By Fatskills Exam Guides Team — the exam nerds behind 28,500+ quizzes and 2.1M practice questions across 500+ global exams.
Intermediate — requires understanding of physiological processes, hormone actions, and integration of nephron segments; numerical values (e.g., GFR) are testable but not overly complex.
Trap: Assuming glucose is reabsorbed in the loop of Henle or DCT. Avoid: Glucose is reabsorbed exclusively in the proximal convoluted tubule (PCT) via sodium-glucose co-transporters (SGLT).
Trap: Thinking ADH increases Na⁺ reabsorption directly. Avoid: ADH primarily increases water reabsorption in collecting ducts; Na⁺ reabsorption is mainly regulated by aldosterone.
Trap: Believing the descending limb of Henle is impermeable to water. Avoid: The descending limb is highly permeable to water and impermeable to solutes; the ascending limb is impermeable to water.
Q1. Which part of the nephron is responsible for the maximum reabsorption of filtered solutes? A. Loop of Henle B. Distal convoluted tubule C. Proximal convoluted tubule D. Collecting duct
Answer: C Explanation: The PCT reabsorbs ~70% of glomerular filtrate, including glucose, amino acids, and ions. Why others fail: The loop of Henle is key for concentration, not bulk reabsorption.
Q2. Which hormone increases water permeability of the collecting duct by promoting insertion of aquaporins? A. Aldosterone B. Renin C. Atrial natriuretic peptide D. Antidiuretic hormone
Answer: D Explanation: ADH stimulates aquaporin-2 channel insertion in collecting duct cells. Why others fail: Aldosterone affects Na⁺/K⁺ exchange, not water channels directly.
Q3. In the countercurrent mechanism, the primary role of the vasa recta is to: A. Filter blood in the glomerulus B. Secrete hydrogen ions into the tubule C. Maintain the medullary osmotic gradient D. Reabsorb glucose in the PCT
Answer: C Explanation: Vasa recta act as countercurrent exchangers, preserving the osmolarity gradient in the medulla. Why others fail: Filtration occurs in glomerulus; secretion and reabsorption are tubular functions.
Q4. Which of the following correctly represents the sequence of structures through which urine passes? A. Collecting duct → DCT → PCT → Bowman’s capsule B. Bowman’s capsule → PCT → Loop of Henle → DCT → Collecting duct C. Glomerulus → Loop of Henle → PCT → DCT → Ureter D. Collecting duct → Renal pelvis → Urethra → Bladder
Answer: B Explanation: Filtrate forms in Bowman’s capsule, then flows through PCT, loop of Henle, DCT, and collecting duct. Why others fail: Option D reverses bladder and urethra; flow ends in urethra, not starts there.
Q5. A patient has high levels of glucose in urine. Which of the following is the most likely cause? A. Low GFR B. Deficiency of ADH C. Blood glucose exceeding renal threshold (~180 mg/dL) D. Oversecretion of aldosterone
Answer: C Explanation: Glucosuria occurs when blood glucose exceeds the renal threshold (~180 mg/dL), overwhelming PCT reabsorption capacity. Why others fail: ADH deficiency causes diabetes insipidus (not glucosuria); aldosterone affects electrolytes, not glucose.
Join 4M+ learners. Unlock unlimited quizzes, wrong-answer tracking, flashcards + reminders, study guides, and 1-on-1 challenges.