Practice Quiz

COMLEX Osteopathic Medicine

Category - Genitourinary

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Which of the following casts would you expect to see in a patient with chronic renal failure?
  1. Hyaline casts
  2. Waxy casts
  3. Both A and B
  4. Neither A nor B
Explanation
Answer - B - Hyaline casts are normal in healthy individuals and would not be considered diagnostically important unless in very high levels. Waxy casts are hyaline casts that have been allowed to “sit around” in a stagnant condition of urine or fluids from the renal tubes. This can be indicative of chronic renal failure and obstruction.
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