Chain‑of‑Custody- Documented, secure handling trail required for________ specimens; ensures integrity from patient to lab.
for substance abuse (drug) testing
Wha do you immediately check in an Integrity check in drug screens?
record urine temperature immediately with patient observing. (Substance Abuse Analysis)
Midstream Clean-Catch collects urine ____ initial void to reduce contamination; patient must cleanse genital area from _____ in a single motion before collecting.
after, front→back
Target site for throat culture/rapid test—swab only the ______ area (avoid cheeks, gums, tongue).
peritonsillar area
Occult Blood (FOBT) is a screening test for _____ used in ___; and requires multiple specimens.
hidden blood in stool, early colon cancer detection
Inborn error of metabolism listed as a distractor in urine‑odor question—NOT the cause of ammonia smell in infected urine.
Phenylketonuria (PKU)
Urinary analgesic noted in urine‑color item; chosen distractor—NOT the usual reason for brown (old blood) urine in that question set.
Pyridium
Federal quality standards program governing lab testing; many office tests (e.g., urinalysis dipsticks) are _____for ease of use in the POL.
CLIA- waived
3 Major Components in Routine Urinalysis
Physical, Chemical, Microscopic
Instruct patient to cleanse front to back in a single motion with antiseptic wipe before collecting _____ or ____ urine sample.
Clean-Catch, Midstream Urine
_________ is ordinarily performed by a ______ (specialist), though MAs support the process (set‑up, supplies, patient prep).
Catheterization, urologist
Immediately check and record ______ in patient’s presence after collection during a Drug Screen.
specimen temperature
Minimum Volume for Testing: Aim to fill a ___ test tube (leaves enough for dip, microscopic exam, and culture if ordered).
10 mL
A marked ______ odor sugsests heavy bacterial presence.
Ammonia
Strong ammonia odor+ symptoms raises suspicion for ___.
UTI
pH Trend- normal urine is _____ ______.
Slightly acidic
Usually indicates old blood. (Color)
Color- Brown
______ itself is yellow to orange; be alert if strip correlates. (Color)
Color- Bilirubin
Clarity Scale
Worst descriptor = turbid (vs. cloudy, hazy, clear)
Mucus in urine is normal so report as _____.
slight
On a Ictotest if bilirubin is present the color on the mat will turn ______.
Bluish to purple.
Urine from patients with hepatitis produce ____ foam when shaken.
green foam
Dip Reagent Strips are ____, _____ screening for multiple analytes.
Quick, convenient
Urine specimens with a high number of _____ will have a characteristic smell of _____
bacteria, ammonia
