections due to bacterial reduction of nitrate to nitrite

Leukocyte Esterase

  • Pink color indicates presence of pus cells (pyuria) as a result of inflammation.

Indican

  • Indican is a derivative of indol metabolism, and is associated with conditions like malabsorption, constipation, or enteritis.

Casts, Crystals, and Macroscopical Examination

  • Casts and crystals in urine can suggest various kidney or urinary tract diseases.
  • Hyaline casts are usually nothing to worry about, while others (like granular, waxy, fatty, erythrocytic, leukocytic, and epithelial casts) indicate different severities of issues.
  • Bacteria are not normally present in the urine and are usually a result of infection.

Fecal Examination

  • Fecal examination focuses on detecting parasites.
  • Specific tests including sedimentation test, floatation test, direct smear, McMaster, and Baermann method are used to diagnose parasites.
  • Presence of certain parasites in feces could signify various gastrointestinal ailments, for example.

Culture and Sensitivity and Serological Tests

  • Key tools used in microbiology to diagnose infections, and to analyze patient responses to different treatments.
  • Disc diffusion technique and tube dilution technique determine antibiotic sensitivity.

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Description

Test your knowledge on clinical pathology with a focus on urine analysis and sample collection techniques. This quiz covers key indications for urine analysis, methods of collection, and best practices to avoid contamination. Perfect for students aiming to deepen their understanding of veterinary clinical procedures.

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