Urinary Analysis Findings Confirmation Quiz
75 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

  1. Select positive findings in urine analysis (urinary strips) that should be confirmed by investigation of urinary sediment: a) Glucose b) Leucocytes c) Blood d) Bilirubin

  1. Select laboratory findings typical for NAFLD (non-alcoholic fatty liver disease)

a) Elevated aminotransferases with AST/ALT >1 b) Conjugated hyperbilirubinemia c) Increased TAG level d) Normal ALP, GMT

  1. Which test for assessment of GFR would you chosen in diabetic patients:

a) Protein/ creatinine ratio b) Estimated GFR based on S – creatinine c) Estimated GFR from S-cystatin d) Creatinine clearance

  1. Name 4 causes of hypocalcemia:

a) Capillary blood b) Venous blood with anticoagulant and NaF c) Venous blood without additives d) Arterial blood with anticoagulant

Signup and view all the answers

  1. 25-year old woman was brought to the ED after 5 days of polyuria nad polydipsia. On admission, she was lehydrated and smelt strongly of fruits. Her blood analysis showed the following findings: Na 136 (135-145) nmol/L, K 5.9 (3.6-5.3) mmol/L, glucose 35 mmol/L (<7.8), urea 16 (2.5-8) mmol/L, creatinine 145 (55-90) mol/L, osmolality 341 (275-295) mmol/kg. What is the likely cause of high serum osmolality?

a) metabolic acidosis b) intoxication with an unknown drug c) uremia d) decompensated diabetes mellitus

Signup and view all the answers

  1. Biochemical tests used for monitoring of short term and long term glycaemic control in diabetic patient:

Signup and view all the answers

  1. Select laboratory findings which are typical for advanced stage chronic kidney disease:

a) Hyperphosphatemia b) Hypercalcemia c) Metabolic alkalosis d) Hyperkalemia

Signup and view all the answers

  1. Posthepatic hyperbilirubinaemia occurs:

a) After alcohol abuse b) In cholecystolithiasis c) Physiologically in newborns d) In liver damage

Signup and view all the answers

Name lipid changes in blood in a patient with chronic increase of VLDL particles?

a) Concentration of TAG increases b) Concentration of CHOL decreases c) HDL concentration decreases d) HDL concentration increases

Signup and view all the answers

Hyperphosphatemia may be caused by all except:

a) Chronic kidney disease b) Refeeding syndrome c) Hemolysis d) Rhabdomyolysis

Signup and view all the answers

) In patients with NSTEMI, cardiac troponin concentration:

a) Does not increase b) Is increased without further dynamics c) Is increased with typical dynamics d) Increases slowly within a week

Signup and view all the answers

Transient proteinuria in a person with healthy kidneys may be caused by all except one:

a) Orthostasis (upright position) b) Extreme physical activity c) Fever d) Glomerulonephritis

Signup and view all the answers

Ionized Ca level decreases in:

a) Acidosis b) Alkalosis c) Hypoalbuminemia d) Hyperalbuminemia

Signup and view all the answers

A pathological increase of both aminotransferase with AST/ALT ratio higher than 1.0 are found in all except:

a) Liver cirrhosis b) Severe mushroom poisoning c) Uncomplicated viral hepatitis A d) Crush injury of skeletal muscles

Signup and view all the answers

Name laboratory test used for diagnosis for acute kidney failure (AKI):

Signup and view all the answers

Select possible cause of hypokalemia:

a) Primary hyperaldosteronism b) Systemic acidosis c) Hemolysis d) Prolonged vomiting

Signup and view all the answers

Fill diagnostic tests used in the following causes of secondary hypertension:

a) Phaeochromocytoma ............... b) Primary hyperaldosteronism ................

