A decrease in glomerular surface area has no effect on the glomerular filtration rate.
True
False
The Correct Answer is B
B. False: Any reduction in the total surface area available for filtration, such as through mesangial cell contraction or glomerular scarring, directly decreases GFR. Conversely, relaxation of mesangial cells increases surface area and GFR. It is a primary variable in renal hemodynamic regulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. It promotes ADH release: Alcohol acts as a pharmacological inhibitor of antidiuretic hormone secretion from the posterior pituitary. Promoting ADH would result in water retention and concentrated urine, which is the opposite of the diuresis observed after ethanol consumption. It would decrease free water clearance.
B. It causes vasodilation in afferent arterioles: Ethanol has direct and indirect vasodilatory effects on the renal microvasculature. By reducing the resistance of the afferent arteriole, it increases the glomerular hydrostatic pressure. This hemodynamic shift directly elevates the rate of filtrate production across the glomerulus.
C. It inhibits aldosterone secretion: While alcohol can interfere with various hormonal axes, its primary acute effect on urine volume is not mediated by aldosterone inhibition. Aldosterone primarily regulates long-term sodium and potassium balance. The immediate increase in GFR is driven by hemodynamic changes.
D. It inhibits ADH release, reducing water reabsorption: This statement describes the mechanism for increased urine volume (polyuria), but it does not explain an increase in the filtration rate itself. ADH inhibition affects the collecting duct's permeability. GFR is an upstream process determined by glomerular pressures.
Correct Answer is {"dropdown-group-1":"A"}
Explanation
A. Extraglomerular: These cells, also known as Lacis cells, are located in the triangular space between the afferent and efferent arterioles at the vascular pole. They are a vital component of the juxtaglomerular apparatus (JGA). They communicate with intraglomerular mesangial cells to modulate filtration surface area and rate.
B. Vascular: While these cells are part of the vascular pole, "vascular" is not the specific anatomical name for this subset of mesangial cells. This term is too generic and could refer to any cell within the vessel wall. The JGA specifically contains extraglomerular mesangial cells.
C. Cortical: This term describes the general location within the kidney but does not specify the cell type within the juxtaglomerular apparatus. All components of the JGA are cortical, making this descriptor non-specific for the mesangial cells in question. It lacks the necessary anatomical precision.
D. Peritubular: These cells are associated with the peritubular capillaries surrounding the renal tubules and are involved in erythropoietin production. They are not part of the juxtaglomerular apparatus and do not directly influence the glomerular filtration rate through contraction. Their function is endocrine rather than hemodynamic.
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