FlashKeepers

Renal · USMLE Step 1

USMLE Renal High-Yield Rapid Review

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

39 cards · basic cards · AI-written, checked twice. Edit anything.

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What mechanism allows renal blood flow to stay constant despite changes in arterial blood pressure (60-160 mmHg)?
Myogenic 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.
plasma concentration
How is filtration fraction calculated?
GFR 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?
Inulin
What renal physiologic parameter does para-aminohippuric acid (PAH) clearance estimate?
Effective renal plasma flow (RPF)
In which nephron segment is nearly all filtered glucose normally reabsorbed?
Proximal convoluted tubule
Is the thick ascending limb of the loop of Henle permeable to water?
No, it is impermeable to water
Is the thin descending limb of the loop of Henle permeable to water?
Yes, 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.
aquaporin 2
Aldosterone increases sodium reabsorption and potassium secretion by acting on which cell type?
Principal cells of the collecting duct
PTH increases calcium reabsorption primarily in which nephron segment?
Distal convoluted tubule
What effect does PTH have on renal phosphate handling?
It decreases phosphate reabsorption in the proximal tubule, increasing phosphate excretion
What is the main effect of atrial natriuretic peptide (ANP) on the glomerulus?
It increases GFR by dilating the afferent arteriole and constricting the efferent arteriole
Angiotensin II preferentially constricts which renal arteriole?
The efferent arteriole
Renin is secreted by which specialized renal cells?
Juxtaglomerular cells

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