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Microscopic urinalysis is one of the most useful assessments for patients with urologic problems.
A.
True
B.
False
Correct Answer
B. False
Explanation Microscopic urinalysis is a diagnostic test that involves examining a urine sample under a microscope to detect and analyze various substances in the urine. While it is a valuable tool in diagnosing and monitoring certain urologic conditions, it is not accurate to say that it is one of the most useful assessments for all patients with urologic problems. Other tests, such as imaging studies or blood tests, may be more appropriate and informative in certain cases. Therefore, the statement is false.
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2.
Urinalysis means what?
A.
Examination of urine output under anastesia
B.
Examination of urine
C.
Microscopic examination of urine
D.
Examination of urinary sediment
Correct Answer
B. Examination of urine
Explanation Urinalysis refers to the examination of urine, which involves analyzing its physical, chemical, and microscopic properties. This diagnostic test helps in detecting various medical conditions such as urinary tract infections, kidney diseases, diabetes, and liver problems. By examining the urine, healthcare professionals can assess the presence of abnormal substances, such as blood cells, bacteria, crystals, or other indicators of disease. Urinalysis plays a crucial role in diagnosing and monitoring the overall health and function of the urinary system.
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3.
Aids in providing clues to help when diagnosing is difficult
A.
Urinalysis
B.
Microscopic urinalysis
C.
Exam of urinary sediment
D.
LEEP
Correct Answer
A. Urinalysis
Explanation Urinalysis is the correct answer because it involves the examination of urine to detect and diagnose various medical conditions. It aids in providing clues to help when diagnosing is difficult because changes in the color, appearance, and composition of urine can indicate the presence of certain diseases or abnormalities in the body. By analyzing the urine sample, healthcare professionals can identify potential issues such as urinary tract infections, kidney problems, or even signs of diabetes. Therefore, urinalysis is an important diagnostic tool that can assist in determining the underlying cause of a patient's symptoms when other methods may not be conclusive.
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4.
Provides information about urinary tract from the kidney to urethral meatus
A.
Exam of urinary sediment
B.
Urinalysis
C.
Microscopic urinalysis
D.
LEEP
Correct Answer
B. Urinalysis
Explanation Urinalysis is a medical test that examines the urine to evaluate various aspects of the urinary system, including the presence of abnormalities or diseases. It provides information about the urinary tract from the kidney to the urethral meatus, allowing healthcare professionals to assess the overall health of the urinary system. The other options mentioned in the question, such as "exam of urinary sediment" and "microscopic urinalysis," are related procedures or components of a urinalysis, further confirming that urinalysis is the correct answer.
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5.
Microscopic exam of urinary sediment
A.
Microscopic urinary study
B.
Microscopic urinalysis
C.
Urinalysis
Correct Answer
B. Microscopic urinalysis
Explanation Microscopic urinalysis refers to the examination of urinary sediment under a microscope. This test allows for the identification and analysis of various components present in the urine, such as red and white blood cells, bacteria, crystals, and casts. It is used to diagnose and monitor various conditions affecting the urinary system, including urinary tract infections, kidney diseases, and bladder disorders. By analyzing the microscopic features of the urine, healthcare professionals can gain valuable insights into a patient's overall health and make appropriate treatment decisions.
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6.
Urinalysis also means
A.
Microscopic analysis
B.
Macroscopic analysis
Correct Answer
B. Macroscopic analysis
Explanation Urinalysis refers to the examination of urine to detect and diagnose various medical conditions. It involves analyzing the physical, chemical, and microscopic properties of urine. Macroscopic analysis, as mentioned in the answer, refers to the visual examination of urine without the use of a microscope. This includes observing the color, clarity, and odor of the urine, as well as identifying any visible abnormalities such as blood or sediment. Therefore, macroscopic analysis is a valid interpretation of the term "urinalysis."
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7.
An abnormal macroscopic analysis is a indication of?
A.
Microscopic urinalysis
B.