Signup and view all the answers

Select possible causes of elevated anion gap:

a) Lactic acidosis b) Addison disease c) Hypercalcemia d) Hypoalbuminemia

Signup and view all the answers

The combination of increased TSH + increased fT4, fT3 levels is consistent with diagnosis of:

a) Low T3 syndrome b) Secondary hyperthyroidism c) Primary hyperthyroidism d) Subclinical hypothyroidism

Signup and view all the answers

) In a patient with DKA the following laboratory findings are typically present:

a) Normal AG MAC, higher urea and creatinine b) HAGMAC, mostly hyperkalemia, dehydration, ketones elevated c) Normal pH, high urea, creatinine, hyperkalemia d) HAGMAC, extreme hyperosmolality, dehydration, ketones negative

Signup and view all the answers

Cushing´ s disease (pituitary tumor) has level of ACTH:

a) Normal b) Undetectable c) High and suppressible d) High and non-suppressible

Signup and view all the answers

  1. Choose impossible cause of haemolysis:

a) Use of too thin or thick needle for sampling b) Manipulation with unclotted blood c) Too long applying of a tourniquet d) Blood collection after meal

Signup and view all the answers

  1. Pathogenetics factor dominating in type 2 diabetes mellitus:

a) Absolute lack of insuline b) Insuline resistance c) Hyperlipidaemia d) Autoimmunity

Signup and view all the answers

  1. Screening of diabetes mellitus is traditionally based on testing of:

a) Glycated hemoglobin b) Glucose in urine c) Fasting plasma glucose d) o-GTT

Signup and view all the answers

  1. The finding of many leucocytes in urinary sediment may be sign of:

a) Massive proteinuria b) Bleeding into urinary tract c) Urinary tract infection d) Renal stones

Signup and view all the answers

  1. Select the false statement concerning metabolic syndrome:

a) Abdominal type of obesity is present b) Low triglyceride level is typical finding c) Dyslipidemia belongs to diagnostic criteria d) There is high risk of cardiovascular diseases

Signup and view all the answers

  1. Risk of hypoglycaemia in dental officie is higher in patients:

a) With DM type 1 b) With bad-controlled DM (high glycated hemoglobin) c) With type 2 DM d) Men

Signup and view all the answers

  1. Haemolytical jaundice (icterus) is caused by:

a) Low uptake of bilirubin into the liver b) Damage of hepatocytes c) High offer of bilirubin from destroyed RBC d) Failure of liver to produce or excrete bile

Signup and view all the answers

  1. Acitivity of alkaline phosphatase in serum of men and nonpregnant women is determined by content of next isoenzymes:

a) Liver and intestinal b) Mostly bone c) Liver and bone (1:1) d) Liver, bone, placental

Signup and view all the answers

  1. Prolonged coagulation tests (PT, APTT) in liver failure is marker of:

a) Hemolysis b) Thrombosis c) Low liver synthesis of vitamin K-dependant clotting factors d) Thrombocytopenia due to hypersplenism

Signup and view all the answers

Increased D-dimers as the laboratory test informs about;

a) High rate of fibrinolysis b) Tendency to bleeding c) Low rate of fibrinolysis d) Renal failure

Signup and view all the answers

  1. The general principle of coagulation test Is to measure:

a) Time needed to clotting whole blood b) Time needed for transforming of liquid plasma to gel after activation of coagulation c) time needed to forming of plasmin d) intensity of colour in the tube

Signup and view all the answers

Coagulopathies are common in patient with dysfunction of following organs (select the most fitting answer):

a) kidney, heart, lungs b) liver, kidney, bone marrow . c) liver, brain, bone marrow d) kidney, liver, heart

Signup and view all the answers

Select the false statement concerning leukocytosis

a) Is marker of bacterial infection b) Is marker of viral infection c) Is marker of tissue injury d) May be connected with cell shift to the left

Signup and view all the answers

Extrahepatic origin of elevated acitivity of ALP (alkaline phosphatase) may be confirmed by next tests:

a) Activity of GMT (GGT) in normal range b) Elevated activity of bone isoenzyme c) Elevated concentration of HCG d) Elevated activity of creatine kinase

Signup and view all the answers

Respiratory A-B disturbance is compensated by:

a) Detoxicating action of liver b) Hyperplasia of respiratory center c) Kidney functions d) Hypo – or hyperventilation

Signup and view all the answers

Name at least 3 examples for MAC with normal anion gap (= AG)

Signup and view all the answers

Select the type of A-B disturbance: pH = 7.49 (7.435 – 7.45), HCO3 = 33 ( 22-26) mmol/L, pCO = 6.1 (4.8 – 5.8)

a) MAL without compensation b) RAC compensated c) MAL compensated d) RAL compensated

Signup and view all the answers

Osmolality of serum depends on concentration of (select the best fitting choice)

a) Proteins, glucose b) Albumin, Na+, glucose c) Na, H+, HCO3- d) Na+, Cl-, HCO3-, urea, glucose

Signup and view all the answers

Explain how is possible to distinguish a glomerular and non-glomerular hematuria (which test, what criterium?)

