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Question #45454

Difficulty: 8/10 | 🟢 Free

The Question

A patient with chronic hypervolemia exhibits sustained stretching of the cardiac atrial walls, leading to the continuous release of Atrial Natriuretic Factor (ANF). While ANF primarily acts as a check on the Renin-Angiotensin-Aldosterone System (RAAS), its prolonged action on the distal convoluted tubule (DCT) indirectly disrupts the homeostasis of another vital ion. Which of the following best explains this secondary interference?

Options

  • A.

    ANF directly inhibits the release of Thyrocalcitonin (TCT), leading to excessive calcium reabsorption in the DCT.

  • B.

    Prolonged natriuresis alters the electrochemical gradient required for the basolateral Na+/Ca2+ exchangers, interfering with the calcium-conserving action of Parathyroid Hormone (PTH).

  • C.

    ANF stimulates the juxtaglomerular cells to secrete renin, which competitively binds to calcium channels in the DCT.

  • D.

    The peptide hormone acts synergistically with aldosterone to promote simultaneous excretion of sodium and calcium ions.

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Correct Answer

Step-by-Step Solution

Explanation

How the Examiner Thinks

Comparative_Analysis

Sharpen your ability to evaluate multiple scenarios and distinguish between competing potential answers.

Concepts Behind This Question

ANF|PTH|Calcitonin|Calcium Homeostasis

Why This Question Is Tricky

Common Mistakes

Conceptual Pivot: Students typically compartmentalize ANF strictly to fluid/blood pressure regulation (RAAS antagonism) and PTH strictly to calcium homeostasis.

The pivot is recognizing that renal ion transport mechanisms are coupled (Na+ and Ca2+ in the DCT).

Therefore, a primary shift in sodium handling (via ANF) will inevitably disrupt the electrochemical gradients required for calcium reabsorption (the domain of PTH).

Quick Facts About This Question

Question Information

SubjectBiology
ChapterChemical Coordination and Integration - Class 11
ConceptAtrial Natriuretic Factor (ANF)
Difficulty8
Cognitive Load5
Target Solve Time120 sec
AccessFree