Study of sediment
C.
Urinalysis
Correct Answer
A. Microscopic urinalysis
Explanation An abnormal macroscopic analysis indicates the need for a microscopic urinalysis. Macroscopic analysis refers to the examination of urine with the naked eye, looking for any abnormal color, odor, or clarity. If abnormalities are found during this analysis, further investigation is required to identify the specific microscopic components present in the urine. This is done through a microscopic urinalysis, which involves examining the urine sample under a microscope to identify and analyze any abnormal cells, bacteria, crystals, or other substances that may be present.
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8.
A PT with a UTI should get what study?
A.
Semen analysis
B.
Urinalysis
C.
Microscopic urinalysis
Correct Answer
C. Microscopic urinalysis
Explanation A PT with a UTI should get a microscopic urinalysis. This study involves examining the urine sample under a microscope to detect any abnormalities such as bacteria, white blood cells, or red blood cells. It helps in diagnosing a urinary tract infection by identifying the presence of bacteria or other signs of infection in the urine. Semen analysis is not relevant in this case as it is used to assess fertility in males. Urinalysis is a broader term that includes both macroscopic and microscopic examination of urine, but in this specific scenario, microscopic urinalysis is the most appropriate test.
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9.
For a clean catch urine sample what should the male do?
A.
Void 15-30ml first before collecting
B.
Void 25-40ml first before collecting
C.
Void 10-30ml first before collecting
D.
Void 10-25ml first before collecting
Correct Answer
A. Void 15-30ml first before collecting
Explanation To obtain a clean catch urine sample, the male should void 15-30ml of urine before collecting. This ensures that any bacteria or contaminants from the urethra are flushed out, resulting in a more accurate and uncontaminated sample for testing.
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10.
How much urine should be taken as a sample for a clean catch/clean voided midstream?
A.
50 to 100ml
B.
25 to 50ml
C.
100 to 200ml
D.
100 to 150ml
Correct Answer
A. 50 to 100ml
Explanation The correct answer is 50 to 100ml. When collecting a clean catch or clean voided midstream urine sample, it is important to collect enough urine to ensure accurate testing but not too much to dilute the sample. Collecting 50 to 100ml ensures an adequate amount for testing while minimizing the risk of dilution.
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11.
For a clean catch a female needs to void the first?
A.
10 to 20ml
B.
15 to 30ml
C.
40 to 60ml
D.
15 to 20ml
Correct Answer
A. 10 to 20ml
Explanation In order for a clean catch, a female needs to void the first 10 to 20ml of urine. This is because the initial urine stream may contain contaminants from the urethra or the surrounding area, and by collecting the midstream urine sample, it reduces the chances of contamination. Collecting this amount ensures that the sample collected is more likely to be free from any external bacteria or debris.
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12.
The urine for a clean catch needs to be sent in a sterile container
A.
True
B.
False
Correct Answer
A. True
Explanation The urine for a clean catch needs to be sent in a sterile container because it helps to prevent contamination of the sample. Sterile containers are free from any microorganisms that could interfere with the accuracy of the test results. Using a non-sterile container could introduce bacteria or other contaminants, leading to inaccurate test results. Therefore, it is important to use a sterile container when collecting and sending urine for a clean catch.
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13.
How much urine is taken as a sample from a female for a clean catch?
A.
20 to 50ml
B.
50 to 100ml
C.
10 to 25ml
D.
200ml
E.
100 to 200ml
Correct Answer
B. 50 to 100ml
Explanation The correct answer is 50 to 100ml. This amount of urine is typically collected as a sample from a female for a clean catch. It is important to collect an adequate amount of urine to ensure accurate testing and analysis.
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14.
You can get sterile urine from the catheter bag
A.
Yes
B.
No
Correct Answer
B. No
Explanation only from the catheter port
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15.
A plastic bag can be used to collect the urine
A.
True
B.
