Urinalysis · Pathology

The presence of bilirubin in the urine (bilirubinuria) typically indicates an increase in which form of bilirubin in the blood?

  1. Unconjugated (indirect) bilirubin
  2. Conjugated (direct) bilirubin
  3. Delta bilirubin
  4. Urobilinogen
Show answer and explanation

Correct answer: Conjugated (direct) bilirubin

Only conjugated bilirubin is water-soluble and can pass through the glomerular filter. Therefore, bilirubinuria is seen in conditions like biliary obstruction or hepatitis where conjugated bilirubin levels are elevated.

Difficulty: Medium Question 17 of 20

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