Urobilinogen Testing Methods

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Questions and Answers

What method does Multistix use for urobilinogen testing?

  • Oxidation-reduction reaction
  • Formation of a blue azo dye
  • Ehrlich aldehyde reaction (correct)
  • Spectrophotometric analysis

What color variation indicates the presence of urobilinogen in Multistix testing?

  • White to dark brown
  • Light yellow to shades of red-brown (correct)
  • Green to blue
  • Pink to purple

Which of the following substances is not reliably detected by the Multistix method?

  • p-aminosalicylic acid metabolites
  • Porphobilinogen (correct)
  • Indole
  • Procaine

What is the normal range of urobilinogen levels detected by the Multistix method?

<p>0.2–1 mg/dL (B)</p> Signup and view all the answers

What compound does the Chemstrip method use to couple with urobilinogen?

<p>4-methoxybenzene-diazonium-tetrafluoroborate (B)</p> Signup and view all the answers

How long does it typically take to read the results from a Chemstrip urobilinogen test?

<p>10–30 seconds (D)</p> Signup and view all the answers

Which of the following is a reaction based on the Chemstrip method?

<p>Coupling to form a red azo dye (A)</p> Signup and view all the answers

What is the primary purpose of the acid buffer solution in the Multistix method?

<p>To stabilize the pH and enhance the reaction (A)</p> Signup and view all the answers

Which of the following statements about the Multistix test method is accurate?

<p>It can detect various substances besides urobilinogen. (A)</p> Signup and view all the answers

What is the possible detection limit of the Chemstrip urobilinogen test?

<p>0.4 mg/dL (C)</p> Signup and view all the answers

Flashcards

Reagent Strip Testing

The process of determining the concentration or presence of a substance in a sample, often using a chemical reaction.

Ehrlich Aldehyde Reaction

A chemical reaction used in reagent strip testing for urobilinogen. It involves reacting a sample with p-dimethylaminobenzaldehyde, producing a reddish-brown color if urobilinogen is present.

Azo Dye Formation

A method used in reagent strip testing involving a chemical reaction that forms a red azo dye. The dye is produced when a diazonium compound reacts with a substance in the sample.

Multistix

A reagent strip test used for detecting urobilinogen. It utilizes the Ehrlich aldehyde reaction and produces a reddish-brown color when urobilinogen is present.

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Chemstrip Urobilinogen Test

A reagent strip test for detecting urobilinogen. It uses a chemical reaction with 4-methoxybenzene-diazonium-tetrafluoroborate to form a red azo dye if urobilinogen is present.

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Urobilinogen

A breakdown product of bilirubin, produced by the intestines. Its presence in urine can indicate a problem with the liver or the red blood cells.

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Porphobilinogen

A substance naturally present in urine. It may be present in higher levels due to certain conditions or medications.

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Ehrlich Reagent Interference

Substances other than urobilinogen that can react with the Ehrlich reagent similar to urobilinogen. They can interfere with the accuracy of urobilinogen tests.

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Reagent Strip Testing for Urobilinogen

A reagent strip test commonly used for detecting urobilinogen. The presence of urobilinogen is indicated by a distinctive color change.

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Normal Urobilinogen Values

The level of urobilinogen considered normal in a urine sample. Levels outside this range may indicate a health issue.

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Study Notes

Reagent Strip Methods for Urobilinogen

  • Principle: Urobilinogen testing relies on the Ehrlich aldehyde reaction or the formation of a red azo dye from a diazonium compound.

  • Multistix Method: Multistix uses the Ehrlich aldehyde reaction. A test area is impregnated with an acidic buffer and p-dimethylaminobenzaldehyde, which reacts with urobilinogen to produce a reddish-brown colored result. Normal values range from 0.2-1 mg/dL.

  • Multistix Limitations: This method is not specific to urobilinogen. It will also detect other substances that react with the Ehrlich reagent, including porphobilinogen, p-aminosalicylic acid metabolites, sulfonamides, procaine, 5-hydroxyindoleacetic acid, indole, and methyldopa. It's unreliable for detecting porphobilinogen.

  • Chemstrip Method: The Chemstrip method utilizes 4-methoxybenzene-diazonium-tetrafluoroborate, which couples with urobilinogen in an acidic environment to generate a red azo dye.

  • Chemstrip Results: Results are read quickly, typically within 10–30 seconds. The test has a detection limit of approximately 0.4 mg/dL.

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