An 85 year old women with a history of diabetes mellitus and a broken hip has been confined to bed for 3 months. She has been complaining of aching muscles and her recent blood glucose result is...

Extracted text: An 85 year old women with a history of diabetes mellitus and a broken hip has been confined to bed for 3 months. She has been complaining of aching muscles and her recent blood glucose result is 250mg/dL (Normal Range 70 - 100mg/dL) Urinalysis is with the following results: Color: Reddish brown Appearance: Clear Sp Gr: 1.020, pн 5.0 Protein: 2+ Glucose: 100 mg/dL (3+) Ketones: Negative Blood: Moderate Bilirubin: Negative Urobilinogen: Normal Nitrite: Negative Leukocyte esterase: Negative Microscopic exam: 0 – 2 WBC/hpf; few squamous epithelial cells/hpf Questions (3): A. What is the significance of the negative Ketones result? a. Increased fat metabolism b. Fat is not being metabolized for energy c. Starvation d. Patient has just consumed a high fat meal B. Glucose will appear in the urine when the: a. Blood level of glucose is greater than 180 mg/dL b. Tm (Transport maximum) for glucose in tubular cells is exceeded c. Renal threshold for glucose is exceeded d. All of the above C. The proteinuria in this patient should be classified as: a. Glomerular proteinuria b. Tubular proteinuria c. Overflow proteinuria d. Post renal proteinuria Mrs. JG is a 28 year old married woman, mother of two children. She gives a two-day history of burning upon urination. Describes a feeling of urinary urgency and frequency. Mild suprapubic pain. Odd smell to her urine. Today her urine is cloudy and red. She's worried it may contain blood. The leukocyte esterase was positive in the urine. Nitrite was positive as well and a large II.


Extracted text: number of WBCS were reported. The blood is positive because there's hemoglobin in the urine. A. These results are most consistent with which of the following conditions (2)? a. Bile duct obstruction b. Urinary tract infection c. Acute Glomerulonephritis d. Hерatitis B. State three reasons why the nitrite test can be negative. (3) C. State two reasons why the leukocyte esterase test can be negative despite increased numbers of white blood cells in the urine sediment. (2)