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No. "An" is used before words that begin with a vowel sound, but not all words that begin with vowels begin with vowel sounds. "Urinalysis" begins with a "y" sound, so you would use "a" rather than "an" before it as you would for any word that begins with a "y" sound: a urinalysis, a yawn. Examples of words that begin with "u" and also begin with a vowel sound are "udder", "ugly", and "unhappy".

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