Medical Semiology Dr. Sok Sanith
Understanding Medical Semiology: Urinary Function Quiz
Test your knowledge on important concepts of medical semiology, particularly focusing on urinary fun
- Explore multiple-choice questions covering urinary output, collection methods, and common urinary disorders.
- Enhance your understanding of medical terminology related to urinary fun
ction.
1. Residual urine is:
The leakage of urine despite voluntary control of urination.
Urine that is collected over a 24-hour period.
The measurement of urine remaining in the bladder after voiding.
Urine that is normally voided.
2. A urine specimen that is obtained either through a voided specimen or Catheterization is a
Random urine specimen.
Clean-catch midstream urine specimen.
First morning urine specimen.
24-hour urine specimen.
3. Urine leaves the body through the
Urinary bladder.
Ureters.
Urethra.
Renal pelvis.
4. This is a lack of perception of bladder fullness or the loss of ability to control urinary sphinters
Neurogenic Bladder
Urinary retention
Urinary incontinence
5. This is a difficulty in, or pain during, urination:
Polyuria
Oliguria
Anuria
Dysuria
6. An excessive output of urine
Polyuria
Oliguria
Anuria
Nocturia
7. This results when the bladder loses muscle tone and the capacity of the bladder decreases.
Urinary retention
Urinary diversion
Urinary frequency
Urinalysis
8. A condition in which abnormally high amounts of ketone bodies (a byproduct of the breakdown of cells) are present in the urine
Dysuria
Hematuria
Anuria
Ketonuria
9. An accumulation of urine resulting from an inability of the bladder to empty properly.
Urinary diversion
Urinalysis
Urinary frequency
Urinary retention
10. This procedure involves introducing a latex or plastic tube through the urethra and into the bladder.
Micturition
Bacteriuria
Nephron
Catherization
11. The involuntary leakage of urine that is sufficient enough to be a problem.
Urinary retention
Reflex incontinence
Urinary frequency
Urinary incontinence (UI)
12. Urine left in the bladder after voiding
Hematuria
Residual urine
Renin
Oliguria
13.Urination; "the act of urinating"
Bacteriuria
Micturition
Nocturia
Cystitis
14. Night time voiding without awakening.
Bacteremia
Nocturia
Nocturnal enuresis
Urinalysis
15. Which of the following is the most common type of urine sample and can be taken at any time of the day?
Timed urine specimen
Random urine specimen
First morning urine specimen
Clean-catch midstream urine specimen
16. Which of the following would you include when collecting a 24-hour urine specimen?
Tell the patient to collect all urine starting with the first voided specimen
Encourage the patient to use a bedpan
Explain to the patient that the small collection container must not be washed between uses
Instruct the patient to keep the specimen covered and in the refrigerator throughout the test
17. Which of the following is a general urine collection guideline?
Label the lid of a urine specimen container with the patient's name
If the collection container contains liquid or powdered preservative, pour it out before obtaining the specimen
Explain the procedure to the patient in technical terminology
Refrigerate the labeled collection container or keep it in a cooler or pail filled with ice
18. Which of the following would you include in teaching a female patient how to collect a clean-catch midstream urine specimen?
Remove the lid of the specimen container, and place the lid facing down a flat surface
Wipe down one side of the perineal area with the first towelette, down the other side the second towelette, and down the middle with the third towelette
Void directly into the specimen container without discarding any urine
Keep the urine specimen warm until bringing it to the physician's office
19. Which urine specimen is collected after a night's sleep and contains greater concentrations of substances?
First morning urine specimen
Random urine specimen
Timed urine specimen
Clean-catch midstream urine specimen
20. No urine is produced
Hematuria
Nocturia
Dysuria
Anuria
21.also known as bacteremia
Urosepsis
Urinalysis
Renin
Diuresis
22. Aematuria may be caused by: ( Which one is true?)
Urinary tract infection
Ureteric calculi
Renal cancer
All of the above.
23. Regarding urinary retention (which one is false?)
Chronic retention is painful
High-pressure urinary retention is associated with renal impairment
May be precipitated by urinary tract infection
Treatment may elevate Prostate-Specific Antigen (PSA)
24.Regarding catheterisation ( Which one is true? )
It is an aseptic technique
Following failure to pass a catheter in a patient with urinary retention, success may be had with a smaller catheter
The balloon of a catheter may be safely inflated as soon as urine runs back
The catheter balloon may be inflated with sterile saline
25. Which of the following symptoms indicates pure outflow obstruction?
Poor stream.
Urgency.
Urinary hesitancy.
A &C
26.For which of following conditions are considered to be common causes of painless haematuria as a presenting symptom? (Which one is true? )
Renal stone.
Renal cancer.
Suprarenal tumours.
Seminal vesicle cancer.
27.Non-gonococcal urethritis may be caused by (which one is false)
Chlamydia trachomatis
Pinworms
Escherichia coli
Staphylococcus saprophyticus
28. Which of the following are important factors in the pathogenesis of urinary tract infection? (Which one is true? )
Indwelling urinary catheter
Sexual intercourse
Anaerobic bacteria
All of the above.
