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Kaplan Qbank USMLE



Author11 Posts
  #1

What happens with the GFR, FF, peritubular cappilary pressure and F.F. if you constrict the efferent arteriole?? {Since no one gives a cold concise sharp, final answer } [except adeelmd] :evil:

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  #2

I'll take a shot at it,

If you constrict efferent arterioles,

GFR will INCREASE (obviously)
PERITUBULAR CAPILLARY PRESSURE will DECREASE (So more reabsorption is possible)
GLOMERULAR CAPILLARY PRESSURE WILL INCREASE (Therefore more filtration will occur)
FILTRATION FRACTION WILL INCREASE Since GFR is larger (FF=GFR/RPF)

  #3

Your on th right track, I know I didnt say it nor did you volunteer it, but what about renal plasma flow??

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Smell the coffee! "Is That an Osler move??"

  #4

Renal plasma flow will decrease.

  #5

Glad someone could get it right!
One more q what happens to all these parameters if you constrict the "afferent" arteriole:

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Smell the coffee! "Is That an Osler move??"

  #6

Constrictiotion of afferent arterioles:

GFR decreases
RPF decreases
FF decreases
Glomerular capillary pressure decrease

Decreases across the board.

  #7

Thx for the definitive answers!!! :shock:

___________________
Smell the coffee! "Is That an Osler move??"

  #8

FF would be constant

  #9

Sanz Ill agree with that mathematically since GFR and RPF both go in the same direction.
Thx

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Smell the coffee! "Is That an Osler move??"

  #10

Actually Sanz is right. FF would be constant; this is probably because GFR AND RPF would BOTH decrease, thus leaving the ratio (GFR/RPF) constant.

FF can decrease if you have a ureteral stone (or blockage), or if you have increased plasma protein conc.

  #11

I would think that ff would INCREASE cuz it is more affected by the decrease in RPF than the decrease in GFR... but i believe it is too specific for step one... In pg 306 of physio notes in kaplan... it specifically states that ff is related to RPF mainly, but in the chart halfway down the page it doesn't give an arrow (or a dash)... Anyways, i would say that it increases, and if that wasn't an option, i would pick constant.

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