All Free Physiology MCQs with Answers

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437 questions · page 18 of 22

  • A. 250
  • B. 800
  • C. 1260
  • D. 1500

Explanation: Renal blood flow is approximately 20–25% of cardiac output, giving a typical value near 1,200–1,300 mL/min in an adult.

Correct answer: 1260
  • A. Na+
  • B. HCO3-
  • C. CL-
  • D. PO4-2

Explanation: In the proximal tubule, NH4⁺ can substitute for H⁺ on the Na⁺/H⁺ exchanger, allowing ammonia-derived acid to be secreted while Na⁺ is…

Correct answer: Na+
  • A. Creatinine clearance
  • B. Renal plasma flow
  • C. G.F.R
  • D. P.A.H. clearance

Explanation: Inulin is freely filtered by the glomerulus and is neither reabsorbed nor secreted by renal tubules, so its clearance equals the…

Correct answer: G.F.R
  • A. Aldosterone
  • B. Angiotensin II
  • C. Vasopressin
  • D. Epinephrine

Explanation: Vasopressin directly increases collecting-duct water permeability, while aldosterone and angiotensin II support sodium and water retention…

Correct answer: Epinephrine
  • A. Inulin and PAH
  • B. Urea and diodrast
  • C. PAH and Phenol red
  • D. Inulin and mannitol

Explanation: Filtration fraction is calculated as GFR divided by renal plasma flow. Inulin clearance estimates GFR and PAH clearance estimates…

Correct answer: Inulin and PAH
  • A. High
  • B. Low
  • C. Same
  • D. Greatly increased

Explanation: Renal glycosuria occurs when glucose appears in urine despite a normal blood glucose level because proximal tubular glucose reabsorption…

Correct answer: Low
  • A. Ammonia
  • B. Potassium
  • C. Bicarbonate
  • D. Sodium

Explanation: The proximal tubule has high permeability to sodium and reabsorbs most of the filtered sodium load, mainly through active transport and…

Correct answer: Sodium
  • A. Proximal segment
  • B. Distal convoluted tubule
  • C. Collecting duct
  • D. Loop of Henle

Explanation: The proximal tubule reabsorbs about 65% of the glomerular filtrate, including large amounts of sodium and water.

Correct answer: Proximal segment
  • A. Plasma oncotic pressure is increased
  • B. Glomerular hydrostatic pressure is decreased
  • C. Tubular hydrostatic pressure is increased
  • D. Increased renal blood flow

Explanation: An increase in renal blood flow can increase glomerular capillary filtration and hence GFR, whereas increased plasma oncotic, tubular…

Correct answer: Increased renal blood flow
  • A. Two million
  • B. One million
  • C. Four million
  • D. ½ million

Explanation: A normal adult kidney contains approximately one million nephrons, although the number varies between individuals.

Correct answer: One million
  • A. 1.5 l/day
  • B. 3 l/day
  • C. 0.5 l/day
  • D. 2 l/day

Explanation: Average adult urine output is about 1 to 2 litres daily, with approximately 1.5 litres per day commonly used as the normal value.

Correct answer: 1.5 l/day
  • A. 100%
  • B. 0%
  • C. 60%
  • D. 50%

Explanation: Under normal conditions, essentially 100% of filtered glucose is reabsorbed in the proximal convoluted tubule through sodium-glucose…

Correct answer: 100%
  • A. More reabsorption in the PCT
  • B. All of these
  • C. More reabsorption of DCT and collecting ducts
  • D. More concentration in loop of Henle

Explanation: Dehydration increases proximal sodium and water reabsorption, strengthens the medullary concentration gradient through the loop of Henle…

Correct answer: All of these
  • A. PAH
  • B. Urea
  • C. Inulin
  • D. Glucose

Explanation: Inulin is freely filtered and neither reabsorbed nor secreted, so the amount cleared from plasma equals the GFR.

Correct answer: Inulin
  • A. Vasopressin
  • B. Erythropoietin
  • C. Renin
  • D. 1,2,5 Dihydroxy cholecalciferol

Explanation: The kidney produces renin, erythropoietin, and active vitamin D, 1,25-dihydroxycholecalciferol.

Correct answer: Vasopressin
  • A. Urea
  • B. Bicarbonate ion
  • C. Chloride
  • D. Carbohydrate

Explanation: Carbonic anhydrase catalyses the reversible reaction between carbon dioxide and water, generating carbonic acid and ultimately bicarbonate…

Correct answer: Bicarbonate ion
  • A. Increase in renal blood flow
  • B. Increase in glomerular filtration rate
  • C. Decrease in reabsorption of Na Cl
  • D. Increase in NaCl concentration in urine

Explanation: In osmotic diuresis, a poorly reabsorbed solute retains water in the tubular fluid and reduces reabsorption of water and accompanying…

Correct answer: Decrease in reabsorption of Na Cl
  • A. Proximal tubule
  • B. Descending limb of loop of Henle
  • C. Collecting tubule
  • D. Ascending limb of loop of Henle

Explanation: The thick ascending limb is effectively impermeable to water while actively reabsorbing NaCl, making it the diluting segment of the…

Correct answer: Ascending limb of loop of Henle
  • A. Distal tubule
  • B. Henle's loop
  • C. Proximal tubule
  • D. Collecting duct

Explanation: Tubular fluid becomes most concentrated as it descends through the water-permeable limb of Henle into the hyperosmotic medulla, reaching…

Correct answer: Henle's loop
  • A. Proximal tubule
  • B. Loop of Henle
  • C. Collecting tubule
  • D. Vasa recta

Explanation: ADH inserts aquaporin-2 water channels into principal cells of the late distal tubule and collecting ducts, increasing water permeability…

Correct answer: Collecting tubule