Question 1

Which of the following would you include in patient instruction about collecting a 24-hour urine specimen?

Accepted Answer

A)  Tell the patient to collect all urine starting with the first voided specimen 
B)  Encourage the patient to use a bedpan 
C)  Explain to the patient that the small collection container must not be washed between uses 
D)  Instruct the patient to keep the specimen covered and in the refrigerator throughout the test 
E)  Return the sample to the office or deliver it to the laboratory within 1 week of collection 
A)  Tell the patient to collect all urine starting with the first voided specimen 
B)  Encourage the patient to use a bedpan 
C)  Explain to the patient that the small collection container must not be washed between uses 
D)  Instruct the patient to keep the specimen covered and in the refrigerator throughout the test 
E)  Return the sample to the office or deliver it to the laboratory within 1 week of collection

Question 2

Cylinder-shaped elements with flat or rounded ends that are formed when protein from the breakdown of cells accumulates and precipitates in the kidney tubules and are washed into the urine are called ________.

Accepted Answer

The answer of Cylinder-shaped elements with flat or rounded ends...

Question 3

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

Accepted Answer

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 
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

Question 4

When measuring specific gravity with a reagent strip, which of the following is required?

Accepted Answer

A)  Use a refrigerated urine specimen 
B)  Read the results 30 minutes after dipping 
C)  Check the expiration date on the reagent strip container 
D)  Blot the test pads of the reagent strip 
E)  Allow sediment to fall to the bottom before testing 
A)  Use a refrigerated urine specimen 
B)  Read the results 30 minutes after dipping 
C)  Check the expiration date on the reagent strip container 
D)  Blot the test pads of the reagent strip 
E)  Allow sediment to fall to the bottom before testing

Question 5

When the practitioner suspects that a patient has a protozoal or parasitic infection, what is the minimum number of stool specimens that need to be examined?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4 
E)  5 
A)  1 
B)  2 
C)  3 
D)  4 
E)  5

Question 6

Patients that are dehydrated, have a decreased fluid intake, are in shock, or have renal disease may have an insufficient production (or volume) of urine. This is called ________.

Accepted Answer

The answer of Patients that are dehydrated, have a decreased...

Question 7

The type of test performed if a patient is suspected of having a complicated urinary tract infection or if there are bacteria in the patient's urine is a urine ______.

Accepted Answer

The answer of The type of test performed if a...

Question 8

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

Accepted Answer

The answer of A fecal occult blood test (FOBT) is...

Question 9

When hemoglobin breaks down, it converts into conjugated bilirubin in the liver and then to ________ in the intestines. It is normally present in the urine in small amounts, but high levels may indicate increased red blood cell destruction or liver disease, and a lack of it in the urine may suggest total bile duct obstruction.

Accepted Answer

The answer of When hemoglobin breaks down, it converts into...

Question 10

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

Accepted Answer

The answer of Occurring in patients with diabetes, ________ is...

Question 11

A genetically inherited disorder in which the body cannot properly metabolize the nutrient phenylalanine, resulting in mental retardation, is ____.

Accepted Answer

A)  hemoglobinuria 
B)  myoglobinuria 
C)  bilirubinuria 
D)  glycosuria 
E)  phenylketonuria 
A)  hemoglobinuria 
B)  myoglobinuria 
C)  bilirubinuria 
D)  glycosuria 
E)  phenylketonuria

Question 12

Which type of urine specimen can be used to measure a patient's urinary output or analyze substances collected over a specified period of time?

Accepted Answer

A)  Random urine specimen 
B)  Clean-catch midstream urine specimen 
C)  Timed urine specimen 
D)  First morning urine specimen 
E)  Qualitative specimen 
A)  Random urine specimen 
B)  Clean-catch midstream urine specimen 
C)  Timed urine specimen 
D)  First morning urine specimen 
E)  Qualitative specimen

Question 13

Which of the following statements about refrigerating urine specimens is true?

Accepted Answer

A)  It causes changes in the physical, chemical, and microscopic makeup of the urine, causing the test to be invalid. 
B)  It may affect the sediment and specific gravity. 
C)  It should never be used as a method of storing or preserving urine. 
D)  It is acceptable only if the urine must be kept for 2 or more days. 
E)  It causes bacterial growth to accelerate. 
A)  It causes changes in the physical, chemical, and microscopic makeup of the urine, causing the test to be invalid. 
B)  It may affect the sediment and specific gravity. 
C)  It should never be used as a method of storing or preserving urine. 
D)  It is acceptable only if the urine must be kept for 2 or more days. 
E)  It causes bacterial growth to accelerate.

Question 14

Increased specific gravity occurs in ____.

Accepted Answer

A)  chronic renal disease 
B)  urinary tract infection 
C)  diabetes insipidus 
D)  systemic lupus erythematosus 
E)  overhydration 
A)  chronic renal disease 
B)  urinary tract infection 
C)  diabetes insipidus 
D)  systemic lupus erythematosus 
E)  overhydration

Question 15

Urinary ______ is a measure of the degree of acidity or alkalinity of the urine and can provide information about a patient's metabolic status, diet, and medications being taken.

Accepted Answer

The answer of Urinary ______ is a measure of the...

Question 16

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

Accepted Answer

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

Question 17

Which of the following would you include in teaching a female patient how to collect a clean-catch midstream urine specimen?

