Podcast
Questions and Answers
Which of the following conditions will cause hyaline casts to be missed if a technician is not careful?
Which of the following conditions will cause hyaline casts to be missed if a technician is not careful?
- Specimen is examined under high-intensity light (correct)
- Specimen is stained with Sternheimer-Malbin stain.
- Specimen is examined under reduced light
- Specimen is examined using phase-contrast microscopy
Which of the following describes dysmorphic red blood cells (RBCs)?
Which of the following describes dysmorphic red blood cells (RBCs)?
- RBCs that vary in size, have protrusions, or are fragmented (correct)
- RBCs that are crenated due to hypersthenuria
- RBCs that are swollen and hemolyzed
- RBCs of uniform size and shape
The laboratory is having trouble differentiating between red blood cells (RBCs), yeast, oil droplets and crystals. Which of the following stains can be used to enhance the nuclear detail?
The laboratory is having trouble differentiating between red blood cells (RBCs), yeast, oil droplets and crystals. Which of the following stains can be used to enhance the nuclear detail?
- Acetic acid (correct)
- Hansel stain
- Gram stain
- Sternheimer-Malbin stain
Which microscopic element is characteristically associated with drug-induced interstitial nephritis?
Which microscopic element is characteristically associated with drug-induced interstitial nephritis?
What does the presence of glitter cells signify?
What does the presence of glitter cells signify?
Which formed element found in urine is unique to the kidney?
Which formed element found in urine is unique to the kidney?
A broad waxy cast signifies
A broad waxy cast signifies
What urinary crystal is commonly associated with ethylene glycol (antifreeze) poisoning?
What urinary crystal is commonly associated with ethylene glycol (antifreeze) poisoning?
In bright-field microscopy, what does adjusting the aperture diaphragm to 75% of the numerical aperture of the objective achieve?
In bright-field microscopy, what does adjusting the aperture diaphragm to 75% of the numerical aperture of the objective achieve?
When cholesterol crystals are observed in a urine sample, which other components would be expected?
When cholesterol crystals are observed in a urine sample, which other components would be expected?
What is the primary function of uromodulin (Tamm-Horsfall protein) in the formation of casts?
What is the primary function of uromodulin (Tamm-Horsfall protein) in the formation of casts?
If formed elements are not well visualized under brightfield microscopy, which type of microscopy should be used?
If formed elements are not well visualized under brightfield microscopy, which type of microscopy should be used?
What urine sediment component is typically found in increased numbers after invasive urologic procedures (catheterization)?
What urine sediment component is typically found in increased numbers after invasive urologic procedures (catheterization)?
What microscopic finding is critical to the early diagnosis of glomerular disorders and malignancy of the urinary tract?
What microscopic finding is critical to the early diagnosis of glomerular disorders and malignancy of the urinary tract?
What test result is most commonly associated with the presence a 3+ Leukocyte Esterase result in a urine sample?
What test result is most commonly associated with the presence a 3+ Leukocyte Esterase result in a urine sample?
What urine characteristic(s) is/are MOST affected if a lab forgets to refrigerate a urine sample from a patient suspected of having a UTI?
What urine characteristic(s) is/are MOST affected if a lab forgets to refrigerate a urine sample from a patient suspected of having a UTI?
What cellular structure does the Hansel stain specifically target in microscopic analysis?
What cellular structure does the Hansel stain specifically target in microscopic analysis?
How does polarized microscopy aid in the identification of crystals and lipids in urine?
How does polarized microscopy aid in the identification of crystals and lipids in urine?
What is the origin of the granules observed in non-pathologic granular casts?
What is the origin of the granules observed in non-pathologic granular casts?
Which condition primarily signifies infection or inflammation exclusively within the nephron?
Which condition primarily signifies infection or inflammation exclusively within the nephron?
Which urine microscopy technique provides a three-dimensional image that is especially useful for viewing fine structural detail?
Which urine microscopy technique provides a three-dimensional image that is especially useful for viewing fine structural detail?
Identify the most critical step for accurate microscopic urine sediment examination
Identify the most critical step for accurate microscopic urine sediment examination
What part of a microscope is the most important for proper light settings?
What part of a microscope is the most important for proper light settings?
Before reporting the findings from a urine microscopic examination, a technician should correlate the results with:
Before reporting the findings from a urine microscopic examination, a technician should correlate the results with:
What is the purpose of performing a microscopic examination of urine?
What is the purpose of performing a microscopic examination of urine?
