Which of the following results for an analysis of synovial fluid would
you expect to find for inflammatory joint disease?
a.Clear, viscous fluid with a WBC count less than 2000 cells/uL, glucose
and protein values are close to normal
b.Cloudy yellow fluid, low viscosity, moderately high WBC count,
neutrophils > 50%, normal glucose and high protein
c.Cloudy with low viscosity, yellow, green or milky, WBC count is very
high with more than 90% neutrophils
d.Yellow or turbid fluid with a high but variable WBC count, crystals of
monosodium urate or calcium pyrophosphate are visible - ANSWERS-
Correct Answer: Cloudy yellow fluid, low viscosity, moderately high
WBC count, neutrophils > 50%, normal glucose and high protein
Inflammatory effusions are associated with immunologic diseases, such
as RA and lupus arthritis.
In addition to sodium and chloride levels, which of the following two
tests should be done to confirm the fluid received is urine?
a.Albumin and bacteria
b.Glucose and calcium
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, AMT MLS EXAM LATEST
c.Hemoglobin and hyaline
d.Urea and creatinine - ANSWERS-Correct Answer: Urea and creatinine
It is sometimes necessary to determine whether a specimen is urine or a
body fluid. This is done by measuring urea, creatinine, sodium, and
chloride levels, which are all significantly higher in urine than in any
other body fluids.
What is a pear-shaped flagellate with an undulating membrane
commonly found in urine sediment called?
a.Giardia
b.Spermatozoa
c.Spirochete
d.Trichomonas - ANSWERS-Correct Answer: Trichomonas
Trichomonas vaginalis is a common infection causing vaginitis.
How should cellular casts be first examined?
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, AMT MLS EXAM LATEST
a.Electron microscope
b.Cytocentrifugation
c.High power
d.Low power - ANSWERS-Correct Answer: Low power
Cellular casts should be examined first under low power and reduced
light.
What can be confirmed with an Acetest tablet test?
a.Acetone and acetoacetic acid
b.Bladder integrity
c.Breakdown of sugar
d.Luteinizing hormone - ANSWERS-Correct Answer: Acetone and
acetoacetic acid
The Acetest is a tablet test for acetone and acetoacetic acid which is
based on a color reaction with sodium nitroprusside.
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, AMT MLS EXAM LATEST
What does a Clinitest detect when urine is sampled from children under
the age of two?
a.Galactose
b.Lactose
c.Lipids
d.Proteins - ANSWERS-Correct Answer: Galactose
Galactose is a reducing sugar which gives a positive Clinitest result. A
positive result indicates lack of the enzyme galactose-1-phosphate uridyl
transferase. When this occurs in children under two, further testing takes
place to confirm the problem. Removing galactose from the diet can
save the child's life if this inborn error of metabolism is identified.
Which color of urine indicates the finding of red blood cells?
a.Bright yellow
b.Cloudy red
c.Light orange
d.Opaque green - ANSWERS-Correct Answer: cloudy red
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