Question

if you notice that a urine specimen has a very strong ammonia like smell, it probably indicates that the patient has
a low blood sugar
b high blood sugar
c phenylketonuria
d a urinary tract infection

Explanation:

• Low blood sugar (A): Usually does not cause a strong ammonia - like smell in urine.
• High blood sugar (B): Can lead to sweet - smelling urine (due to ketones in cases like diabetic ketoacidosis), not ammonia - like.
• Phenylketonuria (C): Results in a musty or mousy - smelling urine (due to phenylpyruvic acid), not ammonia - like.
• Urinary tract infection (D): Bacteria in the urinary tract can break down urea into ammonia. This breakdown causes a strong ammonia - like smell in the urine.

Answer:

D. a urinary tract infection