Part 2

Question 1

Most common parasite?
- Pear-shaped flagellate
- Swims across field rapidly

Answer 1

Trichomonas vaginalis

Question 2

• Oval, tapered heads and long tail
• May cause positive protein
• Lack of clinical significance, legal consequences

Answer 2

Spermatozoa

Question 3

• Protein from glands, squamous cells
• THREADLIKE, low refractive index

Answer 3

Mucus

Question 4

Seen with oval fat bodies (OFBs) and fat droplets

Answer 4

Fatty casts

Question 5

• Detect with low power, ID with high power
• Granules disintegrate to form WAXY CASTS

Answer 5

Granular casts

Question 6

• Most are not clinically significant but are reported
• True geometrically formed structures or as amorphous material
  Liver disease

Answer 6

Urinary Crystals

Question 7

caused by medications or treatments

Answer 7

Latrogenic

Question 8

Rhombic, whetstones,
wedges, rosettes

Answer 8

Uric acid crystals

Question 9

Yellow-brown, spicule- covered spheres; “THORNY APPLES”

Answer 9

Ammonium Biurate Crystals

Question 10

Rhombic, whetstones,
wedges, rosettes

Answer 10

Uric acid crystals

Question 11

3 types of liver disease crystals:

Answer 11

Tyrosine crystals
Leucine crystals
Bilirubin crystals

Question 12

appear as colorless needles that tend to
form bundles following refrigeration

Answer 12

Ampicillin crystals

Question 13

Oval fat bodies stain

Answer 13

Sudan lll or oil red O stain

Question 14

Glucose and acid ideal for yeast growth

Answer 14

Diabetic urine

Question 15

Pear-shaped flagellate and swims accross field rapidly

Answer 15

Trichomonas vaginalis

Question 16

Elements unique to the kidneys, formed in DCT andcollecting duct. Many pathologic and nonpathologic causes

Question 17

Tapered ends, one or both. Same significance as cast

Answer 17

Cylindroids

Question 18

Mostly neutrophils and lobed nucleus and granules are seen. Tightly packed;look for cast matrix

Answer 18

WBC casts

Question 19

Casts are seen with infection and inflammation of the tubules

Answer 19

WBC casts

Question 20

WBC casts, with bacteria

Answer 20

Pyelonephritis

Question 21

WBC casts, no bacteria

Answer 21

Acute interstitial nephritis

Question 22

May bae pure bacteria or mixed with WBCs. Gram stain and seen in pyelonephritis

Answer 22

Bacteria casts

Question 23

Yellow brown granules microscopically and has pink color

Answer 23

Amorphous urates

Question 24

Common crystal

Answer 24

Calcium oxalate crystals

Question 25

Is envelope or two pyramid-shaped Most common A.K.A Weddellite

Answer 25

Dihydrate

Question 26

Is oval or dumbbell shaped A.K.A Whewellite

Answer 26

Monohydrate

Question 27

Major component of renal calculi

Answer 27

Calcium oxalate

Question 28

Flat rectangles and thin prisms in rosettes

Answer 28

Phosphate

Question 29

Small, dumbbell, and spherical shapes

Answer 29

Carbonate

Question 30

Staining of cystine crystals

Answer 30

Cyanide nitroprusside

Question 31

Similar to uric acid. Hexagonal, thin and thick plates

Answer 31

Cystine crystals

Question 32

Rectangular plates with characteristic notched corners. Nephrotic syndrome accompanying fatty casts and OFBs

Answer 32

Cholesterol crystals

Question 33

Similar to cholesterol crystal polarize. Very high SG with refractometer

Answer 33

Radiographic dye crystals

Question 34

Fine yellow needles in clumps or rosettes. Seen with leucine crystals

Answer 34

Tyrosine crystals

Question 35

Yellow brown spheres with concentric circles and radial striations

Answer 35

Leucine crystals

Question 36

Clumped needles or granules. , yellow color .

Answer 36

Bilirubin crystals

Question 37

Tubular damage if crystals are forming in the nephron. Shapes most frequently encountered include needles, rhombics, wheatstones, sheaves of wheat etc

Answer 37

Sulfonamide cryctals