INSTRUCTIONS:

Choose the best answer. ONLY ONE ANSWER SHOULD BE SELECTED

STRICTLY NO ERASURES, ALTERATIONS OR SUPERIMPOSITIONS ALLOWED
Refrain from talking to your seatmates. Cellphones, tablets or any sort of electronic
device are NOT ALLOWED during the course of the exam.
Write your final answers in the answer sheet provided. The questionnaire may serve
as your scratch paper.
Dont forget to pray before and after the exams. God bless.
I. MULTIPLE CHOICES: Choose the best answer.
1.) In urine analysis, specimens must be collected in:
a. Clean, dry container w/ snap-on lids
c. wide mouth w/ screw top lids
b. Wide mouth, clean, dry glass
d. leak-proof container w/ snap-on lids
2.) When a urine specimen is allowed to stand at room temperature, which one of the
following does not occur?
a. disappearance of formed elements
c. false positive glucose
b.elevation of ph
d. false positive protein
3.) Which of the following urine specimen should be rejected by the laboratory
a. Specific gravity of 1.000
c. urine phof 8.0
b. Containers w/ contaminated exteriors
d. urine tested after an hour but not
longer than 2
hours
4.) The most routinely used method in specimen preservation
a. Formalin
c. refrigeration
b. Boric acid
d. thymol
5.) This pigment causes port-wine coloration of urine
a. Porphyrins
c. urochrome
b. Uroerythrin
d. urobilin
6.) A normal urine specimen has a specific gravity of:
a. 1.005 1.010
c. 1.005 1.035
b. 1.000 1.035
d. 1.000 1.010
7.) An acid urine may be caused by which of the following
a. Hyperventilation
c. starvation
b. Vomiting
d. vegetarian diet
8.) Cloudiness in a freshly voided urine could indicate the presence of:
a. protein
b. sugar
c. wbc
d. any of the above
9.) The first morning specimen is often tested because this specimen:
a. contains the most formed elements
c.is most likely to contain protein
b. is fresh
d.will display the phenomenon alkaline tide
10.)
What is the ideal screening specimen
a. Random specimen
c. second specimen
b. 8-hour specimen
d. timed specimen
II. TRUE or FALSE: Write T if the statement is TRUE. If it is FALSE, underline the
word/statement which makes it
wrong and supply the correct answer.
1.) A urine container has a recommended capacity of 50ml which allows an average of
15ml urine specimen needed for microscopic analysis.
_____________________________________________________________________________________
2.) An improperly preserved specimen causes decrease in glucose due to volatilization
and bacterial consumption.
_____________________________________________________________________________________
3.) An increased in daily urine output, exceeding 2L/ day is coined as polyuria

_____________________________________________________________________________________
4.) Fruity odor urine is associated with Diabetes mellitus
_____________________________________________________________________________________
5.) Urinometer is more a accurate method for determining specific gravity compared to
refractometer
_____________________________________________________________________________________
6.) Bence-Jones Protein precipitates at 40-60 c and disappears at 100c
_____________________________________________________________________________________
7.) Albumin is the only protein detected by the reagent strip since it is the only protein
capable of passing the Glomerulus
_____________________________________________________________________________________
8.) Both conjugated and unconjugated form of bilirubin can appear in the urine
_____________________________________________________________________________________
9.) Hydrogen ion concentration is directly related to pH
_____________________________________________________________________________________
10.)
In Scwartz-Watson Differentiation test, urobilinogen is extractable in both
butanol and chloroform
_____________________________________________________________________________________
III. MULTIPLE CHOICES
1.) The following are grounds for specimen rejection
I.
Unlabeled containers
III. Formalin used for Addis count
II.
Contaminated w/ feces
IV. Timed specimen for glucose
monitoring
a. I, II, III
c. I, II, IV
b. I, III, IV
d. II, III, IV
2.) The following are analytes which increases in improperly preserved urine
I.
Odor
III. pH
V. clarity
II.
Nitrite
IV. Bacteria
VI. Urobilinogen
a. I, II, III, IV
c. I, III, V, VI
b. III, IV, V, VI
d. II, III, IV, VI
3.) Ascorbic Acid causes false negative to the following parameters
I.
Blood
III. Bilirubin
V. Glucose
II.
pH
IV. Ketone
VI. L.E
a. II, III, VI
c. I, II, III
b. II, IV, VI
d. I, III, V
4.) The following causes port-wine colored urine
I.
Porphyrins
III. Beets
II.
Uroerythrin
IV. Blackberries
a. II, III, IV
c. I, III, IV
b. I, II, III
d. I, II, IV
5.) A 20C specimen containing 1g/dL of protein and 1g/dL of glucose has a specific
gravity of 1.030 when using a refractometer. Calculate the correct reading.
a. 1.022
b. 1.023
c. 1.024
d.
1.025
6.) Using a urinometer, a urine specimen with a temperature of 14C has a specific
gravity reading of 1.020. calculate the corrected reading.
a. 1.019
b. 1.017
c. 1.020
d.
1.018
7.) What is the renal threshold for glucose
a. 160-180mg/dL
b. 160-180g/dL

