Cairns Base Hospital Emergency Department Part 1 FACEM MCQs

1 The glomerular membrane permits free filtration of neutral substances up to the diameter of

A OAnm
B 4nm
C 40nm
D 400nm
E 4um

2 Regarding the juxtaglomerular apparatus

A Lads cells secrete renin

B The macular densa is modified afferent arteriole endothelium
C Renin is secreted in response to reduced tubular pressure
D The macula densa is part of the thick ascending limb of the loop of Henle
E Juxtaglomerular cells are located in the walls of the efferent arteriole of the glomerulus

3 Regarding the nephron

A The pores of the capillary endothelium are 7-9nm in size

B The 1st part of the PCT is the pars recta
C Cortical nephrons have long loops of Henle that extend into the medulla
D The distal convoluted tubule is typically SOmm long
E Sodium is reabsorbed by P cells of the collecting duct

4 Regarding renal blood flow

A The kidneys receive approximately the same volume of blood as the liver
8 Angiotensin II causes vasoconstriction principally in the afferent arteriole
C Prostaglandins cause vasoconstriction if cortex arterioles
o Dopamine is a potent vasoconstrictor
E Ascending vasa recta have non-fenestrated endothelium

5 Blood pressure at the commencement of the glomerular efferent arteriole is approximately

A lOOmmHg
B 40mmHg
C lOmmHg
D 4mmHg
E Zero

Physiology rena!
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 Cairns Base Hospital Emergency Department Part 1 FACEM MCQs

6 Mesangial cell relaxation is caused by

A Endothelins
B Histamine
C ?GF,
0 Noradrenaline
E AN?

7 The following factors decrease tubular sodium reabsorption EXCEPT

A Endothelin
B ILl
C ?GE2
0 AN?
E Aldosterone

8 Regarding water reabsorption

A Most water is reabsorbed in the PCT

B The ascending limb of the loop of Henle is permeable to water
C Maximum urine osmolarity is about 800mosm
o The CD is freely permeable to water even in the absence of ADH
E The OCT is permeable to water

1 B
2 0
3 E
4 A
5 B
6 E
7 E
8 A
9
10

Physiology renal
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