MLT ASCP Exam Prep: Urinalysis & Body Fluids Practice
Questions | Latest Update 2026 | Graded A+
1. An early morning clean-catch midstream urine specimen yields these results on
urinalysis: Appearance: yellow, cloudy Protein: 1+ Specific Gravity: 1.025 Blood:
negative pH: 8.0 Ketones: negative Glucose: negative Bilirubin:
negative Nitrite: positive Leukocyte esterase: positive Microscopic: No casts, 15 to 25
WBC/HPF, many bacteria present The results of this urinalysis indicate that:
Nephrotic syndrome should be considered, and the bacteria are merely
coincidental.
The bacteria present are the result of a delay of several hours in processing the
urine specimen and correlate with a probable original count of <104 CFU/ml
Significant urinary tract infection that correlates with a probable original count
of >105 CFU/ml.
The bacteria present are the result of collection into a non-sterile container
and correlate with a probable original count of <104 CFU/ml
2. If a urinalysis shows a fiber artifact instead of a hyaline cast, what implications does
this have for diagnosing nephrotic syndrome?
It has no implications for diagnosing nephrotic syndrome.
It confirms the presence of nephrotic syndrome.
It suggests that nephrotic syndrome is less likely.
It indicates a urinary tract infection.
3. The third tube of CSF collected from a lumbar puncture should be used for
Microbiology test
, Cytology examinations
Hematology tests
Any department if other samples are low
Chemistry tests
4. If a patient presents with symptoms of a urinary tract infection and a urinalysis
shows > 100 WBCs/HPF, what would be the most appropriate next step in
management?
Schedule a follow-up urinalysis in one week.
Advise the patient to increase fluid intake only.
Perform a renal ultrasound immediately.
Initiate antibiotic therapy based on culture results.
5. Which of the following urine output a day refers to polyuria?
400 mL
2,500 mL
1000 mL
1500 mL
6. In a patient with a urinary tract infection, which white blood cell type would you
expect to see elevated levels in the urine, resulting in a positive leukocyte esterase
test?
Neutrophils
Eosinophils
Basophils
, Lymphocytes
7. In a scenario where a urine sample shows normal macroscopic results but circular
elements are observed microscopically, how should a technologist proceed with
further testing?
Immediately report the sample as abnormal.
Confirm the presence of artifacts and re-evaluate the sample for
contamination.
Conduct a culture test for bacterial infection.
Ignore the microscopic findings since macroscopic results are normal.
8. Identify the crystal shaped like a flat square, diamond, or rhombus and indicate
whether they are found in acid urine or alkaline urine.
triple phosphate crystals, alkaline urine
calcium oxalate crystals, acid urine uric acid
crystals, acid urine calcium carbonate
crystals, alkaline urine
9. What is the correct storage of urine specimen if it won't be delivered to the
laboratory right away?
Freeze the urine
Refrigeration for not more than 24 hours
Put in the sink in room temperature
10. A 23-year-old visited her doctor with complaints of oliguria, dysuria, and increased
urinary frequency. Which of the following reagent strips would you expect to be
positive?
, Glucose
Questions | Latest Update 2026 | Graded A+
1. An early morning clean-catch midstream urine specimen yields these results on
urinalysis: Appearance: yellow, cloudy Protein: 1+ Specific Gravity: 1.025 Blood:
negative pH: 8.0 Ketones: negative Glucose: negative Bilirubin:
negative Nitrite: positive Leukocyte esterase: positive Microscopic: No casts, 15 to 25
WBC/HPF, many bacteria present The results of this urinalysis indicate that:
Nephrotic syndrome should be considered, and the bacteria are merely
coincidental.
The bacteria present are the result of a delay of several hours in processing the
urine specimen and correlate with a probable original count of <104 CFU/ml
Significant urinary tract infection that correlates with a probable original count
of >105 CFU/ml.
The bacteria present are the result of collection into a non-sterile container
and correlate with a probable original count of <104 CFU/ml
2. If a urinalysis shows a fiber artifact instead of a hyaline cast, what implications does
this have for diagnosing nephrotic syndrome?
It has no implications for diagnosing nephrotic syndrome.
It confirms the presence of nephrotic syndrome.
It suggests that nephrotic syndrome is less likely.
It indicates a urinary tract infection.
3. The third tube of CSF collected from a lumbar puncture should be used for
Microbiology test
, Cytology examinations
Hematology tests
Any department if other samples are low
Chemistry tests
4. If a patient presents with symptoms of a urinary tract infection and a urinalysis
shows > 100 WBCs/HPF, what would be the most appropriate next step in
management?
Schedule a follow-up urinalysis in one week.
Advise the patient to increase fluid intake only.
Perform a renal ultrasound immediately.
Initiate antibiotic therapy based on culture results.
5. Which of the following urine output a day refers to polyuria?
400 mL
2,500 mL
1000 mL
1500 mL
6. In a patient with a urinary tract infection, which white blood cell type would you
expect to see elevated levels in the urine, resulting in a positive leukocyte esterase
test?
Neutrophils
Eosinophils
Basophils
, Lymphocytes
7. In a scenario where a urine sample shows normal macroscopic results but circular
elements are observed microscopically, how should a technologist proceed with
further testing?
Immediately report the sample as abnormal.
Confirm the presence of artifacts and re-evaluate the sample for
contamination.
Conduct a culture test for bacterial infection.
Ignore the microscopic findings since macroscopic results are normal.
8. Identify the crystal shaped like a flat square, diamond, or rhombus and indicate
whether they are found in acid urine or alkaline urine.
triple phosphate crystals, alkaline urine
calcium oxalate crystals, acid urine uric acid
crystals, acid urine calcium carbonate
crystals, alkaline urine
9. What is the correct storage of urine specimen if it won't be delivered to the
laboratory right away?
Freeze the urine
Refrigeration for not more than 24 hours
Put in the sink in room temperature
10. A 23-year-old visited her doctor with complaints of oliguria, dysuria, and increased
urinary frequency. Which of the following reagent strips would you expect to be
positive?
, Glucose
