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The presence of free hemoglobin in the urine is known as ________, a rare condition caused by transfusion reactions, malaria, drug reactions, snakebites, or severe burns.

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Which of the following is a general urine collection guideline?


A) Label the lid of a urine specimen container with the patient's name
B) If the collection container contains liquid or powdered preservative, pour it out before obtaining the specimen
C) Explain the procedure to the patient using technical terminology
D) Tell patients to refrigerate the labeled collection container or keep it in a cooler or pail filled with ice
E) Instruct patients to add alcohol to a sample collected at home to preserve the sample

F) None of the above
G) A) and B)

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Renal or urethral obstruction and renal failure can cause ____.


A) nocturia
B) anuria
C) ketonuria
D) pentosuria
E) glycosuria

F) C) and E)
G) D) and E)

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Injured or damaged muscle tissue can cause ________, which is the presence of myoglobin in the urine.

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A(n) ________ is an optical instrument that measures the refraction, or bending, of light as it passes through a liquid and is used to measure specific gravity of the liquid.

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Occurring in patients with diabetes, ________ is the presence of significant glucose in the urine.

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Intermediary products of fat and protein metabolism in the body are ____.


A) phenylketones
B) ketone bodies
C) nitrites
D) leukocytes
E) cystine crystals

F) A) and D)
G) B) and E)

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Which of the following is important in processing a urine specimen for microscopic examination of sediment?


A) Fill one test tube with 2 mL of water and the other test tube with 2 mL of urine
B) Balance the centrifuge by placing the test tubes upside down
C) Set the centrifuge for 20 minutes
D) After the centrifuge stops, discard most of the supernatant from the tube
E) Avoid using a coverslip on the specimen slide

F) A) and B)
G) A) and C)

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Chemical and microscopic changes that invalidate a urine specimen occur if the urine is kept at room temperature for more than ____.


A) 2 minutes
B) 5 minutes
C) 20 minutes
D) 30 minutes
E) 1 hour

F) B) and E)
G) A) and E)

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Catheters used to withdraw fluids, including Foley, retention, ureteral, and straight versions, are collectively known as ________ catheters.

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Which of the following is one of the first signs of liver disease?


A) Glycosuria
B) Anuria
C) Bilirubinuria
D) Phenylketonuria
E) Proteinuria

F) B) and E)
G) A) and E)

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If the physician suspects a patient has a protozoal or parasitic infection, what type of specimen may she order?


A) First morning urine specimen
B) Clean-catch midstream urine specimen
C) . 24-hour urine specimen
D) Random urine specimen
E) . O&P specimen

F) A) and B)
G) B) and D)

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Renal or urethral obstruction and renal failure can cause absence of urine production, known as ________.

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A sterile plastic tube inserted to provide urinary drainage is called a urinary ________.

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In your office, patients collect samples using the patient restroom and leave the samples on the back of the toilet. You send April into the restroom after giving her the collection kit, including three towelettes, and instructing her on how to perform a clean-catch midstream urine specimen. After she returns to the exam room and you go into the restroom to collect the specimen, you notice the three towelette packages, unopened, in the trashcan. What should you do?


A) Process the urine sample as usual; the towelettes are not important.
B) Let April know that you know she did not follow instructions, but proceed to process the sample.
C) Process the urine sample as usual, but make a note in April's record that this is not a clean-catch sample.
D) Explain the instructions again and send April back to the restroom to produce another sample.
E) Inform the physician or your supervisor and ask whether you should process the sample.

F) B) and D)
G) C) and E)

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A fecal occult blood test (FOBT) is a test for ________, or occult, blood in the stool.

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Which of the following is commonly found in renal disease, in pregnant patients, or after heavy exercise?


A) Glycosuria
B) Proteinuria
C) Bilirubinuria
D) Phenylketonuria
E) Hematuria

F) A) and C)
G) A) and E)

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Which of the following is a measure of the degree of acidity or alkalinity of the urine?


A) Specific gravity
B) Urine sediment
C) Urinary pH
D) Urobilinogen
E) Urine culture

F) C) and D)
G) A) and B)

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Catheterization is performed for which of the following reasons?


A) Obtain a specific gravity
B) Relieve urinary retention
C) Obtain a random urine specimen
D) Prevent urinary infection
E) Prevent kidney disease

F) B) and E)
G) B) and D)

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Presence of the bile pigment bilirubin in the urine, called ________, is one of the first signs of liver disease or conditions that involve the liver.

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