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Multiple Choice
If blood glucose is elevated in the urine, which of the following conditions is most likely present?
A
Diabetes mellitus
B
Anemia
C
Hypothyroidism
D
Dehydration
Verified step by step guidance
1
Step 1: Begin by understanding the role of glucose in the body. Glucose is a primary energy source, and its levels are tightly regulated by hormones such as insulin and glucagon.
Step 2: Recognize that elevated glucose in the urine (glycosuria) occurs when blood glucose levels exceed the renal threshold, meaning the kidneys cannot reabsorb all the glucose filtered by the glomeruli.
Step 3: Consider the conditions listed in the problem. Diabetes mellitus is characterized by insufficient insulin production or insulin resistance, leading to elevated blood glucose levels. This can result in glycosuria.
Step 4: Evaluate the other options. Anemia refers to a deficiency in red blood cells or hemoglobin, which does not directly affect blood glucose levels. Hypothyroidism involves low thyroid hormone levels, which can affect metabolism but does not typically cause glycosuria. Dehydration affects fluid balance but does not directly elevate glucose in the urine.
Step 5: Conclude that the most likely condition associated with elevated glucose in the urine is Diabetes mellitus, as it directly involves dysregulation of blood glucose levels.