Which type of urine specimen is recommended for cytodiagnostic urine testing?
Which type of urine specimen is recommended for cytodiagnostic urine testing?
What part of the microscope serves as the primary adjustment to regulate the amount of light passing through the specimen?
What part of the microscope serves as the primary adjustment to regulate the amount of light passing through the specimen?
What does the height of the small, unstained specimen observed in bright-field microscopy most depend upon?
What does the height of the small, unstained specimen observed in bright-field microscopy most depend upon?
What are the two types of adjustments to the condenser that provide optimal viewing?
What are the two types of adjustments to the condenser that provide optimal viewing?
Prior to the utilization of a stain, what type of microscope is BEST to observe a wet preparation?
Prior to the utilization of a stain, what type of microscope is BEST to observe a wet preparation?
Which abnormal constituent would make a urine sample sent to cytology?
Which abnormal constituent would make a urine sample sent to cytology?
What cells absorb lipids?
What cells absorb lipids?
What action indicates the presence of bilirubin in the urine?
What action indicates the presence of bilirubin in the urine?
Ammonium biurate crystals under microscope exhibit
Ammonium biurate crystals under microscope exhibit
What would be an indicative of tubular injury in the urnine analysis?
What would be an indicative of tubular injury in the urnine analysis?
What does an elevated amount of Mucus in a Urine sample indicate?
What does an elevated amount of Mucus in a Urine sample indicate?
A patient shows a red color in their urine. What is a more likely reason?
A patient shows a red color in their urine. What is a more likely reason?
If your are performing a urine analysis and there is a large amount of squamous epithelial cells under the microscope, what does that indicate?
If your are performing a urine analysis and there is a large amount of squamous epithelial cells under the microscope, what does that indicate?
Flashcards
Microscopic Urine Exam Purpose
Microscopic Urine Exam Purpose
Detect and identify insoluble materials in urine.
Formed urine elements
Formed urine elements
RBCs, WBCs, epithelial cells, casts, bacteria, yeast, parasites, mucus, spermatozoa, crystals, and artifacts.
Urinary Sediment Examination
Urinary Sediment Examination
Examination includes identification and quantitation.
Macroscopic Screening
Macroscopic Screening
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Specimen Examination
Specimen Examination
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Midstream Clean-Catch Specimen
Midstream Clean-Catch Specimen
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Standard Urine Amount
Standard Urine Amount
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Optimum Centrifugation
Optimum Centrifugation
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Sediment Concentration Factor
Sediment Concentration Factor
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Commercial Slide Systems
Commercial Slide Systems
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Microscopic Examination
Microscopic Examination
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Low Power (10x) Examination
Low Power (10x) Examination
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Routine Sediment Report
Routine Sediment Report
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Addis Count
Addis Count
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Correlating urine results
Correlating urine results
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Common Urine Sediment stains
Common Urine Sediment stains
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Sternheimer-Malbin Stain
Sternheimer-Malbin Stain
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Toluidine blue
Toluidine blue
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2% Acetic Acid Stain
2% Acetic Acid Stain
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Lipid (Oil Red O and Suden III) stain function
Lipid (Oil Red O and Suden III) stain function
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Gram Stain
Gram Stain
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Hansel stain function
Hansel stain function
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Types of Urinalysis Microscopy
Types of Urinalysis Microscopy
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Bright-field Microscopy
Bright-field Microscopy
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Decreasing Light Intensity
Decreasing Light Intensity
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Phase-Contrast Microscopy Adaptation
Phase-Contrast Microscopy Adaptation
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Phase Microscopy Use
Phase Microscopy Use
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Polarizing Microscopy
Polarizing Microscopy
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Birefringent
Birefringent
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Crossed Configuration
Crossed Configuration
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Interference-Contrast Microscopy
Interference-Contrast Microscopy
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Dark-Field microscopy
Dark-Field microscopy
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Fluorescence Microscopy
Fluorescence Microscopy
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Urine Element Visibility
Urine Element Visibility
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Normal Red Blood Cell (RBC) Appearance
Normal Red Blood Cell (RBC) Appearance
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RBC measurable characteristic
RBC measurable characteristic
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RBCs in Hypersthenuric Urine
RBCs in Hypersthenuric Urine
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RBCs in Hyposthenuric Urine
RBCs in Hyposthenuric Urine
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Entities Confused with RBCs
Entities Confused with RBCs
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Dysmorphic Red Blood Cells (RBCs)
Dysmorphic Red Blood Cells (RBCs)
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