c. 60-80mg/dL
d. 60-80g/dL

8.) A (+) Clinitest and (+) reagent strip indicates presence of

a. Glucose
c. false positive reaction
b. Non-glucose reducing sugar
d. NOTA
9.) A (+) Clinitest and (-) reagent strip indicates presence of
a. Glucose
c. false positive reaction
b. Non-glucose reducing sugar
d. NOTA
10.)
At a temperature of 26 C , a urine specific reads 1.014. if a temperature
correction is employed, what would the corrected specific gravity be?
a. 1.015
b. 1.011
c. 1.016
d. 1.010
11.)
Reagent used for Blondheims Test
a. 2.8 mg ammonium sulfate
b. 2.8 g ammonium sulfate

c. 2.8 mg sodium sulfate

d. 2.8 g sodium sulfate

12.)
Which ketone body has the highest concentration
a. Acetone
c. acetoacetic acid
b. Beta-hydroxybutyric acid
d. diacetic acid
13.)
What is the highest specific gravity to which the kidney is able to
concentrate?
a. 1.025
b. 1.030
c. 1.040
d. 1.050
14.)
Which of the following may cause a false positive reaction on the glucose
reagent strip?
a. Galactose
b. lactose
c. maltose
d. oxidizing agent
15.)
a.
b.
c.
d.

The reagent strip test for occult blood depend on the fact that:
Hemoglobin can act as peroxidase
Hgb can release an enzyme from the strip
Hgb in urine combines w/ oxygen on the strip producing a blue color reaction
NOTA

IV.
V. MATCHING TYPE: Identify and match the following
A.
B.
1.) Saccomanno Fixative
a. Formalin
2.) Few particulates, print easily seen through urine
b. Boric Acid
3.) Rancid odor
c. Cloudy
4.) Sweaty feet odor
d. Three-Glass collection
5.) Cabbage odor
e. Isovaleric Acidemia
6.) Rotting fish odor
f. Methionine Malabsorption
7.) Excellent Sediment preservative
g. Tyrosinemia
8.) Best Preservative for formed elements
h. Hazy
9.) Many particulates, print blurred through urine
I.
Trimethylaminuria
10.)
Type of specimen for prostatic infection determination
j. fixatice for
cytologic study
A.
1.) Glucose
2.) Protein
system
3.) Ketone
4.) pH
5.) blood
6.) Specific gravity
7.) nitrite
8.) leukocyte esterase
Hgb
9.) bilirubin
10.)
urobilinogen

B.
a. 120 sec.
b. Double-indicator
c. 30 sec.
d. Ehrlichs reaction
e. Diazo reaction
f. 40 sec.
g. Greiss reaction
h. Pseudoperoxidase reaction of
i. Protein error of indicator
j. 45. Sec.