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Physiology · USMLE Step 1 · Healthcare and Nursing

USMLE Physiology: Renal and Acid-Base Regulation

Nephron transport mechanisms, tubuloglomerular feedback, and acid-base compensation concepts tested on USMLE Step 1.

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34 basic cards for USMLE Step 1 Physiology. Set 8 of 9 in USMLE Physiology. It opens with "Where in the nephron does SGLT2-mediated Na+/glucose cotransport primarily" and "Approximately what percentage of filtered Na+ is reabsorbed in the proximal". Study it alongside the other USMLE Step 1 sets below.

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Where in the nephron does SGLT2-mediated Na+/glucose cotransport primarily occur?
Show answerEarly proximal convoluted tubule
Approximately what percentage of filtered Na+ is reabsorbed in the proximal tubule?
Show answerAbout 65 to 70 percent
What percentage of filtered bicarbonate is reabsorbed in the proximal convoluted tubule?
Show answerAbout 80 to 90 percent
Which enzyme allows the proximal tubule brush border to convert CO2 and H2O for bicarbonate reabsorption?
Show answerCarbonic anhydrase
Which transporter mediates Na+, K+, and Cl- reabsorption in the thick ascending limb?
Show answerNa-K-2Cl cotransporter (NKCC2)
Loop diuretics act on which nephron transporter?
Show answerThe Na-K-2Cl cotransporter (NKCC2) in the thick ascending limb
Is the thick ascending limb permeable to water?
Show answerNo, it is impermeable to water
Which transporter mediates Na+ and Cl- reabsorption in the distal convoluted tubule?
Show answerNa-Cl cotransporter (NCC)
Thiazide diuretics act on which nephron transporter?
Show answerThe Na-Cl cotransporter (NCC) in the distal convoluted tubule
In the collecting duct, what is the main function of principal cells?
Show answerReabsorb Na+ and secrete K+
In the collecting duct, what is the main function of intercalated cells?
Show answerRegulate acid-base balance by secreting H+ or HCO3-
Which hormone increases Na+ reabsorption and K+ secretion by principal cells?
Show answerAldosterone
Which channel does aldosterone upregulate in principal cells to increase Na+ reabsorption?
Show answerEpithelial sodium channel (ENaC)
Which hormone increases water permeability of the collecting duct?
Show answerADH (vasopressin)
Which water channel does ADH insert into the luminal membrane of collecting duct cells?
Show answerAquaporin-2 (AQP2)

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