Signup and view all the answers

Which electrolyte/electrolytes is depleted in DKA despite initial normal or even high levels in serum?

a) Sodium b) Potassium c) Chloride d) Phosphate

Signup and view all the answers

A 35 year – old woman with uncontrolled hypertension is suspected by an investigating endocrinologist of having Conn´s syndrome. Results of routine biochemistry were: N sodium 146 mmol/L, decreasing of potassium 2.1 mmol/ L , N CL 95 mmol/ L, N Ca 2.25 mmol/ L, urea, creatinine, LFTs normal.

Which lab results are in agreement with the provisional diagnosis and why? What further biochemistry investigations would you order?

Signup and view all the answers

Select the most probable cause of hypercalcemia in a 60-yo patient with pathological bone fracture:

a) Hyperparathyroidism b) Bone MTS of an undiagnosed cancer c) Granulomatous disorder (sarcoidosis, TBC) d) Multiple myeloma

Signup and view all the answers

The most common primary hyperlipidemia is:

a) Combined familiar hyperlipidaemia b) Polygenic hypercholesterolemia c) Familiar hypercholesterolaemia d) Familial dystbetalipoproteinemia

Signup and view all the answers

Characterize small dense LDL particles (composition, atherogenicity)

Signup and view all the answers

Select tests recommended in monitoring patients during initial phases of antithyroid therapy:

a) TSH b) fT3 + fT4 c) TSH + anti TPO d) TSH + fT4

Signup and view all the answers

In case, when Na-citrate is used as an anticoagulant, you cannot order following tests in plasma:

a) Calcium b) Potassium c) Sodium d) Lithium

Signup and view all the answers

Measuring of glycaemia in the whole capillary blood is not recommended

a) In monitoring of diabetes b) In diagnosis of hypoglycaemia c) In diagnosis of diabetes d) In patients with insulinoma

Signup and view all the answers

The most sensitive marker of glomerular damage in diabetic patient is:

a) Protein/ creatinine ratio b) Urinary sediment c) Albumin/ creatinine ratio d) HbA1c

Signup and view all the answers

Treatment of diabetic ketoacidosis results in:

a) Conversion of Beta-OHB to AcAc b) Conversion of AcAc to Beta – OHB c) More positive reaction on ketones in urine d) Disappearance of positive reaction for ketone on urine

Signup and view all the answers

Unconjugated bilirubin is:

a) Physiologically present in urine b) Not filtrated into urine c) Predominant form of bilirubin in the bile d) Elevated in serum in hemolytic iscterus

Signup and view all the answers

Elevation of gama-glutamyl transferase (GMT) activity is frequent in (at least 2 causes)

Signup and view all the answers

Ratio AST/ALT above 1 is typically present in:

a) Chronic hepatitis b) Alcoholic liver disease c) NAFLD d) Acute liver failure

Signup and view all the answers

  1. Select the most sensitive biochemical markers of an impaired proteosynthesis in liver:

a) Albumin b) Prothrombin time c) Prealbumin d) Ammonia

Signup and view all the answers

  1. Metabolic AB disturbances are compensated by:

a) Hyper – or hypoventilation b) Liver production of urea c) Kidney function d) Overproduction of thyroid hormones

Signup and view all the answers

  1. Describe briefly a compensatory response in respiratory disorders

Signup and view all the answers

Diabetes insipidus may result in:

a) Losses of water + ions with hypoatraemia b) Hyperosmolality c) Losses of water with hypernatraemia d) Losses of ions with hypoosmolality

Signup and view all the answers

Severe hyponatraemia is concentration below:

a) 100 mmol/l b) 130 mmol/ l c) 120 mmol/l d) 110 mmol/l

Signup and view all the answers

Specify significance of albuminuria testing in DM and hypertension (what kind of information do you get from the test?)

