Confirmatory and Secondary Urinalysis Screening Tests (Online CEU Course)
Carol Campshure, M.S., MT(ASCP), Betty Smith, MT(ASCP) and Beverly Schieltz, M.S., MT(ASCP)
Urine reagent strip testing is usually a reliable method when screening specimens for glucose, protein, ketones, and bilirubin. However, it occasionally may be necessary to use a secondary method to confirm a result or to test for an analyte that may not be included in the reagent strip method. This course will help a tech to determine when a secondary or confirmatory urine screening method may be needed to ensure accurate patient test results. This course is appropriate for laboratory professionals and for clinical laboratory science students.
Continuing Education Credits
- P.A.C.E.® Contact Hours (acceptable for AMT, ACSP / NCA, and state recertification): 1 hour(s)
- Florida Board of Clinical Laboratory Science CE - General (Clinical Chemistry/UA/Toxicology): 1 hour(s)
Objectives
- Determine when an alternative procedure should be used to confirm a urine reagent strip result or to detect substances that are not within the sensitivity or specificity of the urine reagent strip test.
- Discuss the appropriate specimen and reagent handling procedures.
- Identify interfering substances that can affect confirmatory and secondary tests.
- Recognize the limitations of each procedure.
Course Outline
Click on a link in the outline to view a sample page from this course.
- Why are confirmatory and secondary tests performed?
- Detection of Urinary Sugars and Reducing Substances
- Detection of Urinary Protein
- Diseases Associated with Proteinuria
- Diseases Associated with Proteinuria
- Screening and Secondary Tests for Protein
- Sulfosalicylic Acid Test (Exton's Modification)
- Interpreting SSA Results
- Credibility of Results
- Heat and Acid Test for Urinary Protein
- Microalbumin Test
- A routine reagent strip test for protein is based on the principle of:
- Persons with type 1 or type 2 diabetes should periodically have their urine monitored for:
- The screening test most commonly used to detect Bence-Jones protein in urine is:
- For which of the following reasons might SSA be used as a secondary urine protein detection method?
- Albumin is the major serum protein found in normal urine.
- Detection of Urinary Ketone Bodies
- Urinary Ketones
- Causes of Ketonuria
- Other Causes of Ketonuria
- Detection of Ketone Bodies
- Correlation of Urine Glucose and Ketones
- The Acetest®
- Detection of Urinary Bilirubin
- Urine Bilirubin
- Urine Bilirubin
- Causes for Bilirubinuria
- The Ictotest®
- The Ictotest® Procedure
- Quality of Supplies
- Procedure
- Principle of the Ictotest®
- Reporting Ictotest® Results
- Limitations of the Procedure
- The principle of the Ictotest® for bilirubin is based upon:
- Which of the following would be interpreted as a positive Ictotest®?
- Which of the following may cause a false positive Ictotest®?
- A urine specimen to be tested for bilirubin arrives in the laboratory after sitting on the counter at the nurses station for 2 hours. Which of the fol...
- Interpret the following Ictotest® results:
- Interpret the following Ictotest® results:
Additional Information
Level of Instruction: Basic
Intended Audience: Medical technologists and technicians seeking review, cross-training, or continuing education opportunities; clinical laboratory science students, medical students and pathology residents.
Course Description: This illustrated course cover the basics of confirmatory and secondary urinalysis testing, including preparation, collection, reagents, limitations, and quality control. Numerous images of test reactions and interactive questions throughout the course reinforce concepts and procedures.
About the Course: This course is part of a series of courses adapted for the web by MediaLab Inc. under license from Educational Materials for Health Professionals Inc. Dayton OH, 45420. Copyright EMHP.
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