False
Correct Answer
A. True
Explanation A plastic bag can indeed be used to collect urine. This is a common method employed in medical settings, such as hospitals or clinics, where patients may need to provide a urine sample for testing or analysis. By using a plastic bag, the urine can be easily collected and transported to the laboratory for further examination. Additionally, plastic bags are often equipped with secure closures, preventing any leakage or spillage during transportation.
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16.
For children what is a common way to collect the sample of urine?
A.
A catheter port
B.
Plastic bag
C.
Clean catch voided
D.
Suprapubic needle aspiration
Correct Answer
B. Plastic bag
Explanation A common way to collect a urine sample for children is by using a plastic bag. This method is non-invasive and convenient, as it allows the child to urinate directly into the bag. The plastic bag is designed with an adhesive strip that can be attached to the child's genital area to prevent any leakage. Once the sample is collected, it can be transferred to a container for further analysis. This method is often preferred for young children who may not be able to use a catheter or follow the instructions for a clean catch voided sample.
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17.
Suprapubic needle aspiration can be performed by who of the following?
A.
Corpsmen
B.
Urology techs
C.
Doctors
D.
Nurses
Correct Answer
C. Doctors
Explanation Suprapubic needle aspiration is a medical procedure that involves inserting a needle into the bladder through the abdominal wall to collect urine for diagnostic purposes. This procedure requires a high level of medical expertise and precision to avoid complications. Corpsmen and urology techs may have some knowledge and training in this area, but doctors are the most qualified healthcare professionals to perform suprapubic needle aspiration due to their extensive medical education and experience. Nurses may assist doctors during the procedure, but they are not typically the ones performing it.
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18.
Avoids contamination from the urethra, perineum and vagina
A.
Clean catch sample
B.
Suprapubic needle aspiration
C.
Full catch sample
Correct Answer
B. Suprapubic needle aspiration
Explanation Suprapubic needle aspiration is the correct answer because it is a method of obtaining a urine sample that avoids contamination from the urethra, perineum, and vagina. Unlike a clean catch sample, where there is a risk of contamination from these areas, suprapubic needle aspiration involves inserting a needle directly into the bladder through the abdominal wall to collect urine. This method ensures a more sterile sample, making it useful in situations where there is a high risk of contamination or when a clean catch sample is not possible.
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19.
Multiple bottle voiding is collecting with 4 bottles various parts of the urine stream
A.
True
B.
False
Correct Answer
B. False
Explanation Multiple bottle voiding refers to the practice of collecting urine samples in different bottles to analyze various parts of the urine stream separately. The statement suggests that this practice involves collecting urine in 4 different bottles. However, the answer is false because the statement does not accurately describe multiple bottle voiding.
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20.
The three bottles/ multiple bottle voiding is done why?
A.
To localize the bacteria
B.
To localize the blood
C.
To localize the stone formation
Correct Answer(s)
A. To localize the bacteria B. To localize the blood
Explanation The voiding of multiple bottles is done to localize the bacteria and blood. By collecting urine samples in separate bottles, it becomes easier to identify which bottle contains bacteria or blood, allowing for a more accurate diagnosis. This helps in localizing the source of infection or any underlying medical condition related to the presence of bacteria or blood in the urine.
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21.
The bottle in the middle is called the middle bottle and it takes how much urine?
A.
10 to 15ml
B.
30 to 50ml
C.
50 to 100ml
D.
40 to 60ml
Correct Answer
C. 50 to 100ml
Explanation The middle bottle is called the middle bottle because it is positioned in the middle of the other bottles. It is used to collect urine. The correct answer is 50 to 100ml, which means that the middle bottle can hold a volume of urine ranging from 50ml to 100ml.
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22.
What is the first bottle called?
Correct Answer initial Initial
Explanation The first bottle is called "initial" or "Initial".
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23.
The terminal bottle takes how much urine
A.
10 to 15ml
B.
20 to 40ml
C.
5 to 20ml
D.
