mjl1717 Forum Hero

Topics: 957 Posts: 5,461
| | 11/17/04 - 10:05 AM  
 
   
 
|   #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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| huzefa Forum Junior
Topics: 2 Posts: 66
| | 11/17/04 - 11:14 AM  
 
   
 
|   #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)
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| mjl1717 Forum Hero

Topics: 957 Posts: 5,461
| | 11/17/04 - 12:46 PM  
 
   
 
|   #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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| huzefa Forum Junior
Topics: 2 Posts: 66
| | 11/17/04 - 12:59 PM  
 
   
 
|   #4 |
Renal plasma flow will decrease.
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| mjl1717 Forum Hero

Topics: 957 Posts: 5,461
| | 11/17/04 - 02:06 PM  
 
   
 
|   #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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| huzefa Forum Junior
Topics: 2 Posts: 66
| | 11/17/04 - 02:53 PM  
 
   
 
|   #6 |
Constrictiotion of afferent arterioles: GFR decreases RPF decreases FF decreases Glomerular capillary pressure decrease Decreases across the board.
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| mjl1717 Forum Hero

Topics: 957 Posts: 5,461
| | 11/17/04 - 03:41 PM  
 
   
 
|   #7 |
Thx for the definitive answers!!! :shock:
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| sanz Forum Elite
Topics: 14 Posts: 154
| | 11/17/04 - 03:45 PM  
 
   
 
|   #8 |
FF would be constant
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| mjl1717 Forum Hero

Topics: 957 Posts: 5,461
| | 11/17/04 - 03:53 PM  
 
   
 
|   #9 |
Sanz Ill agree with that mathematically since GFR and RPF both go in the same direction. Thx
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| huzefa Forum Junior
Topics: 2 Posts: 66
| | 11/17/04 - 03:54 PM  
 
   
 
|   #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.
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| adeelmd Forum Elite
Topics: 40 Posts: 402
| | 11/18/04 - 08:05 PM  
 
   
 
|   #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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