Which of the following explains why alcohol leads to a higher glomerular filtration rate (GFR)?
It promotes ADH release
It causes vasodilation in afferent arterioles
It inhibits aldosterone secretion
It inhibits ADH release, reducing water reabsorption
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. True: Semi-permeable membranes utilize pore size to selectively allow the passage of small solutes while restricting larger moieties. In renal physiology, the glomerular basement membrane effectively bars erythrocytes and high-molecular-weight plasma proteins. This experimental model accurately simulates the mechanical filtration barriers of the nephron.
Correct Answer is {"dropdown-group-1":"D"}
Explanation
A. Stratified cuboidal: This rare epithelial type is typically found in the larger ducts of sweat glands and provides structural reinforcement. It does not possess the specialized ability to stretch and flatten required for organ expansion. It lacks the umbrella cells characteristic of the urinary tract lining.
B. Pseudostratified columnar: This tissue type is characteristic of the respiratory tract and parts of the male reproductive system. It often contains cilia and goblet cells to facilitate the movement of mucus or debris. It does not provide the distensibility needed for a reservoir organ like the bladder.
C. Simple squamous: These thin, single-layered cells are optimized for rapid diffusion in the alveoli or endothelium of blood vessels. They provide minimal protection against the chemical toxicity of concentrated urine. They cannot accommodate the significant volume changes associated with the urinary bladder cycle.
D. Stratified transitional: Also known as urothelium, this tissue is uniquely designed to expand as the bladder fills with urine. The superficial umbrella cells transition from a rounded to a flattened morphology to prevent leakage under pressure. This provides an impermeable, flexible barrier against urinary waste products.
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