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Renal · USMLE Step 1 · Healthcare and Nursing

USMLE Renal High-Yield Rapid Review

A condensed rapid review pass over the highest yield renal physiology and pathology facts for final week review.

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39 mixed cards for USMLE Step 1 Renal. It opens with "What mechanism allows renal blood flow to stay constant despite changes in" and "Clearance-based GFR is calculated as (urine concentration x urine flow rate)". Study it alongside the other USMLE Step 1 sets below.

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What mechanism allows renal blood flow to stay constant despite changes in arterial blood pressure (60-160 mmHg)?
Show answerMyogenic autoregulation (stretch-induced constriction of the afferent arteriole)
Clearance-based GFR is calculated as (urine concentration x urine flow rate) divided by ____ of a freely filtered, non-reabsorbed, non-secreted marker.
Show answerplasma concentration
How is filtration fraction calculated?
Show answerGFR divided by renal plasma flow (RPF)
Which marker substance is used to measure GFR because it is freely filtered and neither reabsorbed nor secreted by the nephron?
Show answerInulin
What renal physiologic parameter does para-aminohippuric acid (PAH) clearance estimate?
Show answerEffective renal plasma flow (RPF)
In which nephron segment is nearly all filtered glucose normally reabsorbed?
Show answerProximal convoluted tubule
Is the thick ascending limb of the loop of Henle permeable to water?
Show answerNo, it is impermeable to water
Is the thin descending limb of the loop of Henle permeable to water?
Show answerYes, it is permeable to water but not to solutes
ADH binds V2 receptors on collecting duct principal cells and triggers insertion of ____ channels into the apical membrane.
Show answeraquaporin 2
Aldosterone increases sodium reabsorption and potassium secretion by acting on which cell type?
Show answerPrincipal cells of the collecting duct
PTH increases calcium reabsorption primarily in which nephron segment?
Show answerDistal convoluted tubule
What effect does PTH have on renal phosphate handling?
Show answerIt decreases phosphate reabsorption in the proximal tubule, increasing phosphate excretion
What is the main effect of atrial natriuretic peptide (ANP) on the glomerulus?
Show answerIt increases GFR by dilating the afferent arteriole and constricting the efferent arteriole
Angiotensin II preferentially constricts which renal arteriole?
Show answerThe efferent arteriole
Renin is secreted by which specialized renal cells?
Show answerJuxtaglomerular cells

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