30 to 60ml
Correct Answer
A. 10 to 15ml
Explanation The terminal bottle takes 10 to 15ml of urine. This means that when the urine reaches the terminal bottle, it will collect and hold a volume of 10 to 15ml.
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24.
The initial bottle takes how much urine?
A.
10 to 15ml
B.
30 to 50ml
C.
60 to 90ml
Correct Answer
A. 10 to 15ml
Explanation The initial bottle takes 10 to 15ml of urine. This means that when the bottle is first used, it can hold a maximum of 10 to 15ml of urine before it needs to be emptied or replaced.
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25.
Normal laboratory values for urinalysis for color and appearance are
A.
Yellow, green, gold, clear
B.
Yellow, amber, gold, clean
C.
Yellow, amber, gold, clear
D.
Yellow, green, gold, clean
Correct Answer
C. Yellow, amber, gold, clear
Explanation The correct answer is yellow, amber, gold, clear. This is because normal laboratory values for urinalysis indicate that the color of urine should be within the yellow to amber range. The terms "gold" and "clear" are also used to describe the appearance of urine. Therefore, the combination of yellow, amber, gold, and clear represents the normal color and appearance of urine in a urinalysis.
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26.
Normal laboratory values for urinalysis for specific gravity are
A.
1.003-1.030
B.
10.03-10.30
C.
.1003-.1030
D.
100.3-103.0
Correct Answer
A. 1.003-1.030
Explanation The correct answer is 1.003-1.030. This range represents the normal laboratory values for specific gravity in urinalysis. Specific gravity measures the concentration of solutes in the urine and can indicate hydration status and kidney function. A specific gravity below 1.003 may suggest overhydration or kidney dysfunction, while a specific gravity above 1.030 may indicate dehydration or other kidney issues. Therefore, the correct range for normal specific gravity values in urinalysis is 1.003-1.030.
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27.
Normal laboratory values for urinalysis for pH are
A.
3.5-7.0
B.
4.5-8.0
C.
5.5-9.0
D.
6.5-10.0
Correct Answer
B. 4.5-8.0
Explanation The normal laboratory values for urinalysis for pH are 4.5-8.0. This range indicates the acidity or alkalinity of the urine. A pH level below 4.5 may indicate acidic urine, while a pH level above 8.0 may indicate alkaline urine. The normal range of 4.5-8.0 allows for slight variations in pH levels, ensuring that the urine remains within a healthy range.
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28.
Normal laboratory values for urinalysis for protein are
A.
Positive
B.
Negative
Correct Answer
B. Negative
Explanation The correct answer is negative because normal laboratory values for urinalysis indicate that there should be no presence of protein in the urine. A negative result suggests that the protein levels in the urine are within the normal range, which is an important indicator of kidney health. If the result were positive, it would indicate the presence of protein in the urine, which can be a sign of kidney damage or other underlying health issues.
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29.
Normal laboratory values for urinalysis for glucose are
A.
Positive
B.
Negative
Correct Answer
B. Negative
Explanation The normal laboratory values for urinalysis for glucose are negative. This means that there is no presence of glucose in the urine sample. Glucose is typically filtered by the kidneys and reabsorbed back into the bloodstream, so its presence in the urine may indicate high blood sugar levels or a problem with the kidneys' ability to reabsorb glucose. A negative result is considered normal and suggests that blood sugar levels are within the normal range and the kidneys are functioning properly.
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30.
Normal laboratory values for urinalysis for blood are
A.
Positive
B.
Negative
Correct Answer
B. Negative
Explanation The correct answer is "negative" because normal laboratory values for blood in urinalysis should not show any presence of blood. If blood is present in the urine, it may indicate an underlying medical condition such as urinary tract infection, kidney stones, or kidney disease. Therefore, a negative result is considered within the normal range.
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31.
Normal for blood can be __ RBC's/HPF
A.
3-5
B.
0-4
C.
4-5
D.