29. Haematuria (Which one is false?)
Should usually be investigated with flexible cystoscopy even if it has only occurred once.
Does not occur in bacterial cystitis.
Commonly occurs after minor trauma to the kidneys.
Can be detected on urine dip
30. Urine output that is decreased despite normal intake. (Scant urine)
Nocturia
Polyuria
Dysuria
Oliguria
31. _________ infections are among the most common Urinary Tract Infections. (multiple response)
Urethritis
Prostatitis
Cystitis
Nosocomial (hospital acquired)
32. Bacteria from the intestines (most commonly _____________) often infect the urinary tract by ascending from the perineal area int the lower urinary tract.
Escherichia coli
Bacillus anthracis
Staphyloccus aureus
Streptococcus pyogenes, Group A
33. The most common upper urinary tract infection is:
Urethritis
Prostatitis
Cystitis
Pyelonephritis
34. Lower urinary tract infections include: (multiple response)
Urethritis
Pyelonephritis
Prostatitis
Cystitis
35. ___________ is a type of Urinary Tract Disorder in which the bladder mucosa become inflamed and congested with blood
Pyelonephritis
Cystitis
Glomerulonephritis
Pyelonephritis
36. Which of the following is synonymous with a 24 hours output of less than 50 ml of urine ?
Renal failure
Kidney shutdown
Anuria
All of the above (Missed)
37. A 24 hours output of less than _____ ml is called oliguria
300
400
100
None of all above
38. The presence of sugar in the urine is known as
Glycosuria
Proteinuria
Keratonuria
Bacteriuria
39. Bacteria in the urine is called
Bacteriuria
Proteinuria
Gluosuria
Hematuria
40. Caffeine-containing beverages, such as soda, coffee, and tea, have a ____ effect
Diuretic
Diuresis
Neprotoxic
41._____ is a delay or difficulty in initiating voiding.
Hesitancy
Dysuria
Urgency
Poor stream
42.____________ is a condition in which urine moves from the bladder back toward the kidney.
Ureterovesical junction
Parenchyma
Crede method
Vesicoureter reflux
43. Acute uncomplicated cystitis symptoms include all the following EXCEPT
Dysuria
Cloudy or pink urine
Back pain
Frequent urge to urinate
44. Gonorrhea can lead to
Arthritis
Sterility in men
Pelvic inflammatory disease.
All of the above
45. Identify the sexually transmitted "discharge" disease
Gonorhea
Syphilis
Chancroid
All of the above
46. How many nephrons are in each kidney?
1,000
100,000
1 million
47. Diuresis is also known as
Pyuria
Anuria
Oliguria
Polyuria
48._____ is a measure of the density of urine compared with the density of water
Specific gravity
Residual urine
Oliguria
Polyuria.
49. Weakening of which muscles is a common cause of urinary incontinence
Abdominal wall muscles
Bladder wall muscles
Pelvic floor muscles
All of the above.
50. Overflow incontience is:
The involuntary loss of urine that occurs soon after feeling an urgency to void
Experiencing emptying of the bladder without the sensation of the need to void
Urine loss caused by the inability to reach the toilet
The involunary loss of urine associated with overdistension of the bladder
51. Experiencing overflow incontiennce and functional incontinence is considere to be what kind of incontience,
Urge incontinence
Stress incontinence
Functional incontinence
Mixed incontinence
52. What type of incontience is it when a patient has a broken leg which prevents them from getting to the bathroom.
Urge incontinence
Stress incontinence
Functional incontinence
Mixed incontinence
53. What type of catheter is used for continuous drainage through the urethra?
Indwelling urethral catheter
Retention catheter
Foley catheter
All of the above
54. Catheter lumens are graded on a:
Credes (C) scale
French (F) scale
Kegel (K) scale
All of the above
55. The technique that requires a sampe obtained by catheterizing the patient's bladder or by use of an foley catheter is a:
Sterile specimen
Routine uralysis specimen
Clean-catch specimen
Midstream specimen
Catheter specimen
56. Urine that appears cloudy or urine that has pus in it is called
Pyuria
Pneumaturia
Hematuria
Proteinuria
57. The most ominous sign or symptom of urinary system disease is:
Urinary frequency
Pyuria
Dysuria
Hematuria
58. A patient with acute urinary tract infection (UTI) usually presents with:
Chills and fever.
Flank pain.
Nausea and vomiting.
Painful urination.
59. Ureteral obstruction:
Is associated with hematuria.
Is commonly caused by a urinary tract calculus.
Usually requires open surgical relief of the obstruction.
Is usually associated with infection behind the obstruction.
60. Stress urinary incontinence:
Is principally a disease of young females.
Occurs only in males.
Is associated with urinary frequency and urgency.
Is a disease of aging produced by shortening of the urethra.
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