Normal urine from a healthy person should not contain Multiple Choice explain it briefly and select one from the following options
A. magnesium.
B. glucose .
C. Creatinine.
D. urobilin.
E. ammonia.
The correct answer and explanation is:
Correct Answer: B. Glucose
Explanation:
Urine is a by-product of the filtration and excretion processes of the kidneys. Under normal conditions, healthy urine contains water, electrolytes, and small amounts of metabolic waste products. However, it does not typically contain significant amounts of glucose. Let’s examine why this is the case and why the other options may be found in normal urine:
- Glucose:
Normally, glucose is completely reabsorbed by the renal tubules after it is filtered out of the blood in the glomeruli. This process ensures that glucose, an essential energy source, remains in the bloodstream. The presence of glucose in the urine, called glucosuria, typically occurs when blood glucose levels exceed the renal threshold (~180 mg/dL), as seen in conditions like diabetes mellitus. Therefore, in a healthy individual, glucose should not be present in detectable amounts in the urine. - Magnesium:
Magnesium is an essential mineral that is filtered by the kidneys. Although most of it is reabsorbed, a small amount may be excreted in the urine as part of normal physiological processes. - Creatinine:
Creatinine is a waste product formed from muscle metabolism and is consistently excreted in urine. Its levels in urine are used to assess kidney function. - Urobilin:
Urobilin is a pigment derived from the breakdown of heme, and it gives urine its characteristic yellow color. Its presence in small amounts is normal. - Ammonia:
Ammonia is a by-product of protein metabolism and plays a role in maintaining acid-base balance. Its excretion in urine helps regulate pH levels.
In summary, glucose should not be present in normal urine because the kidneys are highly efficient in reabsorbing it. Its presence is an indicator of an underlying abnormality, such as hyperglycemia or impaired renal tubular function.