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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 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 E)

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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 ______.

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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 D)
G) None of the above

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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?


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

F) All of the above
G) A) and B)

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


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

F) None of the above
G) D) and E)

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

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Increased specific gravity occurs in ____.


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

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

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


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

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

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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.

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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 ________.

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


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

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

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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?


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

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

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


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

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

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


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.

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

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


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

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

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


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

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

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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.

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

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

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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 ________.

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