0-3
Correct Answer
D. 0-3
Explanation The normal range for blood can be 0-3 RBC's/HPF. This means that in a high power field (HPF) when observing blood under a microscope, it is considered normal to see between 0 to 3 red blood cells (RBC's). This range indicates a healthy level of red blood cells in the blood sample being examined.
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32.
Normal laboratory values for urinalysis for Bacteria/Nitrate are
A.
Positive
B.
Negative
Correct Answer
B. Negative
Explanation The normal laboratory values for Bacteria/Nitrate in urinalysis are negative. This means that there is no presence of bacteria or nitrates in the urine sample. Bacteria in the urine can indicate an infection, while the presence of nitrates may suggest a urinary tract infection. Therefore, a negative result is considered within the normal range and indicates a healthy urine sample.
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33.
Normal laboratory values for urinalysis for leukocytes are
A.
Positive
B.
Negative
Correct Answer
B. Negative
Explanation The correct answer is negative because normal laboratory values for urinalysis indicate the absence of leukocytes in the urine. Leukocytes are white blood cells that are not typically present in urine. If leukocytes are detected in the urine, it may suggest an infection or inflammation in the urinary tract. Therefore, a negative result is considered within the normal range.
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34.
Normal for leukocyte can be __ WBCs/HPF
A.
3-5
B.
0-3
C.
4-5
D.
0-4
Correct Answer
D. 0-4
Explanation The normal range for leukocyte count in a high power field (HPF) is 0-4 white blood cells (WBCs). This means that in a microscopic view, it is expected to see between 0 and 4 WBCs per HPF.
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35.
Pyridium causes your urine to be colored?
A.
Green
B.
Red
C.
Orange
D.
Pale yellow
Correct Answer
C. Orange
Explanation Pyridium is a medication that is commonly used to relieve discomfort and pain caused by urinary tract infections. One of the side effects of Pyridium is that it can cause the urine to become colored. In this case, the correct answer is orange, indicating that Pyridium can cause the urine to turn orange in color. This is a well-known side effect of the medication and is not typically a cause for concern.
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36.
Beets can make your urine turn red
A.
True
B.
False
Correct Answer
A. True
Explanation Beets contain a pigment called betanin, which is responsible for their deep red color. When you consume beets, the betanin is broken down and excreted in your urine, giving it a reddish tint. This phenomenon, known as beeturia, is harmless and affects some individuals more than others. Therefore, it is true that beets can make your urine turn red.
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37.
Red urine does not always mean hematuria
A.
True
B.
False
Correct Answer
A. True
Explanation Red urine does not always indicate hematuria, which is the presence of blood in the urine. While hematuria can cause red or pink urine, there are other non-blood-related causes that can also lead to red urine. These causes include the consumption of certain foods or medications, such as beets or certain antibiotics. Additionally, certain medical conditions like porphyria or rhabdomyolysis can also result in red urine. Therefore, it is important to consider other factors and consult a healthcare professional to determine the exact cause of red urine.
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38.
Caused by mucus
A.
Hazy
B.
Cloudy
C.
Turbid
D.
Smoky
E.
Milky
Correct Answer
A. Hazy
Explanation The word "hazy" means something that is unclear or indistinct, often due to the presence of a fine mist or smoke in the air. This matches the description "caused by mucus" as mucus can create a hazy or blurred appearance when it accumulates or is present in the respiratory system. The other options - cloudy, turbid, smoky, and milky - do not specifically relate to the presence of mucus and therefore are not the correct answer.
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39.
Caused by WBC, RBC, bacteria, epithelial cells yeast, crystals, or fecal material
A.
Cloudy
B.
Smoky
C.
Milky
D.
Slimy
E.
Turbid
Correct Answer(s)
A. Cloudy E. Turbid
Explanation The terms "cloudy" and "turbid" are used to describe the appearance of a substance that is not clear or transparent. In the context of the given options, these terms can be related to the presence of various substances such as white blood cells (WBC), red blood cells (RBC), bacteria, epithelial cells, yeast, crystals, or fecal material in a fluid. These substances can cause the fluid to appear cloudy or turbid.
