National Center for Competency Testing (NCCT) Medical Assistant Practice Test

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In which clinical scenario would a urine dipstick test for protein be most useful?

  1. Diagnosing throat infections

  2. Evaluating diabetes

  3. Assessing kidney disease

  4. Checking for dehydration

The correct answer is: Assessing kidney disease

A urine dipstick test for protein is particularly useful in assessing kidney disease. This test helps detect the presence of protein in the urine, which can be indicative of kidney dysfunction. Normally, protein is not present in significant amounts in urine, as healthy kidneys filter waste and retain essential proteins. When kidneys are damaged, such as in conditions like glomerulonephritis or diabetic nephropathy, they may allow protein to leak into the urine. Therefore, if a urine dipstick test shows elevated protein levels, further evaluation may be warranted to assess the patient's kidney function and identify any underlying diseases. In contrast, while other options may involve urine testing, they do not specifically relate to the primary goal of a urine dipstick for protein. Diagnosing throat infections typically relies on throat swabs or rapid antigen tests. Evaluating diabetes may involve checking blood glucose levels or hemoglobin A1c rather than protein in urine. Checking for dehydration usually involves assessing specific gravity in urine rather than looking for protein levels. Therefore, the relevance of the test in diagnosing or monitoring kidney disease underscores why this is the best scenario for utilizing a urine dipstick test for protein.