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Kaplan Qbank USMLE



Author5 Posts
  #1

What would be the effect of efferent arteriolar dilatation on the following variables?
  1. Renal plasma flow
  2. Glomerular filtration pressure
  3. GFR
  4. FF(filtration fraction)


  #2

efferent arteriolar dilation shd:

Inc RPF
Dec GFP
Dec GFR
Dec FF since FF= GFR/RPF

plz let me know if tht ws correct.

thanks for the Q. GL


  #3

Yes...this is what i figured as well...

The source of confusion for me was an answer to the end of chapter questions in kaplan physio notes...i shall post the question and the answer choice which created the ambiguity...let me know what you think...

Q.If vascular resistance in the renal afferent arteriole decreases more than does resistance in the efferent arteriole,whcih one of the resulting changes is INCORRECT?
  1. FF is decreased
  2. Pressure facouring reabs in the peritubular cap is decreased
  3. Both RPF and GFR are increased
  4. Hydrostatic P favouring glomerular filtration is decreased
  5. ECF vol will contract

Now without getting into the details and expalination of the correct answer to this Q...the bold bit in the expl to choice 3 doesn't make sense...

3.Both RPF and GFR are increased.This is true since the dominant vasodilation is in the afferent arteriole.Vasodilation of the efferent vessel does decrease the net filtration pressure but to a minor extent.If the dominant change had been in the efferent vessel the GFR would have increased and RPF decreased.

What do you think?


  #4

shaking head...this doesn't make sense...am sure there is a mistake here...

___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #5

Yes...this has to be a mistake...just wanted to make sure...thanks guys!







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