Signup and view all the answers

  1. Choose impossible cause of haemolysis

a) Use of too thin or thick needle for sampling b) Manipulation with unclotted blood c) Too long applying of a tourniquet d) Blood collection after meal

Signup and view all the answers

  1. Renal glycosuria occurs:

a) In glomerular disease b) After high intake of sugar in food c) In renal tubular disorders d) In diabetes mellitus

Signup and view all the answers

  1. In a healthy person, glycaemia in the 2nd hour of oGTT is:

a) Less than 7.8 mmol/L (140 mg/dL)) b) Less than 7.0 mmol/L (126) c) Less than 11.1 mmol/L (200) d) In the range of 7.8 – 11.1 mmol/L (140-200)

Signup and view all the answers

  1. The finding of WBC in urinary sediment may be sign of:

a) Proteinuria b) Bleeding into urinary tract c) Urinary tract infection d) Inflammatory kidney disease

Signup and view all the answers

  1. A 24- year- old man develops seizures following an emergent splenectomy after a car accident and massive hemorrhage. His serum sodium level is initially 116 mmol/L and is corrected to 120 mmol/L over the next 3 hours with hypertonic saline. Which of the following factors likely caused his hyponatremia?

a) Elevation of serum vasopressin (ADH) b) Loss into the third space c) Administration of hypotonic solutions d) Hypovolemia

Signup and view all the answers

  1. Select possible causes of hypoproteinaemia:

a) Elevated synthesis of lipoproteins b) Urinary losses of proteins c) Liver cirrhosis d) Hemoconcentration

Signup and view all the answers

  1. Name at least 4 possible causes of lactic acidosis

Signup and view all the answers

  1. HbA1c (glycated haemoglobin) is:

a) An indicator of hyperglycaemias during last 2-3 months b) An indicatior for hypoglycaemias during last 1-2 weeks c) New diagnostic tests for t2DM d) New diagnostic tests for type 1 DM

Signup and view all the answers

  1. Name the biochemical hallmarks for diabetic ketoacidosis and hyperosmolar hyperglycaemic state:

DKA: 1. 2. 3. HHS: 1. 2. 3.

Signup and view all the answers

  1. activity of alkaline phosphatase in serum of healthy men and nonpregnant women consist of the following isoenzymes:

a) Only liver b) Mostly bone c) Liver and bone (50:50) d) Liver, bone and placental

Signup and view all the answers

  1. The muscle origin of elevated activity AST, ALT is confirmed by:

a) Actvitiy of CK in normal range b) Elevated activity of creatinkinase c) Elevated activity of amylase d) Elevated concentration of myoglobin

Signup and view all the answers

  1. Respiratory A-B disturbances are compensated by:

a) Detoxicating action of liver b) Hyperplasia of respiratory center c) Kidney functions d) Hypo- or hyperventilation

Signup and view all the answers

  1. Diagnosis of acute myocardial necrosis is based on:

a) Typical changes on ECG b) Elevated cardiac troponins regardless dynamics c) Typical dynamic of cardiac troponins d) One elevated troponin level

Signup and view all the answers

Select the type of A-B disturbance: pH = 7.33 (7.35-7.45), pCO = 11 (4.8-5-8) kPa, HCO3 = 40 (22-26) mmol/L:

a) RAL without compensation b) RAC compensated c) MAC compensated d) RAC without compensation

Signup and view all the answers

Atherogenic dyslipidaemia means the following combination:

a) ^CHOL, ˆ TAG, ˆ Lp (a) b) ^TAG, dec HDLchol, ^ sdLDL c) ˆTAG, ˆ CHOL, ˆ sdLDL d) ˆTAG, dec, LDL, ˆ HDLchol

Signup and view all the answers

The value of LDL- Cholesterol is used:

a) For assessment of general CV risk b) In management of therapy with statins c) For monitoring of therapy of ˆTAG d) as an risk factor for T2DM

Signup and view all the answers

More Like This

Uncover Your Knowledge
30 questions

Uncover Your Knowledge

UserFriendlyIntelligence avatar
UserFriendlyIntelligence
Lab 6: Introduction to Urine Analysis
10 questions
Urinary Casts Analysis Quiz
23 questions

Urinary Casts Analysis Quiz

StaunchLogarithm8984 avatar
StaunchLogarithm8984
Use Quizgecko on...
Browser
Browser