MLT ASCP Practice Questions: Urinalysis & Body Fluids Exam with Correct Verified Answers
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Course
ASCP
Institution
ASCP
Unconjugated bilirubin is conjugated in the liver with which of the following substances to
become water soluble?
A. Glycogen
B. Glucose oxidase
C. Glucuronic acid
D. Glycine - ANSWER C;
When three tubes of CSF are collected, the first tube is used for chemical and/or serological
analysis, the second tube is used to prevent contamination of the bacterial culture by skin
germs or flora. The last tube (#3) should always be used for hematology studies in order to
minimize the effect of any peripheral blood contamination which may have occurred during
the insertion of the spinal needle.
T/F;
The microscopic finding illustrated in this image is a hyaline cast. - ANSWER False
This is a fiber artifact.
A 41-year-old man is admitted to the hospital complaining of a decreased frequency of
urination, a constant bloated feeling, weight gain, and mild edema of the ankles and
eyes. Urinalysis results are as follows:
Based on the urinalysis report above, the MOST probable diagnosis is:
A. Acute pyelonephritis
B. Nephrotic syndrome
C. Acute glomerulonephritis
D. Lipiduria of unknown etiology - ANSWER B;
Nephrotic syndrome would best match the clinical symtpoms and laboratory findings.
Nephrotic syndrome is caused by damage to the kidneys, especially the basement membrane
of the glomerulus; which causes abnormal excretion of protein and red blood cells in the urine.
Fats are also present in the urine in most cases. A foamy appearance of the urine is a key
characteristic of this condition.
Clinical symptoms include:
Swelling
Weight gain from fluid retention
Poor appetite
High blood pressure
Oliguria is usually correlated with:
, A. Acute glomerulonephritis
B. Diabetes mellitus
C. Hepatitis
D. Tubular damage - ANSWER A;
Acute glomerulonephritis is closely associated with oliguria, and occasionally, anuria.
When a urine specimen cannot be cultured immediately it may be:
A. Stored at room temperature for up to 8
hours B. Stored in freezer for up to 24 hours
C. Stored in the incubator for up to 8 hours
D. Stored at 4° C for up to 24 hours - ANSWER D;
When a urine specimen cannot be cultured immediately it may be stored at 4° C for up to 24
hours. After 24 hours of refrigeration, the culture results may not be accurate as some
bacteria may not survive the extended time/temperature conditions.
Match the following factors with the expected urine pH type:
1. metabolic alkalosis
2. meat-filled diet
3. vegetarian diet
4. high urine glucose
A. Alkaline pH
B. Acidic pH - ANSWER Acidic pH:
meat-filled diet
high urine glucose
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