Accepted Answer

A)  Remove the lid of the specimen container and place the lid facing down a flat surface 
B)  Wipe down one side of the perineal area with the first towelette, down the other side with the second towelette, and down the middle with the third towelette 
C)  Void directly into the specimen container without discarding any urine 
D)  Keep the urine specimen warm while bringing it to the physician's office 
E)  Wipe around the inside edge of the collection container to clean it after collecting the specimen. 
A)  Remove the lid of the specimen container and place the lid facing down a flat surface 
B)  Wipe down one side of the perineal area with the first towelette, down the other side with the second towelette, and down the middle with the third towelette 
C)  Void directly into the specimen container without discarding any urine 
D)  Keep the urine specimen warm while bringing it to the physician's office 
E)  Wipe around the inside edge of the collection container to clean it after collecting the specimen.

Question 18

Which of the following are present in large amounts in the urine if inflammation is present?

Accepted Answer

A)  Proteins 
B)  Bilirubin 
C)  White blood cells 
D)  Phenylketones 
E)  Glucose 
A)  Proteins 
B)  Bilirubin 
C)  White blood cells 
D)  Phenylketones 
E)  Glucose

Question 19

Which urine specimen is used to complete a quantitative and qualitative analysis of one or more substances such as sodium, chloride, or calcium?

Accepted Answer

A)  24-hour specimen 
B)  Random urine specimen 
C)  Clean-catch midstream urine specimen 
D)  First morning urine specimen 
E)  Timed urine specimen 
A)  24-hour specimen 
B)  Random urine specimen 
C)  Clean-catch midstream urine specimen 
D)  First morning urine specimen 
E)  Timed urine specimen

Question 20

The correct procedure for testing for ketones using a reagent strip includes ____.

Accepted Answer

A)  using a strip you found sitting out on the counter 
B)  using a strip from a bottle that was opened 7 months ago 
C)  testing urine immediately or covering and refrigerating it until you can test it 
D)  testing a urine sample immediately after removing it from the refrigerator 
E)  running a control sample once a year to check for proper operation 
A)  using a strip you found sitting out on the counter 
B)  using a strip from a bottle that was opened 7 months ago 
C)  testing urine immediately or covering and refrigerating it until you can test it 
D)  testing a urine sample immediately after removing it from the refrigerator 
E)  running a control sample once a year to check for proper operation

Exam 47: Processing and Testing Urine and Stool Samples

Which of the following would you include in patient instruction about collecting a 24-hour urine specimen?

Cylinder-shaped elements with flat or rounded ends that are formed when protein from the breakdown of cells accumulates and precipitates in the kidney tubules and are washed into the urine are called ________.

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

When measuring specific gravity with a reagent strip, which of the following is required?

When the practitioner suspects that a patient has a protozoal or parasitic infection, what is the minimum number of stool specimens that need to be examined?

Patients that are dehydrated, have a decreased fluid intake, are in shock, or have renal disease may have an insufficient production (or volume) of urine. This is called ________.

The type of test performed if a patient is suspected of having a complicated urinary tract infection or if there are bacteria in the patient's urine is a urine ______.

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

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

A genetically inherited disorder in which the body cannot properly metabolize the nutrient phenylalanine, resulting in mental retardation, is ____.

Which type of urine specimen can be used to measure a patient's urinary output or analyze substances collected over a specified period of time?

Which of the following statements about refrigerating urine specimens is true?

Increased specific gravity occurs in ____.

Urinary ______ is a measure of the degree of acidity or alkalinity of the urine and can provide information about a patient's metabolic status, diet, and medications being taken.

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

Which of the following would you include in teaching a female patient how to collect a clean-catch midstream urine specimen?

Which of the following are present in large amounts in the urine if inflammation is present?

Which urine specimen is used to complete a quantitative and qualitative analysis of one or more substances such as sodium, chloride, or calcium?

The correct procedure for testing for ketones using a reagent strip includes ____.

Introduction to Medical Assisting

Healthcare and the Healthcare Team

Professionalism and Success

Interpersonal Communication

Legal and Ethical Issues

Infection Control Fundamentals

Safety and Patient Reception

Office Equipment and Supplies

Examination and Treatment Areas

Written and Electronic Communication

Medical Records and Documentation

Electronic Health Records

Managing Medical Records

Telephone Techniques

Patient Education

Schedule Management

Insurance Billing

Diagnostic Coding

Procedure Coding

Patient Collections and Financial Management

Organization of the Body

The Integumentary System

The Skeletal System

The Muscular System

The Cardiovascular System

The Blood

The Lymphatic and Immune Systems

The Respiratory System

The Nervous System

The Urinary System

The Reproductive Systems

The Digestive System

The Endocrine System

Special Senses

Infection Control Practices

Patient Interview and History

Vital Signs and Measurements

Assisting With a General Physical Exam

Assisting in Reproductive and Urinary Specialties

Assisting in Pediatrics

Assisting in Geriatrics

Assisting in Other Medical Specialties

Assisting in Eye and Ear Care

Assisting in Minor Surgery

Orientation to the Lab

Microbiology and Disease

Collecting, Processing, and Testing Blood Specimens

Electrocardiography and Pulmonary Function Testing

Diagnostic Imaging

Principles of Pharmacology

Math and Dosage Calculations

Medication Administration

Physical Therapy and Rehabilitation

Nutrition and Health

Practice Management

Emergency Preparedness

Preparing for the World of Work

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