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The Glomerulus – Tubular Reabsorption and Secretion Quiz
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Which of the following best defines the renal filtration fraction?
- A The proportion of filtered fluid that is reabsorbed in the proximal tubule You picked ✕
- B The ratio of glomerular filtration rate to renal plasma flow You picked ✓
- C The ratio of urine flow rate to glomerular filtration rate You picked ✕
- D The ratio of renal blood flow to glomerular filtration rate You picked ✕
- E The proportion of renal blood flow that enters the medulla You picked ✕
Correct!
Incorrect
The answer is B: The ratio of glomerular filtration rate to renal plasma flow
Explanation
Why B is correct
See Filtration Fraction. Option B is correct because the filtration fraction is the proportion of the plasma that enters the kidney that is actually filtered into Bowman's space, which is calculated as glomerular filtration rate (GFR) divided by renal plasma flow (RPF). GFR is the volume of plasma filtered by all the glomeruli per minute, and RPF is the volume of plasma, not whole blood, that flows through the kidneys per minute. Typical values are a GFR of about 120 mL/min and an RPF of about 600 mL/min, giving a filtration fraction of 120 divided by 600, or about 0.2, which means roughly 20% of the plasma is filtered. The remaining 80% passes on into the efferent arteriole and the peritubular capillaries (the capillaries wrapped around the tubules). The filtration fraction rises when the efferent arteriole constricts, which is the kidney's usual response to volume depletion through angiotensin II. The unfiltered plasma then enters the peritubular capillaries with a higher oncotic pressure (the pull exerted by plasma proteins), which helps to drive reabsorption in the proximal tubule. A simple way to remember it: the filtration fraction is the share of the plasma that is filtered, so GFR goes on top.
- Definition: The proportion of the plasma entering the kidney that is filtered into Bowman's space.
- Formula: Glomerular filtration rate (GFR) divided by renal plasma flow (RPF).
- Normal value: About 0.2, so roughly 20% of the plasma is filtered.
- Efferent constriction: Raises it, which angiotensin II does in volume depletion.
Why the other options are incorrect
- A. The proportion of filtered fluid that is reabsorbed in the proximal tubule: This describes fractional reabsorption, which happens after filtration. Filtration fraction concerns what is filtered at the glomerulus, not what the tubule later reclaims. Your answer
- C. The ratio of urine flow rate to glomerular filtration rate: This ratio is the fraction of the filtered fluid that ends up as urine. Since about 180 litres are filtered a day and only about 1.5 litres leave as urine, it is well below 1 per cent, and it is not the filtration fraction. Your answer
- D. The ratio of renal blood flow to glomerular filtration rate: This inverts the relationship and uses renal blood flow, which includes red cells, instead of renal plasma flow. A filtration fraction is the part of the plasma that is filtered, so filtration must be the numerator. Your answer
- E. The proportion of renal blood flow that enters the medulla: Blood flow to the medulla travels through the vasa recta, and it is a different idea. The filtration fraction describes the fraction of plasma filtered across the glomerulus, not where blood is distributed within the kidney. Your answer
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1
Which channel in principal cells of the collecting duct is directly responsible for potassium secretion into the tubular lumen?
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2
Which statement best describes sodium and water handling in the proximal convoluted tubule of a healthy adult kidney?
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