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40.
Smoky or milky is seen from what?
A.
Epithelial cells
B.
Prostatic fluid
C.
Sperm
D.
Mucus
E.
Pyridium
Correct Answer(s)
B. Prostatic fluid C. Sperm
Explanation The smoky or milky appearance is seen from prostatic fluid and sperm. Prostatic fluid is a component of semen that is produced by the prostate gland. It helps in nourishing and protecting the sperm. Sperm, on the other hand, is the male reproductive cell that is responsible for fertilizing the female egg. Both prostatic fluid and sperm can contribute to the smoky or milky appearance observed.
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41.
Leukocytes __ per high powered field is considered abnormal (pyuria)
A.
5 WBC
B.
4 WBC
C.
2 WBC
D.
6 WBC
Correct Answer
A. 5 WBC
Explanation An abnormal number of leukocytes (white blood cells) per high powered field is considered pyuria. In this case, the correct answer is 5 WBC, as it is the highest number among the given options. This suggests an increased presence of leukocytes in the urine, indicating a possible urinary tract infection or other inflammatory condition.
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42.
Leukocytes is an absolute indicator of bacterial infection
A.
True
B.
False
Correct Answer
B. False
Explanation Leukocytes, also known as white blood cells, are a part of the immune system and play a crucial role in fighting off infections, including bacterial infections. However, leukocytes alone cannot be considered an absolute indicator of a bacterial infection. Other factors such as the type and count of leukocytes, as well as additional diagnostic tests, are needed to confirm the presence of a bacterial infection. Therefore, the given statement is false.
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43.
Urolithiasis causes pyuria
A.
True
B.
False
Correct Answer
A. True
Explanation Urolithiasis refers to the formation of stones in the urinary tract. These stones can cause irritation and inflammation in the urinary tract, leading to the presence of white blood cells in the urine, which is known as pyuria. Therefore, it is true that urolithiasis can cause pyuria.
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44.
Microscopic hematuria indicates all of the following and?Cancer,Strictures,Infection,
A.
BPH
B.
Calculus
C.
Trauma
D.
Infection
E.
Hyaline cast
Correct Answer(s)
A. BpH B. Calculus D. Infection
Explanation Microscopic hematuria is the presence of red blood cells in the urine that can only be detected under a microscope. It is often an indication of an underlying condition. BPH (benign prostatic hyperplasia), also known as an enlarged prostate, can cause microscopic hematuria due to the pressure it puts on the urinary tract. Calculus refers to the presence of kidney stones, which can cause irritation and bleeding in the urinary tract. Infection, such as a urinary tract infection, can also lead to microscopic hematuria. Therefore, the correct answer includes BPH, calculus, and infection as possible causes of microscopic hematuria.
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45.
Crystals found in the urine is clinically significant
A.
True
B.
False
Correct Answer
B. False
Explanation The statement "Crystals found in the urine is clinically significant" is false. Crystals in the urine are common and can be seen in healthy individuals without any clinical significance. The presence of crystals in the urine may be influenced by various factors such as diet, hydration levels, and medications. While certain types of crystals may indicate underlying medical conditions, the mere presence of crystals alone does not necessarily indicate a clinical problem. Further evaluation and analysis are required to determine the significance of crystals in the urine.
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46.
A sign of urinary stones may include finding crystals in the urine?
A.
True
B.
False
Correct Answer
A. True
Explanation Finding crystals in the urine can be a sign of urinary stones. Urinary stones, also known as kidney stones, are hard deposits that form in the kidneys and can cause pain and discomfort. Crystals in the urine may indicate the presence of these stones, as they are formed from the same substances that make up the stones. Therefore, finding crystals in the urine can be a helpful diagnostic tool in identifying urinary stones.
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